M. Sbracia et al., HYALURONIC-ACID SUBSTANTIALLY INCREASES THE RETENTION OF MOTILITY IN CRYOPRESERVED THAWED HUMAN SPERMATOZOA/, Human reproduction, 12(9), 1997, pp. 1949-1954
We have demonstrated previously that hyaluronic acid (HA) improves the
velocity and the retention of motility in freshly ejaculated human sp
ermatozoa, In the present work, we examined the effect of HA on cryopr
eserved/thawed spermatozoa in four paradigms: (i) effect of HA on sper
m motility and velocity in semen; (ii) stabilizing effect of HA after
4 h of incubation when the decline of sperm motility is already detect
able; (iii) the duration of improved motility after the separation of
spermatozoa from HA by Percoll gradient centrifugation; and (iv) motil
ity of sperm cryopreserved in the presence of HA, HA improved the rete
ntion of sperm motility in thawed spermatozoa. Indeed, the motility va
lues after 30 h were similar to 100% higher in the HA compared with th
e control samples, This effect of HA was also evident in the stabiliza
tion of spermatozoa with already declining motility, After removal of
the HA from the incubation medium, significantly increased motility in
the HA-exposed spermatozoa was still detectable for at least 4 h, Cry
opreservation of spermatozoa in the presence of HA did not improve the
recovery of motility, The data indicate that HA improves the retentio
n of motility of cryopreserved/thawed spermatozoa, even after the remo
val of HA from the incubation medium, The utilization of HA will proba
bly prove beneficial in assisted reproduction: in intrauterine insemin
ation and in in-vitro fertilization (IVF), the extended sperm motility
and velocity will enhance the fertilizing efficiency; in intracytopla
smic sperm injection (ICSI), the improved motility will facilitate the
identification of viable spermatozoa. Because HA is a physiological c
omponent of the cumulus and of the female and male reproductive tracts
, administration of HA should not cause ethical concerns.