D. Lolis et al., CHROMOMYCIN A(3)-STAINING AS AN INDICATOR OF PROTAMINE DEFICIENCY ANDFERTILIZATION, International journal of andrology, 19(1), 1996, pp. 23-27
Mature mammalian spermatozoa have a compact and stable nuclear structu
re conferred by protamines instead of histones, which are present in a
ll other cellular types. Chromomycin A(3) (CMA(3)) is a useful tool fo
r the detection of protamine deficiency in sperm chromatin. The purpos
e of this study was to correlate the percentage of spermatozoa stainin
g positively for CMA(3) with sperm parameters and in-vitro fertilizati
on of human oocytes. Spermatozoa were collected from 56 fertile and 18
infertile men, and washed twice in PBS, fixed in two changes of metha
nol : acetic acid (3 : 1 v : v) spread on rinsed slides treated with A
PES and dried. Twenty-four of the semen samples were subjected to both
Percoll and swim-up, and were stained subsequently with CMA(3). CMA(3
)-stained spermatozoa were expressed as a percentage in a count of 200
spermatozoa. A substantial variation in the percentage of CMA(3)-stai
ned cells was observed in ejaculated human spermatozoa, varying betwee
n 8% and 77%. A strong negative correlation (r = -0.64, p < 0.001) was
found between sperm count and the percentage of CMA(3)-stained sperma
tozoa. No correlation was found between CMA(3)-stained spermatozoa and
their motility, while excessive sperm morphological abnormalities wer
e related positively to CMA(3)-staining. Spermatozoa in samples exhibi
ting low (8-62%) CMA(3)-staining had significantly higher fertilizing
rates in vitro than did samples exhibiting high (49-77%) CMA(3)-staini
ng. The mean percentage of CMA(3)-stained spermatozoa after swim-up or
Percoll preparation (26% vs 31%) did not differ significantly These r
esults demonstrate a close relationship between CMA(3)-staining, ferti
lization and sperm count, and suggest potential application of this ma
rker for the prediction of sperm quality and fertilizing capacity.