Objectives. To examine the levels of sperm protamine free sulfhydryl or thi
ol (SH) groups and DNA denaturation (DD) in semen from fertile and infertil
e men.
Methods. Semen samples were obtained from consecutive nonazoospermic men pr
esenting for infertility evaluation (n = 66) and fertile men presenting for
vasectomy (n = 10). The standard semen parameters (sperm concentration, mo
tility, and morphology), sperm DD, and SH content were monitored. Sperm DNA
integrity was evaluated by flow cytometry analysis of acridine orange-trea
ted spermatozoa and expressed as the percentage of spermatozoa demonstratin
g denatured DNA.
Results. The mean (+/- SE) levels of sperm SH groups and the percentage of
spermatozoa with DD were significantly higher in the infertile men than in
the fertile men (SH groups 1083 +/- 97 and 570 +/- 101 nmol/10(6) spermatoz
oa, respectively; and DD 21%+/-1.7% and 8.9%+/-1.9%, respectively). The lev
els of sperm SH groups and DD correlated positively (r = 0.53). Also, the l
evels of sperm SH groups and DD correlated negatively with the standard sem
en parameters.
Conclusions. Our data demonstrate that sperm SH content correlates positive
ly with sperm DD and that significantly higher levels of sperm DD and SH co
ntent are found in infertile men than are found in fertile men. These data
suggest that the enhanced susceptibility of sperm DNA to denaturation in in
fertile compared with fertile men may be associated with incomplete oxidati
on of the sperm SH groups. UROLOGY 58: 80-84, 2001. (C) 2001, Elsevier Scie
nce Inc.