Objective: To define the mechanism of infection-induced damage of sperm.
Design: The effect of lipopolysaccharide (LPS)-induced reactive oxygen spec
ies (ROS) on sperm motility and its modification by scavengers were investi
gated.
Setting: Research laboratory of a university hospital.
Patient(s): Normozoospermic semen samples were obtained from 37 healthy vol
unteers.
Intervention(s): The sperms were incubated in the presence of LPS with or w
ithout scavengers.
Main Outcome Measure(s): Sperm motility was evaluated by a sperm quality an
alyzer (SQAIIB). ROS formation in semen samples was measured by a Berthold
luminometer (LB953).
Result(s): Motility of spermatozoa was decreased in the LPS-treated samples
compared with that in the control groups. ROS was significantly higher in
the LPS-treated groups than in the control groups. The addition of ROS scav
engers restored the motility index and suppressed ROS production in the LPS
-treated semen samples.
Conclusion(s): These data suggest that endotoxin-induced excessive producti
on of ROS is responsible for the decrease in sperm motility and that antiox
idant therapy may be a therapeutic option for infertile men with bacterial
genital tract infection. (C) 2001 by American Society for Reproductive Medi
cine.