• 대한의생명과학회지
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• 제10권1호
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• pp.31-34
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• 2004

White blood cells (WBCs) are present in most human ejaculates, but abnormally high concentration of seminal leukocytes may reflect an underlying pathological condition. The World Health Organization (WHO) has defined leukocytospermia as status of more than $10^6$ WBC/mL of semen. The purpose of this study was firstly, to compare the outcomes between conventional IVF and ICSI in leukocytospermia, and secondly, to investigate whether ICSI may be an alternation treatment for patients with leukocytospermia. Total 346 cycles of conventional IVF and ICSI candidates underwent IVF cycles at Eulji Hospital Infertility Clinic. Semen Parameters including concentration, motility, morphology of spermatozoa and concentration of leukocytes were assessed from the raw ejaculates. There was no difference in sperm concentration, motility and morphology. The rates of fertilization and good embryo development from ICSI were significantly higher than those from conventional IVF in leukocytospermia (60.4% ＆ 32.5%, respectively for ICSI group and 44.4% ＆ 28.5%, respectively for IVF group, P<0.00l). The pregnancy rate after ICSI was also higher than that from conventional IVF (34.0% vs 29.1 %, P<0.05). These results indicate that the presence of seminal leukocyes (> 1$\times10^6$ WBC/mL of semen) is adversely related with fertilization, embryo development and pregnancy rate. Therfore the measurement of seminal leukocytes in routine semen analysis appears to be of prognostic value with regard to male fertilizing potential. In conclusion, it is suggested that ICSI is an alternative choice of treatment for patients with leukocytospermia.

• Clinical and Experimental Reproductive Medicine
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• 제25권3호
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• pp.245-249
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• 1998

White blood cells (WBCs) are present in most human ejaculates, but abnormally high concentration of seminal leukocytes may reflect an underlying pathological condition. The World Health Organization (WHO) has defined leukocytospermia as status of more than $10^6$ WBC/mL of semen. The purpose of this study was firstly, to compare the outcomes between conventional IVF and ICSI in leukocytospermia, and secondly, to investigate whether ICSI may be an alternative treatment for patients with leukocytospermia. Total 121 cycles of conventional IVF and ICSI candidates underwent IVF cycles at PL Infertility Clinic. Semen Parameters including concentration, motility, morphology of spermatozoa and concentration of leukocytes were assessed from the raw ejaculates. There was no difference in sperm concentration, motility and morphology. The rates of fertilization and good embryo development from ICSI were significantly higher than those from conventional IVF in leukocytospermia (63.9% & 48.6%, respectively for ICSI group and 33.4% & 24.1%, respectively for IVF group, p<0.001). The pregnancy rate after ICSI was also higher than that from conventional IVF (34.3% vs 21.6%, p<0.05). These results indicate that the presence of seminal leukocytes ($>1\times10^6$ WBC/mL of semen) is adversely related with fertilization, embryo development and pregnancy rate. Therefore the measurement of seminal leukocytes in routine semen analysis appears to be of prognostic value with regard to male fertilizing potential. In conclusion, it is suggested that ICSI is an alternative choice of treatment for patients with leukocytospermia.

• 한국미생물·생명공학회지
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• 제49권4호
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• pp.587-593
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• 2021

Infertility is a key issue affecting mood and behavior in men. Microorganisms are one of the primary etiological agents that may be associated with infertility. The objective of the present study was to identify bacterial causative agents from the semen of infertile subjects and determine the effect of bacterial infection on sperm quality, as well as determine the susceptibility of these bacteria to drugs. Forty semen samples from 30 infertile patients and 10 fertile individuals were collected. The pH, volume, motility, and concentration of semen were analyzed. The samples were processed and identified by biochemical testing using API identification kits. The antibiotic susceptibility pattern was determined using the disc diffusion method. Abnormal sperm quality was observed. The mean age of the individual and their sperm morphology, concentration, progressive motility, pH level, and pus cell content were 31.9 years, 2.7%, 10.4 million/ml, 27.3%, 8.3, and 5.7, respectively. Among the tested samples, oligoasthenozoospermia was found to show the highest occurrence, at 27/30 samples, followed by teratozoospermia, at 25/30 samples, and asthenozoospermia, at 22/30 samples. Of the tested infertile patients' sperm, 19, 6, and 5 isolates were identified as Escherichia coli, Klebsiella pneumonia, and Staphylococcus epidermidis, respectively. The results also revealed multi-drug resistance in the bacteria. Compared to that shown by the other tested antibiotics, amikacin showed higher activity against all isolated bacteria. However, the bacteria exhibited maximum resistance against gentamicin, cefotaxime, levofloxacin, and ampicillin. In conclusion, leukocytospermia and bacterial infections are possibly responsible for sperm abnormalities. Multi-drug resistant bacteria were detected. Gentamicin, cefotaxime, levofloxacin and ampicillin were shown the highest resistance, while amikacin was the most effective antimicrobial agent against the isolated bacteria.

• 한국발생생물학회지:발생과생식
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• 제4권2호
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• pp.203-213
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• 2000

본 연구에서는 반응성 산소족이 수정능력획득, 칩체반응에 미치는 영향을 알아보고자 반응성 산소족으로 superoxide anion은 xanthine (X) -xanthine oxidase (XO) system을, hydroperoxide는 $H_2O$$_2$를 농도별로 처 리하였으며, nitric oxide (NO)는 NO donor인 sodium nitroprusside (SNP)를 처리하였다 또한 남성불임요인의 하나로 알려진 leukocytospermia에 대한 영향을 알아보기 위해 lymphocyte를 농도별로 처리하였고, 일반적인 배양기내 산소농도인 20% $O_2$농도를 생체내 농도와 유사한 5% $O_2$ 농도로 낮추었을 때 의 결과를 알아보고자 하였다. 수정능력 획득 정도와 첨체반응률을 알아보기 위해 chlortetracycline (CTC) 염색방법을 이용하였다. 지질과산화 정도는 정자내 malondialdehyde (MDA)의 생성량을 흡광기를 이용하여 정량하였다. $H_2O$$_2$, X-XO, SNP와 lymphocyte 처리군은 1시간 배양시에 수정능력획득률이 유의하게 증가하였으나, 저산소처리군에서는 차이가 없었다. 저 농도의 $H_2O$$_2$를 처리한 경우에는 지질과산화 정도가 감소하였으나, 고 농도에서는 대조군에 비해 유의하게 증가하였다. 고 농도의 Iymphocyte를 처리한 경우에는 1시간 처리시에 지질과산화가 유의하게 증가하였으나, 처리된 산소농도에 따른 지질과산화의 차이는 없었다. 첨체반응률의 경우, 처리한 모든 반응성 산소족에서 대조군에 비해 높은 첨체반응률을 확인하였다. X(100 $\mu$M)-XO(100mIU)의 경우가 가장 높은 첨체반응률을 나타내었다. 이러한 결과들은 반응성 산소족이 수정능력획득, 지질과산화 그리고 첨체반응에 영향을 미치는 것을 확인하여 주었다. 또한 반응성 산소족이 생성된 경우에 수정능력획득이 보다 빠르게 진행되어지는 것은 반응성 산소족이 정자의 과운동성과 수정능력획득의 중요한 조절자임을 시사한다고 사료된다.