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Meta-Analysis
. 2017 Jan-Feb;19(1):80-90.
doi: 10.4103/1008-682X.182822.

A systematic review and meta-analysis to determine the effect of sperm DNA damage on in vitro fertilization and intracytoplasmic sperm injection outcome

Luke Simon  1 , Armand Zini  2 , Alina Dyachenko  2 , Antonio Ciampi  2 , Douglas T Carrell  1   3   4
Affiliations
Meta-Analysis

A systematic review and meta-analysis to determine the effect of sperm DNA damage on in vitro fertilization and intracytoplasmic sperm injection outcome

Luke Simon et al. Asian J Androl. 2017 Jan-Feb.

Abstract

Sperm DNA damage is prevalent among infertile men and is known to influence natural reproduction. However, the impact of sperm DNA damage on assisted reproduction outcomes remains controversial. Here, we conducted a meta-analysis of studies on sperm DNA damage (assessed by SCSA, TUNEL, SCD, or Comet assay) and clinical pregnancy after IVF and/or ICSI treatment from MEDLINE, EMBASE, and PUBMED database searches for this analysis. We identified 41 articles (with a total of 56 studies) including 16 IVF studies, 24 ICSI studies, and 16 mixed (IVF + ICSI) studies. These studies measured DNA damage (by one of four assays: 23 SCSA, 18 TUNEL, 8 SCD, and 7 Comet) and included a total of 8068 treatment cycles (3734 IVF, 2282 ICSI, and 2052 mixed IVF + ICSI). The combined OR of 1.68 (95% CI: 1.49-1.89; P < 0.0001) indicates that sperm DNA damage affects clinical pregnancy following IVF and/or ICSI treatment. In addition, the combined OR estimates of IVF (16 estimates, OR = 1.65; 95% CI: 1.34-2.04; P < 0.0001), ICSI (24 estimates, OR = 1.31; 95% CI: 1.08-1.59; P = 0.0068), and mixed IVF + ICSI studies (16 estimates, OR = 2.37; 95% CI: 1.89-2.97; P < 0.0001) were also statistically significant. There is sufficient evidence in the existing literature suggesting that sperm DNA damage has a negative effect on clinical pregnancy following IVF and/or ICSI treatment.

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Figures

Figure 1
Figure 1
Flowchart for systematic review and meta-analysis.
Figure 2
Figure 2
Forest plot of odds ratio to determine the negative effect of sperm DNA damage on clinical pregnancy outcome. (a) following “IVF” type of assisted reproduction, (b) following “ICSI” type of assisted reproduction, (c) following “Mixed” type of assisted reproduction.
See this image and copyright information in PMC

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