The effects of male age on sperm DNA damage: an evaluation of 2,178 semen samples
- PMID: 30106542
- PMCID: PMC6210622
- DOI: 10.5935/1518-0557.20180047
The effects of male age on sperm DNA damage: an evaluation of 2,178 semen samples
Abstract
Objective: This study aimed to evaluate the effects of male age on sperm DNA damage.
Methods: This cross-sectional study included semen samples collected from 2,178 men seen at an infertility clinic. For DNA integrity analysis, the proportions of spermatozoa showing DNA fragmentation (TUNEL assay), abnormal chromatin packaging/underprotamination (chromomycin A3), abnormal mitochondrial membrane potential (MMP/MitoTracker Green), and apoptosis (annexin V) were recorded. For group comparisons, enrolled subjects were divided into three groups based on their ages: ≤35 years; 36-44 years; and ≥45 years. The associations between age and sperm parameters were assessed using Spearman's rank correlation coefficient.
Results: Although aging did not affect sperm apoptosis (p>.05), sperm DNA fragmentation and MMP deteriorated significantly with age (p<.05). Chromatin packaging/protamination improved significantly with age (p<.05).
Conclusion: Sperm DNA fragmentation worsened with age and was apparently associated with mitochondrial damage. The age-related increase in sperm DNA damage suggests that delaying childbearing, not only in women but also in men, might jeopardize a couple's reproductive capacity. The increase seen in chromatin packaging might represent a protective feature for DNA. However, additional studies must be performed to confirm the results concerning chromatin packaging/protamination.
Keywords: DNA damage; Male age; functional parameters; sperm.
Conflict of interest statement
The authors have no conflicts of interest to report.
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