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The study was aimed at evaluating an in vitro induction of DNA damage in three sperm subpopulations exposed to selected inflammatory mediators, such as leukocytes, two combinations of pro-inflammatory cytokines (interleukin [IL]-6+IL-8 and IL-12+IL-18) and two bacterial strains (Escherichia coli and Bacteroides ureolyticus). Semen samples from normozoospermic volunteers were differentiated by swim-up (swim-up fraction) and Percoll gradient procedures (90% and 47% Percoll fractions). Leukocytes were isolated from the whole heparinized blood using the density gradient centrifugation technique. DNA fragmentation in sperm fractions was evaluated using flow cytometry with TUNEL labeling and Comet assay. Out of the inflammatory factors tested, bacteria were found to have a greatest toxic effect on sperm DNA, especially in fractions isolated by Percoll gradient, compared with untreated cells (P

To evaluate whether ejaculated human spermatozoa undergo complete apoptosis or necrosis during experimental semen bacterial infection in vitro.Apoptotic markers, including mitochondrial transmembrane potential (ΔΨm), phosphatidylserine (PS) externalization, and DNA fragmentation, have been detected simultaneously in ejaculated human sperm after their incubation with a known pathogenic (Escherichia coli), as well as with conditionally pathogenic bacterial strains (Staphylococcus haemolyticus, Bacteroides ureolyticus) and/or leukocytes. The ΔΨm and translocation of PS was evaluated using the JC-1 and Annexin V binding tests, respectively. A modified TUNEL assay with additional staining for sperm viability was used to detect the DNA fragmentation level.The exposure of ejaculated spermatozoa to bacterial strains was associated with a simultaneous decrease in the percentage of sperm with normal ΔΨm and an increase in the proportion of Annexin V-positive sperm. Additionally, in the presence of S. haemolyticus, B. ureolyticus and/or leukocytes, a significant increase in the percentage of live TUNEL-positive (apoptotic) as well as dead TUNEL-positive (necrotic) sperm cells was also observed.The cellular death observed in spermatozoa in the presence of inflammatory mediators may be due to both apoptosis and necrosis. Here, we demonstrate for the first time that direct contact of conditionally pathogenic bacteria with ejaculated human sperm may play an even greater role in the promotion of apoptosis than in case of some pathogenic bacterial strains. These findings suggest that significant bacteriospermia and leukocytospermia may be direct causes of subfertility or additional negative factors worsening the prognosis of fertility in natural and assisted procreation.

Objective To assess the in vitro effect of three bacterial isolates ( Escherichia coli , serotype O75:HNT, Staphylococcus haemolyticus , and Bacteroides ureolyticus ) and/or leukocytes on sperm motility, subcellular changes in sperm plasma membranes, and sperm fertilizing potential. Design An in vitro model of semen bacterial infection. Setting Basic research laboratory. Patient(s) Healthy normozoospermic volunteers and healthy blood donors. Intervention(s) None. Main Outcome Measure(s) Sperm plasma membrane stability was evaluated with a LIVE/DEAD Sperm Viability Kit and with the merocyanine 540 (M540) test both performed using flow cytometry. An oxiSelect TBARS Assay Kit was used for quantitative measurement of malondialdehyde content. Functional ability of spermatozoa was assessed by hypo-osmotic swelling (HOS) test and sperm penetration assay (SPA). Result(s) The incubation of sperm with bacteria and/or leukocytes was associated with the reduction of their fertilizing potential demonstrated in both the HOS test and SPA, and this effect can be considered as a natural consequence of diminished motility and sperm membrane injury of lipid bilayers. Bacteroides ureolyticus demonstrated the most significant detrimental effect on sperm structure and function. Conclusion(s) Sperm motility and lipid sperm membrane status might be the earliest and the most sensitive indicators of sperm damage with negative consequences for male factor fertility, which can be attributed to both bacteria and leukocytes action.

Coagulase-negative staphylococci (CoNS) may cause severe infections in newborns hospitalised in Neonatal Intensive Care Units (NICU). The present study aimed to investigate the outbreak of bloodstream infections (BSI) caused by CoNS among 18 neonates in Polish NICU, including the implementation of preventive strategies. The outbreak period was observed from June to September 2009 in a group of 1016 newborns. To terminate the outbreak, an independent audit was performed in October 2009 by a team of experts. The post-intervention time lasted from January to March 2010. The genotype characteristics of CoNS derived from the blood samples and strains isolated from the NICU environment and staff hands were analysed by PCR (Polymerase Chain Reaction) and PFGE (Pulsed Field Gel Electrophoresis). In the outbreak period, the incidence density of BSI was 4.5/1000 patient days (pds), whereas that of CoNS BSI was 3.3/1000 pds. Generally, in the outbreak period, 18 cases of BSI caused by CoNS were registered with a large number of new cases in the 34th week of 2009, associated with a four-day-long public holiday. Both monomicrobial infections, as well as polymicrobial ones caused by multi-drug resistant Staphylococcus haemolyticus and Staphylococcus epidermidis, were noted. The result indicated high epidemic level of resistance genes among the CNS strains as well as horizontal spread of selected clones. After the intervention, when the preventive procedures had been standardized, a twofold decrease was recorded in the incidence rate of BSI from 4.5/1000 pds in the outbreak time comparing to 2.4/1000 pds in the post-intervention time. Our data support the view that CoNS are significant nosocomial pathogens in NICU and that some clones are transmitted between babies, through the hands of the staff. The research shows a failure to prepare Polish Infection Control Teams f

Objective To assess the in vitro effect of five bacterial strains isolated from semen samples ( Escherichia coli , Staphylococcus haemolyticus , Streptococcus oralis , Bacteroides ureolyticus , and Ureaplasma urealyticum) on reactive oxygen intermediate (ROI) release and lipid sperm membrane peroxidation in the coincubated suspensions of white blood cells (WBC) with spermatozoa. Design An in vitro model of semen infection. Setting Basic research laboratory. Patient(s) Healthy normozoospermic volunteers and healthy blood donors. Intervention(s) None. Main Outcome Measure(s) Chemiluminescent assay was used to evaluate ROI generation by WBC. Malondialdehyde (MDA) concentration was determined in sperm lysates using high-performance liquid chromatography. Result(s) Of the bacterial strains tested, B. ureolyticus , S. haemolyticus , and E. coli caused the greatest damage to sperm membrane lipids. An increase in MDA levels in sperm lysates was a natural consequence of bacteria-induced ROI generation. The WBC usually enhanced harmful activity of the infectious agent toward the cell membranes. Conclusion(s) The harmful effect of bacteria on spermatozoa depends on the type and species of microorganisms invading, colonizing, or infecting the male genital tract and is associated with the accompanying oxidative stress. The presence of leukocytes in semen appears to be the additional factor enhancing the sperm lipid membrane peroxidation, which may affect the fertility status.

A body of data exists on reactive oxygen species (ROS) release, however, no direct correlation was found between the oxidative stress and infertility. The aim of the study was to measure semen oxidative stress and its correlation with classical in vitro fertilization (IVF) rate. A prospective study in academic non-profit institution where 79 infertile couples were subjected to IVF programme was conducted. Two infertile groups were discriminated according to the pronuclei presence in IVF. The main outcome measure (pronuclei presence) was then correlated with lipid peroxidation product in semen (ROS effect). Although the average IL-8 levels and malondialdehyde (MDA) content in semen did not differ between the studied subgroups (successful vs. non-successful fertilization), a statistically significant negative correlation was found between MDA level and fertilization rate in performed regression analysis. Thus we may suggest that MDA levels in seminal plasma may have prognostic value for IVF success.