Clinical importance of zona pellucida-induced acrosome reaction and its predictive value for IVF

The study aimed to establish zona pellucida induced acrosome reaction response (ZIAR) among 35 couples with normal and G-pattern sperm morphology and repeated poor fertilization results during assisted reproduction treatment. ZIAR tests were performed using 0.25 zona pellucida/μl co-incubated with s...

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Veröffentlicht in:Human reproduction (Oxford) 2001-01, Vol.16 (1), p.138-144
Hauptverfasser: Esterhuizen, A.D., Franken, D.R., Lourens, J.G.H., van Rooyen, L.H.
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container_start_page 138
container_title Human reproduction (Oxford)
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creator Esterhuizen, A.D.
Franken, D.R.
Lourens, J.G.H.
van Rooyen, L.H.
description The study aimed to establish zona pellucida induced acrosome reaction response (ZIAR) among 35 couples with normal and G-pattern sperm morphology and repeated poor fertilization results during assisted reproduction treatment. ZIAR tests were performed using 0.25 zona pellucida/μl co-incubated with spermatozoa for 60 min. Acrosome reactions were measured with FITC–PSA staining, and expressed as the difference between stimulated and unstimulated (spontaneous) sperm populations. Results were compared with IVF rates of metaphase II oocytes. Interactive dot diagrams divided the patients into two groups, i.e. ZIAR 15%, with mean fertilization rates of 49 and 79% respectively. The sensitivity and specificity for ZIAR results versus fertilization were 93 and 100% respectively. The area under the curve was 99% and the 95% confidence interval did not include 0.5 which implies that the ZIAR test is able to predict fertilization failure among IVF patients. In conclusion, the ZIAR test has diagnostic potential since it can assist the clinician to identify couples that will benefit from intracytoplasmic sperm injection therapy.
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Psychology</topic><topic>Humans</topic><topic>Infertility, Female - diagnosis</topic><topic>Infertility, Female - physiopathology</topic><topic>Infertility, Female - therapy</topic><topic>Male</topic><topic>Mammalian reproduction. General aspects</topic><topic>Predictive Value of Tests</topic><topic>ROC Curve</topic><topic>Sperm Count</topic><topic>Sperm Injections, Intracytoplasmic</topic><topic>Sperm Motility</topic><topic>Treatment Failure</topic><topic>Vertebrates: reproduction</topic><topic>zona pellucida</topic><topic>Zona Pellucida - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Esterhuizen, A.D.</creatorcontrib><creatorcontrib>Franken, D.R.</creatorcontrib><creatorcontrib>Lourens, J.G.H.</creatorcontrib><creatorcontrib>van Rooyen, L.H.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Human reproduction (Oxford)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Esterhuizen, A.D.</au><au>Franken, D.R.</au><au>Lourens, J.G.H.</au><au>van Rooyen, L.H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical importance of zona pellucida-induced acrosome reaction and its predictive value for IVF</atitle><jtitle>Human reproduction (Oxford)</jtitle><stitle>Hum. 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The sensitivity and specificity for ZIAR results versus fertilization were 93 and 100% respectively. The area under the curve was 99% and the 95% confidence interval did not include 0.5 which implies that the ZIAR test is able to predict fertilization failure among IVF patients. In conclusion, the ZIAR test has diagnostic potential since it can assist the clinician to identify couples that will benefit from intracytoplasmic sperm injection therapy.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>11139552</pmid><doi>10.1093/humrep/16.1.138</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects acrosome reaction
Acrosome Reaction - physiology
Adult
Biological and medical sciences
failed fertilization
Female
Fertilization in Vitro
Fundamental and applied biological sciences. Psychology
Humans
Infertility, Female - diagnosis
Infertility, Female - physiopathology
Infertility, Female - therapy
Male
Mammalian reproduction. General aspects
Predictive Value of Tests
ROC Curve
Sperm Count
Sperm Injections, Intracytoplasmic
Sperm Motility
Treatment Failure
Vertebrates: reproduction
zona pellucida
Zona Pellucida - physiology
title Clinical importance of zona pellucida-induced acrosome reaction and its predictive value for IVF
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