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R J Van Kooij

Publications and source records attributed to R J Van Kooij.

7 recordsLinked to original sources

The neutral comet assay detects double strand DNA damage in selected and unselected human spermatozoa of normospermic donors.

The occurrence of DNA breaks in human sperm is of concern to genetic safety in artificial reproduction techniques. Here, we have explored the neutral comet assay (NCA) for evaluating the frequency of spermatozoa with double strand (ds) DNA breaks in normospermic donors. The NCA results into DNA tail formation by fibre extension and by the separation of DNA fragments. Gamma-irradiated native, lysed and lysed plus RNA and protein degraded human sperm nuclei have been used to assess sensitivity and specificity of fragment formation as an indication for ds DNA breaks. At 5 and 10 Gy gamma irradiation, the sensitivity increases in the order: native, lysed, lysed plus RNA and protein degraded. At 10 Gy, a uniform response between donors was obtained. For technical and biological reasons, the NCA underestimates the true incidence of ds DNA breaks by an unknown factor. Semen samples of six healthy normospermic donors were differentiated by swim up and by Percoll density centrifugation, followed by the NCA. In native semen, percentages of sperm nuclei with ds DNA breaks ranged from 15 to 25%. Swim up and selection for high-density sperm nuclei (high Percoll fraction) reduced the frequency of sperm with ds DNA breaks by about one third, whereas an increased frequency was found in the low Percoll fraction. In conclusion, the response to gamma irradiation of DNA fragment formation indicates the NCA to demonstrate ds DNA breaks which is in keeping with theory and experimental results from somatic cells. Ds DNA breaks are a characteristic of the sperm population of normal donors. Current sperm selection procedures reduce the fractions of sperm with ds DNA breaks, yet are not effective in eliminating these cells.

Centrifugation, Density Gradient↗

Comparison between intracytoplasmic sperm injection and in-vitro fertilization (IVF) with high insemination concentration after total fertilization failure in a previous IVF attempt.

The aim of this prospective study was to evaluate whether couples with total fertilization failure in a previous in-vitro fertilization (IVF) attempt should be offered an additional IVF treatment with elevated insemination concentration or should be treated with intracytoplasmic sperm injection (ICSI). In 23 cycles 228 sibling metaphase II (MII) oocytes were randomly divided: 143 and 85 oocytes were utilized for ICSI and IVF respectively. Of the 143 injected (ICSI) oocytes, 90 (62.9%) were normally fertilized (two pronuclei), whereas 21 (14.7%) oocytes were damaged by the ICSI procedure. Of the fertilized oocytes 72 (80%) developed into transferable embryos. No fertilization at all was observed in the 85 sibling MII oocytes which were inseminated (P < 0.001). In all 23 cycles at least one embryo, obtained by ICSI, could be replaced. Eight pregnancies were achieved of which six resulted in the delivery of nine healthy children. In conclusion, for couples with no or almost no fertilization of oocytes in previous IVF attempts, ICSI appeared to be far superior to an additional IVF attempt with further elevated insemination concentrations.

Adult↗

Application of in-vitro fertilization in (almost) fertile couples should, and can, be avoided.

In-vitro fertilization is a successful treatment for infertile couples. However, in a minority of cases it can be dangerous, both for mother and child. IVF should therefore be avoided in (almost) fertile couples. A simple prognostic model makes it possible to distinguish couples with a good chance of conceiving spontaneously from those who deserve treatment in due course. Use of this model should enable IVF to be avoided in (almost) fertile couples.

Fertilization in Vitro↗

Influence of complement on sperm motility.

Isolated sperm from normo-, oligo- and astheno-spermic men were incubated for 20 h in medium supplemented with 8% heat-inactivated or untreated human serum, and in medium with heated or untreated serum deficient in complement factor C3. Before and after incubation, sperm motility was assessed by means of a computer-assisted semen analyser. The results did not show significant differences between the motility of sperm incubated in heated or untreated serum. It is concluded that heating of homologous serum is not necessary for preserving sperm motility and in some cases may even be disadvantageous.

Blood↗

Human cervical mucus and its mucous glycoprotein during the menstrual cycle.

Human cervical mucus was collected serially during the menstrual cycles of each of 10 healthy women. After fractionation by equilibrium density centrifugation in CsCl, the sugar composition of the fractions containing mucous glycoprotein (MG) was examined by gas-liquid chromatography. No cyclic variations were detected in the sugar composition of MG (including sialic acid) or in its electrophoretic behavior. The composition of the mucus varied greatly during the cycle. Near ovulation the ratio of proteins to MG was minimal. During the luteal phase this ratio rose quickly. The secretion of MG was high during ovulation. The concentrations of the other proteins. The composition of cervical proteins was mapped by sodium dodecyl sulfate-polyacrylamide gel electrophoresis.

ABO Blood-Group System↗

Fertilization of human oocytes by spermatozoa from an artificial spermatocele.

Spermatozoa from a patient with an artificial spermatocele (Dardik's prosthesis) implanted onto the vas deferens were found to have high levels of IgG/IgA antibodies absorbed on their surfaces (MAR-test). Pre-treatment of such sperm with Percoll/BMW (d = 1.05) apparently reduced their MAR positivity and improved their ability to penetrate into ZP-free hamster oocytes or into the oocytes of the wife, respectively.

Adult↗