Y-chromosome microdeletions and male infertility

OBJECTIVE: To develop a simple assay using the silica wool filtration (SIFT) procedure to estimate percentage of acrosome-reacted (AR) sperm. SETTING: Private andrology laboratory. MATERIALS AND METHODS: Capacitated sperm processed by the SIFT procedure to remove nonviable sperm and those with broken membrane were acrosome reacted by induction with a calcium ionophore. Following the acrosome reaction, the sample was processed by the SIFT procedure. Sperm concentration and acrosomal status were also determined before and after the SIFT procedure. RESULTS: The SIFT procedure prevented AR sperm from filtering (mean +/- SD, 22.2 +/- 1.9 vs. 9.8 +/- 4.9%). The mean percent of sperm retained in the filter (SIFT assay: 61.8 +/- 21.5%) was significantly higher than the percent of AR sperm estimated by a staining technique (26.4 +/- 7.3%), but they were significantly correlated (r = .34) with each other. The filtration of capacitated sperm prior to induction of the acrosome reaction eliminated, or at least minimized, the possibility of falsely increasing the percent of AR sperm estimated by the SIFT assay. The higher estimate obtained by SIFT assay, therefore, suggests that it may be estimating sperm at various stages that are undergoing the acrosome reaction. CONCLUSION: The findings suggest that the SIFT assay could be used to estimate the percentage of AR spermatozoa.