Detection of damage in mammalian sperm cells.

Ejaculated semen is washed for in vitro fertilization or diluted and processed to allow optimal and long-term low temperature liquid- and cryo-preservation. However, sperm are vulnerable to the washing, dilution, temperature and osmotic changes involved in sperm storage. In this review, a number of techniques are considered for detecting damaged spermatozoa. Staining protocols have been developed to detect the membrane and organelle integrity of mammalian sperm cells. Plasma membrane integrity is usually assessed after staining cells with membrane-impermeable dyes or alternatively with acetylated membrane (AM) permeable probes that are selectively de-esterified and become membrane impermeable and thus entrapped into viable cells only (AM ester loading). Organelle-specific dyes are commonly used to detect functionality of mitochondria or the acrosome. A distortion in the lateral and bilayer organization of lipids as well as the peroxidation of fatty acid moieties can be quantified and localized in living sperm. The relation of a disordering in the sperm membrane's lipid architecture and sperm deterioration versus capacitation is discussed. Finally, the integrity of sperm DNA can be measured at three different levels by assessing the degree of DNA-protamine condensation, the incidence of breaks and nicks in the DNA and the frequency of fragmentation of the nuclei into sub-haploid apoptotic bodies. The relevance of detecting DNA aberrations and especially the putative link to the incidence of apoptosis is critically considered.