Literature DB >> 26361204

Aberrant sperm DNA methylation predicts male fertility status and embryo quality.

Kenneth I Aston1, Philip J Uren2, Timothy G Jenkins1, Alan Horsager3, Bradley R Cairns4, Andrew D Smith2, Douglas T Carrell5.   

Abstract

OBJECTIVE: To evaluate whether male fertility status and/or embryo quality during in vitro fertilization (IVF) therapy can be predicted based on genomewide sperm deoxyribonucleic acid (DNA) methylation patterns.
DESIGN: Retrospective cohort study.
SETTING: University-based fertility center. PATIENT(S): Participants were 127 men undergoing IVF treatment (where any major female factor cause of infertility had been ruled out), and 54 normozoospermic, fertile men. The IVF patients were stratified into 2 groups: patients who had generally good embryogenesis and a positive pregnancy (n = 55), and patients with generally poor embryogenesis (n = 72; 42 positive and 30 negative pregnancies) after IVF. INTERVENTION(S): Genomewide sperm DNA methylation analysis was performed to measure methylation at >485,000 sites across the genome. MAIN OUTCOME MEASURE(S): A comparison was made of DNA methylation patterns of IVF patients vs. normozoospermic, fertile men. RESULT(S): Predictive models proved to be highly accurate in classifying male fertility status (fertile or infertile), with 82% sensitivity, and 99% positive predictive value. Hierarchic clustering identified clusters enriched for IVF patient samples and for poor-quality-embryo samples. Models built to identify samples within these groups, from neat samples, achieved positive predictive value ≥ 94% while identifying >one fifth of all IVF patient and poor-quality-embryo samples in each case. Using density gradient prepared samples, the same approach recovered 46% of poor-quality-embryo samples with no false positives. CONCLUSION(S): Sperm DNA methylation patterns differ significantly and consistently for infertile vs. fertile, normozoospermic men. In addition, DNA methylation patterns may be predictive of embryo quality during IVF.
Copyright © 2015 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

Entities:  

Keywords:  DNA methylation; IVF outcome; Sperm DNA; embryo; genomewide; male infertility; microarray

Mesh:

Year:  2015        PMID: 26361204     DOI: 10.1016/j.fertnstert.2015.08.019

Source DB:  PubMed          Journal:  Fertil Steril        ISSN: 0015-0282            Impact factor:   7.329


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