28Apr 2018

A STIMULATORY APPROACH FOR IN VITRO ACTIVATION OF HUMAN SPERM MOTILITY BY USING THEOPHYLLINE.

  • High Institute for Infertility Diagnosis and Assisted Reproductive Technologies/ Al-Nahrain University.
  • Kamal Al-Samarrai Hospital Fertility Center Infertility Treatment and IVF.
  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Background: In developed countries, about (2?4%) of births involve the using of assisted reproductive technologies (ART's). In these technologies before using semen samples for insemination firstly it must be processed and specifically sperm preparation methods and materials used to improve sperm functions especially motility in order to ensure increasing in the successful of pregnancy rates next ART's. Theophylline pharmacological agents recently commonly used in stimulating motility in human sperm thus by increasing intracellular levels of cyclic adenosine 3?, 5?-monophosphate (cAMP), a molecule involved in formation of sperm energy, which is result of inhibitory properties on phosphdiesterase (PDE) function. Objective: To evaluate whether in vitro sperm activation by Theophylline improves sperm functional parameters as compared with non-activated semen samples. Subjects, Materials and Methods: Sixty male were participated in this study, twenty Normozoospermic subjects and forty Asthenozoospermic patients. Semen samples were collected and seminal fluid analysis was done according to (WHO 1999,2010) guidelines. Each sample was divided equally into three portions, centrifugation was done to remove seminal plasma from all, and then Swim-up technique was dependent for in vitro sperm activation by using FertiCult Flushing medium, Theophylline solution and SpermMobil dilution respectively. Sperm parameters were measured in each activated portion according to (WHO 1999) guidelines. Results: Activation of semen sample groups by using of FertiCult Flushing medium, Theophylline solution and SpermMobil dilution in this study resulted in significant reduction in sperm concentration and highly significant improvement (P<0.001) in the percentage of sperm parameters in comparison with non-activated ones. However, SpermMobil dilution resulted in least reduction in sperm concentration and best result of sperm motility and morphologically normal sperm (MNS). Conclusion: From all comparisons between activation media which have been used in this study with non-activated semen, whatever semen is activated, concentration of sperm will be decreased. Sperm motility and MNS will be improved after activation by FertiCult medium, Theophylline solution and SpermMobil dilution, best results were in increases of sperm motility and MNS which was attributed to SpermMobil dilution.


  1. World Health Organization. Reference values and semen nomenclature. In: WHO laboratory manual for the Examination and processing of human semen. 5th. Ed. World Health Organization, Geneva, Switzerland. 2010.
  2. Tubman A, Check JH, Bollendorf A &Willson C."Effect of poor motility on pregnancy outcome following intracytoplasmic sperm injection in couples whose male partners have subnormal hypoosmotic swelling test scores". Clin Exp Obstet Gynecol. 2013; 40:315?316.
  3. Loughlin KR, Agarwal A., Use of Theophylline to enhance sperm function. Arch Androl. 1992; 28:99?103.
  4. Ebner T, Tews G, Mayer RB, Ziehr S, Arzt W, Costamoling W." Pharmacological stimulation of sperm motility in frozen and thawed testicular sperm using the dimethylxanthine Theophylline". Fertil& Steril . 2011;96: 1331?6.
  5. World Health Organization. Laboratory manual for the examination of human semen and sperm cervival mucus interaction. (4th) ed. Cambridge: Cambridge University Press; 1999.
  6. Daniel W., Biostatistics A., foundation for analysis in the healthSciences. Chapter seven, determining sample size to control type II errors. 9th edition: p278. (2009).
  7. Abid RS. Effect of Pentoxifylline (Trental?) on human sperm in vitro activation of asthenozoospermic infertile patients. High diploma thesis at Institute of Embryo Research on Infertility Treatment/Al- Nahrain University, 2005.
  8. Al-Ghazi MK., Al-Azzawi, KS., Al-Saadi RA.& Flayeh NK. "Effect of incubation time on certain sperm function parameters following in vitro activation test FertiCult TM medium". Iraqi Journal of Embryos & infertility Researches. 2012; 2: 31-34.
  9. Nordhoff V., How to select immotile but viable spermatozoa on the day of intra cytoplasmic sperm injection? An embryologist?s view. J Androl,2015,3:156-162.
  10. Siam, E. M. Pregnancy outcome after IUI for male and idiopathic infertility using a new simplified method for sperm preparation.Middle East Fertility Society Journal. 2012, 17: 30?36.
  11. Hong C.Y., Drugs and male reproductive function. In Recent advances in clinical pharmacology and toxicology, eds Turner, P. Volans G. M., pp 105-120. Edinburgh: Churchill living stone Co, 1989.
  12. Ebner T., Shebl O., Mayer , Moser M.,Healthy live birth using theophylline in a case of retrograde ejaculation and absolute asthenozoospermia, American Society for Reproductive Medicine. Fertil&Steril. 2014;101:340?3.
  13. Mortimer S T. A critical review of the physiological importance and analysis of sperm movement in mammals. Hum ReprodUpdate.1997; 3: 403-39.
  14. Cowart CL., London SN. & Vernon MW. &Pedigo NG" The effects of cyclic adenosine monophosphate, forskolin, and Theophylline on motility parameters in gossypol-treated human sperm". Fertil & Steril. 1994;61: 929?934.
  15. Okada H., Tatsumi N. & Kanzaki M., Formation of reaction oxygen species by spermatozoa from asthenozoospermic patients: response to treatment with Pentoxifylline., J Urology.1997; 157: 2140- 2146.
  16. Demir B, Arikan I, & Bozdag G. "Effect of sperm morphology on clinical outcome parameters in ICSI cycles". ClinExpObstet Gynecol. 2012;39:144?6.
  17. Whittington K &Ford WC. Relative contribution of leukocytes and of spermatozoa to reactive oxygen species production in human sperm suspensions. Int J Androl. 1999;22: 229?35.

[Huda S. Abbas, Hayder A. L. Mossa, Lubna A. Al-Anbari, Mohammad Oda Selman and Balsam A. Al-Zahawi. (2018); A STIMULATORY APPROACH FOR IN VITRO ACTIVATION OF HUMAN SPERM MOTILITY BY USING THEOPHYLLINE. Int. J. of Adv. Res. 6 (Apr). 1128-1132] (ISSN 2320-5407). www.journalijar.com


Dr.Hayder A.L. Mossa
High Institute for Infertility Diagnosis and Assisted Reproductive Technologies/ Al-Nahrain University

DOI:


Article DOI: 10.21474/IJAR01/6961      
DOI URL: https://dx.doi.org/10.21474/IJAR01/6961