Endometriosis: Effect of peritoneal fluid from infertile women with endometriosis on ionophore-stimulated acrosome loss
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Peritoneal fluid from infertile women with endometriosis significantly reduced spontaneous and ionophore-induced sperm acrosome reactions compared to control fluids.
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Abstract
The effect of peritoneal fluid (PF) from endometriosis patients was studied in spontaneous and stimulus-induced (Ca-ionophore; A23187) acrosome reactions. PF samples were obtained from 21 infertile women with endometriosis and five normal women (controls). Sperm acrosomes were examined by staining with Pisum sativum agglutinin labelled with fluorescein isothiocyanate. The incidence of spontaneous acrosome reaction after 1 and 6 h of incubation (6.7 +/- 1.6 and 6.9 +/- 1.4 respectively) was significantly (P < 0.001) lower when the incubation was performed with PF from endometriosis patients in comparison with spermatozoa incubated in PF from the control group (12.8 +/- 1.1 and 12.8 +/- 0.8). Similarly, the incidence of A23187-induced acrosome reaction after 1 and 6 h of incubation (19.8 +/- 2.7 and 20.0 +/- 2.4) was significantly (P < 0.001) lower when spermatozoa were incubated with PF from endometriosis patients in comparison with spermatozoa incubated with PF from the control group (34.6 +/- 9.8 and 34.4 +/- 1.1). The incidence of A23187-inducible acrosome reaction was also significantly (P < 0.001) lower when the incubation was performed with PF from endometriosis patients (13.1 +/- 2.8 and 13.1 +/- 2.4) when compared with that from the control group (21.8 +/- 2.6 and 21.6 +/- 1.5). No relationship was found between the stage of endometriosis and the incidence of acrosome loss. In conclusion, the PF from endometriosis patients decreased both spontaneous and stimulus-induced acrosome reaction. This may represent a mechanism for the detrimental effect of the PF from endometriosis patients on the spermatozoa-oocyte interaction and partially explain the aetiology of infertility in patients with endometriosis.
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Cited by (14)
- Endometriosis and infertility 2023
- Peritoneal fluid from women with endometriosis impairs human spermatozoa functionality 2019
- Comparison of Gonadotropin with Gonadotropin and Letrozole Combination in Infertile Women with Biopsy - Proven Endometriosis Undergoing Intracytoplasmic Sperm Injection 2014
- Effect of endometriosis on implantation rates when compared to tubal factor in fresh non donor in vitro fertilization cycles 2014
- Pathophysiology of Infertility in Endometriosis 2011
- Direct effect of macrophage migration inhibitory factor on sperm function: possible involvement in endometriosis-associated infertility 2007
- Endometriosis and Inflammation in Infertility 2004
- Endometriosis and Inflammation in Infertility 2004
- Effect of peritoneal fluid from women with endometriosis on implantation in the mouse model 2000
- Effect of peritoneal fluid from endometriosis patients on sperm motion characteristics and acrosome reaction. 1999
- Peritoneal fluid modulates the sperm acrosomal exocytosis induced by N-acetylglucosaminyl neoglycoprotein 1999
- The relevance of the peritoneal fluid in endometriosis-associated infertility 1999
- Outcome of IVF in Patients with Endometriosis in Comparison with Tubal-Factor Infertility 1998
- Endometriosis-associated infertility 1997
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