AIMTo analyze the relationship between sperm mitochondrial membrane potential and sperm motility parameters by means of a computer-assisted sperm analyzer (CASA) and in-vitro fertilization rate(%FR).

METHODSSemen samples were obtained from 26 men undergoing in vitro fertilization-embryo transfer (IVF-ET). Informed consent was obtained from all men prior to the study. Samples were prepared using wash and swim-up method in HEPES-HTF medium. The sperm motility (%MOT), progressive motility (%PMOT), average path velocity (VAP) microm/s), straight line velocity (VSL) (micro m/s), curvilinear velocity (VCL) (microm/s) and %hyperactivated sperm (%HA), and the %FR were assessed. The samples were incubated in the presence of 2.0 mciromol/L of 5,5',6,6'-tetra-chloro-1,1',3,3'-tetraethylbenzimidazolyl-carbocyanine iodide (JC-1) for 30 min at 37 degrees C in air and washed in PBS before flow cytometry (FACSCalibur: Becton Dickinson) analysis. The mitochondrial probe JC-1 was used to identify the mitochondrial membrane potential. The sperm was divided into three populations according to the fluorescence pattern as follows: the high mitochondrial membrane potential group (n=8), the moderate group (n=5), and the low group (n=13). Statistical analysis was performed using unpaired t-test.

RESULTSSignificant differences were found between the high and the low groups in %MOT (91.1+/-8.5 vs 63.0+/-32.7, mean+/-SD), VAP (73.0+/-14.2 vs 52.1+/-12.5), VCL (127.0+/-28.1 vs 87.0+/-22.6), %HA (27.3+/-23.6 vs 7.2+/-9.0) and %FR [73.2 (48/56) vs 59.0 (69/117)]. No significant differences were found in other CASA parameters.

CONCLUSIONWhen the sperm mitochondrial membrane potential increases, sperm motility parameters and fertility potential will also increase. The JC-1 dye method is useful to predict sperm fertility potential.

Embryo Transfer ; Female ; Fertility ; physiology ; Fertilization in Vitro ; Flow Cytometry ; Humans ; Intracellular Membranes ; physiology ; Male ; Membrane Potentials ; physiology ; Mitochondria ; physiology ; ultrastructure ; Semen ; physiology ; Sperm Motility ; Spermatozoa ; physiology

In the present study, we examined the sex-related differences and cross-sectional age-related changes in the cross-sectional area of the psoas major muscle. The cross-sectional area was corrected for fat-free mass (FFM-corrected), which was calculated as the 2/3rd power of the total fat-free mass. A total of 240 adults (114 men, 126 women, age: 20-81 years) were included in the study. The cross-sectional area of the psoas major muscle was measured by 0.2T magnetic resonance imaging (MRI), and the total fat-free mass was measured by air displacement plethysmography. We demonstrated that the FFM-corrected cross-sectional area of the psoas major muscle was greater in males than females across all age groups. Furthermore, we examined the mean FFM-corrected cross-sectional area of the psoas major muscle across different age groups and demonstrated that it decreased with age. Our findings, when combined with previous results, show a peak in the 20s, which declined with age. Our study revealed sex-related differences and cross-sectional age-related changes in the FFM-corrected cross-sectional area of the psoas major muscle. Our findings also suggest that it is important to define reference values and ranges that take into account age- and sex-related differences when assessing the psoas major muscle by FFM-corrected cross-sectional area.

Objective: The aim of this study was to review the clinicopathological characteristics of small cell neuroendocrine cervical cancer (SCNEC) and to identify the optimal treatment. Methods: The Japanese Society of Gynecologic Oncology conducted a retrospective cohort study of SCNECs enrolled in the Gynecological Tumor Registry of the Japan Society of Obstetrics and Gynecology between 2004 and 2015. All cases were modified and unified by International Federation of Gynecology and Obstetrics 2008 (Union for International Cancer Control 7th edition). Results: There were 822 registered patients diagnosed with SCNEC from 2004 to 2015 which comprised 1.1% (822/73,698) of all uterine cervical cancer cases. Rates of lymph-node and distant metastasis were significantly higher in T1b2 (38.9% and 13.7%, respectively) than T1b1 (14.2% and 4.4%, respectively) (p<0.01). In IB2 and T1bN1M0 SCNEC, the 5-year survival rate with surgery followed by chemotherapy was significantly higher than that with surgery followed by radiation therapy/concurrent chemoradiation therapy (p<0.01). Conclusion SNCEC tumors >4 cm in size had greater rates of lymph-node and distant metastasis when compared with tumors ≤4 cm. Adjuvant chemotherapy, rather than radiotherapy, may improve prognosis after surgery in T1bN1M0 SCNEC.