“…Studies comparing sperm fractions based on motility from gradient centrifugation reported that, within individuals, sperm fractions with poorer motility have higher frequencies of mtDNA deletions compared with sperm fractions with higher motility (Kao et al, 1995; Kao et al, 1998; Ieremiadou and Rodakis, 2009; Gholinezhad Chari et al., 2015; Ambulkar et al, 2016a; 2016b), with one exception (St John et al, 2001), which may have been driven by a limited sample size. Similarly, studies of men from different geographic regions, including the USA (Song and Lewis, 2008), England (St John et al, 2001), Greece (Ieremiadou and Rodakis 2009), Taiwan (Kao et al., 1995; Kao et al., 1998), Turkey (Mughal et al, 2017), Iran (Bahrehmand Namaghi and Vaziri, 2017; Talebi et al, 2017), and India (Ambulkar et al, 2016A) reported that sperm mtDNAdel were more frequent among men classified as infertile based on abnormal semen parameters compared with men with normal semen parameters. Investigators of an Australian study, however, did not observe higher mtDNAdel among men with oligospermia or azoospermia compared with men with normospermia (Cummins et al, 1998).…”