1989
DOI: 10.1093/oxfordjournals.humrep.a136844
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In-vitro processing of sperm with autoantibodies and in-vitro fertilization results

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Cited by 98 publications
(38 citation statements)
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“…There appears to be some interaction between the cervical mucus and the Fc region of IgA antibodies [18]. Anti-sperm antibody binding to human sperm inhibits capacitation [19], premature induction of the acrosome reaction, or impairment of zona binding or fertilization of the ova [20][21][22].…”
Section: Discussionmentioning
confidence: 99%
“…There appears to be some interaction between the cervical mucus and the Fc region of IgA antibodies [18]. Anti-sperm antibody binding to human sperm inhibits capacitation [19], premature induction of the acrosome reaction, or impairment of zona binding or fertilization of the ova [20][21][22].…”
Section: Discussionmentioning
confidence: 99%
“…Simple dilution with culture media was attempted in the past, but results were poor. 21,22 As normal antigen-antibody reactions usually have affinity constants between 10 7 and 10 9 L/mol, a simple washing step was shown to be insufficient for removing antibodies from sperm surface. 23 The swim-up technique has been used as well, with overall disappointing results.…”
Section: B Discussionmentioning
confidence: 99%
“…28 Other therapeutic approaches to overcome ASA-mediated male infertility include oral administration of corticosteroids, in vitro fertilization and intracytoplasmic sperm injection. Therapeutic protocols based on immunossupressive steroids have been discontinued 6,21 due to reports of major side effects with long-term use. 6,29 Conventional in vitro fertilization (IVF) usually results in lower fertilization and cleavage rates in cases involving ASA-mediated infertility.…”
Section: B Discussionmentioning
confidence: 99%
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“…However, in some other reports no significant difference was found (125-127). Although in a early report sperm head directed IgA-more than IgG-antibodies seemed to be associated with a reduced fertilization rate (128), in subsequent reports a significant reduction of the fertilization rate was found when sperm were covered both with IgG-and IgA-ASA (119,129,130, and table 2). However, trying to analyse routine IFV results to determine the actual effect of sperm-bound antibodies on fertilization process is difficult because of some serious reasons.…”
Section: Interference With the Fertilization Processmentioning
confidence: 93%