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Inter‐ and intra‐laboratory standardization of TUNEL assay for assessment of sperm DNA fragmentation
Author(s) -
Ribeiro S.,
Sharma R.,
Gupta S.,
Cakar Z.,
De Geyter C.,
Agarwal A.
Publication year - 2017
Publication title -
andrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.947
H-Index - 43
eISSN - 2047-2927
pISSN - 2047-2919
DOI - 10.1111/andr.12334
Subject(s) - dna fragmentation , tunel assay , semen , terminal deoxynucleotidyl transferase , sperm , fragmentation (computing) , biology , andrology , microbiology and biotechnology , medicine , apoptosis , genetics , programmed cell death , ecology
Summary One of the challenges with the sperm DNA fragmentation results is the inconsistency and the large variability in the results obtained by different techniques. The terminal deoxynucleotidyl transferase d UTP nick end labeling (TUNEL) assay quantifies the incorporation of fluoresceinated d UTP into single‐ and double‐strand DNA breaks by labeling the 3′‐ OH terminal with TdT. The goal of this study was optimize the TUNEL protocol for assessment of sperm DNA fragmentation by standardization of the method and comparison of the data across two reference laboratories (i) at Basel, Switzerland and (ii) Cleveland Clinic, Ohio, USA . Semen samples from 31 subjects grouped into three cohorts. Sperm DNA fragmentation was data measured by two experienced operators at two different laboratories using identical semen samples, assay kit, protocol and acquisition settings using identical flow cytometers ( BD Accuri C 6). No significant differences were observed between the duplicates in any of the experiments performed. By including an additional washing step after fixation in paraformaldehyde, a high correlation was seen between the two laboratories ( r = 0.94). A strong positive correlation was observed between the average sperm DNA fragmentation rates ( r = 0.719). The mean sperm DNA fragmentation measured in each laboratory was similar. Both flow cytometers were identical in their settings and performance. This inter‐ and intra‐laboratory study establishes that TUNEL is a reproducible assay when utilizing a standardized staining protocol and flow cytometer acquisition settings. Standardization and consensual guidelines for TUNEL validate the assay and establishes TUNEL as a robust test for measuring sperm DNA fragmentation especially in a multicenter setting.