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 Table of Contents  
ORIGINAL ARTICLE
Year : 2021  |  Volume : 8  |  Issue : 2  |  Page : 139-143

Impact of warming of vitrified semen at different temperatures on cryosurvival


1 Department of Biochemistry, Post Graduate Institute of Medical Education & Research, Chandigarh, India
2 Department of Obstetrics and Gynaecology, Post Graduate Institute of Medical Education & Research, Chandigarh, India
3 Department of Ophthalmology, Government Medical College, Punjabi University, Patiala, India
4 Department of Zoology, Punjabi University, Patiala, Punjab, Currently all are working in: Department of Assisted Reproductive Technology (ART), at Jindal IVF and Sant Memorial Nursing Home, Chandigarh, India

Date of Submission13-Apr-2021
Date of Acceptance12-Jun-2021
Date of Web Publication29-Dec-2021

Correspondence Address:
Dr. Harmanjot Kaur
Department of Biochemistry, Post Graduate Institute of Medical Education & Research, H.No. 295, VPO Tarkhanwala, Tehsil − Malout, Shri Muktsar Sahib, Pincode - 152112
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/fsr.fsr_11_21

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  Abstract 


Background: Vitrification is an ultra-rapid cryopreservation method in which cells are directly exposed to liquid nitrogen (LN2). The warming protocol for vitrification is equally important as the freezing protocol because sperm damage can occur during the warming of sample as well. The warming rate is influenced by the warming medium (air, water) and temperature. A fast warming rate causes unbalanced glycerol efflux and water influx; however, a slow warming rate causes recrystallization of intracellular water microcrystals and leads to subcellular organelles damage. Aim: To determine the optimum devitrification temperature for vitrified human sperm by comparing prefreeze and postwarm motility parameters at different temperatures. Setting and Design: The prospective study was conducted on 100 patient semen samples. Materials and Methods: The semen sample was direct plunged into LN2 and warmed at different temperatures, that is, at room temperature (RT), 37°C and 42°C for 5 minutes. Sperm parameters were evaluated by the computer-assisted semen analyzer system. Statistical analysis was carried out by applying one-way analysis of variance was carried out using SPSS-22. The level of significance was taken as P ≤ 0.05. Results: The statistical significant difference was found in the case of recovery of all semen parameters, that is, motility (P < 0.0001), progressive motility (P < 0.0001), cryosurvival factor (P < 0.0001), curvilinear velocity (P = 0.049), straight-line velocity (P = 0.033), average path velocity (P = 0.0001), and except count (P = 0.083) between the RT, 37°C, and at 42°C. The cryosurvival factor of vitrified semen sample at RT, 37°C, and at 42°C was found to be 25.63 ± 13.885, 29.97 ± 13.212, and 41.99 ± 12.630, respectively. Hence, at 42°C, it was found to be maximum. Conclusion: The cryopreservation of the semen leads to a detrimental effect on spermatozoa. The basal semen parameters such as sperm motility, progressive motility, cryosurvival factor, and velocity parameters were affected by devitrification temperature. There was significantly high-sperm cryosurvival after warming of semen samples at 42°C when compared with warming at 37°C and RT. But velocity parameters were found to be better at 37°C.

Keywords: Cryosurvival factor, kinematics, sperm motility, sperm vitrification


How to cite this article:
Kaur H, Jindal U, Kumar S, Maheshwari S. Impact of warming of vitrified semen at different temperatures on cryosurvival. Fertil Sci Res 2021;8:139-43

How to cite this URL:
Kaur H, Jindal U, Kumar S, Maheshwari S. Impact of warming of vitrified semen at different temperatures on cryosurvival. Fertil Sci Res [serial online] 2021 [cited 2022 Dec 5];8:139-43. Available from: https://www.fertilityscienceresearch.org/text.asp?2021/8/2/139/334074



Key Message: The 42°C was found to be the optimum temperature for warming on the basis of cryosurvival factor.


  Introduction Top


Vitrification is a semen cryopreservation technique that preserves male fertility. Optimum devitrification temperature of vitrified semen is important as it may result in intra- and extracellular ice crystallization that damages cell structure.[1] Also, Sanchez et al. have reported that for proper sperm function and for maintaining sperm membrane integrity, optimum devitrification temperature is vital.[2]

Mansilla et al. attempted to find out the optimum warming temperature and found that progressive motility was higher in those sperm samples, which were warmed at 42°C (65%) than those samples at 38°C (26%) and 40°C (57%) and also plasma membrane function was best at 42°C.[3] However, Vutyavanich et al. warmed the vitrified semen sample in 25°C to 28°C tap water and observed improved postwarming motility and cryosurvival than conventional freezing.[4] Another study showed warming of 21 vitrified samples of human sperm (30 µl pellets) in a water bath at 37°C for 5 minutes resulted in motile and fertile spermatozoa.[5] There is yet no optimum temperature which is known to give better postwarming results.

Therefore, this study was conducted to compare the postwarming semen parameters at different temperatures, that is, at room temperature (RT), 37°C, and 42°C to know about an optimum devitrification temperature. These three are the conventional temperatures used for devitrification; hence, our study aim was to find out the better one out of these. The temperature at which cryosurvival of spermatozoa was best recorded was the optimum devitrification temperature. The cryosurvival was defined as the viability of spermatozoa after 30 minutes postwarming incubation.

Study design

The prospective study was conducted on 100 patient semen samples. Semen sample of patients who came to our clinic for semen freezing for backup and the spare semen samples collected for semen examination or preparation for intrauterine insemination (IUI) were used for our study.

Inclusion criteria:
  1. Subjects having raw semen parameter values above lower limits of WHO-2010 criteria.
  2. Age range 25 to 50 years
  3. Signed patient consent for research.


Exclusion criteria:

Patients positive for hepatitis B surface antigen, hepatitis C virus, human immunodeficiency virus, Syphilis, and novel coronavirus disease 2019 were excluded. However, patients with pyogenic infection and diabetes were not excluded.


  Materials and methods Top


The fresh semen parameters (count, motility, progressive motility, and kinematics) were analyzed using computer-assisted semen analyzer system after liquefaction of the raw sample.

Freezing and warming protocol

Vitrification was performed by initially warming the cryoprotectant (Quinn’s Advantage™ Sperm Freezing Medium, Cooper Surgical Fertility Solutions, SAGE Media™, ART-8022) at 37°C for 15 to 20 minutes. About 1.0 ml of cryoprotectant was added to 1.0 ml of semen in a test tube, drop by drop. Mixed sample was kept at 37°C for 10 minutes. Mixed sample was transferred to three well-labeled cryovials. Finally, the cryovials were plunged into liquid nitrogen (LN2).

After 5 to 10 minutes, the warming of vitrified samples was performed. Sample was placed at 3 different temperatures for warming for 5 minutes: (1) at RT, (2) 37°C water bath, and (3) 42°C water bath. Semen samples were incubated at 37°C for 30 minutes and then semen parameters (count, motility, progressive motility, and kinematics) of warmed samples were analyzed.

End points

The end points were:
  1. Percentage survival of motile sperm.


Cryosurvival factor: Postwarming motility/Prefreeze motility × 100
  1. Similarly, velocity parameters of prefreeze and postwarming were compared at different warming temperatures.


Statistical analysis

The results have been expressed as mean percentage ± standard deviation. Statistical analysis was performed using SPSS-22 (International Business Machines (IBM), Statistical Package for the Social Sciences (SPSS) Statistics). Comparison of cryosurvival and kinematics was carried out using one-way analysis of variance. The level of significance was taken as P ≤ 0.05.


  Results Top


The mean of sperm motility in raw semen sample, at RT, at 37°C, and at 42°C was 80.55 ± 13.631, 38.76 ± 14.279, 44.64 ± 12.465, and 56.69 ± 11.126, respectively. The sperm motility in postwarm samples was significantly lower at all temperatures compared to the raw sample.

Among various warming temperatures, sperm motility was the best at 42°C, and this difference was more significant when compared with RT and 37°C. Among various warming temperatures, cryosurvival factor was the best at 42°C, and this difference was more significant when compared with RT and 37°C.

The kinematic parameters, that is, curvilinear velocity (VCL), straight-line velocity (VSL), average path velocity (VAP) showed a significant decrease in postwarming at different temperatures. The difference was significant at the RT, 37°C, and 42°C (P < 0.049, P < 0.033, and P < 0.0001, respectively). But kinematic parameters were the best at 37°C [Table 1] and [Figure 1].
Table 1 Basal semen parameters, cryosurvival factor, and velocity parameter values after warming at room temperature, 37°C, and 42°C

Click here to view
Figure 1 Comparison of count (million/ml), motility (%), progressive motility (%), curvilinear velocity (VCL) (μm/s), straight-line velocity (VSL) (μm/s), average path velocity (VAP) (μm/s), and cryosurvival factor (%) between different warming temperatures, that is, room temperature, 37°C, and 42°C.

Click here to view



  Discussion Top


There was significant decrease in all basal parameters in the semen samples warmed at different temperatures such as RT, at 42°C, and at 37°C compared to the raw semen sample. Stanic et al. reported that the various processes such as osmotic shock, cellular dehydration, and intracellular and extracellular ice crystal formation leading to thermal shock occur during freezing–warming procedure, affecting the various semen parameters.[6]

Sperm motility has been reported as a predictive factor of fertility.[7],[8] It was found that there was a significant difference (P < 0.0001) of sperm motility when all three warming temperatures were compared to each other. The least sperm motility was found upon thawing the semen sample at RT, and the maximum sperm motility was found after thawing at 42°C. Similar to motility, the progressive motility was also significantly decreased P < 0.0001 in the semen samples that were cryopreserved. The maximum progressive motility was found in the semen samples that were thawed at 42°C.

The adenosine triphosphate (ATP) formed due to oxidative phosphorylation is transferred to the microtubules which is responsible for the sperm motility. The reason behind the decreased motility of sperm is due to the impairment of the mitochondrial activity of the spermatozoa. The mitochondrial bilayered membrane gets damaged due to which the oxidative phosphorylation and ATP generation is impaired leading to the decreased sperm motility.[9] However, oxidative phosphorylation in the mitochondria does not generate all of the ATP required for spermatozoa motility. Glycolysis is, in fact, another source of ATP that powers sperm movement.[10]

A faster recovery rate of sperm enzymatic antioxidant activity could be one explanation for the observed increase in motility recovery following warming at 42°C. There are two contradictory processes that indicate the rate of cell damage during warming: (1) the recovery rate of enzymatic antioxidant activity and (2) the magnitude of oxygen radical generation. Because the recovery of enzymatic antioxidant activity is faster at higher temperatures, sperm will be able to neutralize the increase in oxygen radical generation recorded after warming more effectively at 42°C than at RT and 37°C. Greater ATP production in the spermatozoa axoneme could be another cause for increased motility after warming at higher temperatures.[11] There are a few studies which showed that a high warming rate resulted in an increase in motility recovery.[12],[13] Other research, however, reported no difference in motility recovery when different warming temperatures were used.[14],[15]

There was a significant difference (P < 0.0001) in sperm cryosurvival factor, when all three warming temperatures were compared to each other. The maximum cryosurvival factor of sperm (%) was observed at 42°C. As the cryosurvival factor is directly dependent upon the post-thaw motility. As the motility was maximum at 42°C, the cryosurvival factor was found to be maximum at 42°C.

Hirano et al. reported that the velocity parameters can be the indicators of pregnancy outcome.[16] VCL, VSL, and VAP are the commonly used velocity values that describe the human sperm centroid movement.[17] Therefore, the motility parameters such as VCL, VSL, and VAP were compared between all warming temperatures. The significant difference in the VCL, VSL, and VAP, that is, P = 0.049, P = 0.033, and P = 0.0001, respectively, was found in the cryopreserved semen samples. Similar type of results have been reported in various studies.[18],[19] In our study, the kinematic parameters resulted best at 37°C rather than at RT or 42°C.


  Conclusion Top


The warming of semen samples at 42°C resulted in a significant increase in cryosurvival factor when compared with 37°C and RT. However, the velocity parameters were best at 37°C rather than 42°C and RT. The cryopreservation of the semen affected the basal sperm parameters such as sperm motility, progressive motility, cryosurvival, and kinematics. These were found to be decreased in the cryopreserved semen samples. It can also be concluded that upon thawing the semen sample at 42°C temperature, there was maximum sperm count, motility, and progressive motility in comparison to the semen samples thawed at RT and 37°C. The recovery of functioning human spermatozoa after cryopreservation may therefore be facilitated by warming it at 42°C for 5 minutes. Although results are significant, but to know if clinically this study will make any difference, the fertilization rates should be compared using a warmed sample at 37°C and 42°C.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Berrios O, Sánchez R. Congelación Ultra Rápida de Espermatozoides Humanos: Efecto sobre la Función Espermática y Producción de Especies Reactivas de Oxígeno. Int J Morphol 2011;9:899-906.  Back to cited text no. 1
    
2.
Sanchez R, Fontecilla J, Isachenko E, Mora B, Isachenko V, Cabrillana ME. Temperatures in the devitrification process are essential for preserved morphological membrane integrity and sperm function in human spermatozoon. Fertil Steril 2013;100:S183.  Back to cited text no. 2
    
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Mansilla MA, Merino O, Risopatron J, Isachenko V, Isachenko E, Sanchez R. High temperature is essential for preserved human sperm function during the devitrification process. Andrologia 2016;48:111-3.  Back to cited text no. 3
    
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Vutyavanich T, Piromlertamorn W, Nunta S. Rapid freezing versus slow programmable freezing of human spermatozoa. Fertil Steril 2010;93:1921-8.  Back to cited text no. 4
    
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Le MT, Nguyen TTT, Nguyen TT et al. Cryopreservation of human spermatozoa by vitrification versus conventional rapid freezing: effects on motility, viability, morphology and cellular defects. Eur J Obstet Gynecol Reprod Biol 2019;234:14-20.  Back to cited text no. 5
    
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Stanic P, Tandara M, Sonicki Z, Simunic V, Radakovic B, Suchanek E. Comparison of protective media and freezing techniques for cryopreservation of human semen. Eur J Obstet Gynecol Reprod Biol 2000;91:65-70.  Back to cited text no. 6
    
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Aitken RJ, Sutton M, Warner P, Richardson DW. Relationship between the movement characteristics of human spermatozoa and their ability to penetrate cervical mucus and zonafree hamster oocytes. J Reprod Fertil 1985;73:441-9.  Back to cited text no. 7
    
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Katz DF, Overstreet JW, Samuels SJ, Niswander PW, Bloom TD, Lewis EL. Morphometric analysis of spermatozoa in the assessment of human male fertility. J Androl 1986;7:203-210.  Back to cited text no. 8
    
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Jeulin C, Feneux D, Serres C et al. Sperm factors related to failure of human in-vitro fertilization. J Reprod Fertil 1986;76:73544.  Back to cited text no. 9
    
10.
Ford WCL. Glycolysis and sperm motility: does a spoonful of sugar help the flagellum go round? Hum Reprod Update 2006;12:269-74.  Back to cited text no. 10
    
11.
Chatterjee S, Gagnon C. Production of reactive oxygen species by spermatozoa undergoing cooling, freezing, and thawing. Mol Reprod Dev 2001;59:451-8.  Back to cited text no. 11
    
12.
Verheyen G, Pletincx I, van Steirteghem A. Andrology: effect of freezing method, thawing temperature and post-thaw dilution/washing on motility (CASA) and morphology characteristics of high-quality human sperm. Hum Reprod 1993;8:1678-84.  Back to cited text no. 12
    
13.
Bell M, Wang RUN, Hellstrom WJ, Sikka SC. Effect of cryoprotective additives and cryopreservation protocol on sperm membrane lipid peroxidation and recovery of motile human sperm. J Androl 1993;14:472-8.  Back to cited text no. 13
    
14.
Henry MA, Noiles EE, Gao D, Mazur P, Critser JK. Cryopreservation of human spermatozoa. IV. The effects of cooling rate and warming rate on the maintenance of motility, plasma membrane integrity, and mitochondrial function. Fertil Steril 1993;60:911-8.  Back to cited text no. 14
    
15.
McGonagle LS, Goldstein M, Feldschuh J, Foote RH. The influence of cryoprotective media and processing procedures on motility and migration of frozen-thawed human sperm. Asian J Androl 2002;4:137-42.  Back to cited text no. 15
    
16.
Hirano Y, Shibahara H, Obara H et al. Relationships between sperm motility characteristics assessed by the computer-aided sperm analysis (CASA) and fertilization rates in vitro. J Assist Reprod Genet 2001;18:213-8.  Back to cited text no. 16
    
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Boyers SP, Davis RO, Katz DF. Automated semen analysis. Curr Prob Obstet Gynecol Fertil 1989;XII:167-200.  Back to cited text no. 17
    
18.
Di Santo M, Tarozzi N, Nadalini M, Borini A. Human sperm cryopreservation: update on techniques, effect on DNA integrity, and implications for ART. Adv Urol 2012;2012:854837.  Back to cited text no. 18
    
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Donnelly ET, McClure N, Lewis SE. Cryopreservation of human semen and prepared sperm: effects on motility parameters and DNA integrity. Fertil Steril 2001;76:892-900.  Back to cited text no. 19
    


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