title: Evaluation of chemiluminescence and flow cytometry as tools in assessing production of hydrogen peroxide and superoxide anion in human spermatozoa.
abstract: OBJECTIVE
  To examine simultaneously the levels of hydrogen peroxide (H(2)O(2)) and superoxide (O(2)(-*)) using chemiluminescence and flow cytometry.
  
  
  METHODS
  Prospective laboratory study.
  
  
  METHODS
  Reproductive research lab in a tertiary hospital.
  
  
  METHODS
  Semen samples from 18 healthy male volunteers.
  
  
  METHODS
  Sperm preparation and measurement of reactive oxygen species (ROS) by chemiluminescence using luminol and lucigenin before and after H(2)O(2) exposure and by flow cytometry using dichlorofluorescin diacetate (DCFH-DA) for H(2)O(2) and dihydroethidium (DHE) for O(2)(-*).
  
  
  METHODS
  Sperm count, motility, viability, and ROS levels.
  
  
  RESULTS
  Immature sperm fractions showed significantly higher levels of ROS measured by either luminol or lucigenin compared with the neat and mature fraction. ROS levels were detectable by flow cytometry in chemiluminescence-negative samples. Both mature and immature sperm fractions had a significantly higher percentage of cells positive for H(2)O(2) compared with neat semen. On the other hand, the percentage of O(2)(-*)-positive cells in neat semen was significantly higher compared with the percentage found in mature fractions but significantly lower than that in the immature sperm fractions.
  
  
  CONCLUSIONS
  We recommend ROS measurement by flow cytometry on the basis that it requires a lower sperm count, is comparable to chemiluminescence, and has higher specificity for intracellular ROS in viable spermatozoa. Samples tested negative by chemiluminescence still may have high intracellular H(2)O(2) generation that can be detected by flow cytometry.
authors: Center for Reproductive Medicine, Glickman Urological and Kidney Institute, and Ob-Gyn and Woman's Health Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA.
authors: Reda
authors: R
authors: Mahfouz
authors: Rakesh
authors: R
authors: Sharma
authors: Jakob
authors: J
authors: Lackner
authors: Nabil
authors: N
authors: Aziz
authors: Ashok
authors: A
authors: Agarwal
mesh_terms: D002478:Cells, Cultured; D005434:Flow Cytometry / Q000379:methods*; D006801:Humans; D006861:Hydrogen Peroxide / Q000032:analysis*; D008163:Luminescent Measurements / Q000379:methods*; D008297:Male; D015203:Reproducibility of Results; D055101:Semen Analysis / Q000379:methods*; D012680:Sensitivity and Specificity; D013094:Spermatozoa / Q000378:metabolism*; D013481:Superoxides / Q000032:analysis*
chemical_list: D013481:Superoxides; D006861:Hydrogen Peroxide