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| ID | Type | Description | Link |
|---|---|---|---|
| 2017-A01825-48 | Other Identifier | ANSM |
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Between 1950 and 2013, aluminum production was multiplied by thirty in the world. Today, men's exposure to aluminum, including food products, cosmetics, air and water contamination, and a number of drugs (vaccine, gastric bandages, etc.) has never been so high and should continue to increase. At the same time, we are witnessing a decline in male fertility in Western countries.
In this context, several teams, including ours, have studied the impact of aluminum on the fertility of men. These studies have shown that aluminum accumulates in semen and especially in sperm near its DNA.
Aluminum has already shown that it is capable of damaging the DNA of various cells, especially to increase DNA fragmentation. We therefore hypothesize that aluminum could lead to increased sperm DNA fragmentation. This would result in a decrease of men fertility and in higher risk of miscarriage.
In order to confirm this hypothesis, this study aims to dose aluminum in the spermatozoa of 80 patients who perform artificial insemination and correlate this result to their sperm DNA fragmentation. Patients will be recruited from the reproductive biology unit of Saint-Etienne University Hospital. Aluminum assays will be carried out using an Atomic Absorption Spectrophotometry technique by Prof. Exley at Keele University in Great Britain, a world expert in aluminum toxicity. Measurements of sperm DNA damage will be carried out using flow cytometry by our research team (SAINBIOSE INSERM U1059) at the Medecine Faculty of Saint-Etienne.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| artificial insemination | Patient who perform his first artificial insemination will be included. Samples of sperm will be analyzed. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| samples of sperm | Other | As in the usual practice during artificial insemination a samples of sperm will be collected and analyzed. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Aluminum content of sperm | To analyze concentration of aluminum content of sperm the day of inclusion. Aluminum content of sperm will be measured by atomic absorption spectrophotometry. | Day 1 |
| Spermatic DNA fragmentation | To analyze Spermatic DNA fragmentation. Spermatic DNA fragmentation will be measured by flow cytometry technical. | Day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Spermatic DNA methylation | To analyze Spermatic DNA fragmentation. Spermatic DNA fragmentation will be measured by flow cytometry technical. | Day 1 |
| Aluminum content of seminal plasma | To analyze aluminum content of seminal plasma. Aluminum content of seminal plasma will be measured by atomic absorption spectrophotometry. |
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Inclusion Criteria:
Exclusion Criteria:
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Men who perform his first artificial insemination
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| Name | Affiliation | Role |
|---|---|---|
| Jean-Philippe KLEIN, MD | Centre Hospitalier Universitaire de Saint Etienne | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Saint Etienne | Saint-Etienne | 42055 | France |
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Samples of sperm will be analyzed.
| Day 1 |
| HCG value | To analyze HCG value in the patient women. HCG value will be measured by blood sample two weeks after artificial insemination | Weeks 2 |
| Spontaneous Miscarriage | Analyze the rate of spontaneous miscarriage. | Months 9 |
| Live birth | Analyze the rate of live birth | Months 9 |