Protein phospholipase C Zeta1 expression in patients with failed ICSI but with normal sperm parameters

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Abstract
This study was conducted to determine if expression of the testis-specific phospholipase C Zeta1 (PLCZ1) correlated with low success or fertilization failure after ICSI in patients with normal parameters after standard semen analysis (SA). Couples 2+]i), which is characteristic of mammalian sperm, was performed after injection of human sperm into mouse eggs loaded with the Ca2+ sensitive dye fura-2 AM. Male partners of couples with failed or low success ICSI fertilization but with normal SA parameters showed low expression levels of PLCZ1 as determined by western blotting and reduced fluorescent signal during IF studies. In addition, fewer of these males’ sperm showed PLCZ1 expression and were able to initiate robust [Ca2+]i oscillations upon injection into eggs. Our data suggest that in patients with normal SA parameters but with repeated low fertilization or outright failed fertilization results after ICSI, abnormal PLCZ1 function should be considered as the underlying mechanism responsible for the failure of fertilization.

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