Genetic diagnosis, sperm phenotype and ICSI outcome in case of severe asthenozoospermia with multiple morphological abnormalities of the flagellum
Abstract
Study question Are ICSI outcomes impaired in cases of severe asthenozoospermia with multiple morphological abnormalities of the flagellum (MMAF phenotype)? Summary answer Despite occasional technical difficulties, ICSI outcomes for couples with MMAF do not differ from those of other couples requiring ICSI, irrespective of the genetic defect. What is known already Severe asthenozoospermia, especially when associated with the MMAF phenotype, results in male infertility. Recent findings have confirmed that a genetic aetiology is frequently responsible for this phenotype. In such situations, pregnancies can be achieved using ICSI. However, few studies to date have provided detailed analyses regarding the flagellar ultrastructural defects underlying this phenotype, its genetic aetiologies, and the results of ICSI in such cases of male infertility. Study design, size, duration We performed a retrospective study of 25 infertile men exhibiting severe asthenozoospermia associated with the MMAF phenotype identified through standard semen analysis. They were recruited at an academic centre for assisted reproduction in Paris (France) between 2009 and 2017. Transmission electron microscopy (TEM) and whole exome sequencing (WES) were performed in order to determine the sperm ultrastructural phenotype and the causal mutations, respectively. Finally 20 couples with MMAF were treated by assisted reproductive technologies based on ICSI. Participants/materials, setting, methods Patients with MM…
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The MMAF phenotype is frequently associated with a significant decrease in sperm motility, ICSI is indicated in most cases, and ICSI outcomes for couples with MMAF do not differ irrespective of the genetic defect.
“As the MMAF phenotype is frequently associated with a significant decrease in sperm motility, ICSI is indicated in most cases and ICSI outcomes for couples with MMAF do not differ, irrespective of the genetic defect [69].”
From Recommendations for Human Sperm Morphology Assessment in 2025: An Expert Review From the French BLEFCO Group (2026) · cites this paper as [69]
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Novel DNAH17 Splice-Site Mutations Truncating the AAA6 Domain Cause Asthenozoospermia with MMAF
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- Authors
- Ferreux, L., Bourdon, M., Chargui, A., Schmitt, A., Stouvenel, L., Lorès, P., Ray, P., Lousqui, J., Pocate-Cheriet, K., Santulli, P., Dulioust, E., Toure, A., & Patrat, C.
- Affiliations
- Université Paris Cité (FR)
- Centre National de la Recherche Scientifique (FR)
- Assistance Publique—Hôpitaux de Paris (AP–HP), Centre—Université de Paris, Hôpital Cochin, Service de Gynécologie-Obstétrique II et de Médecine de la Reproduction, Paris, France
- Université Grenoble Alpes, Institut pour l’avancée des Biosciences, INSERM, CNRS, Grenoble, France
- Corresponding author
- Ferreux, Lucile
- ORCID
- Venue
- Human Reproduction
- Publisher
- Oxford University Press (OUP)
- Published
- 2021-09-16
- Volume
- 36
- Issue
- 11
- Pages
- 2848-2860
- ISSN
- 0268-1161 (ISSN-L)
- 1460-2350
- OpenAlex
- W3199296015
- Cited by
- 44
- References
- 53
- Citations by year
- 2026: 8 · 2025: 10 · 2024: 13 · 2023: 10 · 2022: 3
- FWCI
- 5.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Human Reproduction (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Funders
- Agence Nationale de la Recherche (ANR-12-BSV1-0011, ANR-14-CE15-0002)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Biology and Fertility
- Keywords
- asthenozoospermia, male infertility, axonemal microtubules
- MeSH terms
- Female, Flagella, Humans, Infertility, Male, Male, Phenotype, Pregnancy, Retrospective Studies, Sperm Tail, Spermatozoa, Sperm Injections, Intracytoplasmic, Asthenozoospermia
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