Teratozoospermia
Conditions
Keywords
cannabis
Brief summary
Lifestyle and environmental factors can disrupt development and testicular function. In France, cannabis is the most widely used illicit substance and about 8% of adults between 18 and 64 years smoke cannabis at least once a year, and mostly men under 45 years. Endocannabinoids are lipid mediators that share some effects with the active ingredients of cannabis. Cannabis and endocannabinoids act via two types of endogenous receptors which were detected at different levels of the reproductive system and are involved in the central and local regulation of the gonad. Cannabis use may alter the normal regulation of the endocannabinoid system. In males, the regulation of the endocannabinoid system is critical for Sertoli and Leydig cells functions, germ cell differentiation, maturation of sperm nucleus and sperm quality. The cannabis can have a negative impact on sperm parameters, capacitation and acrosome reaction. Cannabinoids may decrease testosterone synthesis and induce apoptosis of Sertoli cells. Studies on the effect of cannabinoids on male fertility are scarce or nonexistent in infertile men because of ethical considerations and bias due to consumption often underreported. Investigators hypothesized that cannabis use may alter sperm nuclear quality. Investigators want to explore this hypothesis conducting a multicentric prospective study exposed/non-exposed in infertile men who are consulting for Medically Assisted Reproductive Technologies (ART). To reach this study, it is planned to include a total of 200 subjects taking into account any exclusions.
Interventions
BEHAVIORALQuestionnaire about cannabis consumption
Questionnaire about cannabis consumption will be assessed to infertile male exposed to cannabis and infertile male not exposed to cannabis.
PROCEDUREblood intake
blood intake is done for infertile male exposed and infertile male not exposed.
PROCEDURESemen samples collection
Semen samples are collected for infertile male exposed and infertile male not exposed.
Sponsors
University Hospital, Rouen
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
MALE
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Male Patient, * Patient age ≥ 18 years, * Infertile patient with isolated teratozoospermia or associated with asthenozoospermia and / or oligozoospermia and / or necrozoospermia, defined according to WHO recommendations (WHO guidelines, 2010) and the David amended classification (Auger et al, 2001) for teratozoospermia * Patient with normal constitutional karyotype (46, XY). * Smoking tobacco, * Drinking ≤ 20 g (2 units) / day, * Patient exposed : Cannabis user for over 3 months and consuming at least weekly (≥ 1 / week) \[questionnaire and positive blood detection of Delta-9-Tetrahydrocannabinol (THC) and / or its derivatives (11-hydroxy-THC and 11-nor-9-carboxy-THC)\]. * Unexposed : No cannabis user (questionnaire and negative blood detection of Delta-9-THC and its derivatives) matched for age (+/- 2.5 years) with exposed patients included,
Exclusion criteria
* Patient age \> 60 years * Patient with azoospermia * Patient previously exposed to gonadotoxic treatment (chemotherapy, radiotherapy, androgen therapy and other gonadotoxic treatments), * Patient with professional toxic exposure, * Patient consuming other recreational drugs, * Patient with severely impaired sperm parameters and sperm counts \<1 million,
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of spermatic aneuploidy rate | Day 1 | Spermatic aneuploidy rate is evaluated for patients exposed and not exposed to cannabis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of consumption level | Day 1 | Consumption level are evaluated for patients exposed to cannabis, using questionnaire |
| Evaluation of cannabinoids level in blood | Day 1 | cannabinoids levels in blood are evaluated for patients exposed and not exposed to cannabis |
| Total sperm count | Day 1 | — |
| Percentage of mobile spermatozoa | Day 1 | — |
| Percentage of morphologically abnormal spermatozoa | Day 1 | — |
| Mean vacuole area threshold | Day 1 | Mean vacuole area threshold is measured with Receiver Operating Characteristic curves |
| Correlation coefficient between vacuole areas and sperm DNA fragmentation | Day 1 | Correlation coefficient between vacuole areas and sperm DNA fragmentation are evaluated by TUNEL analysis |
| Correlation coefficient between vacuole areas and abnormal chromatin condensation | Day 1 | Correlation coefficient between vacuole areas and abnormal chromatin condensation is evaluated by aniline blue staining |
| Correlation coefficient between vacuole areas and telomere number, distribution and length | Day 1 | Correlation coefficient between vacuole areas and telomere number, distribution and length is evaluated by quantitative FISH |
Countries
France
Contacts
PRINCIPAL_INVESTIGATORFrance VERHAEGHE, MD
University Hospital, Rouen
Outcome results
None listed