<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">agx</journal-id><journal-title-group><journal-title xml:lang="ru">Андрология и генитальная хирургия</journal-title><trans-title-group xml:lang="en"><trans-title>Andrology and Genital Surgery</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2070-9781</issn><issn pub-type="epub">2412-8902</issn><publisher><publisher-name>MedINK Publishing House LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17650/2070-9781-2015-16-2-51-55</article-id><article-id custom-type="elpub" pub-id-type="custom">agx-146</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ДИСКУССИЯ</subject></subj-group></article-categories><title-group><article-title>Опыт применения докозагексаеновой кислоты (БрудиПлюс) у пациентов с повышенным индексом фрагментации ДНК сперматозоидов в Научном центре акушерства, гинекологии и перинатологии им. акад. В.И. Кулакова</article-title><trans-title-group xml:lang="en"><trans-title>Experience in the use of docosahexaenoic acid (BrudiPlus) in patients with increased sperm DNA fragmentation index in Acad. V.I. Kulakov Research Center for Obstetrics, Gynecology and Perinatology</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Попова</surname><given-names>А. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Popova</surname><given-names>A. Yu.</given-names></name></name-alternatives><email xlink:type="simple">alina-dock@ya.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гамидов</surname><given-names>С. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Gamidov</surname><given-names>S. I.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Овчинников</surname><given-names>Р. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Ovchinnikov</surname><given-names>R. I.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ушакова</surname><given-names>И. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Ushakova</surname><given-names>I. V.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Голубева</surname><given-names>О. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Golubeva</surname><given-names>O. N.</given-names></name></name-alternatives><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Отделение андрологии и урологии ФГБУ «Научный центр акушерства, гинекологии и перинатологии им. акад. В.И. Кулакова» Минздрава России; Россия, 117997, Москва, ул. академика Опарина, 4;&#13;
Кафедра акушерства, гинекологии, перинатологии и репродуктологии ГБОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России; Россия, 117997, Москва, ул. академика Опарина, 4</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Department of Urology and Andrology, Acad. V.I. Kulakov Research Center for Obstetrics, Gynecology and Perinatology Ministry of Health of Russia; 4 akademika Oparina St., Moscow, 117997, Russia;&#13;
Department of Obstetrics, Gynecology, Perinatology and Reproductology, Faculty of Postgraduate Education, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia; 4 akademika Oparina St., Moscow, 117997, Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Отделение андрологии и урологии ФГБУ «Научный центр акушерства, гинекологии и перинатологии им. акад. В.И. Кулакова» Минздрава России; Россия, 117997, Москва, ул. академика Опарина, 4;</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Department of Urology and Andrology, Acad. V.I. Kulakov Research Center for Obstetrics, Gynecology and Perinatology Ministry of Health of Russia; 4 akademika Oparina St., Moscow, 117997, Russia;</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2015</year></pub-date><pub-date pub-type="epub"><day>13</day><month>08</month><year>2015</year></pub-date><volume>16</volume><issue>2</issue><fpage>51</fpage><lpage>55</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Попова А.Ю., Гамидов С.И., Овчинников Р.И., Ушакова И.В., Голубева О.Н., 2015</copyright-statement><copyright-year>2015</copyright-year><copyright-holder xml:lang="ru">Попова А.Ю., Гамидов С.И., Овчинников Р.И., Ушакова И.В., Голубева О.Н.</copyright-holder><copyright-holder xml:lang="en">Popova A.Y., Gamidov S.I., Ovchinnikov R.I., Ushakova I.V., Golubeva O.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://agx.elpub.ru/jour/article/view/146">https://agx.elpub.ru/jour/article/view/146</self-uri><abstract><p>Почти в половине браков причиной бесплодия является мужской фактор. У бесплодных мужчин доля сперматозоидов с нарушением целостности ДНК более 30 %, при этом у здоровых фертильных мужчин – менее 15 %. С распространением вспомогательных репродуктивных технологий растет осознание важности повреждения ДНК спермы. На сегодняшний день эти последствия еще не изучены, а имеющийся терапевтический эффект от приема антиоксидантов не имеет прямой корреляции с уровнем фрагментации ДНК спермы. Докозагексаеновая кислота относится к наиболее ценным для здоровья человека полиненасыщенным жирным кислотам омега-3. Докозагексаеновая кислота – главный компонент серого вещества мозга, сетчатки глаза, яичек, спермы и клеточных мембран. В связи с этим было проведено исследование, целью которого явилась оценка влияния нутрицевтической энзиматической докозагексаеновой кислоты триглицерида (БрудиПлюс) в высокой концентрации на поврежденную ДНК сперматозоидов у пациентов с патозооспермией. В данное исследование были включены 40 больных с идиопатической патозооспермией и с уровнем фрагментации ДНК, который превышал нормативные значения. Были получены положительные результаты: прием БрудиПлюс позволяет снизить уровень повреждения ДНК сперматозоидов, а также улучшить антиоксидантную систему спермы. </p></abstract><trans-abstract xml:lang="en"><p>Male factor is the reason of infertility in almost half of marriages. Infertile men have the percentage of sperm with violations of DNA integrity of over 30 %; with that, healthy fertile men have that indicator of less than 15 %. Understanding of importance of damages of sperm DNA is growing with distribution ofauxiliary reproductive technologies. As of today, these consequences have not been studies yet, and the therapeutic effect of intake of antioxidants has not direct correlation with the sperm DNA fragmentation level. Docosahexaenoic acid is one of the most valuable omega-3 polyunsaturated fatty acids for human health. Docosahexaenoic acid is the main component of the brain gray matter, retina, testes, and sperm cell membranes. In connection with that, a study was held the purpose of which was to assess the effect of the nutraceutical enzymatic docosahexaenoic acid triglyceride (BrudiPlus) in high concentrations on damaged sperm DNA of patients with idiopathic pathozoospermia. 40 patients with idiopathic pathozoospermia and the level of DNA fragmentation over the statutory value took part in this study. The following positive results were received: intake of BrudiPlus allowed decreasing sperm DNA damages and improving of antioxidant system of sperm. </p></trans-abstract><kwd-group xml:lang="ru"><kwd>мужское бесплодие</kwd><kwd>фрагментации ДНК спермы</kwd><kwd>докозагексаеновая кислота</kwd><kwd>спермограмма</kwd><kwd>лечение бесплодия</kwd><kwd>индекс фрагментации</kwd><kwd>астенозооспермия</kwd><kwd>астенотератозооспермия</kwd><kwd>тератозооспермия</kwd><kwd>олигоастенозооспермия</kwd><kwd>олигоастенотератозооспермия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>male infertility</kwd><kwd>sperm DNA fragmentation</kwd><kwd>docosahexaenoic acid</kwd><kwd>spermogram</kwd><kwd>infertility treatment</kwd><kwd>fragmentation index</kwd><kwd>asthenozoospermia</kwd><kwd>asthenoteratozoospermia</kwd><kwd>teratozoospermia</kwd><kwd>oligoasthenozoospermia</kwd><kwd>oligoasthenoteratozoospermia</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Guzick D.S., Overstreet J.W., FactorLitvak P. et al. Sperm morphology, motility, and concentration in fertile and infertile men. N Engl J Med 2004;345(19):1388–93.</mixed-citation><mixed-citation xml:lang="en">Guzick D.S., Overstreet J.W., FactorLitvak P. et al. Sperm morphology, motility, and concentration in fertile and infertile men. N Engl J Med 2004;345(19):1388–93.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Osman A., Alsomait H., Seshadri S. et al. The effect of sperm DNA fragmentation on live birth rate after IVF or ICSI: a systematic review and meta-analysis. Reprod Biomed Online 2015;30(2):120–7.</mixed-citation><mixed-citation xml:lang="en">Osman A., Alsomait H., Seshadri S. et al. The effect of sperm DNA fragmentation on live birth rate after IVF or ICSI: a systematic review and meta-analysis. Reprod Biomed Online 2015;30(2):120–7.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Gandini L., Lombardo F., Paoli D. et al. Study of apoptotic DNA fragmentation in human spermatozoa. Hum Reprod 2000;15(4):830–9.</mixed-citation><mixed-citation xml:lang="en">Gandini L., Lombardo F., Paoli D. et al. Study of apoptotic DNA fragmentation in human spermatozoa. Hum Reprod 2000;15(4):830–9.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Evenson D.P. Sperm chromatin structure assay (SCSA®). Methods Mol Biol 2013; 927:147–64.</mixed-citation><mixed-citation xml:lang="en">Evenson D.P. Sperm chromatin structure assay (SCSA®). Methods Mol Biol 2013; 927:147–64.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Kumar K., Deka D., Singh A. et al. Predictive value of DNA integrity analysis in idiopathic recurrent pregnancy loss following spontaneous conception. J Assist Reprod Genet 2012;29(9):861–7.</mixed-citation><mixed-citation xml:lang="en">Kumar K., Deka D., Singh A. et al. Predictive value of DNA integrity analysis in idiopathic recurrent pregnancy loss following spontaneous conception. J Assist Reprod Genet 2012;29(9):861–7.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Spano M., Bonde J.P., Hjøllund H.I. The treatment of obstructive azoospermia by intracytoplasmic sperm injection. Fertil Steril 2000;73(1):43–50.</mixed-citation><mixed-citation xml:lang="en">Spano M., Bonde J.P., Hjøllund H.I. The treatment of obstructive azoospermia by intracytoplasmic sperm injection. Fertil Steril 2000;73(1):43–50.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Zini A., Libman J. Sperm DNA damage: importance in the era of assisted reproduction. Curr Open Urol 2006;16(6):428–34.</mixed-citation><mixed-citation xml:lang="en">Zini A., Libman J. Sperm DNA damage: importance in the era of assisted reproduction. Curr Open Urol 2006;16(6):428–34.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Zini A., Albert O., Robaire B. Assessing sperm chromatin and DNA damage: clinical importance and development of standards. Andrology 2014;2(3):322–5.</mixed-citation><mixed-citation xml:lang="en">Zini A., Albert O., Robaire B. Assessing sperm chromatin and DNA damage: clinical importance and development of standards. Andrology 2014;2(3):322–5.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Nogales-Gadea G., Pinós T., Ruiz J.R. Are mitochondrial haplogroups associated with elite athletic status? A study on a Spanish cohort. Mitochondrion 2011;11(6):905–8.</mixed-citation><mixed-citation xml:lang="en">Nogales-Gadea G., Pinós T., Ruiz J.R. Are mitochondrial haplogroups associated with elite athletic status? A study on a Spanish cohort. Mitochondrion 2011;11(6):905–8.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Ahluwalia B., Holman R.T. Fatty acid composition of lipids of bull, boar, rabbit and human semen. J Reprod Fertil 1969;18(3):431–7.</mixed-citation><mixed-citation xml:lang="en">Ahluwalia B., Holman R.T. Fatty acid composition of lipids of bull, boar, rabbit and human semen. J Reprod Fertil 1969;18(3):431–7.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Poulos A., White I.G. The phospholipid composition of human spermatozoa and seminal plasma. J Reprod Fertil 1973;35(2):265–72.</mixed-citation><mixed-citation xml:lang="en">Poulos A., White I.G. The phospholipid composition of human spermatozoa and seminal plasma. J Reprod Fertil 1973;35(2):265–72.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Lenzi A., Picardo M., Gandini L., Dondero F. Lipids of the sperm plasma membrane: from polyunsaturated fatty acids considered as markers of sperm function to possible scavenger therapy. Hum Reprod Update 1996;2(3):246–56.</mixed-citation><mixed-citation xml:lang="en">Lenzi A., Picardo M., Gandini L., Dondero F. Lipids of the sperm plasma membrane: from polyunsaturated fatty acids considered as markers of sperm function to possible scavenger therapy. Hum Reprod Update 1996;2(3):246–56.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Alvarez J.G., Storey B.T. Differential incorporation of fatty acids into and peroxidative loss of fatty acids from phospholipids of human spermatozoa. Mol Reprod Dev 1995;42(3):334–46.</mixed-citation><mixed-citation xml:lang="en">Alvarez J.G., Storey B.T. Differential incorporation of fatty acids into and peroxidative loss of fatty acids from phospholipids of human spermatozoa. Mol Reprod Dev 1995;42(3):334–46.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Wang A.W., Zhang H., Ikemoto I. et al. Reactive oxygen species generation by seminal cells during cryopreservation. Urology 1997;49(6):921–5.</mixed-citation><mixed-citation xml:lang="en">Wang A.W., Zhang H., Ikemoto I. et al. Reactive oxygen species generation by seminal cells during cryopreservation. Urology 1997;49(6):921–5.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Alvarez J.G., Storey B.T. Evidence for increased lipid peroxidative damage and loss of superoxide dismutase activity as a mode of sublethal cryodamage to human sperm during cryopreservation. J Androl 1992;13(3): 232–41.</mixed-citation><mixed-citation xml:lang="en">Alvarez J.G., Storey B.T. Evidence for increased lipid peroxidative damage and loss of superoxide dismutase activity as a mode of sublethal cryodamage to human sperm during cryopreservation. J Androl 1992;13(3): 232–41.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Lasso J.L., Noiles E.E., Alvarez J.G., Storey B.T. Mechanism of superoxide dismutase loss from human sperm cells during cryopreservation. J Androl 1994;15(3): 255–65.</mixed-citation><mixed-citation xml:lang="en">Lasso J.L., Noiles E.E., Alvarez J.G., Storey B.T. Mechanism of superoxide dismutase loss from human sperm cells during cryopreservation. J Androl 1994;15(3): 255–65.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Gadea J., Molla M., Selles E. et al. Reduced glutathione content in human sperm is decreased after cryopreservation: effect of the addition of reduced glutathione to the freezing and thawing extenders. Cryobiology 2011;62(1):40–6.</mixed-citation><mixed-citation xml:lang="en">Gadea J., Molla M., Selles E. et al. Reduced glutathione content in human sperm is decreased after cryopreservation: effect of the addition of reduced glutathione to the freezing and thawing extenders. Cryobiology 2011;62(1):40–6.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Agarwal A., Sekhon L.H. The role of antioxidant therapy in the treatment of male infertility. Hum Fertil (Camb) 2010;13(4):217–25.</mixed-citation><mixed-citation xml:lang="en">Agarwal A., Sekhon L.H. The role of antioxidant therapy in the treatment of male infertility. Hum Fertil (Camb) 2010;13(4):217–25.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Safarinejad M.R. Effect of omega-3 polyunsaturated fatty acid supplementation on semen profile and enzymatic anti-oxidant capacity of seminal plasma in infertile men with idiopathic oligoasthenoteratospermia: a double-blind, placebo-controlled, randomised study. Andrologia 2011;43(1):38–47.</mixed-citation><mixed-citation xml:lang="en">Safarinejad M.R. Effect of omega-3 polyunsaturated fatty acid supplementation on semen profile and enzymatic anti-oxidant capacity of seminal plasma in infertile men with idiopathic oligoasthenoteratospermia: a double-blind, placebo-controlled, randomised study. Andrologia 2011;43(1):38–47.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Zini A., Al-Hathal N. Antioxidant therapy in male infertility: fact or fiction? Asian J Androl 2011;13(3):374–81.</mixed-citation><mixed-citation xml:lang="en">Zini A., Al-Hathal N. Antioxidant therapy in male infertility: fact or fiction? Asian J Androl 2011;13(3):374–81.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Larson-Cook K.L., Brannian J.D., Hansen K.A. et al. Relationship between the outcomes of assisted reproductive techniques and sperm DNA fragmentation as measured by the sperm chromatin structure assay. Fertil Steril 2003;80(4):895–902.</mixed-citation><mixed-citation xml:lang="en">Larson-Cook K.L., Brannian J.D., Hansen K.A. et al. Relationship between the outcomes of assisted reproductive techniques and sperm DNA fragmentation as measured by the sperm chromatin structure assay. Fertil Steril 2003;80(4):895–902.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
