• 대한한방부인과학회지
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• 제18권4호
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• pp.24-35
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• 2005

Purpose : This study was conducted to investigate the effects of Cynomorii Herba (鎖陽) on　the reproductive competence in male mice.　Methods ：　We used 8-week-old Spraque-Dawley rats and administered the extract powder of Cynomorii Herba to 5 rats and normal saline to control group once in a day for 28 days. Then we observed the changes of body weight before and after administration of Cynomorii Herba extracts and normal saline. We isolated their testis surgically and observed the weight of testis, epididymis, vascular gland and prostate. Also we examined the total, normal and motile sperm concentration, the concentration of testicular catalase, peroxidase and configuration of testicular tissue before and after administration of Cynomorii Herba extracts and normal saline. Results : We found that the concentration of total, normal, motile sperm in testis of Cynomorii Herba treated group shows significant difference compared with the control group. The body weight, the weight of testis, epididymis and the concentration of testicular catalase and peroxidase were higher in the Cynomorii Herba treated group, on the other hand the weight of vascular gland was lower in the Cynomorii Herba. But the contents of above statement showed no significant difference. The weight of　prostate showed lower in the control group statistically than that of the Cynomorii Herba treated group. We observed the seminiferous tubules taken shape minutely and the number of normal sperm increased in Cynomorii Herba treated group's testicular tissue. Conclusion This study shows that Cynomorii Herba may have an effect on the concentration, morphology and motility of sperm, the important factor in male fertility.

• 한국수정란이식학회지
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• 제29권4호
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• pp.351-359
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• 2014

Phasianus colchicus is not only a beautiful bird but also a great value in science and under the threat of endanger. Hence, the aim of this study was to isolate the pheasant male germ cells (mGCs) and then induce them into elongated sperm-like cells in vitro. The mGCs were purified and enriched by a two-step plating method based on the different adherence velocities of mGCs and somatic cells. The percentage of the c-kit positive cells and c-kit negative cells examined by flow cytometry analysis (FCA) was 92.87% and 2.57%, respectively. Subsequently, the mGCs were induced for 48h in DMEM/F12 medium supplemented factors such as retinol acid, testosterone and bovine FSH, followed by 5 weeks in culture. We found that some elongated sperm-like cells appeared initially in vitro under inducement of stimulated factors. The elongated sperm-like cells showed in the expression of changed morphology and post-transcriptional marker such as spermatid associated (SPERT), spermatid perinuclear RNA binding protein (STRBP), round spermatid basic protein 1 (RSBN1) and SPER1L. Moreover, in DNA content identified assay, induced cells showed that the 1C DNA population markedly increased in differentiated group but it was not change in undifferentiated group. Successful in vitro differentiation of pheasant testicular germline cells into spermatids appears to offer extremely attractive potential for the conservation of endangered birds and treatment of male infertility.

• Journal of Genetic Medicine
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• 제7권2호
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• pp.160-164
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• 2010

Y 염색체의 구조적 이상은 남성의 정상적인 고환의 분화와 정자생성과정에 영향을 미친다. 본 증례의 무정자증 남성의 혈액세포에서 관찰된 비정상 Y 염색체는 SRY를 포함한 부분적 단완 중복과 Yq12 이질염색질 결실로 재배열된 일동원체성 derivative Y 염색체이다. 이러한 형태의 Y 염색체에 대해서는 매우 드물게 보고되어 있다. 이는 분자세포유전학 및 분자유전학 검사를 통하여 46,X,der(Y)(pter${\rightarrow}$q11.23::p11.2${\rightarrow}$ pter).ish der(Y)(DYZ3+,DYZ1-,SRY++) 의 결과를 얻었다. 증례의 남성은 비정상 Y 염색체를 가졌음에도 불구하고 정상적인 고환의 크기와 혈액내 성호르몬의 수치는 정상이었다. 하지만 양측성 정계정맥류와 고환생검결과 정자형성기능저하증의 소견을 보였다. 이러한 비정상 Y 염색체는 부계의 감수분열 또는 배발생 초기 단계에서 Y 염색체 자매염색분체의 재배열 또는 Y 염색체내 비대립동종재조합(Non-allelic homologous recombination) 현상 때문에 일어난 것으로 생각되며 환자의 생식세포 분열과정 중 X-Y 성염색체 PAR1 (pseudoautosomal region 1) 부위가 접합하는 2가염색체 (X-Y bivalent) 형성장애기전으로 정자생성 또는 정자성숙 단계에 문제가 생긴 것으로 생각된다. 또한 남성특이영역(male specific region of the Y chromosome, MSY)에서 불임과 관련된 유전자들의 결실과 변이 등의 원인도 배제할 수 없을 것이다. 본 증례는 무정자증 불임남성의 생식과 관련된 표현형이 다양한 원인으로 결정될 수 있음을 시사하며 아울러 불임남성에 대한 보다 정확하고 자세한 분자 세포 유전학적 분석들이 불임 남성의 치료에도 도움이 될 것이라 생각한다.

• Clinical and Experimental Reproductive Medicine
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• 제18권1호
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• pp.101-105
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• 1991

Although many therapies have been advocated in the treatment of idiopathic male infertility, the results of treatment are poor. This probably seems to be due to a lack of one or more proteins constituting the key structures of the spermatozoa. We evaluated the functional structures of the spermatozoa in 11 infertile patients whose semen showed severe oligoasthenozoospermia with immunochemical method and found a case with spermatozoa lacking acrosin. Evaluation of the spermatozoal defect with immunochemical method is desirable in patients with severe oligoasthenozoospermia, especially in cases unresponsive to medical therapy.

• 대한생식의학회:학술대회논문집
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• 대한불임학회 2005년도 제48차 춘계 학술대회
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• pp.31-64
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• 2005

위에서 살펴본 바와 같이 준임상적 정계정맥류이 존재가 불임 환자에서 가지는 중요성에 관하여는 아직 논란이 많다. 하지만 실제적인 정계정맥류의 크기와 신체검사에서 촉진되는 정계정맥류의 크기가 항상 일치하지는 않는다는 사실과 준임상적인 정계정맥류라 할지라도 고환에 악영향을 끼칠 수 있는 잠재력이 있음을 고려할 때, 준임상적 정계정맥류의 임상적 중요성을 결코 간과해서는 안 될 것이다. 비록 현재는 불임의 치료로서 준임상적 정계정맥류의 제거술의 잇점이 뚜렷이 규명되지는 않았지만, 불임을 주소로 내원한 환자에 있어 준임상적 정계정맥류의 존재는 항상 염두에 두어야 할 사항이라 생각된다. 또한 앞으로도 준임상적 정계정맥류의 치료 효과 및 필요성에 관하여는 잘 계획된 많은 연구들이 필요할 것으로 사료된다.

• Clinical and Experimental Reproductive Medicine
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• 제38권2호
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• pp.61-67
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• 2011

Recently, a significant understanding of the molecular mechanisms regulating spermatogenesis has been achieved utilizing small RNA molecules (small RNAs), including small interfering RNAs (siRNAs), microRNAs (miRNAs), and Piwi-interacting RNAs (piRNAs) which emerged as important regulators of gene expression at the post-transcriptional or translation level. piRNAs are only present in pachytene spermatocytes and round spermatids, whereas miRNAs are expressed abundantly in male germ cells throughout spermatogenesis. This review is aimed at providing a glimpse of piRNAs and their interacting family proteins such as PIWIL1, PIWIL2, and PIWIL4 in spermatogenesis.

• Clinical and Experimental Reproductive Medicine
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• 제40권4호
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• pp.174-176
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• 2013

Klinefelter syndrome is the most common genetic form of male hypogonadism, but the phenotype becomes evident only after puberty. It is characterized by infertility, small testes, sparse body and facial hair, increased body weight, gynecomastia, increased LH and FSH, and a low level of testosterone. Early recognition and treatment of Klinefelter syndrome can significantly improve the patient's quality of life and prevent serious consequences. Here, we report an infertile man with a rare variant of Klinefelter syndrome with a 47, XY, i(X)(q10) karyotype.

• The Korean Journal of Physiology and Pharmacology
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• 제23권1호
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• pp.89-89
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• 2019

• Clinical and Experimental Reproductive Medicine
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• 제44권4호
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• pp.201-206
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• 2017

Objective: The aim of this study was to compare the efficacy of swim-up and density gradient centrifugation (DGC) for reducing the amount of sperm with fragmented DNA, sex chromosome aneuploidy, and abnormal chromatin structure. Methods: Semen samples were obtained from 18 healthy male partners who attended infertility clinics for infertility investigations and were processed with swim-up and DGC. The percentages of sperm cells with fragmented DNA measured by the sperm chromatin dispersion test, normal sex chromosomes assessed by fluorescence in situ hybridization, and abnormal chromatin structure identified by toluidine blue staining were examined. Results: The percentage of sperm cells with fragmented DNA was significantly lower in the swim-up fraction (9.7%, p= 0.001) than in the unprocessed fraction (27.0%), but not in the DGC fraction (27.8%, p= 0.098). The percentage of sperm cells with normal X or Y chromosomes was comparable in the three fractions. The percentage of sperm cells with abnormal chromatin structure significantly decreased after DGC (from 15.7% to 10.3%, p= 0.002). The swim-up method also tended to reduce the percentage of sperm cells with abnormal chromatin structure, but the difference was not significant (from 15.7% to 11.6%, p= 0.316). Conclusion: The swim-up method is superior for enriching genetically competent sperm.

• 대한의생명과학회지
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• 제10권1호
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• pp.31-34
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• 2004

White blood cells (WBCs) are present in most human ejaculates, but abnormally high concentration of seminal leukocytes may reflect an underlying pathological condition. The World Health Organization (WHO) has defined leukocytospermia as status of more than $10^6$ WBC/mL of semen. The purpose of this study was firstly, to compare the outcomes between conventional IVF and ICSI in leukocytospermia, and secondly, to investigate whether ICSI may be an alternation treatment for patients with leukocytospermia. Total 346 cycles of conventional IVF and ICSI candidates underwent IVF cycles at Eulji Hospital Infertility Clinic. Semen Parameters including concentration, motility, morphology of spermatozoa and concentration of leukocytes were assessed from the raw ejaculates. There was no difference in sperm concentration, motility and morphology. The rates of fertilization and good embryo development from ICSI were significantly higher than those from conventional IVF in leukocytospermia (60.4% ＆ 32.5%, respectively for ICSI group and 44.4% ＆ 28.5%, respectively for IVF group, P<0.00l). The pregnancy rate after ICSI was also higher than that from conventional IVF (34.0% vs 29.1 %, P<0.05). These results indicate that the presence of seminal leukocyes (> 1$\times10^6$ WBC/mL of semen) is adversely related with fertilization, embryo development and pregnancy rate. Therfore the measurement of seminal leukocytes in routine semen analysis appears to be of prognostic value with regard to male fertilizing potential. In conclusion, it is suggested that ICSI is an alternative choice of treatment for patients with leukocytospermia.