Bavishi Fertility Institute
The Times of India · Ahmedabad

When going gets tough: Low sperm motility could run in genes, finds study

Experts Probe Genetic Reasons For Male Infertility

By Parth Shastri ·Dr Himanshu Bavishi
The Times of India clipping — When going gets tough: Low sperm motility could run in genes, finds study
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Ahmedabad: An international study – consisting of researchers from the Netherlands, Australia, Latvia, UK, Argentina and India – on severe sperm motility disorder (ability of organisms to move independently) found six new genes responsible for the phenomenon. The broader implications of the study indicate the issue passing from generation to generation.

Dr Harsh Sheth from city-based FRIGE's Institute of Human Genetics and one of the authors of the study said that they found six new genes – DNAH12, DRC1, MDC1, PACRG, SSPL2C and TPTE2 – in addition to the already known genes responsible for the very low sperm motility – generally caused by underdeveloped tail of the sperm. It's the tail that helps a sperm move towards the egg.

"We focused on men with a specific sperm defect identified as asthenozoospermia, meaning sperms with low to no movement. Samples from Argentina and Australia were analyzed for the study. The findings explain the cause in more than 60% of the cases," said Dr Sheth. "The study is significant as it used exome analysis where every single letter of the DNA that codes for proteins is analyzed. We don't have any such study at present in India."

Fertility specialist Dr Himanshu Bavishi said that low motility is an important factor in male infertility. Male infertility is a factor in 40% cases of childlessness. Of these, 20% males would have low sperm motility, said Dr Bavishi. In many patients, the sperm motility is zero. In such cases, the sperms can be considered dead. "We conduct specific tests to find out if these are live sperms that cannot move," Dr Bavishi added.

Anand-based surrogacy specialist Dr Nayana Patel said that, according to WHO, a healthy male should have a minimum 15 lakh sperm count and 38% of them should be motile. In many cases, diet and medicine can work in improving motility but it does not help if motility is zero. In such cases, patients cannot have natural pregnancy. "The good thing is that advanced IVF techniques like ICSI can easily bypass this factor," said Dr Patel.

He said that in a majority of such cases, the couples go for IVF. "It circumvents the issue – but it may run down the generation. Currently, there is no treatment available for it. But it can help the experts to decide on procedures for the fertility treatment," he said.

IHG is currently running a project funded by ICMR where the experts will analyze samples from 200 patients with sperm-related infertility and would try to assess its genetic causes. The present study would help compare the results with global findings and develop treatments.

Internationally, about one in 60 males face issue of infertility, said experts. Due to socio-psychological reasons, several of these issues don't come to light, they added.

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