Evidence map›Paper›PMID 37923811›Full record

ArticleScientific reports2023

Innovative technology for evaluation of sperm DNA double-strand breaks diagnoses male factor infertility and prevents reproductive failures.

Tse-En Wang, Chun-I Lee, Chun-Chia Huang, Hui-Mei Tsao, Hui-Chen Chang, Li-Sheng Chang, T Arthur Chang, Maw-Sheng Lee, Cheng-Teng Hsu

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07621991 (A Prospective Trial Assessing the Impact of Double-strand Breaks on ART Outcomes and Predicting Its Clinical Thresholds), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07621991 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Prospective Trial Assessing the Impact of Double-strand Breaks on ART Outcomes and Predicting Its Clinical Thresholds

TypeobservationalSponsorIndira IVF Hospital Pvt LtdRan2026 to 2027Enrolled484ConditionsSperm DNA Fragmentation, Sperm DNA Impact on ART OutcomesArmsLensHooke X12 Device
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Comparing Methods for Sperm DNA Fragmentation Detection.Advances in experimental medicine and biology · 2026
    Review
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 3 countries.

Tse-En Wang *Center for Research and Development, Bonraybio Co., Ltd., 4F., No. 118, Gongye 9Th Rd., Dali Dist., Taichung City, 412037, Taiwan, ROC.
Chun-I Lee *Division of Infertility Clinic, Lee Women's Hospital, No. 30-6, Sec. 1, Changping Rd., Beitun Dist., Taichung City, 406021, Taiwan, ROC.
Chun-Chia HuangDivision of Infertility Clinic, Lee Women's Hospital, No. 30-6, Sec. 1, Changping Rd., Beitun Dist., Taichung City, 406021, Taiwan, ROC.
Hui-Mei TsaoDivision of Infertility Clinic, Lee Women's Hospital, No. 30-6, Sec. 1, Changping Rd., Beitun Dist., Taichung City, 406021, Taiwan, ROC.
Hui-Chen ChangCenter for Research and Development, Bonraybio Co., Ltd., 4F., No. 118, Gongye 9Th Rd., Dali Dist., Taichung City, 412037, Taiwan, ROC.
Li-Sheng ChangCenter for Research and Development, Bonraybio Co., Ltd., 4F., No. 118, Gongye 9Th Rd., Dali Dist., Taichung City, 412037, Taiwan, ROC.
T Arthur ChangDepartment of Obstetrics and Gynecology, University of Texas Health Science Center, San Antonio, TX, USA.
Maw-Sheng LeeDivision of Infertility Clinic, Lee Women's Hospital, No. 30-6, Sec. 1, Changping Rd., Beitun Dist., Taichung City, 406021, Taiwan, ROC. msleephd@gmail.com.
Cheng-Teng HsuCenter for Research and Development, Bonraybio Co., Ltd., 4F., No. 118, Gongye 9Th Rd., Dali Dist., Taichung City, 412037, Taiwan, ROC. brown@bonraybio.com.
National Chung Hsing University · TWBOE Technology Group (China) · CNThe University of Texas Health Science Center at San Antonio · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neutral comet assay has been available for two decades to evaluate sperm double-strand breaks (DSBs). However, its clinical usability is limited due to its complex and time-consuming procedure, as well as the lack of a standardized scoring system. The aim of this study was to: develop a rapid diagnostic method for DSBs, Sperm DNA Fragmentation Releasing Assay (SDFR), and explore the association between DSBs and reproductive outcomes. We pioneered the use of polyacrylamide (PA) for embedding sperm chromatin and optimized the porosity of PA to be between 10 and 13%. The refined PA network allowed the trapping of DSBs, which dispersed halo on an immunological slide; in contrast, intact chromatin failed to develop a halo. A strong correlation was showed between reproducible values obtained from SDFR and neutral comet assay. SDFR were responsive to dose-/time-dependent simulated DSBs, indicating high sensitivity and specificity. Furthermore, we conducted a retrospective study of couples with embryonic aneuploidy screening, and recording DSB profiles of the male partners. Our findings revealed that DSB enabled to predict embryonic aneuploidy whereas basic semen parameters did not. In conclusion, SDFR offers a rapid and user-friendly approach for evaluating DSBs, with potential implications for predictive healthcare in reproductive medicine.

Indexed as

DNA Breaks, Double-StrandedInfertility, MaleAneuploidyChromatinComet AssayDNADNA FragmentationHumansMaleRetrospective StudiesSemenSpermatozoaChromatinDNA

Identifiers

PMID37923811
PMCPMC10624885
OpenAlexW4388292519

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.