The Comparison of Ef
fi
ciency of Density Gradient
Centrifugation and Zeta Methods in Separation of
Mature Sperm with Normal Chromatin Structure
Mohammad Hossein Nasr Esfahani, Ph.D.1, 2*, Shahnaz Razavi, Ph.D.3, Mohammad Mardani,
Ph.D.3, Noush Afarin Khajavi, M.Sc.3, Mohammad Reza Deemeh, M.Sc.2, Marziyeh Tavalaee, M.Sc.1
1. Reproduction and Development Department, Royan Institute for Animal Biotechnology, ACECR, Isfahan, Iran
2. Isfahan Fertility and Infertility Center, Isfahan, Iran
3. Anatomy Department, Isfahan University of Medical Sciences, Isfahan, Iran
* Corresponding Address: P.O.Box: 19395-4644, Reproduction and Development Department, Royan Institute for Animal Biotechnology, ACECR, Isfahan, Iran
Email: mh.nasr-esfahani@royaninstitute.org
Received: 16/Jun/2008, Accepted: 29/Sep/2008 Abstract
Objective: To examine the efficiency of both the Zeta and density gradient centrifugation (DGC) methods for the selection of normal chromatin sperm by TUNEL, sperm chromatin dispersion (SCD), acridine orange and chromomycin A3 (CMA3).
Materials and Methods: The study was performed on 63 patients. Semen analysis was car-ried out according to WHO criteria. Semen samples were divided into three equal portions. One portion was used as the control, the second portion was used for the Zeta method and the third portion underwent DGC method.
All portions were evaluated for sperm morphology (Diff Quick staining), protamine deficiency (CMA3) and DNA integrity (SCD, AO and TUNEL). Coefficients of correlation and students t test were carried out using SPSS 11.5.
Results: The mean percentage of abnormal sperm, protamine deficiency and DNA fragmen-tation in the Zeta and DGC methods were significantly decreased as compared to the control group (p<0.005). In addition, the DGC method was higher in comparison to the Zeta method in the selection of sperm with normal morphology (p<0.005). The Zeta method was higher in comparison to the DGC method in the selection of sperm with intact DNA (p<0.005).
Conclusion: Both Zeta and DGC methods were effective in the selection of sperm with better quality in terms of normal morphology, normal protamine content and DNA integrity. There-fore, we suggested that the combined Zeta and DGC method should be used for selection of normal sperm.
Keywords: Zeta Method, Protamine, Morphology, Sperm, DNA Fragmentation
ﺖﻬﺟ
Density Gradient Centrifugation
ﻭ
Zeta
ﺵﻭﺭ
ﻭﺩ
ﻰﻳﺍﺭﺎﻛ
ﻪﺴﻳﺎﻘﻣ
ﻰﻌﻴﺒﻃ
ﻦﻴﺗﺎﻣﻭﺮﻛ
ﺭﺎﺘﺧﺎﺳ
ﺎﺑ
ﻡﺮﭙﺳﺍ
ﻯﺯﺎﺳﺍﺪﺟ
،3
،،M.Sc. ﻯﻮﺟﺍﻮﺧﻦﻳﺮﻓﺁﺵﻮﻧ، 3
،،
Ph.D. ﻰﻧﺍﺩﺮﻣﺪﻤﺤﻣ،3 ،،
Ph.D. ﻯﻮﺿﺭﺯﺎﻨﻬﺷ،2 ،1
،،Ph.D. ﻰﻧﺎﻬﻔﺻﺍﺮﺼﻧﻦﻴﺴﺣﺪﻤﺤﻣ
1 ،،
M.Sc. ﻰﻳﻻﻮﺗﻪﻴﺿﺮﻣ،2
،،M.Sc. ﻪﻤﻳﺩﺎﺿﺭﺪﻤﺤﻣ
،ﻦﻳﻮﻜﺗﻭﻞﺜﻣﺪﻴﻟﻮﺗﻩﻭﺮﮔ،ﻰﻫﺎﮕﺸﻧﺍﺩﺩﺎﻬﺟﻰﻟﻮﻠﺳﻡﻮﻠﻋﺕﺎﻘﻴﻘﺤﺗﺰﻛﺮﻣ،ﻥﺎﻳﻭﺭﻩﺪﻜﺸﻫﻭﮋﭘ .1
ﻥﺍﺮﻳﺍ،ﻥﺎﻬﻔﺻﺍ
ﻥﺍﺮﻳﺍ،ﻥﺎﻬﻔﺻﺍ،ﻥﺎﻬﻔﺻﺍﻯﺭﻭﺭﺎﺑﺎﻧﻭﻯﺭﻭﺭﺎﺑﺰﻛﺮﻣ .2
ﻥﺍﺮﻳﺍ،ﻥﺎﻬﻔﺻﺍ،ﺢﻳﺮﺸﺗﻡﻮﻠﻋﻩﻭﺮﮔ،ﻥﺎﻬﻔﺻﺍﻰﻜﺷﺰﭘﻡﻮﻠﻋﻩﺎﮕﺸﻧﺍﺩ .3
،ﻰﻫﺎﮕﺸﻧﺍﺩﺩﺎﻬﺟﻰﻟﻮﻠﺳﻡﻮﻠﻋﺕﺎﻘﻴﻘﺤﺗﺰﻛﺮﻣ،ﻥﺎﻳﻭﺭﻩﺪﻜﺸﻫﻭﮋﭘ،19395-4644 :ﻲﺘﺴﭘﻕﻭﺪﻨﺻ،ﻥﺍﺮﻳﺍ،ﻥﺎﻬﻔﺻﺍ :ﻝﻮﺌﺴﻣﻩﺪﻨﺴﻳﻮﻧﺱﺭﺩﺁ *
ﻦﻳﻮﻜﺗﻭﻞﺜﻣﺪﻴﻟﻮﺗﻩﻭﺮﮔ
Email: mh.nasr-esfahani@royaninstitute.org:ﻚﻴﻧﻭﺮﺘﻜﻟﺍﺖﺴﭘ
87/7/7 :ﻪﻟﺎﻘﻣﺵﺮﻳﺬﭘ،87/3/27 :ﻪﻟﺎﻘﻣﺖﻓﺎﻳﺭﺩ
ﻩﺪﻴﻜﭼ
ﻯﺯﺎﺳﺍﺪﺟﺖﻬﺟ (DGC) Density Gradient CentrifugationﻭZetaﺵﻭﺭ ﻭﺩﻰﻳﺍﺭﺎﻛﻰﺑﺎﻳﺯﺭﺍ :ﻑﺪﻫ *
ﻡﺮﭙﺳﺍ ﻦﻴﺗﺎﻣﻭﺮﻛ ﻰﮔﺪﻨﻛﺍﺮﭘ ،TUNEL (AO) ﮋﻧﺍﺭﻭﺍ ﻦﻳﺪﻳﺮﻛﺁ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ ﻰﻌﻴﺒﻃ ﻦﻴﺗﺎﻣﻭﺮﻛ ﺭﺎﺘﺧﺎﺳ ﺎﺑ ﻡﺮﭙﺳﺍ .(Chromomycin A3; CMA3) A3 ﻦﻴﺴﻳﺎﻣﻮﻣﻭﺮﻛﻭ (Sperm Chromatin Dispersion; SCD) .ﺖﻓﺮﮔﺕﺭﻮﺻﻥﺎﻬﻔﺻﺍﻯﺭﻭﺭﺎﺑﺎﻧﻭﻯﺭﻭﺭﺎﺑﺰﻛﺮﻣﻪﺑﻩﺪﻨﻨﻛﻪﻌﺟﺍﺮﻣﺭﺎﻤﻴﺑ 63 ﻯﻭﺭﺮﺑﻪﻌﻟﺎﻄﻣﻦﻳﺍ :ﺎﻫﺵﻭﺭﻭ ﺩﺍﻮﻣ *
ﻯﺎﻫﻡﺮﭙﺳﺍ،ﻝﺮﺘﻨﻛ :ﺪﻳﺩﺮﮔﻢﻴﺴﻘﺗﺶﺨﺑﻪﺳﻪﺑﻦﻤﺳﻪﻧﻮﻤﻧﺲﭙﺳ .ﺪﺷﻡﺎﺠﻧﺍWHOﻯﺎﻫﺭﺎﻴﻌﻣﻖﺒﻃﻦﻤﺳﻊﻳﺎﻣﻦﻴﺗﻭﺭﺰﻴﻟﺎﻧﺁ
،ﺭﻮﻛﺬﻣﻯﺎﻫﻩﻭﺮﮔﺯﺍﻚﻳﺮﻫﻯﻭﺭﺮﺑﺲﭙﺳ .DGCﺵﻭﺭﻪﺑﻩﺪﺷﻯﺯﺎﺳﺍﺪﺟﻯﺎﻫﻡﺮﭙﺳﺍﻭZetaﺵﻭﺭﻪﺑﻩﺪﺷﻯﺯﺎﺳﺍﺪﺟ DNA ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻭ (CMA3ﻯﺰﻴﻣﺁﮓﻧﺭ) ﻦﻴﻣﺎﺗﻭﺮﭘ ﺩﻮﺒﻤﻛ،(Diff Quickﻯﺰﻴﻣﺁﮓﻧﺭ) ﻡﺮﭙﺳﺍﻯژﻮﻟﻮﻓﺭﻮﻣﻰﺑﺎﻳﺯﺭﺍ
ﺭﺍﺰﻓﺍﻡﺮﻧﺯﺍﻩﺩﺎﻔﺘﺳﺍﺎﺑt testﻭﻲﮕﺘﺴﺒﻤﻫﺐﻳﺮﺿﻱﺭﺎﻣﺁﻱﺎﻫﻥﻮﻣﺯﺁﺎﺑﺞﻳﺎﺘﻧ .ﺖﻓﺮﮔﻡﺎﺠﻧﺍ (AOﻭ TUNEL, SCD) .ﺪﻧﺪﺷﻞﻴﻠﺤﺗﻭﻲﺳﺭﺮﺑSPSS-11/5
ﻩﻭﺮﮔﻭﺩﺭﺩDNA ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﺪﺻﺭﺩﻭﻦﻴﻣﺎﺗﻭﺮﭘﺩﻮﺒﻤﻛ،ﻰﻌﻴﺒﻃﺮﻴﻏﻯژﻮﻟﻮﻓﺭﻮﻣﺎﺑﻯﺎﻫﻡﺮﭙﺳﺍﺪﺻﺭﺩ :ﺎﻫﻪﺘﻓﺎﻳ *
ﺖﺳﺍﻪﺘﻓﺎﻳﻯﺭﺍﺩﻰﻨﻌﻣﺶﻫﺎﻛﻯﺭﺎﻣﺁﻅﺎﺤﻟﺯﺍﻝﺮﺘﻨﻛﻩﻭﺮﮔﻪﺑﺖﺒﺴﻧDGCﻭZetaﺵﻭﺭﻪﺑﻩﺪﺷﻯﺯﺎﺳﺍﺪﺟﻯﺎﻫﻡﺮﭙﺳﺍ
ﺖﺳﺍﻩﺩﻮﻤﻧﻞﻤﻋﺮﺘﻬﺑZetaﺵﻭﺭﻪﺑﺖﺒﺴﻧﻰﻌﻴﺒﻃﻯژﻮﻟﻮﻓﺭﻮﻣﺎﺑﻯﺎﻫﻡﺮﭙﺳﺍﻯﺯﺎﺳﺍﺪﺟﺭﺩDGCﺵﻭﺭﻩﻭﻼﻋﻪﺑ .(p<0/005)
ﺮﺘﻬﺑDGCﺵﻭﺭﻪﺑﺖﺒﺴﻧﺮﺘﻤﻛDNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻯﺍﺭﺍﺩﻯﺎﻫﻡﺮﭙﺳﺍﻯﺯﺎﺳﺍﺪﺟﺭﺩZetaﺵﻭﺭﻪﻛﻰﻟﺎﺣﺭﺩ (p<0/005) .(p<0/005) ﺖﺳﺍﻩﺩﻮﻤﻧﻞﻤﻋ
ﻭ ﻯژﻮﻟﻮﻓﺭﻮﻣﺎﺑ ﻯﺎﻫﻡﺮﭙﺳﺍﻯﺯﺎﺳﺍﺪﺟ ﻪﺑﺭﺩﺎﻗ ﻯﺭﺍﺩﻰﻨﻌﻣ ﺭﻮﻃ ﻪﺑDGC ﻭ Zeta ﺵﻭﺭﻭﺩ ﺮﻫ :ﻱﺮﻴﮔﻪﺠﻴﺘﻧ *
ﻲﻌﻴﺒﻃﻯﺎﻫﻡﺮﭙﺳﺍﻱﺯﺎﺳﺍﺪﺟﻱﺍﺮﺑZetaﻭDGCﺵﻭﺭﻭﺩﺮﻫﺯﺍﺩﺩﺮﮔﻲﻣﺩﺎﻬﻨﺸﻴﭘﻦﻳﺍﺮﺑﺎﻨﺑ .ﺪﺷﺎﺑﻰﻣﻰﻌﻴﺒﻃﻦﻴﺗﺎﻣﻭﺮﻛﺭﺎﺘﺧﺎﺳ .ﺩﻮﺷﻩﺩﺎﻔﺘﺳﺍ
DNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ،ﻡﺮﭙﺳﺍ،ﻱژﻮﻟﻮﻓﺭﻮﻣ،ﻦﻴﻣﺎﺗﻭﺮﭘ،ﺎﺗﺯﺵﻭﺭ :ﻥﺎﮔژﺍﻭﺪﻴﻠﻛ *
168-175 :ﺕﺎﺤﻔﺻ،88 ﻥﺎﺘﺴﺑﺎﺗ،2 ﻩﺭﺎﻤﺷ،ﻢﻫﺩﺯﺎﻳﻝﺎﺳ،ﻪﺘﺧﺎﻳﻰﻜﺷﺰﭘﻪﻣﺎﻨﻠﺼﻓ
ﻪﻣﺪﻘﻣ
ﻚﻤﺨﺗ ﻢﺳﻼﭘﻮﺘﻴﺳ ﻞﺧﺍﺩ ﻪﺑ ﻡﺮﭙﺳﺍ ﻖﻳﺭﺰﺗ ﻚﻴﻨﻜﺗ ﻩﺯﻭﺮﻣﺍ
ﻚﻳ ﻥﺍﻮﻨﻋ ﻪﺑ (Intra Cytoplasmic Sperm Injection; ICSI)
ﺭﺩ ﻪﻧﺍﺩﺮﻣ ﻯﺎﻫﺭﻮﺘﻛﺎﻓﺖﻠﻋ ﻪﺑ ﻯﺭﻭﺭﺎﺑﺎﻧﻥﺎﻣﺭﺩﺖﻬﺟﺐﺳﺎﻨﻣﺵﻭﺭ ﺎﺸﮕﻫﺍﺭ (In Vitro Fertilization)ﻭIVFﺵﻭﺭﺎﻬﻧﺁ ﺭﺩﻪﻛﻰﻧﺍﺭﺎﻤﻴﺑ
،ICSI ﻡﺎﺠﻧﺍﻡﺎﮕﻨﻫﺭﺩﻪﻛﻰﻳﺎﺠﻧﺁﺯﺍ .(1) ﺩﻭﺭﻰﻣﺭﺎﻛﻪﺑ،ﺪﺷﺎﺑﻰﻤﻧ
ﻯژﻮﻟﻮﻓﺭﻮﻣﻯﺍﺭﺍﺩﻪﻛﺩﻮﺷﻲﻣﺏﺎﺨﺘﻧﺍﺱﺎﻨﺷﻦﻴﻨﺟﻂﺳﻮﺗﻰﻣﺮﭙﺳﺍﺎﻬﻨﺗ ﺖﻳﻭﺭﻞﺑﺎﻗﻥﺎﻧﺁﻂﺳﻮﺗﻡﺮﭙﺳﺍﻪﺘﺴﻫﺖﻣﻼﺳﻭﺪﺷﺎﺑﻰﻌﻴﺒﻃﺖﻛﺮﺣﻭ ﻪﺑ DNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻯﺍﺭﺍﺩﻡﺮﭙﺳﺍﻖﻳﺭﺰﺗﻥﺎﻜﻣﺍﻦﻳﺍﺮﺑﺎﻨﺑ .ﺪﺷﺎﺑﻰﻤﻧ
ﻩﺩﻮﻤﻧ ﺩﺎﺠﻳﺍﻚﻴﻨﻜﺗﻦﻳﺍﻡﺎﺠﻧﺍﺖﻬﺟﺍﺭﻰﻳﺎﻫﻰﻧﺍﺮﮕﻧﻚﻤﺨﺗ ﻞﺧﺍﺩ ﻥﺍﺰﻴﻣﻞﻗﺍﺪﺣﻯﺍﺭﺍﺩﻭﻎﻟﺎﺑﻭﻰﻌﻴﺒﻃﻯﺎﻫﻡﺮﭙﺳﺍﺏﺎﺨﺘﻧﺍﺍﺬﻟ .(2) ﺖﺳﺍ
ﺎﺻﻮﺼﺧﻯﺭﻭﺭﺎﺑﻚﻤﻛﻯﺎﻫﻚﻴﻨﻜﺗﻰﻣﺎﻤﺗﺭﺩ DNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ
.(3) ﺪﺳﺭﻰﻣﺮﻈﻧﻪﺑﻯﺭﻭﺮﺿICSI
ﻰﻌﻴﺒﻃﻭﻎﻟﺎﺑﻯﺎﻫﻡﺮﭙﺳﺍﻯﺯﺎﺳﺍﺪﺟﻯﺍﺮﺑﻰﻋﻮﻨﺘﻣﻭﺪﻳﺪﺟﻯﺎﻫﺵﻭﺭ ،ﻎﻟﺎﺑﻯﺎﻫﻡﺮﭙﺳﺍﻯﺯﺎﺳﺍﺪﺟﺎﻬﻧﺁﻰﻣﺎﻤﺗﻑﺪﻫﻪﻛﺪﻧﺍﻩﺪﺷﻰﻓﺮﻌﻣﻥﻮﻨﻛﺎﺗ ﻪﺑﻥﺍﻮﺗﻰﻣﺎﻫﺵﻭﺭﻦﻳﺍﻪﻠﻤﺟﺯﺍ .ﺪﺷﺎﺑﻰﻣﻙﺮﺤﺗﻭﻯژﻮﻟﻮﻓﺭﻮﻣﻅﺎﺤﻟﺯﺍ
.(4) ﺩﻮﻤﻧﻩﺭﺎﺷﺍ (DGC) Density Gradient Centrifugation ﺵﻭﺭ
ﻩﺩﻭﺪﺤﻣﺭﺩﻙﺮﺤﺗﻭﻯژﻮﻟﻮﻓﺭﻮﻣﻅﺎﺤﻟﺯﺍﻪﻛﻰﻳﺎﻫﻡﺮﭙﺳﺍﺵﻭﺭﻦﻳﺍﺭﺩ ﺍﺪﺟﻰﻌﻴﺒﻃﺮﻴﻏﻯﺎﻫﻡﺮﭙﺳﺍﺯﺍﻰﺘﻴﺴﻧﺍﺩﻑﻼﺘﺧﺍﺱﺎﺳﺍﺮﺑﺪﻧﺭﺍﺩﺭﺍﺮﻗﻰﻌﻴﺒﻃ ﻯﺎﻫﻡﺮﭙﺳﺍﺭﺩﺪﻧﺍﻩﺩﺍﺩﻥﺎﺸﻧﻦﻳﺍﺯﺍﺶﻴﭘﻥﻮﮔﺎﻧﻮﮔﺕﺎﻌﻟﺎﻄﻣﻪﭽﻧﺎﻨﭼ .ﺪﻧﻮﺷﻰﻣ
ﻯﺎﻫﻡﺮﭙﺳﺍژﻮﻴﻔﻳﺮﺘﻧﺎﺳﻦﻴﺣﺭﺩﺍﺬﻟ .ﺪﺷﺎﺑﻰﻣﺮﺘﺸﻴﺑﻢﺠﺣﻪﺑﻥﺯﻭﺖﺒﺴﻧﻰﻌﻴﺒﻃ
،ﺪﻧﺭﺍﺩﻯﺮﺘﺸﻴﺑﻰﻟﺎﮕﭼﻭﻩﺩﻮﺑﺮﺗﻢﻛﺍﺮﺘﻣﻪﻛﻰﻌﻴﺒﻃﻦﻴﺗﺎﻣﻭﺮﻛﺭﺎﺘﺧﺎﺳﻯﺍﺭﺍﺩ
.(6 ،5) ﺪﻧﻮﺷﻰﻣﻦﻴﺸﻧﻪﺗﺮﺗﻊﻳﺮﺳ
ﺩﺍﻮﻣ ﻯﺮﻴﮔﺭﺎﻛﻪﺑ ﻅﺎﺤﻟ ﺯﺍ DGC ﺵﻭﺭ ﻯﺎﻫﺖﻳﺩﻭﺪﺤﻣ ﻞﻴﻟﺩ ﻪﺑ
ﺯﺭﻮﻓﻭﺮﺘﻜﻟﺍﺵﻭﺭﻭﺩ .ﺩﻮﻤﻧﻩﺭﺎﺷﺍﻰﻜﻳﺮﺘﻜﻟﺍﺭﺎﺑﺱﺎﺳﺍﺮﺑﻰﻌﻴﺒﻃﻯﺎﻫﻡﺮﭙﺳﺍ
ﺮﺑﺩﻮﺟﻮﻣﻰﻜﻳﺮﺘﻜﻟﺍﺭﺎﺑﺱﺎﺳﺍﺮﺑﺍﺭﺎﻫﻡﺮﭙﺳﺍﻯﺯﺎﺳﺍﺪﺟﻥﺎﻜﻣﺍZetaﻭ
ﺶﻧﺍﺭﺎﻜﻤﻫﻭﻥﺎﭼﻂﺳﻮﺗﻪﻛZetaﺵﻭﺭﺭﺩ .ﺪﻳﺎﻤﻧﻰﻣﻢﻫﺍﺮﻓﺎﺸﻏﺢﻄﺳ Zetaﻞﻴﺴﻧﺎﺘﭘﺱﺎﺳﺍﺮﺑﻰﻌﻴﺒﻃﻡﺮﭙﺳﺍﺏﺎﺨﺘﻧﺍ،ﺪﺷﺩﺎﻬﻨﺸﻴﭘ 2006 ﻝﺎﺳﺭﺩ
ﺭﺍﺩﺭﺎﺑﻱﺎﻫﻦﻴﺌﺗﻭﺮﭘﻮﻜﻴﻠﮔﻮﻟﺎﻴﺳﻪﺑﻪﺘﺴﺑﺍﻭZetaﻞﻴﺴﻧﺎﺘﭘ .ﺩﺮﻴﮔﻰﻣﺕﺭﻮﺻ
ﺩﻮﺷﻲﻣﻩﺩﻭﺰﻓﺍﻥﺁﺢﻄﺳﻪﺑ،ﻡﺮﭙﺳﺍﻍﻮﻠﺑﺪﻨﻳﺍﺮﻓﻰﻃﺭﺩﻪﻛﺖﺳﺍﻡﺮﭙﺳﺍﺎﺸﻏ
.(8 ،7)
ﻱﺎﻫﻦﻴﺌﺗﻭﺮﭘﻮﻜﻴﻠﮔ ﺯﺍ ﻰﺧﺮﺑ ﻪﻛ ﺪﻫﺩﻰﻣ ﻥﺎﺸﻧ ﺮﻴﺧﺍ ﺕﺎﻘﻴﻘﺤﺗ ﻲﻠﺳﺎﻨﺗ ﻩﺎﮕﺘﺳﺩ ﺭﺩ ﻥﺁ ﺖﻇﺎﻔﺣ ﻱﺍﺮﺑ ﻡﺮﭙﺳﺍ ﺢﻄﺳ ﻪﺑ ﻩﺪﺷ ﻩﺩﻭﺰﻓﺍ
ﺡﻼﻄﺻﺍ ﺭﺩ ﺎﻫﻦﻴﺌﺗﻭﺮﭘﻮﻜﻴﻠﮔ ﻦﻳﺍ ﻪﺑ ﻭ ﺪﺷﺎﺑﻲﻣ ﻯﺭﻭﺮﺿ ﺚﻧﻮﻣ
ﻝﺍﺮﮕﺘﻨﻳﺍﻯﺎﻫﻦﻴﺌﺗﻭﺮﭘﻪﻠﻤﺟﺯﺍ .ﺩﻮﺷﻲﻣﻪﺘﻔﮔ Maturation Antigen
ﻪﻛﺩﻮﻤﻧﻩﺭﺎﺷﺍGp20ﻪﺑ ﻥﺍﻮﺗﻰﻣﻡﺮﭙﺳﺍﻯﺎﺸﻏﺢﻄﺳﻪﺑ ﻩﺪﺷﻪﻓﺎﺿﺍ
ﻥژﻲﺘﻧﺁﺎﺑگﻮﻟﻮﻤﻫﻭﺪﺷﺎﺑﻲﻣﺎﺸﻏﻰﺤﻄﺳﻦﻴﺌﺗﻭﺮﭘﻮﻜﻴﻠﮔﻮﻟﺎﻴﺳﻚﻳ ﻯﺎﻫﻦﻴﺌﺗﻭﺮﭘﻮﻜﻴﻠﮔﺯﺍ ﻰﻜﻳ Gp20 .ﺖﺳﺍ ﺖﻴﺳﻮﻜﻟ ﺎﺸﻏﺭﺩ CD52
ﻩﺎﮕﺘﺳﺩﺯﺍﻩﺪﺷ ﻝﺍﺰﻧﺍﻡﺮﭙﺳﺍﻯﺎﺸﻏﻰﻔﻨﻣﻲﻜﻳﺮﺘﻜﻟﺍ ﺭﺎﺑﺩﺎﺠﻳﺍ ﻝﻮﺌﺴﻣ
.(9) ﺪﺷﺎﺑﻰﻣﺮﻛﺬﻣﻰﻠﺳﺎﻨﺗ
ﺭﺎﺘﺧﺎﺳ ﺭﺩ ﺮﻴﻴﻐﺗ ﻪﻛ ﺪﻫﺩﻰﻣ ﻥﺎﺸﻧ ﻥﻮﮔﺎﻧﻮﮔ ﻯﺎﻫﺶﻫﻭﮋﭘ
ﻥﺪﺷ ﻞﻳﻮﻃ ،ﻡﻭﺯﻭﺮﻛﺁ ﻞﻴﻜﺸﺗ ،ﻲﻳﺎﻤﺳﻼﭘ ﺎﺸﻏ ﻱﺎﻫﻦﻴﺌﺗﻭﺮﭘﻮﻜﻴﻠﮔ
ﺪﻨﻳﺍﺮﻓﺭﺩﻪﻛﺖﺳﺍﻰﺗﺍﺮﻴﻴﻐﺗﻪﻠﻤﺟﺯﺍﻦﻴﺗﺎﻣﻭﺮﻛﺭﺎﺘﺧﺎﺳﺭﺩﺮﻴﻴﻐﺗﻭﻡﺩ ﺭﺎﺘﺧﺎﺳ ﻢﻛﺍﺮﺗ ﺪﻨﻳﺍﺮﻓ ﺭﺩ ﻪﭽﻧﺎﻨﭼ .(10-12) ﺪﻫﺩﻰﻣ ﺥﺭ ﺰﻧژﻮﻴﻣﺮﭙﺳﺍ
ﺽﺮﻌﻣﺭﺩﻡﺮﭙﺳﺍDNA،ﺩﻮﺷﺩﺎﺠﻳﺍﻰﻟﻼﺘﺧﺍﻪﻧﻮﮔﺮﻫ،ﻪﺘﺴﻫﻦﻴﺗﺎﻣﻭﺮﻛ
ﻥﺍﺩﺮﻣﻡﺮﭙﺳﺍﻪﻛﺪﻫﺩﻰﻣﻥﺎﺸﻧﻒﻠﺘﺨﻣﺕﺎﻌﻟﺎﻄﻣ .(13) ﺩﺮﻴﮔﻰﻣﺭﺍﺮﻗﺐﻴﺳﺁ
ﺖﺳﺍﻪﺘﺷﺍﺩﺭﻭﺭﺎﺑﻥﺍﺩﺮﻣﺎﺑﻪﺴﻳﺎﻘﻣﺭﺩﻯﺮﺗﻻﺎﺑ DNAﺐﻴﺳﺁﻥﺍﺰﻴﻣﺭﻭﺭﺎﺑﺎﻧ
ﺖﺒﺴﻧﺖﻣﻭﺎﻘﻣﻥﺍﺰﻴﻣ،ﺪﻧﺩﺮﻛﻥﺎﻴﺑﺶﻧﺍﺭﺎﻜﻤﻫﻭﻦﻳﻮﻳﺭﺁﻦﻴﻨﭼﻢﻫ .(14-16)
ﻯﺩﺎﻳﺯﻥﺍﺰﻴﻣﻪﺑﺭﻭﺭﺎﺑﺎﻧﺩﺍﺮﻓﺍﺭﺩﺰﻴﻧﺪﻴﺳﺍﻯﺎﻘﻟﺍﺖﺤﺗDNAﻥﺪﺷﻩﺭﻮﺗﺎﻧﺩﻪﺑ
ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ،ﺕﺎﻘﻴﻘﺤﺗﺯﺍﻩﺪﻣﺁﺖﺳﺩﻪﺑﺞﻳﺎﺘﻧﺱﺎﺳﺍﺮﺑ .(17) ﺪﺑﺎﻳﻰﻣﺶﻫﺎﻛ
ﺪﻧﺍﻮﺗﻰﻣﻦﻳﺍﺮﺑﺎﻨﺑ،ﺖﺳﺍﻪﺘﺷﺍﺩﻯﺮﻳﺬﭘﺎﻧﺭﺎﻜﻧﺍﻁﺎﺒﺗﺭﺍﻯﺭﻭﺭﺎﺑﻥﺍﺰﻴﻣﺎﺑDNA
ﻥﺍﺩﺮﻣﺭﺩﻯﺭﻭﺭﺎﺑﺕﺭﺪﻗﻰﻳﻮﮔﺶﻴﭘﺖﻬﺟﻞﻘﺘﺴﻣﺭﻮﺘﻛﺎﻓﻚﻳﻥﺍﻮﻨﻋﻪﺑ
DNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻥﺪﻣﺁﺩﻮﺟﻭﻪﺑﺚﻋﺎﺑﻪﻛﻰﻠﻣﺍﻮﻋﻪﻠﻤﺟﺯﺍ .(15) ﺪﺷﺎﺑ
ﻰﻨﻳﺰﮕﻳﺎﺟﺭﺩﻝﻼﺘﺧﺍﻭﺯﻮﺘﭘﻮﭘﺁ،ﻮﻴﺗﺍﺪﻴﺴﻛﺍﻯﺎﻫﺱﺮﺘﺳﺍﻪﺑﻥﺍﻮﺗﻰﻣ،ﺩﻮﺷﻰﻣ
.(18 ،13-15) ﺩﺮﻛﻩﺭﺎﺷﺍﻦﻴﻣﺎﺗﻭﺮﭘﻪﻠﻴﺳﻭﻪﺑﺎﻫﻥﻮﺘﺴﻴﻫ
ﻯﺍﺭﺍﺩﻯﺎﻫﻡﺮﭙﺳﺍﻰﻳﺎﺳﺎﻨﺷﺖﻬﺟ A3ﻦﻴﺴﻳﺎﻣﻮﻣﻭﺮﻛﻯﺰﻴﻣﺁﮓﻧﺭ
ﻪﻛﺪﻫﺩﻰﻣﻥﺎﺸﻧﻒﻠﺘﺨﻣﺕﺎﻌﻟﺎﻄﻣ .(19) ﺩﻭﺭﻰﻣﺭﺎﻛﻪﺑﻦﻴﻣﺎﺗﻭﺮﭘﺩﻮﺒﻤﻛ
ﻰﻌﻴﺒﻃﺩﺍﺮﻓﺍﻪﺑﺖﺒﺴﻧﻯﺮﺘﻤﻛﻦﻴﻣﺎﺗﻭﺮﭘﻥﺍﺰﻴﻣﻯﺍﺭﺍﺩﺭﻭﺭﺎﺑﺎﻧﻥﺍﺩﺮﻣﻡﺮﭙﺳﺍ
.(21 ،20) ﺪﺷﺎﺑﻰﻣ
ﻯﺩﺪﻌﺘﻣ ﻯﺎﻫﺵﻭﺭ DNA ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ ﻥﺍﺰﻴﻣ ﻰﺳﺭﺮﺑ ﺖﻬﺟ
،(14) TUNEL ﺵﻭﺭ ﻪﺑ ﻥﺍﻮﺗﻰﻣ ﺎﻬﻧﺁ ﻦﻳﺮﺗﻢﻬﻣﺯﺍ ﻪﻛ ﺩﺭﺍﺩﺩﻮﺟﻭ
،(16) Sperm Chromatin Structure Assay (SCSA)A
ﻭ (22) Sperm Chromatin Dispersion (SCD)
.ﺩﻮﻤﻧﻩﺭﺎﺷﺍ (23) Acridin Orange Staining (AO)
ﻯﺯﺎﺳﺍﺪﺟﺵﻭﺭﻭﺩﻡﺎﺠﻧﺍﺯﺍﺲﭘﺪﺷﻪﺘﻓﺮﮔﻢﻴﻤﺼﺗﻪﻌﻟﺎﻄﻣﻦﻳﺍﺭﺩ ﻦﻴﺗﺎﻣﻭﺮﻛﺭﺎﺘﺧﺎﺳ،ﺭﻭﺭﺎﺑﺎﻧﺩﺍﺮﻓﺍﻦﻤﺳﻪﻧﻮﻤﻧﻯﻭﺭﺮﺑZeta ﻭDGCﻡﺮﭙﺳﺍ CMA3ﻭAOﻭ SCDﻭTUNELﻚﻴﻨﻜﺗﺭﺎﻬﭼﺯﺍﻩﺩﺎﻔﺘﺳﺍﺎﺑﻡﺮﭙﺳﺍ
ﺮﻫﺭﺩﻰﻌﻴﺒﻃﻯﺎﻫﻡﺮﭙﺳﺍﺪﺻﺭﺩﻦﻴﻴﻌﺗﺯﺍﺲﭘﺎﺗﺩﺮﻴﮔﺭﺍﺮﻗﻰﺳﺭﺮﺑﺩﺭﻮﻣ
.ﺩﺩﺮﮔﺺﺨﺸﻣﺵﻭﺭﻭﺩﻦﻳﺍﻰﻳﺍﺭﺎﻛﻥﺍﺰﻴﻣﻩﻭﺮﮔ
ﺎﻫ
ﺵﻭﺭ
ﻭ
ﺩﺍﻮﻣ
ﻲﺳﺭﺮﺑﺵﻭﺭ
63 ﻦﻤﺳﻪﻧﻮﻤﻧﺯﺍﻭﻩﺩﻮﺑﻩﺩﺎﺳﺵﻭﺭﻪﺑﻪﻌﻟﺎﻄﻣﻦﻳﺍﺭﺩﻪﻧﻮﻤﻧﺏﺎﺨﺘﻧﺍ .ﺪﺷﻩﺩﺎﻔﺘﺳﺍﻥﺎﻬﻔﺻﺍﻯﺭﻭﺭﺎﺑﺎﻧﻭﻯﺭﻭﺭﺎﺑﺰﻛﺮﻣﻪﺑﻩﺪﻨﻨﻛﻪﻌﺟﺍﺮﻣﺭﻭﺭﺎﺑﺎﻧﺩﺮﻓ
ﻯﺭﺍﺩﺩﻮﺧﺯﻭﺭ 3-4 ﺯﺍﺪﻌﺑ،ﻦﻤﺳﻱﺎﻫﻪﻧﻮﻤﻧﻭﺬﺧﺍﺖﻳﺎﺿﺭﻡﺮﻓﻥﺍﺭﺎﻤﻴﺑﺯﺍ
ﻙﺮﺤﺗ،ﺖﻈﻠﻏ )ﻦﻤﺳﻊﻳﺎﻣﻦﻴﺗﻭﺭﺰﻴﻟﺎﻧﺁﻭﻯﺭﻭﺁﻊﻤﺟ،ﺖﺑﺭﺎﻘﻣﺯﺍﻦﻴﺟﻭﺯ
ﻡﺎﺠﻧﺍﻯﺭﻮﻧپﻮﻜﺳﻭﺮﻜﻴﻣﻂﺳﻮﺗ،(24) WHO ﺭﺎﻴﻌﻣﻖﺒﻃ (ﻯژﻮﻟﻮﻓﺭﻮﻣﻭ
ﺩﺭﺍﻮﻣﺰﺟﻪﺑﻪﻌﻟﺎﻄﻣﻦﻳﺍﺭﺩﻰﻓﺮﺼﻣﺩﺍﻮﻣﻰﻣﺎﻤﺗﺖﺳﺍﺮﻛﺫﻪﺑﻞﺑﺎﻗ .ﺪﻳﺩﺮﮔ
ﻪﺑﻮﺼﻣﺡﺮﻃﻦﻳﺍ .ﺖﺳﺍﻩﺪﻳﺩﺮﮔﻪﻴﻬﺗﺎﻤﮕﻴﺳﺖﻛﺮﺷﺯﺍﻦﺘﻣﺭﺩﻩﺪﺷﻩﺭﺎﺷﺍ .ﺖﺳﺍﻥﺎﻳﻭﺭﻩﺪﻜﺸﻫﻭﮋﭘ
ﻡﺮﭙﺳﺍﻯﺯﺎﺳﻩﺩﺎﻣﺁ
2000ﺭﻭﺩ ﺎﺑﻪﻘﻴﻗﺩ ﻩﺩ ﺕﺪﻣﻪﺑ ﻯﺭﻭﺁﻊﻤﺟﺯﺍﺲﭘ ﺍﺭﻦﻤﺳﻊﻳﺎﻣ
،ﻪﻴﻠﺨﺗﻲﻳﻭﺭﻊﻳﺎﻣ .ﺩﻮﺷﻞﻴﻜﺸﺗﺎﻫﻡﺮﭙﺳﺍﺯﺍﻰﺑﻮﺳﺭﺎﺗﻩﺩﻮﻤﻧژﻮﻴﻔﻳﺮﺘﻧﺎﺳ
ﺯﺍﺲﭘﻭﻪﺘﺨﻳﺭﺏﻮﺳﺭﻱﻭﺭHam’s+FCSﺪﺻﺭﺩ 10 ﻂﻴﺤﻣﺲﭙﺳ
ﻪﻴﻠﺨﺗﺍﺭﻲﻳﻭﺭﻊﻳﺎﻣﻭژﻮﻴﻔﻳﺮﺘﻧﺎﺳﻪﻘﻴﻗﺩ 5 ﺕﺪﻣﻪﺑﺍﺭﻝﻮﻠﺤﻣ،ﻥﺩﻮﻤﻧﺖﭙﻴﭘ
ﻪﺳﻪﺑﻥﺍﺭﺎﻤﻴﺑﻦﻳﺍﻦﻤﺳﻪﻧﻮﻤﻧ .ﺪﻳﺩﺮﮔﻪﻓﺎﺿﺍﺏﻮﺳﺭﻪﺑHam’sﻂﻴﺤﻣﻭ
ﺮﮕﻳﺩﺶﺨﺑﻭﺩﻭﻝﺮﺘﻨﻛﻩﻭﺮﮔﻥﺍﻮﻨﻋﻪﺑﺶﺨﺑﻚﻳﻪﻛﺪﺷﻢﻴﺴﻘﺗﺶﺨﺑ ﻩﺩﺎﻔﺘﺳﺍﺩﺭﻮﻣZetaﻭDGCﻡﺮﭙﺳﺍﻯﺯﺎﺳﺍﺪﺟﺵﻭﺭﻭﺩﻪﺴﻳﺎﻘﻣﺖﻬﺟ
ﻰﺑﺎﻳﺯﺭﺍ،ﻪﻧﺎﮔﺍﺪﺟﺭﻮﻃﻪﺑﺎﻫﻩﻭﺮﮔﺯﺍﻡﺍﺪﻛﺮﻫﻯﻭﺭﺮﺑﺲﭙﺳ .ﺖﻓﺮﮔﺭﺍﺮﻗ
ﻦﻴﻣﺎﺗﻭﺮﭘﺩﻮﺒﻤﻛ،(25) Diff Quickﻱﺰﻴﻣﺁﮓﻧﺭﻂﺳﻮﺗﻡﺮﭙﺳﺍﻱژﻮﻟﻮﻓﺭﻮﻣ TUNEL ،SCD ﺖﺴﺗﻪﺳﻭ (19) A3ﻦﻴﺴﻳﺎﻣﻮﻣﻭﺮﻛﻱﺰﻴﻣﺁﮓﻧﺭﻂﺳﻮﺗ
ﺩﺭﻮﻣDNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻥﺍﺰﻴﻣﻦﻴﻴﻌﺗﺖﻬﺟ Acridine Orangeﻭ
.(23 ،22 ،14) ﺖﻓﺮﮔﺭﺍﺮﻗﻰﺑﺎﻳﺯﺭﺍ
ﺖﻈﻠﻏﺐﻴﺷژﻮﻴﻔﻳﺮﺘﻧﺎﺳﻯﺯﺎﺳﺍﺪﺟﺵﻭﺭ
(Density Gradient Centrifugation; DGC)
ﺪﺻﺭﺩ 80 Pure Spermﻝﻮﻠﺤﻣﺯﺍﻯﺍ ﻪﻳﻻﻭﺩ ﻥﺎﻳﺩﺍﺮﮔﻚﻳ
ﻥﻮﺘﺳﻚﻳﺎﺗﺩﺩﺮﮔﻰﻣﻪﻴﻬﺗﻲﺳﻲﺳ 10 ﻥﻮﻜﻟﺎﻓﻪﻟﻮﻟﺭﺩﺪﺻﺭﺩ 40 ﻭ
.ﺩﻮﺷﺩﺎﺠﻳﺍﺍﺰﺠﻣﺖﻈﻠﻏﺐﻴﺷﻭﺩﺎﺑﻪﻳﻻﻭﺩ Pure Spermﺯﺍﺪﺘﻤﻣ
ﺭﺩﻪﻘﻴﻗﺩ 20 ﺕﺪﻣﻪﺑﻭﻪﺘﺨﻳﺭﻥﺁﻯﻭﺭﻦﻤﺳﻊﻳﺎﻣﺯﺍﺮﺘﻴﻟﻰﻠﻴﻣ 1/5 ﺲﭙﺳ DGCﺵﻭﺭﻡﺎﺠﻧﺍﺖﻬﺟ،ﻪﻌﻟﺎﻄﻣﻦﻳﺍﺭﺩ .ﺩﻮﺷﻰﻣژﻮﻴﻔﻳﺮﺘﻧﺎﺳﺭﻭﺩ 2000 .ﺪﻳﺩﺮﮔﻩﺩﺎﻔﺘﺳﺍ (ﺪﺋﻮﺳﻩﺪﻧﺯﺎﺳﺭﻮﺸﻛ) Pure spermﻯﺭﺎﺠﺗﻩﺩﺎﻣﺯﺍ
ﻩﺮﻴﭙﺳﺁﺭﻮﺘﺳﺎﭘﺖﭙﻴﭘﺎﺑﻪﻟﻮﻟﻯﻻﺎﺑﺭﺩﺩﻮﺟﻮﻣﻊﻳﺎﻣ،ژﻮﻴﻔﻳﺮﺘﻧﺎﺳﺯﺍﺲﭘ ﻞﻘﺘﻨﻣﻲﺳﻲﺳ 5 ﻥﻮﻜﻟﺎﻓﻪﻟﻮﻟﻚﻳﻪﺑﻪﻟﻮﻟﺕﺎﻳﻮﺘﺤﻣﻩﺪﻧﺎﻣﻰﻗﺎﺑﻭﻩﺪﺷ
ﻥﻮﻴﺴﻧﺎﭙﺳﻮﺳﺲﭙﺳ .ﺪﺷﻁﻮﻠﺨﻣ،Sperm Rinseﻂﻴﺤﻣﺎﺑﻭﻩﺪﻳﺩﺮﮔ
ﺍﺩﺪﺠﻣ .ﺪﻳﺩﺮﮔژﻮﻴﻔﻳﺮﺘﻧﺎﺳﺭﻭﺩ 2000 ﺭﺩﻪﻘﻴﻗﺩ 10 ﺕﺪﻣﻪﺑﻩﺪﺷﺩﺎﺠﻳﺍ
ﺭﺩ ﻩﺪﺷﻞﻴﻜﺸﺗﺖﻴﻠﭘﻭﻩﺪﺷ ﻪﺘﺷﺍﺩﺮﺑﻰﻳﻭﺭﻊﻳﺎﻣ،ژﻮﻴﻔﻳﺮﺘﻧﺎﺳﺯﺍﺲﭘ ﻡﺎﺠﻧﺍ ﺖﻬﺟﺖﺳﺍﻩﺪﺷﻯﺯﺎﺳﺍﺪﺟ ﻯﺎﻫﻡﺮﭙﺳﺍ ﻯﻮﺘﺤﻣﻪﻛﻪﻟﻮﻟﻯﺎﻬﺘﻧﺍ
.(4) ﺪﻳﺩﺮﮔﻩﺩﺎﻔﺘﺳﺍICSI
Zetaﺵﻭﺭ
ﺭﺎﺑﻭﺩﺯﺍﺲﭘﻭﻪﺘﺨﻳﺭژﻮﻴﻔﻳﺮﺘﻧﺎﺳﺹﻮﺼﺨﻣﻪﻟﻮﻟﺭﺩﻦﻤﺳﻪﻧﻮﻤﻧﺍﺪﺘﺑﺍ ﻥﻭﺮﻴﺑﻭﻩﺪﺷﻩﺪﻧﺎﺧﺮﭼﺲﻜﺗﻻﺶﻜﺘﺳﺩﻥﻭﺭﺩﻪﺒﺗﺮﻣﻪﺳﻊﻳﺮﺳ،ﻮﺷﻭﺖﺴﺷ ﻪﻘﻴﻗﺩﻚﻳﺕﺪﻣﻪﺑﻪﻧﻮﻤﻧﻱﻭﺎﺣﺭﺍﺩﺭﺎﺑﻪﻟﻮﻟ .ﺩﺩﺮﮔﺭﺍﺩﺭﺎﺑﺎﺗﺩﻮﺷﻰﻣﻩﺪﻴﺸﻛ
ﻱﺍﺭﺍﺩﻎﻟﺎﺑﻱﺎﻫﻡﺮﭙﺳﺍﺎﺗﺩﻮﺷﻰﻣﻪﺘﺷﺍﺬﮔ (ﻪﺟﺭﺩ 22) ﻩﺎﮕﺸﻳﺎﻣﺯﺁﻯﺎﻣﺩﺭﺩ
ﻩﺪﺷژﻮﻴﻔﻳﺮﺘﻧﺎﺳﻪﻘﻴﻗﺩ 5 ﺕﺪﻣﻪﺑﻕﻮﻓﻪﻟﻮﻟ .ﺪﻨﺒﺴﭽﺑﻪﻟﻮﻟﺭﺍﺪﺟﻪﺑﻲﻔﻨﻣﺭﺎﺑ
ﻪﺑﺭﻮﺘﺳﺎﭘﺖﭙﻴﭘﺎﺑﺶﻧﻭﺭﺩﻱﺎﻫﻡﺮﭙﺳﺍﻝﻮﻠﺤﻣﻭﻩﺪﺷﻞﻴﻜﺸﺗﺖﻴﻠﭘﺪﻌﺑﻭ ﻪﺘﺨﻳﺭﻥﺁﻞﺧﺍﺩﻪﺑHam’sﻂﻴﺤﻣﺲﭙﺳ .ﺩﻮﺷﻲﻣﺝﺭﺎﺧﻪﻟﻮﻟﻪﺗﺯﺍﻲﻣﺍﺭﺁ
500 ﻥﺁﺯﺍﺲﭘ .ﺪﻧﺎﻤﻧﻰﻗﺎﺑﻪﻟﻮﻟﻪﺗﻰﻟﻮﻠﺳﺎﺗﺩﺩﺮﮔﻲﻣﺝﺭﺎﺧﺍﺩﺪﺠﻣﻭ
ﻮﺷﻭﺖﺴﺷﻥﺁﺎﺑﻪﻟﻮﻟﺭﺍﺪﺟﻭﻪﺘﺨﻳﺭﻪﻟﻮﻟﺭﺩHam’s ﻂﻴﺤﻣﺮﺘﻴﻟﻭﺮﻜﻴﻣ
،ﻂﻴﺤﻣﻦﻳﺍﻥﺩﺮﻛﻪﻓﺎﺿﺍﺎﺑ .ﺩﺩﺮﮔﺭﺎﺑﻥﻭﺪﺑﻪﻟﻮﻟﺭﺍﺪﺟﺎﺗﺩﻮﺷﻰﻣﻩﺩﺍﺩ
.ﺩﺮﻴﮔﻰﻣﺭﺍﺮﻗﻪﻟﻮﻟﻦﻴﻳﺎﭘﺭﺩﻭﻩﺪﺷﺍﺪﺟﻪﻟﻮﻟﺭﺍﺪﺟﻪﺑﻩﺪﻴﺒﺴﭼﻱﺎﻫﻡﺮﭙﺳﺍ
ﻦﻴﻴﻌﺗﻭﻦﻴﻣﺎﺗﻭﺮﭘﺩﻮﺒﻤﻛ،ﻯژﻮﻟﻮﻓﺭﻮﻣﻰﺑﺎﻳﺯﺭﺍﻯﺍﺮﺑﺎﻫﻝﻮﻠﺳﻦﻳﺍﺯﺍﺲﭙﺳ
.(8) ﺪﺷﻩﺩﺎﻔﺘﺳﺍDNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻥﺍﺰﻴﻣ
TUNEL assay
ﻱﺎﻫﺮﻴﻤﺳﺍ ﻪﻛﺩﻮﺷﻲﻣﻪﻴﻬﺗﻯﺮﻴﻤﺳﺍ،ﻩﺪﺷﻪﺘﺴﺷﻦﻤﺳﻪﻧﻮﻤﻧﺯﺍﺍﺪﺘﺑﺍﺭﺩ
ﺭﺩﺎﻫﺪﻳﻼﺳﺍﺪﻌﺑﻪﻠﺣﺮﻣﺭﺩﺪﻧﻮﺷﻚﺸﺧﺍﻮﻫﺽﺮﻌﻣﺭﺩﺪﻳﺎﺑﻩﺪﺷﻪﻴﻬﺗ ﻮﺷﻭﺖﺴﺷﺯﺍﺲﭘ .ﺪﻧﻮﺷﻰﻣﺲﻜﻴﻓﻪﻘﻴﻗﺩ 25 ﺕﺪﻣﻯﺍﺮﺑﺪﺻﺭﺩ 4 ﺪﻴﻫﺪﻟﺎﻣﺮﻓ x-100ﻥﻮﺘﻳﺮﺗﺭﺩﺎﻫﺪﻳﻼﺳﺍ Phosphate Buffered Saline ﻭ(PBS) ﺭﺩ
ﻮﺷﻭﺖﺴﺷPBSﺭﺩﺍﺩﺪﺠﻣﻪﺘﻓﺮﮔﺭﺍﺮﻗﻪﻘﻴﻗﺩ 5 ﺕﺪﻣﻯﺍﺮﺑﺪﺻﺭﺩ 0/2
ﻪﻘﻴﻗﺩ 10 ﺎﺗ 5 ﺕﺪﻣﻪﺑ TUNELﺮﻓﺎﺑﺮﺘﻴﻟﻭﺮﻜﻴﻣ 100ﺭﺩﺎﻫﺪﻳﻼﺳﺍ .ﺪﻧﺩﺮﮔﻰﻣ
ﻦﻳﺍﺯﺍﺲﭘ .ﺪﻧﻮﺷﻰﻣﺭﺍﺩﻥﺎﺸﻧrTdTﻝﻮﻠﺤﻣﺯﺍﻩﺩﺎﻔﺘﺳﺍﺎﺑﺲﭙﺳﻪﺘﻓﺮﮔﺭﺍﺮﻗ
ﻪﻘﻴﻗﺩ 60 ﺕﺪﻣﻪﺑ،ﻪﺘﻓﺮﮔﺭﺍﺮﻗﺹﻮﺼﺨﻣﻰﻜﻴﺘﺳﻼﭘﺭﻭﺎﻛﺭﺩﺎﻫﺪﻳﻼﺳﺍﻪﻠﺣﺮﻣ
ﻰﻜﻴﺘﺳﻼﭘﺭﻭﺎﻛﺲﭙﺳ .ﺪﻧﻮﺷﻰﻣﻪﺑﻮﻜﻧﺍﻪﺟﺭﺩ 37 ﻯﺎﻣﺩﺭﺩﻭﺭﻮﻧﺯﺍﺭﻭﺩ
ﺲﭘﺪﻧﺮﻴﮔﻰﻣﺭﺍﺮﻗﻪﻘﻴﻗﺩ 15 ﺕﺪﻣﻪﺑ2xsscﺭﺩﺎﻫﺪﻳﻼﺳﺍ،ﻩﺪﺷﻪﺘﺷﺍﺩﺮﺑ
ﻥﺪﺷﻪﺘﺷﺍﺩﺮﺑﺐﺟﻮﻣPBSﺯﺍﻩﺩﺎﻔﺘﺳﺍﺎﺑﺎﻫﺪﻳﻼﺳﺍﻯﻮﺷﻭﺖﺴﺷﻪﻠﺣﺮﻣﺯﺍ
ﺲﭙﺳ .ﺩﺩﺮﮔﻰﻣ ﺎﻫﺪﻳﻼﺳﺍﻯﻭﺭ ﺯﺍﻰﻓﺎﺿﺍ Fluorescein-12-dUTP Propidium Iodideﻭ(PI) ﺖﻨﺳﺭﻮﻠﻓﮓﻧﺭﻂﺳﻮﺗﺎﻫﺪﻳﻼﺳﺍﻯﺰﻴﻣﺁﮓﻧﺭ
ﺮﻳﺯ ﺭﺩ ﺲﭙﺳ ﻭ ﻩﺪﺷ ﺖﻧﻮﻣ PBS ﺎﺑ ﺎﻫﺪﻳﻼﺳﺍ .ﺩﺮﻴﮔﻰﻣ ﻡﺎﺠﻧﺍ
ﻰﻣﺎﻤﺗPIﮓﻧﺭ ﺪﻧﺮﻴﮔﻰﻣﺭﺍﺮﻗﻰﺳﺭﺮﺑﺩﺭﻮﻣﺖﻨﺳﺭﻮﻠﻓپﻮﻜﺳﻭﺮﻜﻴﻣ
ﮓﻧﺭﻭﺩﺭﻭﺁﻰﻣﺭﺩﺰﻣﺮﻗﮓﻧﺭﻪﺑﺍﺭDNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﺪﻗﺎﻓﻯﺎﻫﻝﻮﻠﺳ
ﻪﻧﻮﻤﻧﺮﻫﺭﺩ .ﺪﻧﻮﺷﻰﻣﻩﺪﻫﺎﺸﻣ،ﺪﻧﺭﺍﺩﻚﻴﺘﭘﻮﭘﺁﻪﺘﺴﻫﻪﻛﻰﻳﺎﻫﻝﻮﻠﺳﺭﺩﺰﺒﺳ
ﺵﺭﺍﺰﮔ DNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﺪﺻﺭﺩﺕﺭﻮﺻﻪﺑﻭﺵﺭﺎﻤﺷﻝﻮﻠﺳ 200
.(14) ﺩﺩﺮﮔﻰﻣ
ﻦﻴﻣﺎﺗﻭﺮﭘﺩﻮﺒﻤﻛﺶﺠﻨﺳ ﻝﻮﻧﺎﺘﻣ) ﻱﻮﻧﺭﺎﻛﻝﻮﻠﺤﻣﺭﺩﻪﻛﻲﻣﺮﭙﺳﺍﻊﻳﺎﻣﺯﺍﻩﺪﺷﻩﺩﺎﻣﺁﻱﺎﻫﺮﻴﻤﺳﺍ
ﺕﺪﻣﻪﺑ،ﺪﻧﺍﻩﺪﺷﺲﻜﻴﻓﻢﺠﺣﻢﻫﺭﻮﻃﻪﺑ (1 : 3 ﺖﺒﺴﻧﺎﺑﻚﻴﺘﺳﺍﺪﻴﺳﺍﻭ
ﻡﺎﺠﻧﺍ ﺭﻮﻈﻨﻣﻪﺑ .ﺩﺮﻴﮔﻰﻣﺭﺍﺮﻗﺩﺍﺮﮔﻲﺘﻧﺎﺳ ﻪﺟﺭﺩ 4 ﻱﺎﻣﺩﺭﺩ ﻪﻘﻴﻗﺩ 5
ﺯﺍﺮﺘﻴﻟﻭﺮﻜﻴﻣ 100 ﺎﺑﻪﻘﻴﻗﺩ 20 ﺕﺪﻣﻪﺑﺪﻳﻼﺳﺍﺮﻫCMA3ﻱﺰﻴﻣﺁﮓﻧﺭ
ﺮﻓﺎﺑﺭﺩﺮﺘﻴﻟﻲﻠﻴﻣﺮﺑﻡﺮﮔﻰﻠﻴﻣ 0/25) ﻩﺪﺷﻱﺰﻴﻣﺁﮓﻧﺭ CMA3ﻝﻮﻠﺤﻣ
ﺯﺍﻲﺳﻲﺳ 32/9 ﻭ 0/1 ﻚﻴﺘﺳﺍﺪﻴﺳﺍﻲﺳﻲﺳ 7 ﻞﻣﺎﺷﻪﻛ :ﻦﻳﻮﻠﻛﻚﻣ
ﻡﺮﮔﻰﻠﻴﻣ 95 ﻭpH=7 ﺭﻻﻮﻣ 0/2 ﺖﻈﻠﻏﺎﺑﻭ 4 Na2HPOﻭ 7 H2O
ﻮﺷﻭﺖﺴﺷPBSﺮﻓﺎﺑﺎﺑﺍﺭﺎﻫﺪﻳﻼﺳﺍ .(ﺪﺷﺎﺑﻲﻣﺭﻻﻮﻣﻲﻠﻴﻣ 10 Mgcl
2
ﺰﻴﻟﺎﻧﺁ .ﺪﻧﻮﺷﻰﻣ ﺖﻧﻮﻣ ﻝﻭﺮﺴﻴﻠﮔ ﻚﻤﻛ ﻪﺑ ﺎﻫﺪﻳﻼﺳﺍ ﺲﭙﺳ ،ﻩﺩﺍﺩ
ﻪﻧﻮﻤﻧﺮﻫﺭﺩﻭﺖﻨﺳﺭﻮﻠﻓپﻮﻜﺳﻭﺮﻜﻴﻣﻂﺳﻮﺗﺎﻫﺪﻳﻼﺳﺍﻲﭘﻮﻜﺳﻭﺮﻜﻴﻣ ﻱﺎﻫﻡﺮﭙﺳﺍ،CMA3ﻱﺰﻴﻣﺁﮓﻧﺭﺯﺍﺲﭘ .ﺪﻳﺩﺮﮔﻰﺑﺎﻳﺯﺭﺍﻝﻮﻠﺳ 200
ﺎﺑ ﻰﻌﻴﺒﻃﻱﺎﻫﻡﺮﭙﺳﺍﻭﻥﺎﺸﺧﺭﺩﺩﺭﺯﮓﻧﺭﺎﺑﻦﻴﻣﺎﺗﻭﺮﭘ ﺩﻮﺒﻤﻛﻯﺍﺭﺍﺩ
. (19)ﺪﻨﺷﺎﺑﻰﻣﻩﺪﻫﺎﺸﻣﻞﺑﺎﻗﮓﻧﺭﻢﻛﺩﺭﺯﮓﻧﺭ
Sperm Chromatin Dispersion (SCD)
ﺎﺗ 5 ﺖﻈﻠﻏ) ﻩﺪﺷ ﻩﺩﺎﻣﺁ ﻰﻣﺮﭙﺳﺍ ﻪﻧﻮﻤﻧ ﺯﺍ ﺮﺘﻴﻟﻭﺮﻜﻴﻣ 30ﺭﺍﺪﻘﻣ
ﻦﻴﻳﺎﭘﺏﻭﺫﻪﺟﺭﺩﺎﺑﺪﺻﺭﺩ1 ﺯﻭﺭﺎﮔﺁﺯﺍﺮﺘﻴﻟﻭﺮﻜﻴﻣ 70 ﺎﺑ (ﻥﻮﻴﻠﻴﻣ 10
ﻁﻮﻠﺨﻣ ﺩﺍﺮﮔﻰﺘﻧﺎﺳ ﻪﺟﺭﺩ 37 ﻯﺎﻣﺩ ﺭﺩ (Low Melting Agaros)
ﺯﻭﺭﺎﮔﺁﺎﺑﻞﺒﻗﺯﺍﻪﻛﻲﻣﻻﻱﻭﺭﺮﺑﻩﺪﺷﻁﻮﻠﺨﻣﻪﻧﻮﻤﻧﺲﭙﺳ .ﺩﺩﺮﮔﻲﻣ
ﻱﻭﺭﺮﺑﻞﻣﻻﻚﻳﻦﺘﺷﺍﺬﮔﺎﺑﻭﺩﺮﻴﮔﻲﻣﺭﺍﺮﻗ،ﻩﺪﺷﻩﺪﻴﺷﻮﭘﺪﺻﺭﺩ 0/65 .ﺩﻮﺷﻰﻣﻪﺘﺷﺍﺬﮔ،ﺩﺍﺮﮔﻲﺘﻧﺎﺳ ﻪﺟﺭﺩ 4 ﻱﺎﻣﺩﺭﺩﻪﻘﻴﻗﺩ 5 ﺕﺪﻣﻪﺑﻥﺁ
ﺭﺩﻲﻘﻓﺍﺕﺭﻮﺻﻪﺑﻡﻻﺮﻫﻭﻩﺩﺮﻛﺍﺪﺟﻡﻻﺢﻄﺳﺯﺍﺍﺭﻞﻣﻻﺖﻗﺩﺎﺑ
.ﺩﻮﺷﻲﻣﻩﺩﺍﺩﺭﺍﺮﻗﻪﻘﻴﻗﺩ 7 ﺕﺪﻣﻪﺑﻝﺎﻣﺮﻧ 0/08 ﻚﻳﺭﺪﻳﺮﻠﻛﺪﻴﺳﺍﻝﻮﻠﺤﻣ
ﻪﻘﻴﻗﺩ 25 ﺕﺪﻣ ﻪﺑ (pH=7/5) ﻩﺪﻨﻨﻛﺰﻴﻟﻝﻮﻠﺤﻣﺭﺩﻪﻠﺣﺮﻣﻦﻳﺍﺯﺍﺪﻌﺑ
ﺐﻴﺗﺮﺗﻪﺑﺮﻄﻘﻣﺏﺁﺭﺩﻮﺷﻭﺖﺴﺷﺭﺎﺑﻭﺩﺯﺍﺲﭘ .(22) ﺩﻮﺷﻰﻣﻪﺘﺷﺍﺬﮔ
ﻪﻘﻴﻗﺩ 2 ﺕﺪﻣﻪﺑﻡﺍﺪﻛﺮﻫﺪﺻﺭﺩ 100ﻭﺪﺻﺭﺩ 90 ﻭﺪﺻﺭﺩ 70 ﻞﻜﻟﺍﺭﺩ Wrightﮓﻧﺭﻝﻮﻠﺤﻣﺎﺑﺎﻫﻡﻻﻥﺪﺷﻚﺸﺧﺯﺍﺪﻌﺑ،ﺩﺮﻴﮔﻰﻣﻯﺮﻴﮔﺏﺁ
ﻂﺳﻮﺗﺎﻫﻡﻻﺲﭙﺳ .ﺩﺮﻴﮔﻲﻣﺕﺭﻮﺻﻱﺰﻴﻣﺁﮓﻧﺭ 1:1 ﺖﺒﺴﻧﻪﺑ PBSﻭ .ﺩﻮﺷﻲﻣﺵﺭﺎﻤﺷﻡﺮﭙﺳﺍ 200 ﻪﻧﻮﻤﻧﺮﻫﺭﺩﻭﻲﺳﺭﺮﺑﻱﺭﻮﻧپﻮﻜﺳﻭﺮﻜﻴﻣ
ﺕﺭﻮﺻﻪﺑﺍﺭDNAﻥﻮﻴﺳﺎﺘﻧﺎﻤﮔﺍﺮﻓﻥﺍﺰﻴﻣﻥﺍﻮﺗﻲﻣﺵﻭﺭﻦﻳﺍﺯﺍﻩﺩﺎﻔﺘﺳﺍﺎﺑ
ﻪﺑﺖﺒﺴﻧﻥﺁﻩﺯﺍﺪﻧﺍﻭﻪﺘﺴﻫﻑﺍﺮﻃﺍﻪﻟﺎﻫﺩﻮﺟﻭﻪﺑﻪﺟﻮﺗﺎﺑﻝﻮﻠﺳﻉﻮﻧ 5
ﻡﺮﭙﺳﺍﻪﺘﺴﻫ) DNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﺎﺑﻱﺎﻫﻡﺮﭙﺳﺍﺪﺻﺭﺩ .ﺩﻮﻤﻧﻲﺳﺭﺮﺑﻪﺘﺴﻫ
ﻥﻭﺪﺑﻭ (ﻩﺪﺷDegradeﻡﺮﭙﺳﺍﻝﻮﻠﺳﻭ ﻪﻟﺎﻫﻥﻭﺪﺑ،ﻚﭼﻮﻛﻪﻟﺎﻫﺎﺑ
ﺮﻫﺭﺩ (ﻂﺳﻮﺘﻣﻪﻟﺎﻫﻭگﺭﺰﺑﻪﻟﺎﻫﺎﺑﻡﺮﭙﺳﺍﻪﺘﺴﻫ) DNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ
ﻪﻧﻮﻤﻧﺮﻫﺭﺩDNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﺪﺻﺭﺩﺕﺭﻮﺻﻪﺑﻭﻩﺪﺷﻲﺑﺎﻳﺯﺭﺍﻪﻧﻮﻤﻧ .(1ﻞﻜﺷ) ﺩﻮﺷﻰﻣﺵﺭﺍﺰﮔ
Acridin orange staining
ﺭﺩ،ﺍﻮﻫﺽﺮﻌﻣﺭﺩﻥﺪﺷﻚﺸﺧﺯﺍﺲﭘﺎﻫﺮﻴﻤﺳﺍﺵﻭﺭﻦﻳﺍﺭﺩ
ﺯﺍﺭﻭﺩ (1 : 3 ﺖﺒﺴﻧﺎﺑﻚﻴﺘﺳﺍﺪﻴﺳﺍﻭﻝﻮﻧﺎﺘﻣ) ﻯﻮﻧﺭﺎﻛﻮﻴﺗﺎﺴﻜﻴﻓﻝﻮﻠﺤﻣ
ﻝﻮﻠﺤﻣﺎﺑﺲﭙﺳ،ﻩﺪﺷﺲﻜﻴﻓﺖﻋﺎﺳ 2 ﺕﺪﻣﻪﺑﻪﺟﺭﺩ 4 ﻯﺎﻣﺩﺭﺩﻭﺭﻮﻧ
ﺭﺩﻩﺪﺷﻖﻴﻗﺭﺪﺻﺭﺩ0/1 ﺞﻧﺭﻭﺍﻦﻳﺪﻳﺮﻛﺍﻲﺳﻲﺳ 10) ﺞﻧﺭﻭﺍﻦﻳﺪﻳﺮﻛﺁ
ﻝﻮﻠﺤﻣﺯﺍﻲﺳﻲﺳ 2/5 ﻭﺭﻻﻮﻣ 0/1 ﻚﻴﺘﺳﺍﺪﻴﺳﺍﻲﺳﻲﺳ 40 ،ﺮﻄﻘﻣﺏﺁ .ﺪﻧﻮﺷﻰﻣﻯﺰﻴﻣﺁﮓﻧﺭﻪﻘﻴﻗﺩ 10 ﺎﺗ 7 ﺕﺪﻣﻪﺑ (ﺭﻻﻮﻣ 0/3 Na2HPO4
.ﺪﻳﺩﺮﮔﻲﻣﺖﻧﻮﻣPBSﻪﻠﻴﺳﻭﻪﺑﻭﻩﺪﺷﻩﺩﺍﺩﻮﺷﻭﺖﺴﺷﺎﻫﺪﻳﻼﺳﺍﺲﭙﺳ
200 ﻪﻧﻮﻤﻧﺮﻫﺭﺩﻭﻰﺳﺭﺮﺑﺖﻨﺳﺭﻮﻠﻓپﻮﻜﺳﻭﺮﻜﻴﻣﺮﻳﺯﺭﺩﺎﻫﺪﻳﻼﺳﺍ
ﺰﻣﺮﻗﮓﻧﺭﻪﺑﻯﺍﻪﺘﺷﺭﻚﺗ DNAﻯﺰﻴﻣﺁﮓﻧﺭﻦﻳﺍﺭﺩ .ﺪﺷﺵﺭﺎﻤﺷﻡﺮﭙﺳﺍ
.(23) ﺩﺩﺮﮔﻰﻣﻩﺪﻫﺎﺸﻣﺰﺒﺳﮓﻧﺭﻪﺑﻯﺍﻪﺘﺷﺭﻭﺩﻰﻌﻴﺒﻃ DNAﻭ
ﻱﺭﺎﻣﺁﺰﻴﻟﺎﻧﺁ
11/5 ﺭﺍﺰﻓﺍﻡﺮﻧﺯﺍﻩﺩﺎﻔﺘﺳﺍﺎﺑﺎﻫﻩﺩﺍﺩﺰﻴﻟﺎﻧﺁ،ﺞﻳﺎﺘﻧﻱﺭﻭﺁﻊﻤﺟﺯﺍﺲﭘ
ﻲﮕﺘﺴﺒﻤﻫﺐﻳﺮﺿﻲﺳﺭﺮﺑﺖﻬﺟﻭﺖﻓﺮﮔﻡﺎﺠﻧﺍ t testﻥﻮﻣﺯﺁﻭSPSS
ﻯﺩﻮﺒﻬﺑ ﺪﺻﺭﺩ ﻦﻴﻨﭼﻢﻫ .ﺪﺷﻩﺩﺎﻔﺘﺳﺍ Correlation Coefficient ﺯﺍ
ﻭZetaﺵﻭﺭﻭﺩﺎﺑﻩﺪﺷﻯﺯﺎﺳﺍﺪﺟﻯﺎﻫﻡﺮﭙﺳﺍﺭﺩ DNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ :ﺪﻳﺩﺮﮔﻪﺒﺳﺎﺤﻣﺮﻳﺯﺕﺭﻮﺻﻪﺑ DGC Control-Zeta/Zeta×100 Control-DGC/DGC×100
ﺎﻫ
ﻪﺘﻓﺎﻳ
ﻯﺭﻭﺭﺎﺑﺰﻛﺮﻣ ﻪﺑ ﻩﺪﻨﻨﻛﻪﻌﺟﺍﺮﻣﺭﻭﺭﺎﺑﺎﻧ ﺩﺮﻓ 63 ﺯﺍﻪﻌﻟﺎﻄﻣﻦﻳﺍ ﺭﺩ
ﻞﻣﺎﺷ ﻰﻣﺮﭙﺳﺍ ﻯﺎﻫﺮﺘﻣﺍﺭﺎﭘ ﻦﻴﮕﻧﺎﻴﻣ .ﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ ﻥﺎﻬﻔﺻﺍ ﻯﺭﻭﺭﺎﺑﺎﻧ ﻭ
ﺪﺻﺭﺩﻭ 49/61 ± 13/18 ﻡﺮﭙﺳﺍﻙﺮﺤﺗ،55/7 ± 20/37 ﻡﺮﭙﺳﺍﺖﻈﻠﻏ
.ﺖﺳﺍ 69/83±11/24 ﻰﻌﻴﺒﻃﺮﻴﻏﻯﺎﻫﻡﺮﭙﺳﺍ
ﻰﻌﻴﺒﻃﺮﻴﻏﻯﺎﻫﻡﺮﭙﺳﺍﺪﺻﺭﺩﻦﻴﮕﻧﺎﻴﻣ،1 ﻩﺭﺎﻤﺷﻝﻭﺪﺟﻪﺑﻪﺟﻮﺗﺎﺑ
ﻭ 80/92 ± 6/01 Zeta ﻩﻭﺮﮔ ،86/06 ± 5/33ﻝﺮﺘﻨﻛ ﻩﻭﺮﮔ ﺭﺩ
ﻯﺎﻫﻡﺮﭙﺳﺍ ﻦﻴﮕﻧﺎﻴﻣ ﻩﻭﻼﻋ ﻪﺑ .ﺖﺳﺍ 76/82 ± 12/14 DGC ﻩﻭﺮﮔ
9/29 Zetaﻩﻭﺮﮔ،41/37 ± 11/03 ﻝﺮﺘﻨﻛﻩﻭﺮﮔﺭﺩﺖﺒﺜﻣCMA3
ﺪﺻﺭﺩﻦﻴﮕﻧﺎﻴﻣ .ﺪﺷﺎﺑﻰﻣ 32/49 ± 10/34 DGCﻩﻭﺮﮔﻭ 32/07 ±
ﻩﺪﺷﻯﺯﺎﺳﺍﺪﺟﻯﺎﻫﻡﺮﭙﺳﺍﺭﺩﺖﺒﺜﻣCMA3 ﻭﻰﻌﻴﺒﻃﺮﻴﻏﻯﺎﻫﻡﺮﭙﺳﺍ
ﻪﻛﻪﺘﻓﺎﻳﺶﻫﺎﻛ ﻝﺮﺘﻨﻛﻩﻭﺮﮔ ﻪﺑﺖﺒﺴﻧDGCﻭZeta ﺵﻭﺭﻭﺩﻪﺑ
ﺭﺩﻦﻴﻨﭽﻤﻫ .(p<0/001)ﺖﺳﺍﺭﺍﺩﻰﻨﻌﻣﻯﺭﺎﻣﺁﺮﻈﻧﺯﺍ ﻑﻼﺘﺧﺍﻦﻳﺍ
ﻯﺎﻫﻡﺮﭙﺳﺍ ﺭﺩ،ﻰﻌﻴﺒﻃﺮﻴﻏ ﻯﺎﻫﻡﺮﭙﺳﺍﺪﺻﺭﺩ ﻦﻴﮕﻧﺎﻴﻣ ﻪﺴﻳﺎﻘﻣﺕﺭﻮﺻ
ﺶﻫﺎﻛZetaﺵﻭﺭﻪﺑﺖﺒﺴﻧ DGCﺵﻭﺭﺭﺩﻰﻌﻴﺒﻃﺮﻴﻏﻯﺎﻫﻡﺮﭙﺳﺍ
.(p<0/005) ﺖﺳﺍﻩﺩﺍﺩﻥﺎﺸﻧﺍﺭﻯﺭﺍﺩﻰﻨﻌﻣ
ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ ﻯﺍﺭﺍﺩ ﻯﺎﻫﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ ﻦﻴﮕﻧﺎﻴﻣ 2ﻩﺭﺎﻤﺷ ﻝﻭﺪﺟ
ﻯﺎﻫﻡﺮﭙﺳﺍﺭﺩ AO ﻭTUNEL ،SCD ﻚﻴﻨﻜﺗ ﺯﺍﻩﺩﺎﻔﺘﺳﺍﺎﺑ DNA
ﺍﺭﻝﺮﺘﻨﻛﻩﻭﺮﮔﻪﺑﺖﺒﺴﻧZetaﻭ DGCﺵﻭﺭﻭﺩﻪﺑﻩﺪﺷﻯﺯﺎﺳﺍﺪﺟ DNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻯﺍﺭﺍﺩ ﻯﺎﻫﻡﺮﭙﺳﺍ ﺪﺻﺭﺩﻦﻴﮕﻧﺎﻴﻣ .ﺪﻫﺩﻰﻣﻥﺎﺸﻧ
Zeta ﻩﻭﺮﮔ،15/83 ± 8/14 ﻝﺮﺘﻨﻛ ﻩﻭﺮﮔ ﺭﺩ TUNEL ﺵﻭﺭ ﻪﺑ
ﻪﻛﻰﺗﺭﻮﺻﺭﺩ .ﺖﺳﺍ 8/17 ± 4/23 DGCﻩﻭﺮﮔﻭ 5/89 ± 3/92 DNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻯﺍﺭﺍﺩﻯﺎﻫﻡﺮﭙﺳﺍﺪﺻﺭﺩﻦﻴﮕﻧﺎﻴﻣ،SCDﺵﻭﺭﺭﺩ
29/21 ± 14/95 Zetaﻩﻭﺮﮔﺭﺩ،50/43 ± 15/58 ﻝﺮﺘﻨﻛﻩﻭﺮﮔﺭﺩ
ﺪﺻﺭﺩ ﻦﻴﮕﻧﺎﻴﻣﻩﻭﻼﻋﻪﺑ .ﺖﺳﺍ 33/58 ± 16/24 DGCﻩﻭﺮﮔﺭﺩ ﻭ
ﻝﺮﺘﻨﻛﻩﻭﺮﮔﺭﺩAOﺵﻭﺭﻪﺑDNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻯﺍﺭﺍﺩﻯﺎﻫﻡﺮﭙﺳﺍ
DGCﻩﻭﺮﮔﺭﺩ ﻭ 28/85 ± 15/83 Zetaﻩﻭﺮﮔ،49/65 ± 15/1
ﻯﺎﻫﻡﺮﭙﺳﺍﺪﺻﺭﺩﻦﻴﮕﻧﺎﻴﻣﺞﻳﺎﺘﻧﻦﻳﺍﻪﺑﻪﺟﻮﺗﺎﺑ .ﺖﺳﺍ 32/56 ± 14/38 TUNEL ﻚﻴﻨﻜﺗ ﻪﺳ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ DNA ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ ﻯﺍﺭﺍﺩ
ﻪﺑﺖﺒﺴﻧZetaﺵﻭﺭﻪﺑﻩﺪﺷﻯﺯﺎﺳﺍﺪﺟﻯﺎﻫﻡﺮﭙﺳﺍﺭﺩ AOﻭ،SCD
ﻥﺎﺸﻧﺍﺭﻯﺭﺍﺩﻰﻨﻌﻣﻑﻼﺘﺧﺍDGCﺵﻭﺭﻪﺑﻩﺪﺷﻯﺯﺎﺳﺍﺪﺟﻯﺎﻫﻡﺮﭙﺳﺍ
.(p<0/005) ﺪﻫﺩﻰﻣ
ﻯﺭﺍﺩﻰﻨﻌﻣﻁﺎﺒﺗﺭﺍ،ﻰﻣﺮﭙﺳﺍﻯﺎﻫﺮﺘﻣﺍﺭﺎﭘﻥﺎﻴﻣﺯﺍ 3 ﻝﻭﺪﺟﺱﺎﺳﺍﺮﺑ DNA ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ ﺎﺑ (ﻙﺮﺤﺗ ﻭ ﺖﻈﻠﻏ) ﻰﻣﺮﭙﺳﺍ ﻯﺎﻫﺮﺘﻣﺍﺭﺎﭘ ﻦﻴﺑ
ﺰﻴﻧﻦﻴﻣﺎﺗﻭﺮﭘﺩﻮﺒﻤﻛﺎﺑ ﻡﺮﭙﺳﺍﺖﻈﻠﻏﻦﻴﺑ ﻪﻄﺑﺍﺭﻦﻴﻨﭼﻢﻫ .ﺩﺭﺍﺪﻧﺩﻮﺟﻭ
ﻦﻴﻣﺎﺗﻭﺮﭘﺩﻮﺒﻤﻛﻥﺍﺰﻴﻣﺎﺑﻡﺮﭙﺳﺍﻙﺮﺤﺗﻪﻛﻰﻟﺎﺣﺭﺩ .ﺖﺴﻴﻧﺭﺍﺩﻰﻨﻌﻣ
.(p=0/001) ﺩﺭﺍﺩﻯﺭﺍﺩﻰﻨﻌﻣﻁﺎﺒﺗﺭﺍ
ﺭﻮﻴﭘ ﻭ ﺎﺗﺯ ﺵﻭﺭ ﻭﺩ ﻪﺑ ﻩﺪﺷ ﻯﺯﺎﺳﺍﺪﺟ ﻯﺎﻫ ﻡﺮﭙﺳﺍ ،ﻝﺮﺘﻨﻛ ﻩﻭﺮﮔ ﻪﺳ ﺭﺩ ﻦﻴﻣﺎﺗﻭﺮﭘ ﺩﻮﺒﻤﻛ ﻭ ﻰﻌﻴﺒﻃﺮﻴﻏ ﻯژﻮﻟﻮﻓﺭﻮﻣ ﺎﺑ ﻯﺎﻫ ﻡﺮﭙﺳﺍ ﻦﻴﮕﻧﺎﻴﻣ ﻪﺴﻳﺎﻘﻣ :1ﻝﻭﺪﺟ
P-value
(P) ﺭﻮﻴﭘ
(Z) ﺎﺗﺯ
(C) ﻝﺮﺘﻨﻛ
ﺎﻫﺮﺘﻣﺍﺭﺎﭘ
ﺭﺎﻴﻌﻣ ﻑﺍﺮﺤﻧﺍ ± ﻦﻴﮕﻧﺎﻴﻣ
ﺭﺎﻴﻌﻣ ﻑﺍﺮﺤﻧﺍ ± ﻦﻴﮕﻧﺎﻴﻣ
ﺭﺎﻴﻌﻣ ﻑﺍﺮﺤﻧﺍ ± ﻦﻴﮕﻧﺎﻴﻣ
C-Z: 0/001
C-P: 0/001
Z-P: 0/005
76/82 ± 12/14
80/92 ± 6/01
86/06 ± 5/33
ﻰﻌﻴﺒﻃﺮﻴﻏ ﻯﺎﻫ ﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ
(Diff Quick)
C-Z: 0/001
C-P: 0/001
Z-P: 0/917
32/49 ± 10/34
32/07 ± 9/29
41/37 ± 11/03
CMA3+ ﻯﺎﻫ ﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ
ﺭﻮﻴﭘ ﻭ ﺎﺗﺯ ﺵﻭﺭ ﻭﺩ ﻪﺑ ﻩﺪﺷ ﻯﺯﺎﺳﺍﺪﺟ ﻯﺎﻫ ﻡﺮﭙﺳﺍ ،ﻝﺮﺘﻨﻛ ﻩﻭﺮﮔ ﻪﺳ ﺭﺩ DNA ﻥﻮﻴﺳﺎﺘﻧﺎﻤﮔﺍﺮﻓ ﻯﺍﺭﺍﺩ ﻯﺎﻫ ﻡﺮﭙﺳﺍ ﻦﻴﮕﻧﺎﻴﻣ ﻪﺴﻳﺎﻘﻣ :2ﻝﻭﺪﺟ
P-value
(P) ﺭﻮﻴﭘ
(Z) ﺎﺗﺯ
(C) ﻝﺮﺘﻨﻛ
ﺎﻫﺮﺘﻣﺍﺭﺎﭘ
ﺭﺎﻴﻌﻣ ﻑﺍﺮﺤﻧﺍ ± ﻦﻴﮕﻧﺎﻴﻣ
ﺭﺎﻴﻌﻣ ﻑﺍﺮﺤﻧﺍ ± ﻦﻴﮕﻧﺎﻴﻣ
ﺭﺎﻴﻌﻣ ﻑﺍﺮﺤﻧﺍ ± ﻦﻴﮕﻧﺎﻴﻣ
C-Z: 0/001
C-P: 0/001
Z-P: 0/001
8/17 ± 4/23
5/89± 3/92
15/83 ± 8/14
ﻥﻮﻴﺳﺎﺘﻧﺎﻤﮔﺍﺮﻓ ﻯﺍﺭﺍﺩ ﻯﺎﻫ ﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ
DNA (TUNEL)
C-Z: 0/001
C-P: 0/001
Z-P: 0/001
32/56 ± 14/38
28/85± 15/83
49/65 ± 15/1
ﻥﻮﻴﺳﺎﺘﻧﺎﻤﮔﺍﺮﻓ ﻯﺍﺭﺍﺩ ﻯﺎﻫ ﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ
DNA (AO)
C-Z: 0/002
C-P: 0/001
Z-P: 0/001
33/58 ±16/24
29/21 ±14/95
50/43 ± 15/58
ﻥﻮﻴﺳﺎﺘﻧﺎﻤﮔﺍﺮﻓ ﻯﺍﺭﺍﺩ ﻯﺎﻬﻣﺮﭙﺳﺍ ﺪﺻﺭﺩ
DNA (SCD)
DNA ﻥﻮﻴﺳﺎﺘﻧﺎﻤﮔﺍﺮﻓ ﻭ ﻦﻴﻣﺎﺗﻭﺮﭘ ﺩﻮﺒﻤﻛ ﺎﺑ ﻰﻣﺮﭙﺳﺍ ﻯﺎﻫﺮﺘﻣﺍﺭﺎﭘ ﻦﻴﺑ ﻁﺎﺒﺗﺭﺍ :3ﻝﻭﺪﺟ
ﻯﺍﺭﺍﺩ ﻯﺎﻫ ﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ
ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ
DNA (SCD)
ﻯﺍﺭﺍﺩ ﻯﺎﻫ ﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ
ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ
DNA (AO)
ﻯﺍﺭﺍﺩ ﻯﺎﻫ ﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ
ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ
DNA (TUNEL)
ﻯﺎﻫ ﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ
CMA3+
ﻰﻣﺮﭙﺳﺍ ﻯﺎﻫﺮﺘﻣﺍﺭﺎﭘ
P-value
ﺐﻳﺮﺿ
(r) ﻲﮕﺘﺴﺒﻤﻫ
P-value
ﺐﻳﺮﺿ
(r) ﻲﮕﺘﺴﺒﻤﻫ
P-value
ﺐﻳﺮﺿ
(r) ﻲﮕﺘﺴﺒﻤﻫ
P-value
ﺐﻳﺮﺿ
(r) ﻲﮕﺘﺴﺒﻤﻫ
0/053 0/281 0/314 0/135 0/359 0/130 0/404 -0/122
106/mlﻡﺮﭙﺳﺍﺖﻈﻠﻏ
0/583 0/081 0/466 -0/098 0/305 0/145 0/001** -0/445 ﻡﺮﭙﺳﺍ ﻙﺮﺤﺗ ﺪﺻﺭﺩ
0/001** 0/777 0/001** 0/566 0/001** 0/541 0/001** 0/782
ﻯﺎﻫ ﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ
WHO ﻰﻌﻴﺒﻃﺮﻴﻏ
0/561 -0/084 0/410 0/109 0/298 -0/146 0/590 0/077
ﻯﺎﻫﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ
Diff Quickﻰﻌﻴﺒﻃﺮﻴﻏ
.ﺖﺳﺍ p<0/01 ﺎﺑ ﺮﺘﻣﺍﺭﺎﭘ ﻭﺩ ﻦﻴﺑ ﻁﺎﺒﺗﺭﺍ ﻥﺩﻮﺑ ﺭﺍﺩ ﻰﻨﻌﻣ ﺮﮕﻧﺎﻴﺑ ** .ﺖﺳﺍ p<0/05 ﺎﺑ ﺮﺘﻣﺍﺭﺎﭘ ﻭﺩ ﻦﻴﺑ ﻁﺎﺒﺗﺭﺍ ﻥﺩﻮﺑ ﺭﺍﺩ ﻰﻨﻌﻣ ﺮﮕﻧﺎﻴﺑ *
ﻁﺎﺒﺗﺭﺍ WHO ﻯﺎﻫﺭﺎﻴﻌﻣ ﺱﺎﺳﺍ ﺮﺑ ﻰﻌﻴﺒﻃﺮﻴﻏ ﻯﺎﻫﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ
ﺖﺳﺍﻩﺩﺍﺩﻥﺎﺸﻧDNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻭﻦﻴﻣﺎﺗﻭﺮﭘﺩﻮﺒﻤﻛﺎﺑﺍﺭﻯﺭﺍﺩﻰﻨﻌﻣ
ﭻﻴﻫDiff Quickﺵﻭﺭﻪﺑﻰﻌﻴﺒﻃﺮﻴﻏﻯﺎﻫﻡﺮﭙﺳﺍﺪﺻﺭﺩﺎﻣﺍ،(p=0/001) DNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻭ ﻦﻴﻣﺎﺗﻭﺮﭘﺩﻮﺒﻤﻛﻥﺍﺰﻴﻣﺎﺑﺍﺭﻯﺭﺍﺩﻰﻨﻌﻣﻁﺎﺒﺗﺭﺍ
ﻭﻦﻴﻣﺎﺗﻭﺮﭘﺩﻮﺒﻤﻛﻥﺍﺰﻴﻣﻦﻴﺑﻁﺎﺒﺗﺭﺍﻪﻌﻟﺎﻄﻣﻦﻳﺍﺭﺩﻩﻭﻼﻋﻪﺑ .ﺪﻫﺩﻰﻤﻧﻥﺎﺸﻧ
ﺭﺍﺩﻰﻨﻌﻣSCDﻭ TUNEL ،AOﻚﻴﻨﻜﺗﻪﺳﺮﻫﺭﺩDNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ
.(p<0/001 ) ﺖﺳﺍ
DNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻦﻴﺑﻁﺎﺒﺗﺭﺍ 4 ﻩﺭﺎﻤﺷﻝﻭﺪﺟﺱﺎﺳﺍﺮﺑﻦﻴﻨﭼﻢﻫ
ﺰﻴﻧ ﺮﮕﻳﺪﻜﻳﻪﺑ ﺖﺒﺴﻧ SCD ﻭ TUNEL ،AO ﻚﻴﻨﻜﺗ ﻪﺳﺮﻫ ﺭﺩ
.(p=0/001) ﺖﺳﺍﺭﺍﺩﻰﻨﻌﻣ
ﻪﻛﺩﺍﺩﻥﺎﺸﻧ 5 ﻩﺭﺎﻤﺷ ﻝﻭﺪﺟﻖﺑﺎﻄﻣﻪﻌﻟﺎﻄﻣﻦﻳﺍﺯﺍﻞﺻﺎﺣﺞﻳﺎﺘﻧ
ﻪﺑﻩﺪﺷﻯﺯﺎﺳﺍﺪﺟﻯﺎﻫﻡﺮﭙﺳﺍﺭﺩDNA ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻯﺩﻮﺒﻬﺑﺪﺻﺭﺩ
ﺖﺒﺴﻧﺍﺭﻱﺍﻪﻈﺣﻼﻣﻞﺑﺎﻗﺶﻫﺎﻛﻝﺮﺘﻨﻛﻩﻭﺮﮔﺎﺑﻪﺴﻳﺎﻘﻣﺭﺩZetaﺵﻭﺭ .ﺪﻫﺩﻲﻣﻥﺎﺸﻧ،DGCﺵﻭﺭﻪﺑﻩﺪﺷﻱﺯﺎﺳﺍﺪﺟﻱﺎﻫﻡﺮﭙﺳﺍﻪﺑ
ﻯﺯﺎﺳﺍﺪﺟﻯﺎﻫﻡﺮﭙﺳﺍﺭﺩDNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻯﺩﻮﺒﻬﺑﺪﺻﺭﺩ :5ﻝﻭﺪﺟ
ﻝﺮﺘﻨﻛﻩﻭﺮﮔﻪﺑﺖﺒﺴﻧﺭﻮﻴﭘﻭﺎﺗﺯﺵﻭﺭﻭﺩﻪﺑﻩﺪﺷ
ﺭﻮﻴﭘ ﺎﺗﺯ
ﺮﺘﻣﺍﺭﺎﭘ
46%
62%
TUNEL
34%
42%
SCD
34%
41%
AOT
ﺚﺤﺑ
ﻩﺩﺮﺑﺭﺎﻛﻪﺑDGCﺵﻭﺭﺭﺩﻪﻛﻰﻧﻮﮔﺎﻧﻮﮔﻯﺭﺎﺠﺗﺩﺍﻮﻣﻥﺎﻴﻣﺯﺍ
ﻚﻤﻛ ﻯﺎﻫﻚﻴﻨﻜﺗ ﺭﺩ ﻝﻮﻤﻌﻣ ﺭﻮﻃ ﻪﺑ Pure Sperm ،ﺩﻮﺷﻰﻣ
.(4) ﺩﺮﻴﮔﻰﻣﺭﺍﺮﻗﻩﺩﺎﻔﺘﺳﺍﺩﺭﻮﻣﻯژﻮﻟﻭﺭﺪﻧﺁﻯﺎﻫﻩﺎﮕﺸﻳﺎﻣﺯﺁﻭﻯﺭﻭﺭﺎﺑ
ﺯﺍﻩﺩﺎﻔﺘﺳﺍﻪﻛﺩﺍﺩﻥﺎﺸﻧ 2000 ﻝﺎﺳﺭﺩﺶﻧﺍﺭﺎﻜﻤﻫﻭﺱﺎﻛﺎﺳﺕﺎﻘﻴﻘﺤﺗ
ﺪﺻﺭﺩﺭﺩﺍﺭﻯﺍﻪﻈﺣﻼﻣﻞﺑﺎﻗﺶﻫﺎﻛ،ﻡﺮﭙﺳﺍﻯﺯﺎﺳﻩﺩﺎﻣﺁﺭﺩPure Sperm
(5) ﺪﻳﺎﻤﻧﻰﻣﺩﺎﺠﻳﺍ DNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻯﺍﺭﺍﺩﻭﺖﺒﺜﻣCMA3ﻯﺎﻫﻡﺮﭙﺳﺍ
ﺎﻫﻡﺮﭙﺳﺍﻯﺯﺎﺳﺍﺪﺟﺭﺩ،ﻰﻌﻴﺒﻃﻯژﻮﻟﻮﻓﺭﻮﻣﺎﺑﺎﻫﻡﺮﭙﺳﺍﺖﺒﺴﻧﻦﻴﻨﭼﻢﻫﻭ ﻪﻠﻤﺟﺯﺍﻡﺮﭙﺳﺍﻯﺯﺎﺳﺍﺪﺟﻯﺎﻫﺵﻭﺭﺮﻳﺎﺳﺎﺑﻪﺴﻳﺎﻘﻣﺭﺩDGCﺵﻭﺭﻪﺑ
.(5) ﺪﺑﺎﻳﻰﻣﺶﻳﺍﺰﻓﺍﻯﺭﺍﺩﻰﻨﻌﻣﺭﻮﻃﻪﺑSwim-up
2006 ﻝﺎﺳ ﺭﺩ ﺶﻧﺍﺭﺎﻜﻤﻫ ﻭ ﻥﺎﭼ ﻂﺳﻮﺗ ﻪﻛ Zeta ﺵﻭﺭ ﺭﺩ
ﻱﻭﺭ ﻲﻜﻳﺮﺘﻜﻟﺍ ﻞﻴﺴﻧﺎﺘﭘﺱﺎﺳﺍ ﺮﺑﻎﻟﺎﺑﻡﺮﭙﺳﺍ ﺏﺎﺨﺘﻧﺍ ،ﺪﻳﺩﺮﮔ ﻰﻓﺮﻌﻣ ﻥﺎﺸﻧﺶﻧﺍﺭﺎﻜﻤﻫﻭﻥﺎﭼﺕﺎﻌﻟﺎﻄﻣ .(8) ﺩﺮﻴﮔﻰﻣﺕﺭﻮﺻﻡﺮﭙﺳﺍﻱﺎﺸﻏ
ﺎﺑﻯﺎﻫﻡﺮﭙﺳﺍﺏﺎﺨﺘﻧﺍﻥﺎﻜﻣﺍ،Zetaﺵﻭﺭﻪﺑﺎﻫﻡﺮﭙﺳﺍﻯﺯﺎﺳﺍﺪﺟﻪﻛﺩﺍﺩ
ﻪﻛﻰﻳﺎﺠﻧﺁﺯﺍ .(8) ﺪﻳﺎﻤﻧﻰﻣﻢﻫﺍﺮﻓﺍﺭﺮﺘﺸﻴﺑﻙﺮﺤﺗﻭﺮﺘﻬﺑﻯژﻮﻟﻮﻓﺭﻮﻣ
ﻭ DGCﺵﻭﺭﻭﺩﻰﻳﺍﺭﺎﻛﻖﻴﻗﺩﻪﺴﻳﺎﻘﻣﻭﻰﺳﺭﺮﺑﻪﺑﻯﺍﻪﻌﻟﺎﻄﻣﻥﻮﻨﻛﺎﺗ
ﻪﺘﻓﺮﮕﻧﺕﺭﻮﺻ،ﺩﺯﺍﺩﺮﭙﺑﻰﻌﻴﺒﻃ ﻭﻎﻟﺎﺑﻯﺎﻫﻡﺮﭙﺳﺍﻯﺯﺎﺳﺍﺪﺟﺭﺩZeta
ﻭﺩﻦﻳﺍﺯﺍﻩﺪﻣﺁﺖﺳﺩﻪﺑﻯﺎﻫﻡﺮﭙﺳﺍﺪﺷﻪﺘﻓﺮﮔﻢﻴﻤﺼﺗﻪﻌﻟﺎﻄﻣﻦﻳﺍﺭﺩ،ﺩﻮﺑ ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻭﻦﻴﻣﺎﺗﻭﺮﭘﺩﻮﺒﻤﻛ،ﻯژﻮﻟﻮﻓﺭﻮﻣﻅﺎﺤﻟﺯﺍﻯﺯﺎﺳﺍﺪﺟﺵﻭﺭ ﻥﺍﺰﻴﻣﻝﺮﺘﻨﻛﻩﻭﺮﮔﺎﺑﻪﺴﻳﺎﻘﻣﺯﺍﺲﭘﻭﺩﺮﻴﮔﺭﺍﺮﻗﻰﺑﺎﻳﺯﺭﺍﺩﺭﻮﻣDNA
ﺮﻛﺫﻯﺎﻫﺮﺘﻣﺍﺭﺎﭘﺯﺍﻚﻳﺮﻫﺩﻮﺒﻬﺑﺭﺩﻯﺯﺎﺳﺍﺪﺟﺵﻭﺭﻭﺩﻦﻳﺍﻰﻳﺍﺭﺎﻛ
.ﺩﺩﺮﮔﻦﻴﻴﻌﺗﻩﺪﺷ
ﺪﺻﺭﺩ ﻪﻛ ﺪﻫﺩﻰﻣ ﻥﺎﺸﻧ ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﺯﺍ ﻩﺪﻣﺁ ﺖﺳﺩ ﻪﺑ ﺞﻳﺎﺘﻧ ﺖﺒﺴﻧ ،ﺪﻧﺍﻩﺪﻳﺩﺮﮔ ﻯﺯﺎﺳﺍﺪﺟ DGC ﺵﻭﺭ ﻪﺑ ﻰﻌﻴﺒﻃﺮﻴﻏ ﻯﺎﻫﻡﺮﭙﺳﺍ
ﻭ (p=0/001) ﺪﺑﺎﻳﻰﻣﺶﻫﺎﻛﻯﺭﺍﺩﻰﻨﻌﻣﺕﺭﻮﺻ ﻪﺑﻝﺮﺘﻨﻛ ﻩﻭﺮﮔﻪﺑ
ﻯﺯﺎﺳﺍﺪﺟﻯﺎﻫﻡﺮﭙﺳﺍﺭﺩ (CMA3+)ﻦﻴﻣﺎﺗﻭﺮﭘﺩﻮﺒﻤﻛﻥﺍﺰﻴﻣﻦﻴﻨﭽﻤﻫ
ﻥﺎﺸﻧ ﺍﺭﻯﺭﺍﺩﻰﻨﻌﻣﺶﻫﺎﻛ ﻝﺮﺘﻨﻛﻩﻭﺮﮔﻪﺑ ﺖﺒﺴﻧﺵﻭﺭﻦﻳﺍﻪﺑﻩﺪﺷ ﺶﻧﺍﺭﺎﻜﻤﻫ ﻭ ﺱﺎﻛﺎﺳ ﺕﺎﻌﻟﺎﻄﻣ ﺎﺑ ﺎﻫﻪﺘﻓﺎﻳ ﻦﻳﺍ .(p=0/001) ﺪﻫﺩﻰﻣ
SCD, TUNEL, AO ﻚﻴﻨﻜﺗ ﻪﺳ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ DNA ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ ﻥﺍﺰﻴﻣ ﻦﻴﺑ ﻁﺎﺒﺗﺭﺍ :4ﻝﻭﺪﺟ
ﻯﺍﺭﺍﺩ ﻯﺎﻫ ﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ
ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ
DNA (TUNEL)
ﻯﺍﺭﺍﺩ ﻯﺎﻫ ﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ
ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ
DNA (SCD)
ﻯﺍﺭﺍﺩ ﻯﺎﻫ ﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ
ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ
DNA (AO)
ﻰﻣﺮﭙﺳﺍ ﻯﺎﻫﺮﺘﻣﺍﺭﺎﭘ
P-value
ﺐﻳﺮﺿ
(r) ﻲﮕﺘﺴﺒﻤﻫ
P-value
ﺐﻳﺮﺿ
(r) ﻲﮕﺘﺴﺒﻤﻫ
P-value
ﺐﻳﺮﺿ
(r) ﻲﮕﺘﺴﺒﻤﻫ
0/001** 0/630
0/001** 0/725
. 1
ﻯﺍﺭﺍﺩ ﻯﺎﻫ ﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ
DNA (TUNEL) ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ
0/001** 0/889
. 1
0/001** 0/725
ﻯﺍﺭﺍﺩ ﻯﺎﻫ ﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ
DNA (SCD) ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ
. 1
0/001** 0/889
0/001** 0/630
ﻯﺍﺭﺍﺩ ﻯﺎﻫ ﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ
DNA (AO) ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ
.ﺖﺳﺍ p<0/01 ﺎﺑ ﺮﺘﻣﺍﺭﺎﭘ ﻭﺩ ﻦﻴﺑ ﻁﺎﺒﺗﺭﺍ ﻥﺩﻮﺑ ﺭﺍﺩ ﻰﻨﻌﻣ ﺮﮕﻧﺎﻴﺑ **
:E ،D ،C ،(DNA ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ ﻥﻭﺪﺑ) ﻂﺳﻮﺘﻣ ﻭ گﺭﺰﺑ ﻪﻟﺎﻫ ﺎﺑ ﻡﺮﭙﺳﺍ :B ،A :Sperm Chromatin Dispersion ﺖﺴﺗ :1ﻞﻜﺷ
ﻩﺪﺷﺍﺪﺟ ﻯﺎﻫﻡﺮﭙﺳﺍﺭﺩﻦﻴﻨﭼﻢﻫ .(5) ﺩﺭﺍﺩﺖﻘﺑﺎﻄﻣ 2000 ﻝﺎﺳﺭﺩ
ﻚﻴﻨﻜﺗﻪﺳﺯﺍﻩﺩﺎﻔﺘﺳﺍﺎﺑDNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻥﺍﺰﻴﻣDGCﺵﻭﺭﻪﺑ
ﺶﻫﺎﻛﻚﻴﻨﻜﺗﻪﺳﺮﻫﻭﺪﻳﺩﺮﮔﻰﺑﺎﻳﺯﺭﺍAOﻭSCDﻭ TUNEL
ﻝﺮﺘﻨﻛﻩﻭﺮﮔ ﻪﺑ ﺖﺒﺴﻧDNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ ﻥﺍﺰﻴﻣﺭﺩ ﺍﺭﻯﺭﺍﺩﻰﻨﻌﻣ
.(p=0/001) ﺩﺍﺩﻥﺎﺸﻧ
ﻦﻤﺳﻪﻧﻮﻤﻧﻪﻛﺩﻮﻤﻧﻩﺭﺎﺷﺍﻪﺘﻜﻧﻦﻳﺍﻪﺑﻥﺍﻮﺗﻰﻣﺞﻳﺎﺘﻧﻦﻳﺍﻪﻴﺟﻮﺗﺭﺩ ﺮﻳﺯﻯﻮﺘﺤﻣ،ﺖﻴﺳﻮﻜﻟﻯﺩﺍﺪﻌﺗﺮﺑﻩﻭﻼﻋﻭﺪﺷﺎﺑﻰﻣﺍﺭﺍﺩﻰﻳﻻﺎﺑﻰﺘﻴﻧژﻭﺮﺘﻫ ﻦﻤﺳﻯﺯﺎﺳﻩﺩﺎﻣﺁ .ﺖﺳﺍﻰﻌﻴﺒﻃﺮﻴﻏﻭﻰﻌﻴﺒﻃﻯﺎﻫﻡﺮﭙﺳﺍﺯﺍﻯﺍﻪﻋﻮﻤﺠﻣ
.(3) ﺪﻳﺎﻤﻧﻰﻣﻢﻫﺍﺮﻓﺍﺭﻰﺘﻴﻧژﻭﺮﺘﻫﻦﻳﺍﺶﻫﺎﻛﻥﺎﻜﻣﺍDGCﺵﻭﺭﻪﺑ
ﻰﻌﻴﺒﻃﻯﺎﻫﻡﺮﭙﺳﺍﺭﺩﻪﻛﺪﻧﺍﻩﺩﺍﺩﻥﺎﺸﻧﻦﻳﺍﺯﺍﺶﻴﭘﻰﻧﻮﮔﺎﻧﻮﮔﺕﺎﻌﻟﺎﻄﻣ ﻯﺎﻫﻪﻳﻻﺭﺩژﻮﻴﻔﻳﺮﺘﻧﺎﺳﺯﺍﺲﭘﺍﺬﻟ .ﺪﺷﺎﺑﻰﻣﺮﺘﺸﻴﺑﻢﺠﺣﻪﺑﻥﺯﻭﺖﺒﺴﻧ
ﻪﻛﻰﻌﻴﺒﻃ ﻦﻴﺗﺎﻣﻭﺮﻛﺭﺎﺘﺧﺎﺳ ﻯﺍﺭﺍﺩ ﻯﺎﻫﻡﺮﭙﺳﺍ ،ﻡﺮﭙﺳﺍ ﺭﻮﻴﭘﻥﺎﻳﺩﺍﺮﮔ ﻪﻛﺪﻧﻮﺷﻰﻣﻦﻴﺸﻧﻪﺗﺮﺗﻊﻳﺮﺳ،ﺪﻧﺭﺍﺩﻯﺮﺘﺸﻴﺑﻰﻟﺎﮕﭼﻭﻩﺩﻮﺑﺮﺗﻢﻛﺍﺮﺘﻣ
.(3-5) ﺩﺩﺮﮔﻰﻣﻰﻣﺮﭙﺳﺍﻪﻧﻮﻤﻧﻥﺪﺷﻦﮕﻤﻫﻪﺑﺮﺠﻨﻣﺩﻮﺧﺮﻣﺍﻦﻳﺍ
ﻯﺩﻮﺒﻬﺑﻥﺍﺰﻴﻣﻪﻛﺪﻫﺩﻰﻣﻥﺎﺸﻧ 5 ﻝﻭﺪﺟﺯﺍﻩﺪﻣﺁﺖﺳﺩﻪﺑﺞﻳﺎﺘﻧ
ﺭﺩSCDﻭ TUNEL ،AOﺵﻭﺭﻪﺳﻪﺑﻩﺪﺷﻯﺮﻴﮔﻩﺯﺍﺪﻧﺍﻡﺮﭙﺳﺍDNA
ﻭﺩﺮﻫﻪﭼﺮﮔﺍ .ﺖﺳﺍﻩﺩﺮﻛﻞﻤﻋDGCﺯﺍﺮﺘﻬﺑZetaﻯﺯﺎﺳﺍﺪﺟﺵﻭﺭ
.(26) ﺪﻨﺘﺴﻫﻢﻟﺎﺳDNAﺎﺑﻡﺮﭙﺳﺍﻯﺯﺎﺳﺍﺪﺟﻪﺑﺭﺩﺎﻗﺵﻭﺭ
ﺪﺻﺭﺩﻪﻛﺪﻫﺩﻰﻣﻥﺎﺸﻧﻪﻌﻟﺎﻄﻣﻦﻳﺍﺯﺍﻩﺪﻣﺁﺖﺳﺩﻪﺑﺞﻳﺎﺘﻧﻦﻴﻨﭼﻢﻫ ﺖﺒﺴﻧﺪﻧﺍﻩﺪﻳﺩﺮﮔﻯﺯﺎﺳﺍﺪﺟZetaﺵﻭﺭﻪﺑﻪﻛﻰﻌﻴﺒﻃﺮﻴﻏﻯﺎﻫﻡﺮﭙﺳﺍ
ﻦﻳﺍ .(p=0/001) ﺪﺑﺎﻳﻰﻣﺶﻫﺎﻛﻯﺭﺍﺩﻰﻨﻌﻣﺕﺭﻮﺻﻪﺑﻝﺮﺘﻨﻛﻩﻭﺮﮔﻪﺑ
.(8) ﺩﺭﺍﺩﺖﻘﺑﺎﻄﻣ 2006 ﻝﺎﺳﺭﺩﺶﻧﺍﺭﺎﻜﻤﻫﻭﻥﺎﭼﺕﺎﻌﻟﺎﻄﻣﺎﺑﺎﻫﻪﺘﻓﺎﻳ
ﻪﺑﻩﺪﺷﻯﺯﺎﺳﺍﺪﺟﻯﺎﻫﻡﺮﭙﺳﺍﺭﺩﺰﻴﻧ(CMA3+)ﻦﻴﻣﺎﺗﻭﺮﭘﺩﻮﺒﻤﻛﻥﺍﺰﻴﻣ
ﺪﻫﺩﻰﻣﻥﺎﺸﻧﺍﺭﻯﺭﺍﺩﻰﻨﻌﻣﺶﻫﺎﻛﻝﺮﺘﻨﻛﻩﻭﺮﮔﺎﺑﻪﺴﻳﺎﻘﻣﺭﺩﺵﻭﺭﻦﻳﺍ ﻥﺍﺰﻴﻣ Zetaﺵﻭﺭﻪﺑ ﻩﺪﺷﺍﺪﺟ ﻯﺎﻫﻡﺮﭙﺳﺍ ﺭﺩﻦﻴﻨﭼﻢﻫ .(p=0/001)
ﻭSCD ﻭ TUNELﻚﻴﻨﻜﺗ ﻪﺳﺯﺍﻩﺩﺎﻔﺘﺳﺍﺎﺑ DNA ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ
ﻯﺭﺍﺩﻰﻨﻌﻣﺶﻫﺎﻛﻚﻴﻨﻜﺗﻪﺳﺮﻫﻭﺪﻳﺩﺮﮔﻰﺑﺎﻳﺯﺭﺍAcridin orange
ﺪﻧﺩﺍﺩﻥﺎﺸﻧ ﻝﺮﺘﻨﻛﻩﻭﺮﮔﻪﺑ ﺖﺒﺴﻧDNA ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ ﻥﺍﺰﻴﻣ ﺭﺩﺍﺭ
.(p<0/001)
ﻦﻳﺍﻪﺑﻥﺍﻮﺗﻰﻣﻪﻌﻟﺎﻄﻣﻦﻳﺍﺭﺩﻩﺪﻣﺁﺖﺳﺩﻪﺑﻯﺎﻫﻪﺘﻓﺎﻳﻪﻴﺟﻮﺗﺭﺩ ﻥﺎﺸﻧ ﻦﻳﺍﺯﺍ ﺶﻴﭘ ﻥﻮﮔﺎﻧﻮﮔﺕﺎﻘﻴﻘﺤﺗ ﻪﭽﻧﺎﻨﭼﻪﻛ ﺩﻮﻤﻧﻩﺭﺎﺷﺍﻪﺘﻜﻧ ﻯﺎﺸﻏﻰﺟﺭﺎﺧ ﺢﻄﺳ ﺮﺑﺎﻫﻦﻴﺌﺗﻭﺮﭘﻮﻜﻴﻠﮔﻮﻟﺎﻴﺳﻥﺪﺷﻪﻓﺎﺿﺍ ،ﺪﻧﺍﻩﺩﺍﺩ ﻭﺎﺸﻏﻦﻴﺑ ﻰﻜﻳﺮﺘﻜﻟﺍﺭﺎﺑﻑﻼﺘﺧﺍﻩﺪﻧﺭﻭﺁ ﺩﻮﺟﻭﻪﺑ ﻞﻣﺎﻋﻪﻛﻡﺮﭙﺳﺍ
ﺮﻫﺍﺬﻟ .(9) ﺪﻫﺩﻰﻣﺥﺭﺰﻧژﻮﻴﻣﺮﭙﺳﺍﻪﻠﺣﺮﻣﺭﺩ،ﺪﺷﺎﺑﻰﻣﺝﺭﺎﺧﻂﻴﺤﻣ
ﻞﻣﺎﻜﺗﻡﺪﻋﻪﺑﺮﺠﻨﻣﺖﺳﺍﻦﻜﻤﻣﺰﻧژﻮﻴﻣﺮﭙﺳﺍﺪﻧﻭﺭﺭﺩﻝﻼﺘﺧﺍﻪﻧﻮﮔ ﺰﻴﻧﻦﻴﺗﺎﻣﻭﺮﻛ ﻢﻛﺍﺮﺗﻭﻱﺪﻨﺑﻪﺘﺴﺑﺭﺩ ،ﻩﺪﻳﺩﺮﮔﻡﺮﭙﺳﺍﻲﻳﺎﻤﺳﻼﭘ ﺎﺸﻏ ﻦﻴﺗﺎﻣﻭﺮﻛ ﺢﻴﺤﺻ ﻢﻛﺍﺮﺗﻪﻛ ﻰﻳﺎﺠﻧﺁ ﺯﺍ .(11) ﺪﻳﺎﻤﻧ ﺩﺎﺠﻳﺍ ﻝﻼﺘﺧﺍ
ﺎﺸﻏﻲﺤﻄﺳﻱﺎﻫﻦﻴﺌﺗﻭﺮﭘﻞﻣﺎﻜﺗﺎﺑﺖﺳﺍﻦﻜﻤﻣ،ﻪﻠﺣﺮﻣﻦﻳﺍﺭﺩﻡﺮﭙﺳﺍ ﻦﻳﺍﻩﺪﻨﻨﻛ ﻪﻴﺟﻮﺗﺪﻧﺍﻮﺗﻲﻣﺮﻣﺍ ﻦﻳﺍ ،ﺪﺷﺎﺑ ﻥﺎﻣﺯﻢﻫ ﻡﺮﭙﺳﺍﻲﻳﺎﻤﺳﻼﭘ ﻯﺎﻫﻦﻴﺌﺗﻭﺮﭘﻮﻜﻴﻠﮔﺢﻴﺤﺻﻯﺍﻮﺘﺤﻣﻯﺍﺭﺍﺩﻯﺎﻫﻡﺮﭙﺳﺍﻪﻛﺪﺷﺎﺑﺐﻠﻄﻣ ﺭﺩﺩﻮﺧﻰﻌﻴﺒﻃﻰﻜﻳﺮﺘﻜﻟﺍﺭﺎﺑﺱﺎﺳﺍﺮﺑﻪﻛﻰﻳﺎﻤﺳﻼﭘ ﻯﺎﺸﻏﻰﺤﻄﺳ ﻦﻴﻣﺎﺗﻭﺮﭘﻯﺍﻮﺘﺤﻣﻯﺍﺭﺍﺩﻻﺎﻤﺘﺣﺍﺪﻧﺍﻩﺪﻳﺩﺮﮔﻯﺯﺎﺳﺍﺪﺟZetaﺵﻭﺭ
ﻪﺑﺮﺠﻨﻣﻰﻌﻴﺒﻃﻦﻴﻣﺎﺗﻭﺮﭘﻯﺍﻮﺘﺤﻣﻪﻛﻰﻳﺎﺠﻧﺁﺯﺍ .ﺪﻨﺷﺎﺑﻰﻣﺰﻴﻧﻰﻌﻴﺒﻃ
ﺩﺩﺮﮔﻰﻣDNAﺐﻴﺳﺁ ﺯﺍﻯﺮﻴﮔﻮﻠﺟﻭ ﻦﻴﺗﺎﻣﻭﺮﻛﺢﻴﺤﺻﻯﺪﻨﺑﻪﺘﺴﺑ
ﻯﺯﺎﺳﺍﺪﺟﻯﺎﻫﻡﺮﭙﺳﺍﻪﻛﺪﺷﺎﺑﺐﻠﻄﻣﻦﻳﺍﻩﺪﻨﻨﻛﻥﺎﻴﺑﺪﻧﺍﻮﺗﻰﻣﻪﺘﻜﻧﻦﻳﺍ
DNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﺯﺍﻯﺮﺗﻦﻴﻳﺎﭘﺪﺻﺭﺩﻯﺍﺭﺍﺩZetaﺵﻭﺭﻪﺑﻩﺪﺷ .ﺪﻨﺷﺎﺑﻰﻣﺰﻴﻧ
ﻯﺯﺎﺳﺍﺪﺟﻥﺁﺭﺩﻪﻛﺶﻧﺍﺭﺎﻜﻤﻫﻭﺱﺭﻮﺴﻨﻳﺁﻪﻌﻟﺎﻄﻣﺭﺩﻦﻴﻨﭼﻢﻫ ﻩﺎﮕﺘﺳﺩﻂﺳﻮﺗﺎﺸﻏﺢﻄﺳ ﻰﻜﻳﺮﺘﻜﻟﺍﺭﺎﺑﺱﺎﺳﺍﺮﺑﻰﻌﻴﺒﻃ ﻯﺎﻫﻡﺮﭙﺳﺍ ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻥﺍﺰﻴﻣﻪﻛﺪﺷﻩﺩﺍﺩﻥﺎﺸﻧ،ﺖﻓﺮﮔﺕﺭﻮﺻﺯﺭﻮﻓﻭﺮﺘﻜﻟﺍ
ﻩﺪﺷ ﻯﺯﺎﺳﺍﺪﺟﻯﺎﻫﻡﺮﭙﺳﺍﺭﺩ TUNEL ﺖﺴﺗﺯﺍ ﻩﺩﺎﻔﺘﺳﺍﺎﺑ DNA
ﺩﻮﺧﻪﺘﻓﺎﻳﻦﻳﺍﻪﻛﺪﻫﺩﻰﻣﻥﺎﺸﻧﺍﺭﻯﺭﺍﺩﻰﻨﻌﻣﺶﻫﺎﻛ ،ﺵﻭﺭﻦﻳﺍﻪﺑ ﻰﻜﻳﺮﺘﻜﻟﺍﺭﺎﺑﻥﺎﻴﻣﻯﻮﻗﻁﺎﺒﺗﺭﺍﻚﻳﺩﻮﺟﻭﺮﺑﻯﺮﮕﻳﺩﻞﻴﻟﺩﺪﻧﺍﻮﺗﻰﻣ
.(7) ﺪﺷﺎﺑﻡﺮﭙﺳﺍﻪﺘﺴﻫﺭﺎﺘﺧﺎﺳﻭﺎﺸﻏﺢﻄﺳﺮﺑﺩﻮﺟﻮﻣ
،ﻰﻌﻴﺒﻃﺮﻴﻏ ﻯﺎﻫﻡﺮﭙﺳﺍ ﺪﺻﺭﺩ ﻦﻴﺑ ﻪﻄﺑﺍﺭ ﻰﺳﺭﺮﺑ ﻪﻌﻟﺎﻄﻣ ﻦﻳﺍ ﺭﺩ
ﻭ ﺖﻓﺮﮔ ﺕﺭﻮﺻ ﻝﺮﺘﻨﻛﻩﻭﺮﮔﺭﺩ DNA ﺐﻴﺳﺁ ﻭﻦﻴﻣﺎﺗﻭﺮﭘ ﺩﻮﺒﻤﻛ
ﻯﺎﻫﻡﺮﭙﺳﺍﺪﺻﺭﺩﻦﻴﺑﻯﺭﺍﺩﻰﻨﻌﻣﻭﻢﻴﻘﺘﺴﻣﻁﺎﺒﺗﺭﺍﻪﻛﺩﺍﺩﻥﺎﺸﻧﺎﻫﻰﺳﺭﺮﺑ ﻁﺎﺒﺗﺭﺍﻦﻴﻨﭽﻤﻫ .(p=0/001) ﺩﺭﺍﺩﺩﻮﺟﻭﻦﻴﻣﺎﺗﻭﺮﭘﺩﻮﺒﻤﻛﻭﻰﻌﻴﺒﻃﺮﻴﻏ
ﺭﺍﺩﻰﻨﻌﻣ ﻭ ﻢﻴﻘﺘﺴﻣ ﺰﻴﻧ DNA ﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ ﻭ ﻦﻴﻣﺎﺗﻭﺮﭘ ﺩﻮﺒﻤﻛ ﻦﻴﺑ
ﻩﺭﺎﺷﺍﻪﺘﻜﻧﻦﻳﺍﻪﺑﻥﺍﻮﺗﻰﻣﺐﻠﻄﻣﻦﻳﺍﻪﻴﺟﻮﺗﺭﺩ .(p=0/001) ﺪﺷﺎﺑﻰﻣ
ﻱﺪﻨﺑﻪﺘﺴﺑﺭﺩﺺﻘﻧ،DNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﺩﺎﺠﻳﺍﻞﻠﻋﺯﺍﻲﻜﻳﻪﻛﺩﻮﻤﻧ
ﺰﻧژﻮﻴﻣﺮﭙﺳﺍ ﺯﺍ ﻪﻠﺣﺮﻣ ﻦﻳﺍ ﺭﺩ ﻦﻴﻣﺎﺗﻭﺮﭘ ﺩﻮﺒﻤﻛ ﻭ ﺪﺷﺎﺑﻲﻣ ﻦﻴﺗﺎﻣﻭﺮﻛ
DNAﺐﻴﺳﺁﺩﺎﺠﻳﺍﻭﻦﻴﺗﺎﻣﻭﺮﻛﺢﻴﺤﺻﻢﻛﺍﺮﺗﻡﺪﻋﻪﺑﺮﺠﻨﻣﺪﻧﺍﻮﺗﻲﻣ
ﺶﻘﻧ ﺮﮕﻧﺎﺸﻧﻪﻄﺑﺍﺭ ﻦﻳﺍﺩﻮﺟﻭ .(27) ﺩﺩﺮﮔﻲﻠﺳﺎﻨﺗ ﻩﺎﮕﺘﺳﺩﺮﻴﺴﻣﺭﺩ
ﻪﺘﺴﻫDNAﻪﺑ ﺐﻴﺳﺁﻥﺪﻴﺳﺭﺯﺍﻯﺮﻴﮔﻮﻠﺟ ﺖﻬﺟﻦﻴﻣﺎﺗﻭﺮﭘﻰﺘﻇﺎﻔﺣ
.(28-30) ﺪﺷﺎﺑﻰﻣﻡﺮﭙﺳﺍ
ﺎﺑﺵﻭﺭﻭﺩﻦﻳﺍﺯﺍﻩﺪﻣﺁﺖﺳﺩﻪﺑﻯﺎﻫﻡﺮﭙﺳﺍﻰﺳﺭﺮﺑﺞﻳﺎﺘﻧﻪﺴﻳﺎﻘﻣ
ﻯﺯﺎﺳﺍﺪﺟﺭﺩﺵﻭﺭﻭﺩﺮﻫﻪﻛﺪﻫﺩﻰﻣﻥﺎﺸﻧﺮﮕﻳﺪﻜﻳﺎﺑﻭﻝﺮﺘﻨﻛﻩﻭﺮﮔ ﻩﻭﺮﮔﻪﺑﺖﺒﺴﻧﻢﻟﺎﺳDNAﻭﻰﻌﻴﺒﻃﻦﻴﻣﺎﺗﻭﺮﭘﻯﺍﻮﺘﺤﻣﺎﺑ،ﻎﻟﺎﺑﻯﺎﻫﻡﺮﭙﺳﺍ
ﻰﻌﻴﺒﻃﺮﻴﻏﻯﺎﻫﻡﺮﭙﺳﺍﺪﺻﺭﺩﻰﺳﺭﺮﺑﻪﻛﻰﻟﺎﺣﺭﺩ .ﺪﺷﺎﺑﻰﻣﺮﺛﻮﻣﺭﺎﻴﺴﺑﻝﺮﺘﻨﻛ
ﻪﺑﻩﺪﺷﻯﺯﺎﺳﺍﺪﺟﻯﺎﻫﻡﺮﭙﺳﺍﻪﺑﺖﺒﺴﻧDGCﺵﻭﺭﻪﺑﻩﺪﺷﻯﺯﺎﺳﺍﺪﺟ DNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓﻭﺪﻫﺩﻰﻣﻥﺎﺸﻧﺍﺭﻯﺭﺍﺩﻰﻨﻌﻣﺶﻫﺎﻛZetaﺵﻭﺭ TUNELﻚﻴﻨﻜﺗﻪﺳﺮﻫﺭﺩ Zetaﺵﻭﺭﻪﺑﻩﺪﺷﻯﺯﺎﺳﺍﺪﺟﻯﺎﻫﻡﺮﭙﺳﺍﺭﺩ
ﻩﺪﺷﻯﺯﺎﺳﺍﺪﺟﻯﺎﻫﻡﺮﭙﺳﺍﻪﺑﺖﺒﺴﻧﺍﺭﻯﺭﺍﺩﻰﻨﻌﻣﺶﻫﺎﻛAOﻭSCDﻭ
ﻥﺍﻮﺗﻰﻣﺐﻠﻄﻣﻦﻳﺍﻪﻴﺟﻮﺗﺭﺩ .(p<0/001) ﺪﻨﻫﺩﻰﻣﻥﺎﺸﻧDGCﺵﻭﺭﻪﺑ
ﻯﺍﺭﺍﺩﻻﺎﻤﺘﺣﺍﺮﺘﺸﻴﺑﻰﻟﺎﮕﭼﻯﺍﺭﺍﺩﻯﺎﻫﻡﺮﭙﺳﺍﻪﻛﺩﺮﻛﻩﺭﺎﺷﺍﻪﺘﻜﻧﻦﻳﺍﻪﺑ ﺭﺎﺑﻯﺍﺭﺍﺩﻯﺎﻫﻡﺮﭙﺳﺍﻪﺑﺖﺒﺴﻧﻰﻌﻴﺒﻃﺮﻴﻏﻯﺎﻫﻡﺮﭙﺳﺍﺯﺍﻯﺮﺗﻦﻴﻳﺎﭘﺪﺻﺭﺩ ﺪﺷﻩﺭﺎﺷﺍﺰﻴﻧﻦﻳﺍﺯﺍﺶﻴﭘﻪﭽﻧﺎﻨﭼﻪﻛﻰﻟﺎﺣﺭﺩ،ﺪﻨﺷﺎﺑﻰﻣﻰﻌﻴﺒﻃﻰﻜﻳﺮﺘﻜﻟﺍ ﻰﻜﻳﺮﺘﻜﻟﺍﺭﺎﺑﻩﺪﻨﻨﻛﺩﺎﺠﻳﺍﻯﺎﻫﻦﻴﺌﺗﻭﺮﭘﻮﻜﻴﻠﮔﻮﻟﺎﻴﺳﻦﻴﺑﻯﻮﻗﻁﺎﺒﺗﺭﺍﺩﻮﺟﻭ ﻥﺍﺰﻴﻣﻩﺪﻨﻫﺩﻥﺎﺸﻧﺪﻧﺍﻮﺗﻰﻣ،ﻡﺮﭙﺳﺍﻪﺘﺴﻫﻦﻴﺗﺎﻣﻭﺮﻛﺖﻣﻼﺳﻭﺎﺸﻏﺢﻄﺳ ﺵﻭﺭ ﻪﺑﻩﺪﺷ ﻯﺯﺎﺳﺍﺪﺟﻯﺎﻫﻡﺮﭙﺳﺍ ﺭﺩDNAﻥﻮﻴﺳﺎﺘﻨﻤﮔﺍﺮﻓ ﺮﺗﻦﻴﻳﺎﭘ
.ﺪﺷﺎﺑDGCﺵﻭﺭﻪﺑﺖﺒﺴﻧZeta
ﻯﺮﻴﮔ
ﻪﺠﻴﺘﻧ
ﻯﺯﺎﺳﺍﺪﺟﻪﺑﺭﺩﺎﻗﻯﺭﺍﺩﻰﻨﻌﻣﺭﻮﻃﻪﺑDGCﻭ Zetaﺵﻭﺭﻭﺩﺮﻫ
ﺎﺑ .ﺪﺷﺎﺑﻰﻣ ﻰﻌﻴﺒﻃ ﻦﻴﺗﺎﻣﻭﺮﻛ ﺭﺎﺘﺧﺎﺳ ﻭ ﻯژﻮﻟﻮﻓﺭﻮﻣ ﺎﺑ ﻯﺎﻫﻡﺮﭙﺳﺍ
ﻦﻳﺍ ﺯﺍ ﺶﻴﭘ ﻪﻛ ﻲﺗﺎﻌﻟﺎﻄﻣ ﻭ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﺯﺍ ﻞﺻﺎﺣﺞﻳﺎﺘﻧ ﻪﺑ ﻪﺟﻮﺗ ﺪﻨﻤﺷﺯﺭﺍ ،ﺖﺳﺍ ﻪﺘﻓﺮﮔ ﻡﺎﺠﻧﺍ DGCﻭ Zeta ﺵﻭﺭ ﻭﺩ ﻥﻮﻣﺍﺮﻴﭘ Centrifugationﺵﻭﺭﻭﺩﺮﻫﺯﺍﻰﺒﻴﻛﺮﺗﺕﺭﻮﺻﻪﺑﻪﻛﺩﻮﺑﺪﻫﺍﻮﺧ ﻰﻌﻴﺒﻃ ﻯﺎﻫﻡﺮﭙﺳﺍﻯﺯﺎﺳﺍﺪﺟﺖﻬﺟ ،Zeta ﻭ Density Gradient .ﺩﺩﺮﮔﻩﺩﺎﻔﺘﺳﺍ
ﺮﻜﺸﺗ
ﻭ
ﺮﻳﺪﻘﺗ
ﻯﺭﻭﺭﺎﺑﺎﻧﻭ ﻯﺭﻭﺭﺎﺑﺰﻛﺮﻣ ﻭﻥﺎﻳﻭﺭﻩﺪﻜﺸﻫﻭﮋﭘ ﻯﺭﺎﻜﻤﻫﺎﺑﻖﻴﻘﺤﺗﻦﻳﺍ ﻕﻮﻓﺰﻛﺍﺮﻣﻞﻨﺳﺮﭘﻭﻦﻴﻟﻮﺌﺴﻣﻪﻴﻠﻛﺯﺍﺍﺬﻟ .ﺖﺳﺍﻪﺘﻓﺮﮔﻡﺎﺠﻧﺍﻥﺎﻬﻔﺻﺍ
ﻩﺪﻜﺸﻫﻭﮋﭘﻂﺳﻮﺗﻖﻴﻘﺤﺗﻦﻳﺍﻪﺟﺩﻮﺑ .ﻢﻳﺭﺍﺩﺍﺭﻰﻧﺍﺩﺭﺪﻗﻭﺮﻜﺸﺗﻝﺎﻤﻛ .ﺪﻳﺩﺮﮔﺖﺧﺍﺩﺮﭘﻥﺎﻳﻭﺭ
References
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