Seminal Plasma Examination Test Result Agreements Using the WHO Manual Recommendation: With Semi-Automatic and Automatic Methods

Authors

  • William William Department of Medical Biology, School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia, Jakarta 14440, Indonesia.
  • Agustinus Agustinus Andrology Study Program, Faculty of Medicine Universitas Airlangga, Surabaya 60132, Indonesia. and Department of Medical Biology, Faculty of Medicine Universitas Airlangga, Surabaya 60132, Indonesia.
  • Hartono Kahar Department of Clinical Pathology, Faculty of Medicine Universitas Airlangga, Surabaya 60132, Indonesia.
  • Pety Narulita Andrology Study Program, Faculty of Medicine Universitas Airlangga, Surabaya 60132, Indonesia.
  • Ninik Darsini Department of Medical Biology, Faculty of Medicine Universitas Airlangga, Surabaya 60132, Indonesia.
  • Sri Musta’ina Department of Medical Biology, Faculty of Medicine Universitas Airlangga, Surabaya 60132, Indonesia.
  • Atika Atika Department of Public Health and Preventive Medicine, Faculty of Medicine Universitas Airlangga, Surabaya 60132, Indonesia.
  • Supardi Supardi Andrology Study Program, Faculty of Medicine Universitas Airlangga, Surabaya 60132, Indonesia.

DOI:

https://doi.org/10.31584/jhsmr.20241025

Keywords:

fructose, neutral alpha-glucosidase, plasma seminal biochemistry

Abstract

Objective: To analyze the suitability of the measurement results of neutral alpha-glucosidase and fructose in seminal plasma, between the manual method recommended by the World Health Organization (WHO) Sixth Edition and the semi-automatic method, using Biosystems BTS 350 and the automatic method using Biosystems A15.
Material and Methods: This study involved 47 subjects at the Andrology Outpatient Department of Dr. Soetomo General Academic Hospital; from October 2022 and February 2023. The measurement of neutral alpha-glucosidase and fructose levels in seminal plasma was conducted, via three different approaches: the manual method, as recommended by the WHO Sixth Edition, the semi-automatic Biosystems BTS 350, and the automatic Biosystems A15. The manual method recommended by the WHO Sixth Edition was employed as the reference system.
Results: The average disparity in neutral alpha-glucosidase levels among the manual method, as recommended by the WHO Sixth Edition, compared to the semi-automatic and automatic methods were recorded as: -1.0215 IU/l and-2.3428 IU/l, respectively. Similarly, the fructose levels exhibited differences of -2.1234 mmol/l and 2.2834 mmol/l. Notably, within the method comparisons, 44 values of neutral alpha-glucosidase levels fell within the limit of agreement, while fructose levels showed 44 and 45 values within the agreement limit.
Conclusion: The results obtained from the manual method, as recommended by the WHO Sixth Edition, demonstrated agreement with the measurements of neutral alpha-glucosidase and fructose obtained when using both the semiautomatic and automatic methods.

References

Zegers-Hochschild F, Adamson GD, Dyer S, Racowsky C, De Mouzon J, Sokol R, et al. 2017. The International Glossary on Infertility and Fertility Care. Fertil Steril 2017;108:393–406.

Babakhanzadeh E, Nazari M, Ghasemifar S, Khodadadian A. Some of the Factors Involved in Male Infertility: A Prospective Review. Int J Gen Med 2020;13:29-41.

Rodriguez-Martinez H, Martinez EA, Calvete JJ, Vega FJP, Roca J. Seminal plasma: relevant for fertility? Int J Mol Sci 2021;22:4368.

Li JP, Zhang XZ, Wu JG, Liang ZY, Tian YH, Chen C, et al. Seminal plasma neutral alpha-glucosidase activity as an early predictor of patency and natural pregnancy after microsurgical vasoepididymostomy. Andrologia 2019;51:e13235.

World Health Organization. WHO laboratory manual for the examination and processing of human semen, Sixth Edition. Geneva: World Health Organization; 2021.

Marconi M, Pilatz A, Wagenlehner F, Diemer T, Weidner W. Impact of infection on the secretory capacity of the male accessory glands. Int Braz J Urol 2009;35:299-308.

Li JP, Zhang XZ, Wu JG, Liang ZY, Tian YH, Chen C, et al. Seminal plasma neutral alpha-glucosidase activity as an early predictor of patency and natural pregnancy after microsurgical vasoepididymostomy. Andrologia 2019;51:e13235.

Lu JC, Xu HR, Huang YF. Determination of alpha-glucosidase activity in seminal plasma by semi-automatic biochemistry analyzer. Zhonghua Nan Ke Xue 2007;13:791-4.

Lu JC. Automatic detection and clinical application of semen biochemical markers. Zhonghua Nan Ke Xue 2018;24:291-6.

Biosystems SA. α-Glucosidase. Barcelona: Biosystems S.A.; 2021.

Biosystems SA. Fructose. Barcelona: Biosystems S.A.; 2015.

Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. The Lancet 1986;1:307-10.

Levitas E, Lunenfeld E, Weisz N, Friger M, Potashnik G. Relationship between age and semen parameters in men with normal sperm concentration: analysis of 6022 semen samples. Andrologia 2007;39:45-50.

Kumar N, Singh AK, Choudhari AR. Impact of age on semen parameters in male partners of infertile couples in a rural tertiary care center of central India: a cross-sectional study. Int J Reprod Biomed 2017;15:497-502.

Eertmans F, Bogaert V, Van Poecke T, Puype B. An improved neutral α-Glucosidase assay for assessment of epididymal function—validation and comparison to the WHO method. Diagnostics 2014;4:1-11.

Chitra V, Tamilselvan G, Enoch IVMV, Paulraj MS. Phenol Sensing Studies by 4-Aminoantipyrine Method–A Review. Organic & Medicinal Chem IJ 2018;5:555657.

Fernando CD, Soysa P. Optimized enzymatic colorimetric assay for determination of hydrogen peroxide (H2O2) scavenging activity of plant extracts. MethodsX 2015;2:283-91.

Dias AJ, Maia MS, Retamal CA, López ML. Identification and partial characterization of alpha-1,4-glucosidase activity in equine epididymal fluid. Theriogenology 2004;61:1545-58.

Rifai N. Tietz Textbook of Clinical Chemistry and Molecular Diagnostics. 6th Ed. Philadelphia: Saunders; 2018.

Gutka HJ, Wolf NM, Bondoc JMG, Movahedzadeh F. Enzymatic characterization of fructose 1,6-bisphosphatase II from francisella tularensis, an essential enzyme for pathogenesis. Appl Biochem Biotechnol 2017;183:1439-54.

Al-Mhanna NM, Huebner H, Buchholz R. Analysis of the sugar content in food products by using gas chromatography mass spectrometry and enzymatic methods. Foods 2018;7:185.

Stincone A, Prigione A, Cramer T, Wamelink MM, Campbell K, Cheung E, et al. The return of metabolism: biochemistry and physiology of the pentose phosphate pathway. Biol Rev Camb Philos Soc 2015;90:927-63.

De Jong AM, Van Royen-Kerkhof A, Schouten MCM, De Vooght KMK. Method validation for human seminal plasma fructose determination. J Appl Lab Med 2016;1:90-1.

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Published

2024-03-28

How to Cite

1.
William W, Agustinus A, Kahar H, Narulita P, Darsini N, Musta’ina S, Atika A, Supardi S. Seminal Plasma Examination Test Result Agreements Using the WHO Manual Recommendation: With Semi-Automatic and Automatic Methods. J Health Sci Med Res [Internet]. 2024 Mar. 28 [cited 2024 Dec. 23];42(3):e20241025. Available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/269915

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