Abstract:Objective To observe the phenomenon of autophagy and mitophaghy of ejaculated sperm in the male patients with asthenospermia (AZS), and to determine the role of mitochondria and their autophagy among patients with different level of AZS in China. Methods According to the WHO manual (the 5th edition), published in 2010, semen samples were collected from the Andrology clinics in the People’s hospital which were affiliated to Hubei University of Medicine, and were divided into 4 group, the normal control group, mild group, moderate group and severe group (30 cases in each group). Electron microscope detection was performed to analyze the number and morphology of mitochondria and the distribution of autophagosomes in the sperm of each group. Western blotting method was used to judge the expression of TOM20, LC3 and other proteins related to mitochondrial autophagy. LC3 and mitochondrial fluorescence spots in sperm were detected by confocal laser microscopy to exam if autophagy in sperm is the idiopathic mitochondrial autophagy. Results In different degree of asthenospermia, the distribution of mitochondria and the degree of autophagy were different, they had the characteristics of CO location, and they were negatively correlated with the degree of asthenospermia (P?0.05). Conclusions Mitochondrial autophagy is an active process in human sperm. The activation of autophagy plays an active role in human sperm physiological activities, maintaining and regulating sperm motility.