Association Between Zinc Levels and the Impact of Its Deficiency on Idiopathic Male Infertility: An Up-to-Date Review.

IF 6 2区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY
Nebojša Zečević, Aleksandra Veselinović, Milan Perović, Aleksandar Stojsavljević
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引用次数: 0

Abstract

Background: Zinc (Zn) is an essential metal that plays a critical role in normal testicular development, spermatogenesis, prevention of sperm degradation, and overall male fertility. This review aims to offer a comprehensive and current overview of seminal plasma Zn levels in fertile men worldwide. It also aims to compare Zn levels in seminal plasma and blood (serum/plasma) between infertile men (cases) and fertile men (controls), examine the impact of Zn on sperm quality and the reproductive hormone, and highlight the effects of Zn supplementation therapy in male infertility.

Methods: To achieve these goals, peer-reviewed studies from 2000 to 2024 were interrogated with regard to strict inclusion/exclusion criteria and were then thoroughly reviewed and analyzed.

Results: Our findings indicate that maintaining optimal seminal plasma Zn levels is crucial, as low Zn levels are linked to impaired spermatogenesis and male infertility, while high Zn levels can cause oxidative stress and other changes that contribute to infertility. Seminal plasma Zn levels from 100 to 200 mg/L among fertile men worldwide can be roughly considered safe. Comparative analysis showed that a greater number of studies reported lower levels of seminal Zn in cases than in controls. Research into the impact of Zn levels in seminal plasma has shown that, although the results are not yet conclusive, altered (non-normal) Zn levels could influence semen parameters-particularly motility, morphology, and sperm count-and the level of the reproductive hormone, testosterone. Zinc-deficient infertile men could benefit from supplement therapy.

Conclusions: Assessment of seminal plasma Zn levels in infertile men could provide valuable information and aid in diagnosis and treatment planning.

锌水平与缺乏症对特发性男性不育症的影响之间的关系:最新综述。
背景:锌(Zn)是一种重要的金属,在正常睾丸发育、精子发生、防止精子退化和男性整体生育能力中起着至关重要的作用。这篇综述的目的是提供一个全面的和当前的概述精浆锌水平在全世界有生育能力的男性。比较不育男性(病例)和可育男性(对照组)精浆和血液(血清/血浆)锌水平,研究锌对精子质量和生殖激素的影响,并强调锌补充治疗在男性不育症中的作用。方法:根据严格的纳入/排除标准对2000年至2024年的同行评议研究进行询问,并对其进行全面的回顾和分析。结果:我们的研究结果表明,维持最佳的精浆锌水平是至关重要的,因为低锌水平与精子发生受损和男性不育有关,而高锌水平会引起氧化应激和其他导致不育的变化。全世界有生育能力的男性的精浆锌水平在100到200毫克/升之间大致可以被认为是安全的。比较分析表明,大量的研究报告了病例中精液锌水平低于对照组。对精浆中锌水平影响的研究表明,尽管结果尚未定论,但改变(非正常)锌水平可能会影响精液参数——尤其是活力、形态和精子数量——以及生殖激素——睾丸激素的水平。缺锌不育男性可以从补充疗法中获益。结论:评价男性不孕症患者精浆锌水平可为诊断和制定治疗方案提供有价值的信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Antioxidants
Antioxidants Biochemistry, Genetics and Molecular Biology-Physiology
CiteScore
10.60
自引率
11.40%
发文量
2123
审稿时长
16.3 days
期刊介绍: Antioxidants (ISSN 2076-3921), provides an advanced forum for studies related to the science and technology of antioxidants. It publishes research papers, reviews and communications. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced. Electronic files and software regarding the full details of the calculation or experimental procedure, if unable to be published in a normal way, can be deposited as supplementary electronic material.
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