Ebru Etem Önalan, Sebnem Nur Keke Urhan, Ahmet Karakeci, Berna Ozdem, Ilay Buran Kavuran
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引用次数: 0
Abstract
Purpose: Autophagy is a critical intracellular degradation pathway involved in cellular homeostasis and spermatogenesis. Long noncoding RNAs (lncRNAs) regulate autophagy-related signaling; however, their role in male infertility remains unclear. This study aimed to evaluate the association between autophagy-related lncRNAs, oxidative DNA damage, and sperm abnormalities in infertile men.
Methods: A total of 120 men were included: 30 fertile controls, 30 with asthenospermia (AS), 30 with teratospermia (TS), and 30 with oligoasthenoteratozoospermia (OATS). Expression levels of autophagy-related lncRNAs and protein-coding genes were quantified using real-time PCR. LC3 protein expression was assessed by Western blot, and sperm 8-hydroxy-2'-deoxyguanosine (8-OHdG) levels were measured by ELISA. Statistical analyses included ANOVA, correlation analysis, and receiver operating characteristic (ROC) curve analysis.
Results: Autophagy-related lncRNAs (H19, HOTAIR, MALAT1, NBR2, HULC, and ROR) and key autophagy markers (ATG7 and LC3) were significantly upregulated predominantly in the OATS group compared with controls and other groups (p < 0.05). LC3 protein levels were also significantly increased in OATS. Sperm 8-OHdG levels were significantly elevated in both AS and OATS groups. Correlation analyses revealed significant associations between hormone levels (FSH, LH, and prolactin) and lncRNA expression, particularly in the OATS group. ROC analysis demonstrated moderate discrimination for OATS versus other groups (AUC = 0.754) and excellent discrimination for OATS versus controls (AUC = 0.902).
Conclusion: Dysregulation of autophagy-related lncRNAs and increased oxidative DNA damage are strongly associated with severe sperm abnormalities. The observed molecular alterations may represent either contributors to sperm dysfunction or adaptive responses to oxidative stress. Combined evaluation of these markers showed promising discriminatory performance, although validation in larger independent cohorts is required before clinical application.
期刊介绍:
The Journal of Assisted Reproduction and Genetics publishes cellular, molecular, genetic, and epigenetic discoveries advancing our understanding of the biology and underlying mechanisms from gametogenesis to offspring health. Special emphasis is placed on the practice and evolution of assisted reproduction technologies (ARTs) with reference to the diagnosis and management of diseases affecting fertility. Our goal is to educate our readership in the translation of basic and clinical discoveries made from human or relevant animal models to the safe and efficacious practice of human ARTs. The scientific rigor and ethical standards embraced by the JARG editorial team ensures a broad international base of expertise guiding the marriage of contemporary clinical research paradigms with basic science discovery. JARG publishes original papers, minireviews, case reports, and opinion pieces often combined into special topic issues that will educate clinicians and scientists with interests in the mechanisms of human development that bear on the treatment of infertility and emerging innovations in human ARTs. The guiding principles of male and female reproductive health impacting pre- and post-conceptional viability and developmental potential are emphasized within the purview of human reproductive health in current and future generations of our species.
The journal is published in cooperation with the American Society for Reproductive Medicine, an organization of more than 8,000 physicians, researchers, nurses, technicians and other professionals dedicated to advancing knowledge and expertise in reproductive biology.