Metabolism in Male Reproductive Aging.

Advances in geriatric medicine and research Pub Date : 2021-01-01 Epub Date: 2021-01-12 DOI:10.20900/agmr20210005
Ralph G Meyer, Mirella L Meyer-Ficca
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Abstract

Similar to female reproductive health, male reproductive health declines with increasing age, albeit in a more gradual way. In the US, the average age of first-time fathers has been steadily increasing since 1980. This is concerning because increasing paternal age is positively correlated with reduced sperm chromatin quality and higher numbers of DNA strand breaks (DNA sb), which negatively affects pregnancy outcome and child development. While underlying reasons are not well understood, one of the well-known hallmarks of aging is a significant decline of body nicotinamide adenine dinucleotide (NAD) levels. We propose that low body-wide NAD levels provide a plausible explanation for metabolic alterations that are associated with declining hormonal production and testicular volume, as well as reduced sperm quality in aging men.

Abstract Image

男性生殖衰老过程中的新陈代谢。
与女性生殖健康类似,男性生殖健康也会随着年龄的增长而下降,尽管下降的方式更为渐进。在美国,初为人父的平均年龄自 1980 年以来一直在稳步上升。这令人担忧,因为父亲年龄的增加与精子染色质质量下降和 DNA 断裂(DNA sb)数量增加呈正相关,从而对妊娠结果和儿童发育产生负面影响。虽然其根本原因尚不清楚,但众所周知,衰老的标志之一是体内烟酰胺腺嘌呤二核苷酸(NAD)水平的显著下降。我们认为,体内烟酰胺腺嘌呤二核苷酸(NAD)水平低可以合理地解释与荷尔蒙分泌和睾丸体积下降以及老年男性精子质量下降相关的新陈代谢变化。
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