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The Association between Serum Vitamin D Levels and Male Fertility: A Systematic Review and Meta-Analysis 血清维生素D水平与男性生育能力之间的关系:一项系统综述和荟萃分析
IF 2.1 4区 医学
Andrologia Pub Date : 2023-08-12 DOI: 10.1155/2023/9002938
Teng-Fei Yan, Ju-Ju Qi, Li-Xin Li, Feng Li
{"title":"The Association between Serum Vitamin D Levels and Male Fertility: A Systematic Review and Meta-Analysis","authors":"Teng-Fei Yan,&nbsp;Ju-Ju Qi,&nbsp;Li-Xin Li,&nbsp;Feng Li","doi":"10.1155/2023/9002938","DOIUrl":"10.1155/2023/9002938","url":null,"abstract":"<div>\u0000 <p><i>Objective</i>. The probable relationship between serum vitamin D levels and male fertility is being increasingly investigated; however, the findings have been controversial. This review dealt with assessing the relationship between serum vitamin D levels and male fertility and sperm quality by executing systematic review and meta-analysis of the published data. <i>Methods</i>. The meta-analysis was executed as per the PRISMA 2020 statement. The protocol was registered with PROSPERO (CRD42022327583). Relevant literature was retrieved by searching online databases, including Embase, Scopus, PubMed, Web of Science, and the Cochrane Library, up to December 1st, 2022. Additionally, Google Scholar was searched to assess relevant articles. To ensure a more comprehensive review, unpublished articles, gray literature, and references of suitable articles were also assessed to find additional eligible publications. The articles that satisfied the inclusion criteria were evaluated for their quality using the Joanna Briggs Institute Critical Appraisal Tool. Meta-analysis was conducted through STATA 12. <i>Results</i>. Twenty-four articles, comprising 7,345 participants in total, were chosen for the systematic review and meta-analysis. The resulting data indicated that serum vitamin D levels infertile males were remarkably elevated compared with that in infertile males (weighted mean difference (WMD) = 7.06, 95% confidence interval (95% CI) = 2.51–11.62, <i>P</i> = 0.002), and its deficiency (&lt;20 ng/mL or 50 nmol/L) significantly reduced sperm concentration (WMD = 8.54, 95% CI = 4.01–13.06, <i>P</i> &lt; 0.001), total sperm count (WMD = 14.43, 95% CI = 1.30–27.55, <i>P</i> = 0.031), sperm motility (WMD = 6.40, 95% CI = 3.15–9.64, <i>P</i> &lt; 0.001), sperm progressive motility (WMD = 5.00, 95% CI 1.09–8.92, <i>P</i> = 0.012), and altered sperm morphology (WMD = 0.74, 95% CI = 0.20–1.27, <i>P</i> = 0.007). The data analysis determined that vitamin D did not remarkably influence sperm volume (WMD = 0.17; 95% CI = −0.00–0.34; <i>P</i> = 0.050). <i>Conclusion</i>. The acquired data implied that serum vitamin D is significantly associated with male fertility and sperm quality. This finding holds crucial implications for patients suffering from male infertility.</p>\u0000 </div>","PeriodicalId":7817,"journal":{"name":"Andrologia","volume":"2023 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/9002938","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48036503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Microsurgical Varicocelectomy: Experience of Our Sub-Subinguinal Approach and Review of the Literature 显微手术精索静脉曲张切开术:腹股沟下入路经验及文献复习
IF 2.1 4区 医学
Andrologia Pub Date : 2023-07-27 DOI: 10.1155/2023/9937114
Hanchao Liu, Rui Chen, Xiaolong Wu, Mingxiao Zhang, Zhengzheng Li, Lin Hua, Junfeng Zhan, Biao Dong, Zhenqing Wang, Zhuolun Sun, Xiaotao Li, Jiaqin Liu, Xiaodong Wang, Ming Shen, Chong Xie, Zhuanxin Jiang
{"title":"Microsurgical Varicocelectomy: Experience of Our Sub-Subinguinal Approach and Review of the Literature","authors":"Hanchao Liu,&nbsp;Rui Chen,&nbsp;Xiaolong Wu,&nbsp;Mingxiao Zhang,&nbsp;Zhengzheng Li,&nbsp;Lin Hua,&nbsp;Junfeng Zhan,&nbsp;Biao Dong,&nbsp;Zhenqing Wang,&nbsp;Zhuolun Sun,&nbsp;Xiaotao Li,&nbsp;Jiaqin Liu,&nbsp;Xiaodong Wang,&nbsp;Ming Shen,&nbsp;Chong Xie,&nbsp;Zhuanxin Jiang","doi":"10.1155/2023/9937114","DOIUrl":"10.1155/2023/9937114","url":null,"abstract":"<div>\u0000 <p><i>Objective</i>. To discuss the experience with a novel surgical approach in the treatment of varicocele for fertility or pain in 772 patients. <i>Methods</i>. Retrospective analysis of 772 patients undergoing microsurgical sub-subinguinal (SSI) varicocelectomy in our hospital and the discussion of historical surgical approaches. <i>Results</i>. A total of 690 patients with left varicocele underwent surgical treatment for infertility (<i>n</i> = 519) and pain (<i>n</i> = 171). The sperm concentrations (mean ± standard deviation (SD)) of 519 patients measured preoperatively, 6 months postoperatively, and 12 months postoperatively were 19.24 ± 3.69 (10<sup>6</sup>/ml), 27.42 ± 10.32 (10<sup>6</sup>/ml), and 34.20 ± 16.29 (10<sup>6</sup>/ml) (<i> </i><sup>∗∗</sup><i>P</i> &lt; 0.01), respectively. The sperm motilities (mean ± SD) of 519 patients measured preoperatively, 6 months postoperatively, and 12 months postoperatively were 13.78 ± 3.25, 20.98 ± 8.21, and 27.59 ± 13.71 (grade (a + b) %) (<i> </i><sup>∗∗</sup><i>P</i> &lt; 0.01), respectively. Pain was released surgically in 131 (76.6%) of the 171 patients. A total of 82 patients with bilateral varicocele underwent surgical treatment for infertility (<i>n</i> = 58) and pain (<i>n</i> = 24). The sperm concentrations (mean ± SD) of 58 patients measured preoperatively, 6 months postoperatively, and 12 months postoperatively were 19.21 ± 3.24 (10<sup>6</sup>/ml), 27.36 ± 10.26 (10<sup>6</sup>/ml), and 33.87 ± 15.20 (10<sup>6</sup>/ml) (<i> </i><sup>∗∗</sup><i>P</i> &lt; 0.01), respectively. The sperm motilities (mean ± SD) of 58 patients measured preoperatively, 6 months postoperatively, and 12 months postoperatively were 13.54 ± 2.75, 20.75 ± 8.21, and 28.53 ± 14.83 (grade (a + b) %) (<i> </i><sup>∗∗</sup><i>P</i> &lt; 0.01), respectively. Pain was released surgically in 19 (79.2%) of the 24 patients. The probability of occurrence in one artery, two arteries, three arteries, and more than three arteries was 29.5%, 28.8%, 19.9%, and 1.9%, respectively. <i>Conclusion</i>. This surgical approach achieves a small and esthetic skin wound with fewer complications. The SSI approach is a safe and widely adopted surgical approach option for the treatment of varicocele.</p>\u0000 </div>","PeriodicalId":7817,"journal":{"name":"Andrologia","volume":"2023 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/9937114","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46675107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Protective Effects of Trametes Versicolor on Arsenic-Induced Male Reproductive Toxicity through Regulation of Oxidative Stress: A Biochemical and Histopathological Survey 通过调节氧化应激对砷诱导的雄性生殖毒性的保护作用:生化和组织病理学研究
IF 2.1 4区 医学
Andrologia Pub Date : 2023-07-05 DOI: 10.1155/2023/7579366
Fatemeh Solaimani, Emran Habibi, Maryam Ghasemi, Saba Mahboubi, Ehsan Zamani, Fatemeh Shaki
{"title":"The Protective Effects of Trametes Versicolor on Arsenic-Induced Male Reproductive Toxicity through Regulation of Oxidative Stress: A Biochemical and Histopathological Survey","authors":"Fatemeh Solaimani,&nbsp;Emran Habibi,&nbsp;Maryam Ghasemi,&nbsp;Saba Mahboubi,&nbsp;Ehsan Zamani,&nbsp;Fatemeh Shaki","doi":"10.1155/2023/7579366","DOIUrl":"10.1155/2023/7579366","url":null,"abstract":"<div>\u0000 <p>Exposure to arsenic is linked to a wide range of diseases, in particular male reproductive toxicities. <i>Trametes versicolor</i> is a traditional medicinal fungus with a remarkable potential for antioxidant activity. The purpose of this study was to examine the ameliorating effects of water and methanol extracts of <i>T. versicolor</i> on arsenic-induced male reproductive toxicities via the abrogation of oxidative stress. The mice were divided as follows: control: normal saline, As: arsenic (15 mg/kg), WE: water extract (400 mg/kg), ME: methanol extract (400 mg/kg), As + WE: arsenic (15 mg/kg) + water extract (100, 200, 400 mg/kg), As + ME: arsenic (15 mg/kg) + methanol extract (100, 200, 400 mg/kg), and positive control: arsenic (15 mg/kg) + vitamin C (500 mg/kg). Animals were treated via the intraperitoneal route. About 24 hr later, the mice were euthanized, and oxidative stress parameters (reactive oxygen species [ROS], lipid peroxidation, glutathione concentration, protein carbonylation, glutathione peroxidase, and superoxide dismutase activity), histopathological changes and sperm parameters (count, motility, and morphology) were examined in the testicular tissue. Arsenic caused significant pathological changes in the testicular tissue and sperm morphology and significantly reduced sperm count and motility. Moreover, arsenic mediated oxidative stress via significant increases in ROS generation, lipid peroxidation, and protein carbonyl content, as well as significant depletion in glutathione concentration and superoxide dismutase and glutathione peroxidase activities. Although, coadministration of water and methanol extracts of <i>T. versicolor</i> at 200 and 400 mg/kg counteracted arsenic-induced oxidative and histopathological damages and improved sperm parameters. Our study indicated that <i>T. versicolor</i> ameliorated arsenic-induced testis toxicity and sperm dysfunction via attenuation of oxidative damage.</p>\u0000 </div>","PeriodicalId":7817,"journal":{"name":"Andrologia","volume":"2023 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/7579366","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64799090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exogenous Ascorbate Administration Elevates Testicular Oxidative Damage and Histological Injuries in Rats after Busulfan Treatment 外源性维生素C给药可减轻Busulan治疗后大鼠睾丸氧化损伤和组织学损伤
IF 2.1 4区 医学
Andrologia Pub Date : 2023-06-30 DOI: 10.1155/2023/5209480
Ogechukwu O. Ezim, Sunny O. Abarikwu
{"title":"Exogenous Ascorbate Administration Elevates Testicular Oxidative Damage and Histological Injuries in Rats after Busulfan Treatment","authors":"Ogechukwu O. Ezim,&nbsp;Sunny O. Abarikwu","doi":"10.1155/2023/5209480","DOIUrl":"10.1155/2023/5209480","url":null,"abstract":"<div>\u0000 <p>Several anticancer drugs are coadministered with ascorbate (ASCB) to complement their cytotoxic effects. However, it is not known if the treatment regimen prevents collateral oxidative damage to non-target sites. The current study evaluated the effect of ASCB cotreatment on the testes of young adult rats treated with an anticancer drug, busulfan (BUS). About 40 Wistar rats were arbitrarily assigned into four groups (<i>N</i> = 10), namely, control (&lt;0.2% dimethyl sulfoxide vehicle), BUS (4 mg/kg b.w.; intraperitoneally for 4 days), BUS + ASCB (4 mg BUS/kg b.w. for 4 days + 100 mg ASCB/kg b.w.; intraperitoneally for 14 days and 7 days prior to start of BUS injection), and ASCB (100 mg/kg b.w.; intraperitoneally for 21 days). At the end of study, ASCB + BUS cotreatment reduced spermatogenesis score index, superoxide dismutase activity, total ASCB and decreased hydrogen peroxide level, and elevated catalase activity and nitrite concentration much more than treatment with BUS alone (<i>P</i> &lt; 0.05). Other observations included elevated malondialdehyde level, DNA damage, and diminished glutathione concentration in the testes of BUS + ASCB animals. Interestingly, ASCB administration raised testicular ASCB concentration beyond the control values (<i>P</i> &lt; 0.05) and the antioxidant status of the testes. Histological aberrations included many single layers of germ cells, shrinked tubules, and vacuolated structures in the epithelium of BUS + ASCB, similar to those of BUS-treated animals. In conclusion, BUS treatment deregulated the redox status of the testes and caused a dramatic consumption of ASCB which were enhanced by exogenous ASCB resulting to testicular damage.</p>\u0000 </div>","PeriodicalId":7817,"journal":{"name":"Andrologia","volume":"2023 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/5209480","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47130952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of CatSper Stimulation and Inhibition by Progesterone and NNC on Human Sperm 黄体酮和NNC对人精子CatSper的刺激和抑制作用
IF 2.1 4区 医学
Andrologia Pub Date : 2023-06-23 DOI: 10.1155/2023/7826956
Setareh Maleki, Sara Keshtgar, Bahareh Ebrahimi, Hedie Matavos-Aramyan, Narges Karbalaei, Fatemeh Masjedi
{"title":"Effects of CatSper Stimulation and Inhibition by Progesterone and NNC on Human Sperm","authors":"Setareh Maleki,&nbsp;Sara Keshtgar,&nbsp;Bahareh Ebrahimi,&nbsp;Hedie Matavos-Aramyan,&nbsp;Narges Karbalaei,&nbsp;Fatemeh Masjedi","doi":"10.1155/2023/7826956","DOIUrl":"10.1155/2023/7826956","url":null,"abstract":"<div>\u0000 <p>Calcium ion enters the sperm through a specific calcium channel, CatSper. This voltage-sensitive channel is stimulated by intracellular alkalization and progesterone. This study is aimed at investigating the effects of CatSper inhibition or stimulation on sperm motility, viability, and sperm function regulators such as mitochondrial membrane potential (MMP), ATP, and reactive oxygen species (ROS) production. This study was performed on 30 semen samples of fertile volunteers, referred to Shiraz Fertility Center. The semen samples were diluted to 20 × 10<sup>6</sup> sperm/mL. The samples were divided randomly into control, solvent, progesterone (10 <i>μ</i>M), NNC (2 <i>μ</i>M), and NNC+progesterone groups. Sperm kinematics, viability, MMP, ATP content, and the amount of ROS production were assessed using VT-SPERM3.1, eosin staining, JC1 flow cytometry, bioluminescence, and chemiluminescence methods, respectively. Sperm viability and total and progressive motility were significantly decreased in the NNC and NNC+progesterone groups. The amplitude of lateral head displacement (ALH) and curvilinear velocity (VCL) was reduced in the NNC-containing groups. These parameters did not change in the progesterone group. ROS production by viable spermatozoa in the NNC and NNC+progesterone groups was significantly higher than the controls. MMP and ATP content did not show any significant difference with controls in none of the experimental groups. NNC inhibits the CatSper and reduces human sperm motility and viability. These harmful NNC effects were not due to their impact on MMP or ATP production but are likely because of intracellular calcium reduction and higher ROS production. Progesterone at 10 <i>μ</i>M concentration had no significant effect and may not be a considerable stimulator for CatSper.</p>\u0000 </div>","PeriodicalId":7817,"journal":{"name":"Andrologia","volume":"2023 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/7826956","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44664696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dimethyl Fumarate Protects Rats against Testicular Ischemia–Reperfusion Injury 富马酸二甲酯对大鼠睾丸缺血再灌注损伤的保护作用
IF 2.1 4区 医学
Andrologia Pub Date : 2023-06-15 DOI: 10.1155/2023/7086044
Atsushi Onishi, Koji Chiba, Shun Kawamura, Katsuya Sato, Yasuhiro Kaku, Keisuke Okada, Masato Fujisawa
{"title":"Dimethyl Fumarate Protects Rats against Testicular Ischemia–Reperfusion Injury","authors":"Atsushi Onishi,&nbsp;Koji Chiba,&nbsp;Shun Kawamura,&nbsp;Katsuya Sato,&nbsp;Yasuhiro Kaku,&nbsp;Keisuke Okada,&nbsp;Masato Fujisawa","doi":"10.1155/2023/7086044","DOIUrl":"10.1155/2023/7086044","url":null,"abstract":"<div>\u0000 <p>Ischemia–reperfusion injury (IRI) after testicular torsion is linked to significant damage in testicular tissue. Dimethyl fumarate (DMF) activates the nuclear factor erythroid 2-related factor 2 (Nrf2) signaling pathway, thereby inducing antioxidant and anti-inflammatory effects. We analyzed the usefulness of DMF in preventing IRI following testicular torsion/detorsion in Sprague-Dawley rats (<i>n</i> = 32). The animals were classified into control (sham), DMF (200 mg/kg/day), IRI, and IRI+DMF (IRI with 200 mg/kg/day DMF) groups. Testicular IRI was induced by detorsion after 1.5 h of torsion. DMF was administered via oral gavage daily from 1 h before testicular detorsion until day 7, when orchiectomy was performed. The testis-to-body weight ratio was calculated. Histopathological evaluation was performed using the Johnsen and Cosentino scores for seminiferous tubules. Malondialdehyde, superoxide dismutase, and total glutathione levels were determined in testicular tissues. Moreover, Nrf2, heme oxygenase 1 (HO-1), NAD(P)H quinone dehydrogenase 1 (NQO1), nuclear factor kappa B (NF-<i>κ</i>B), and inflammatory cytokine (interleukin 1b (IL1b), IL6, and tumor necrosis factor alpha (TNF-<i>α</i>)) levels were determined through quantitative polymerase chain reaction. Nuclear Nrf2 and cytoplasmic HO-1 and NQO1 protein levels were also evaluated. DMF significantly improved the testis-to-body weight ratio and reduced histopathological damage in the testes. Moreover, it significantly improved the concentration of malondialdehyde, superoxide dismutase, and total glutathione. Furthermore, it inhibited NF-<i>κ</i>B and inflammatory cytokine mRNA expression compared with the findings obtained in untreated rats with IRI (all <i>p</i> &lt; 0.05). Nrf2, HO-1, and NQO1 expressions (mRNA and protein) were markedly elevated following DMF treatment in rats with IRI (all <i>p</i> &lt; 0.05). DMF administration activated the Nrf2 signaling pathway and induced antioxidant and anti-inflammatory effects, thereby improving IRI-induced testicular damage. Thus, DMF may prevent IRI following testicular torsion.</p>\u0000 </div>","PeriodicalId":7817,"journal":{"name":"Andrologia","volume":"2023 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/7086044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42792938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predicting Micro-TESE among Heterogeneous Nonobstructive Azoospermic Patients: The Impact on Surgical Decision and ICSI 预测异质性非梗阻性无精子症患者的微小TESE:对手术决策和ICSI的影响
IF 2.1 4区 医学
Andrologia Pub Date : 2023-05-31 DOI: 10.1155/2023/4825062
Ruhui Tian, Jing Zhang, Yuan Xu, Shiwei Liu, Cunzhong Deng, Huixing Chen, Peng Li, Yuhua Huang, Erlei Zhi, Guihua Liu, Guihua Sun, Xiaoyan Liang, Fujun Zhao, Yu Wu, Chencheng Yao, Weituo Zhang, Zheng Li
{"title":"Predicting Micro-TESE among Heterogeneous Nonobstructive Azoospermic Patients: The Impact on Surgical Decision and ICSI","authors":"Ruhui Tian,&nbsp;Jing Zhang,&nbsp;Yuan Xu,&nbsp;Shiwei Liu,&nbsp;Cunzhong Deng,&nbsp;Huixing Chen,&nbsp;Peng Li,&nbsp;Yuhua Huang,&nbsp;Erlei Zhi,&nbsp;Guihua Liu,&nbsp;Guihua Sun,&nbsp;Xiaoyan Liang,&nbsp;Fujun Zhao,&nbsp;Yu Wu,&nbsp;Chencheng Yao,&nbsp;Weituo Zhang,&nbsp;Zheng Li","doi":"10.1155/2023/4825062","DOIUrl":"10.1155/2023/4825062","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Previously published predictive models for microdissection testicular sperm extraction (micro-TESE) were generally assumed patients with nonobstructive azoospermia (NOA) a homogenous population, i.e., the laboratory predictors were associated with sperm retrieval rate (SRR) in a similar way among different subpopulations. In addition, previous studies primarily regarded the success of sperm retrieval as the sole endpoint, although live birth is the ultimate goal for the couples. <i>Objectives</i>. The main objective is to develop and evaluate the clinical benefit of a model predicting the clinical outcome of micro-TESE in heterogeneous population with NOA. The outcome of pregnancy was taken into account via assessing the association between the predicted outcome of micro-TESE and pregnancy. <i>Materials and Methods</i>. A development cohort of 1,292 patients with NOA and an external validation cohort of 530 patients were included. Sperm retrieval was performed using micro-TESE. Clinical outcomes, including sperm retrieval, clinical pregnancy, and live birth, were collected. We developed a model using the machine learning method random forest and provided a web-based calculator. <i>Results</i>. The SRR was 38.1% (492/1,292) in the development cohort and 48.5% (257/530) in the validation cohort. The final model includes etiology, AMH, sperm retrieval surgical history, testicular volume, FSH, LH, and age as predictors (ordered by variable importance). The area under the curve of our model was 0.76 (0.74–0.79) in the development cohort and 0.75 (0.71–0.79) in the external validation cohort. The decision curve analysis showed that personalized model-based surgical decision provides additional clinical benefit. The clinical pregnancy rate (CPR) and cumulative live birth rate (CLBR) were 45.3% (405/895) and 57.6% (338/587), respectively, in the overall population. For patients of different SRR, the CPR and CLBR of whom had successful sperm retrieval were similar. <i>Discussion and Conclusion</i>. Our model predicting the SRR of micro-TESE was generalizable and easy to use. Predicted pregnancy outcomes like CPR and CLBR could also be derived from predicted SRR. A model-based surgical decision after personalized consultation would be beneficial to patients with NOA.</p>\u0000 </div>","PeriodicalId":7817,"journal":{"name":"Andrologia","volume":"2023 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/4825062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47741196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Based on Network Pharmacology-Quercetin, a Component of Fuzheng Yiliu Decoction Suppressed Prostate Cancer by Regulating PI3K/AKT Pathway 基于网络药理学的扶正益流汤成分槲皮素通过调控PI3K/AKT通路抑制前列腺癌
IF 2.1 4区 医学
Andrologia Pub Date : 2023-05-27 DOI: 10.1155/2023/1445953
Wei Fu, Lei Xu, Yingwen Chen, Xuyao Lin, Gaoli Hao, Chenxi Li, Hongying Li, Zezheng Zhang, Shuchao Chen, Xujun You, Qixin Li
{"title":"Based on Network Pharmacology-Quercetin, a Component of Fuzheng Yiliu Decoction Suppressed Prostate Cancer by Regulating PI3K/AKT Pathway","authors":"Wei Fu,&nbsp;Lei Xu,&nbsp;Yingwen Chen,&nbsp;Xuyao Lin,&nbsp;Gaoli Hao,&nbsp;Chenxi Li,&nbsp;Hongying Li,&nbsp;Zezheng Zhang,&nbsp;Shuchao Chen,&nbsp;Xujun You,&nbsp;Qixin Li","doi":"10.1155/2023/1445953","DOIUrl":"10.1155/2023/1445953","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Fuzheng Yiliu decoction (FZYLD) was a traditional prescription with an antitumor effect. We aimed to explore the antitumor effect of FZYLD and its active ingredient, quercetin, on prostate cancer (PCa). <i>Methods</i>. The effective components and potential targets of FZYLD were obtained from the TCMSP, Herb, and Batman databases. The relationship between the active compounds of FZYLD and PCa’s potential targets or pathways was analyzed by Cytoscape 3.8.0 software and the String database. The compound composition of FZYLD was detected by HPLC. The effects of quercetin, with the most effective active ingredient of FZYLD, on PC-3 cell growth, metastasis, and PI3K/AKT pathway were seen by CCK-8 Kit, transwell experiment, TUNEL assay, nude mouse tumorigenesis test, and Western blot analysis. <i>Results</i>. Through network pharmacological analysis, we screened 195 effective active components of FZYLD, covering 290 targets, of which 198 were related to PCa. Quercetin, luteolin, kaempferol, anhydroicaritin, and 7-O-methylismucronulatol were important active compounds. MAPK1, AKT1, MAPK3, STAT3, and Jun were common targets of PCa and FZYLD. Our <i>in vivo</i> and <i>in vitro</i> experimental results confirmed that quercetin inhibited PCa’s growth, cell migration, and the PI3K/AKT pathway and promoted cell apoptosis. <i>Conclusions</i>. As predicted by the network pharmacological strategy and verified by the basic experimental results, FZYLD might play an antitumor role through multiple components, targets, and pathways. These results provide a new basis for developing and applying FZYLD and its compound quercetin.</p>\u0000 </div>","PeriodicalId":7817,"journal":{"name":"Andrologia","volume":"2023 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/1445953","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42009410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Melatonin Ameliorates Cyclophosphamide-Induced Spermatogenesis Disorder by Reducing Pyroptosis 褪黑激素通过减少Pyroptosis改善环磷酰胺诱导的精子生成障碍
IF 2.1 4区 医学
Andrologia Pub Date : 2023-05-27 DOI: 10.1155/2023/2186029
Zhan Song, Jiahui Wang, Peng Zhu, Zhixin Wang, Xuexia Liu, Fujun Liu
{"title":"Melatonin Ameliorates Cyclophosphamide-Induced Spermatogenesis Disorder by Reducing Pyroptosis","authors":"Zhan Song,&nbsp;Jiahui Wang,&nbsp;Peng Zhu,&nbsp;Zhixin Wang,&nbsp;Xuexia Liu,&nbsp;Fujun Liu","doi":"10.1155/2023/2186029","DOIUrl":"10.1155/2023/2186029","url":null,"abstract":"<div>\u0000 <p>As a chemotherapeutic drug, cyclophosphamide (CP) has a negative impact on male fertility due to its reproductive toxicity. Melatonin (Mel) promotes the male reproductive system and increases testosterone synthesis. This study is aimed at exploring the molecular mechanism of Mel as a protector of male fertility against CP-induced cytotoxicity. A CP toxicity model was established in adult ICR male mice by intraperitoneal injection of 100 mg/kg CP every other day for a week. Protective effects of Mel on the testis from CP-induced damage were evaluated using four groups of ICR male mice that received intraperitoneal injections of normal saline, 100 mg/kg CP, 10 mg/kg Mel, or the same dosage of CP and Mel, respectively. Testis morphology was observed by hematoxylin and eosin (HE) staining. Sperm quality parameters were evaluated, and sperm function was studied by in vitro fertilization (IVF). Proliferation, meiosis, and pyroptosis markers were examined by western blot. Results showed that CP treatment induced testis toxicity in a time-dependent manner with the most severe damage to the testis at two weeks post CP treatment. CP-treated mice showed reduced testicular weight and impaired spermatogenesis by downregulating PCNA and SYCP3, reduced serum testosterone levels, decreased sperm counts and motility, increased seminiferous tubule vacuolization, and oxidative damage to spermatogenic cells. All these effects, apart from testicular weight, could be ameliorated by Mel administration. The IVF experiment revealed that CP treatment reduced the rates of sperm fertilization and blastocyst development, which were also enhanced by Mel. Mel-treated mice also showed increased expression of proliferation-associated protein PCNA and meiosis-associated proteins REC8, STRA8, and SYCP3, which were all reduced by CP. Furthermore, Mel inhibited the pyroptosis of spermatogenic cells by reducing GSDMD and IL18 expression. In conclusion, this study indicated that Mel might protect the testis from CP-induced DNA damage to germ cells through the alleviation of pyroptosis.</p>\u0000 </div>","PeriodicalId":7817,"journal":{"name":"Andrologia","volume":"2023 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/2186029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41775868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Difference in Subpopulation Structures in Sex-Sorted and Non-Sorted Semen by Discriminant Analysis of Bull Sperm Motility Data Collected by a Computer-Assisted Sperm Analysis System 用计算机辅助精子分析系统收集的公牛精子活力数据判别分析性别分类与非性别分类精液亚群结构的差异
IF 2.1 4区 医学
Andrologia Pub Date : 2023-05-24 DOI: 10.1155/2023/9944344
Chihiro Kanno, Kentaro Q. Sakamoto, Sung-Sik Kang, Yojiro Yanagawa, Seiji Katagiri, Masashi Nagano
{"title":"The Difference in Subpopulation Structures in Sex-Sorted and Non-Sorted Semen by Discriminant Analysis of Bull Sperm Motility Data Collected by a Computer-Assisted Sperm Analysis System","authors":"Chihiro Kanno,&nbsp;Kentaro Q. Sakamoto,&nbsp;Sung-Sik Kang,&nbsp;Yojiro Yanagawa,&nbsp;Seiji Katagiri,&nbsp;Masashi Nagano","doi":"10.1155/2023/9944344","DOIUrl":"10.1155/2023/9944344","url":null,"abstract":"<div>\u0000 <p>We examined the motility characteristics of sperm from sex-sorted bull semen as a model for low-quality (expected low conception rate) sperm compared to that of sperm from non-sorted semen (expected average conception rate) using cluster analysis followed by discriminant analysis. The results indicated that sex-sorted semen contained sperm with hyperactivation-like motility as the main subpopulation immediately after thawing, and this subpopulation decreased after 2 h of incubation. The main subpopulation in the non-sorted semen had progressive motility that was maintained during incubation. A conventional comparison of the mean values of kinematic parameters could not distinguish the samples. In conclusion, discriminant analysis using data from a cluster analysis of motile sperm may accurately describe differences in the structures of sperm motility subpopulations between low and normal fertility semen.</p>\u0000 </div>","PeriodicalId":7817,"journal":{"name":"Andrologia","volume":"2023 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/9944344","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48146931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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