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Proteomic analysis of seminal plasma from asthenozoospermia patients reveals proteins that affect oxidative stress responses and semen quality 被引量:10
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作者 Jun Wang Jian Wang +5 位作者 Hua-Rong Zhang Hui-Juan Shi Duan Ma Hong-Xin Zhao Biaoyang Lin Run-Sheng Li 《Asian Journal of Andrology》 SCIE CAS CSCD 2009年第4期484-491,共8页
Asthenozoospermia (AS) is a common cause of human male infertility. In one study, more than 80% of the samples from infertile men had reduced sperm motility. Seminal plasma is a mixture of secretions from the testis... Asthenozoospermia (AS) is a common cause of human male infertility. In one study, more than 80% of the samples from infertile men had reduced sperm motility. Seminal plasma is a mixture of secretions from the testis, epididymis and several male accessory glands, including the prostate, seminal vesicles and Cowper's gland. Studies have shown that seminal plasma contains proteins that are important for sperm motility. To further explore the pathophysiological character of AS, we separated the seminal plasma proteins from AS patients and healthy donors using sodium dodecyl sulfate polyacrylamide gel electrophoresis and in-gel digestion, and then subjected the proteins to liquid chromatography-mass spectrometry (LC-MS/MS) analysis. A total of 741 proteins were identified in the seminal plasma, with a false discovery rate of 3.3%. Using spectral counting, we found that 45 proteins were threefold upregulated and 56 proteins were threefold downregulated in the AS group when compared with the control. Most of these proteins originated from the epididymis and prostate. This study identified a rich source of biomarker candidates for male infertility and indicates that functional abnormalities of the epididymis and prostate can contribute to AS. We identified D J-1--a protein that has been shown elsewhere to be involved in the control of oxidative stress (OS)-as a downregulated protein in AS seminal plasma. The levels of D J-1 in AS seminal plasma were about half of those in the control samples. In addition, the levels of reactive oxygen species were 3.3-fold higher in the AS samples than in the controls. Taken together, these data suggest that downregulation of DJ-1 is involved in OS in semen, and therefore affects the quality of the semen. 展开更多
关键词 asthenozoospermia comparative proteomics DJ-1 seminal plasma
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Relationship between Ouabain and Asthenozoospermia 被引量:1
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作者 杨宜红 万艳 +2 位作者 娄欢 薛婷 苏萍 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2014年第1期87-90,共4页
A growing number of researches have shown that ouabain can regulate mammalian sperm function and male reproduction by modulating the sperm motility, capacitation and acrosome reaction in vitro. This study further exam... A growing number of researches have shown that ouabain can regulate mammalian sperm function and male reproduction by modulating the sperm motility, capacitation and acrosome reaction in vitro. This study further examined the relationship between ouabain and asthenozoospermia. In this study, the rat was intraperitoneally injected with ouabain at different concentrations(low-dose ouabain group: 12.5 μg/kg body weight per day, and high-dose ouabain group: 25 μg/kg body weight per day) for 30 days to establish the asthenozoospermia model. The sperms from 60 males with normal fertility were incubated with ouabain of gradient concentrations(10-7–10-2mol/L) for 4 h. The sperm motility was evaluated under a microscope. Moreover, the endogenous ouabain(EO) level was determined in seminal plasma of mild or severe asthenozoospermia patients and males with normal fertility by competitive inhibition ELISA. The results showed that the sperm motility was significantly diminished in the rats treated with different concentrations of ouabain. The number of motile sperms(grades a and b) was decreased greatly in a time- and dose-dependent manner in 10-5–10-2mol/L ouabain groups(P0.01), while no obvious change in sperm motility was observed in 10-7–10-6mol/L groups even for 4-h incubation(P0.05). Furthermore, the EO level was significantly increased in asthenozoospermia patients as compared with that in males with normal fertility(25.27±1.71 μg/L in mild asthenozoospermia patients, 26.52±1.82 μg/L in severe asthenozoospermia patients, 19.31±1.45 μg/L in normal fertility men)(P0.01). In conclusion, rat asthenozoospermia was successfully established by intraperitoneal injection of ouabain, and 10-5mol/L ouabain was sufficient enough to inhibit sperm motility in vitro. Moreover, EO, a normal constituent of seminal plasma, was highly expressed in asthenozoospermia males as compared with normal fertility ones. 展开更多
关键词 OUABAIN asthenozoospermia MOTILITY Na+/K+ATPase α4 isoform
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Polymorphism of mitochondrial DNA genes involved in asthenozoospermia in infertile patients of Côte d'Ivoire
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作者 Jules Erick Hermann Ayekoue Konan Guy Sylvère N’zi +4 位作者 Ako Aristide Berenger Ako Marie-Florence N’guessan Yapi Guillaume Yayé FounzéguéAmadou Coulibaly Allico Joseph Djaman 《Reproductive and Developmental Medicine》 CAS CSCD 2023年第1期38-43,共6页
Objective:The relationship between mitochondrial DNA(mtDNA)polymorphisms and abnormalities in sperm quality has been the subject of several studies,with the objective of improving the treatment of male infertility.Thi... Objective:The relationship between mitochondrial DNA(mtDNA)polymorphisms and abnormalities in sperm quality has been the subject of several studies,with the objective of improving the treatment of male infertility.This study,which contributes to the identification of genetic markers of sperm abnormalities,was conducted to study mtDNA mutations in the asthenozoospermia profile.Methods:This case-control study included 30 patients with asthenozoospermia and 28 with normospermia after spermogram and spermocytogram analyses.After the extraction of total DNA from the spermatozoa of 58 ejaculates from these individuals using the phenol-chloroform method,the amplification of genes of interest in mtDNA using specific primers was performed by conventional polymerase chain reaction,and sequencing was used to detect mutations.Results:Male patients with asthenozoospermia in the tertiary sector had significantly more mutant-than wild-type(P=0.0005)MT-CO II genes.Similarly,for the same gene,males with asthenozoospermia and primary infertility had significantly more mutants than the wild-type(P=0.001).Sequencing revealed 29 mutations that were observed only with asthenozoospermia,which could be the basis for low sperm mobility.Conclusion:This study identified several mutations in mtDNA genes that could be considered genetic markers of asthenozoospermia if confirmed in a deeper study. 展开更多
关键词 asthenozoospermia Côte d'Ivoire Institute of Pasteur Côte d'Ivoire male infertility mtDNA polymorphism
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死精子症不同诊断方法的探讨及其程度与DFI相关性分析
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作者 范烺 张国琼 +2 位作者 谭玉秋 朱文星 伍细言 《中华男科学杂志》 CAS CSCD 2024年第10期872-877,共6页
目的:探讨伊红-苯胺黑试验(E-N试验)和低渗膨胀试验(HOST)诊断死精子症的价值,并分析精子坏死程度与精子DNA碎片指数(DFI)、精子高可染性指数(HDS)的相关性。方法:采用CASA检测2023年5月至2024年7月在湖南省妇幼保健院就诊的7 333例男... 目的:探讨伊红-苯胺黑试验(E-N试验)和低渗膨胀试验(HOST)诊断死精子症的价值,并分析精子坏死程度与精子DNA碎片指数(DFI)、精子高可染性指数(HDS)的相关性。方法:采用CASA检测2023年5月至2024年7月在湖南省妇幼保健院就诊的7 333例男性精子活力,选择弱精子症男性行E-N试验、HOST评估精子存活率,再筛选死精子症男性行计算机辅助精子分析(CASA)测精子DFI、HDS。根据精子PR%(20%~<30%、10%~<20%、<10%)分组,探讨两种方案对死精子症的诊断价值及精子坏死程度与DFI、HDS的相关性。结果:7 333例男性中弱精子症1374例(18.74%)。轻度、中度、重度弱精子症患者死精子症发生率:E-N试验为0.55%(5/913)、3.80%(12/316)、35.86%(52/145)、总发生率0.94%(69/7 333);HOST试验为0.99%(9/913)、6.96%(22/316)、46.21%(67/145)、总发生率为1.34%(98/7 333)。两种诊断方案无统计学差异(χ^(2)=0.97,P>0.5)。两种方法确定的死精子症病例均显示精子DFI与精子存活率呈负相关(r=-0.366,r=-0.333,P<0.05),精子HDS与精子存活率亦呈负相关,但无统计学意义。结论:当男性精子PR%<30%时应进行精子存活率检测,优先推荐E-N试验诊断死精子症。精子坏死可能与精子核染色质损伤互为危险因素。 展开更多
关键词 弱精子症 死精子症 伊红-苯胺黑试验 低渗膨胀试验 精子DNA碎片指数
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弱精子症患者精子lncRNA与mRNA基因表达特征分析
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作者 石水波 罗龙华 +4 位作者 刘莲 黄学明 熊素萍 宋丹丹 李冬水 《中华男科学杂志》 CAS CSCD 2024年第9期782-788,共7页
目的:通过DNBSEQ平台测序技术构建文库,并以此来确定人类正常与弱精子症精子中lncRNA和mRNA的表达差异,并通过生物信息学方法分析其在弱精子症中的生物学意义。方法:将9份正常精液样本及9份弱精子症精液样本分组后,分离精子,提取总RNA,... 目的:通过DNBSEQ平台测序技术构建文库,并以此来确定人类正常与弱精子症精子中lncRNA和mRNA的表达差异,并通过生物信息学方法分析其在弱精子症中的生物学意义。方法:将9份正常精液样本及9份弱精子症精液样本分组后,分离精子,提取总RNA,通过DNBSEQ测序平台检测得到RNA-seq在精子中的表达情况,通过GO富集分析和KEGG通路分析,进一步分析其相关功能情况。结果:使用DNBSEQ平台检测,每组平均产出10.64G数据,共检测到282185个RNA,包含有107009个lncRNA,其中15157个lncRNA具有表达差异,2190个lncRNA表达上调,12967个表达下调;共检测到19514个mRNA,其中13736个mRNA具有表达差异,4995个mRNA表达上调,8741个mRNA表达下调。差异基因主要富集在精子细胞膜、离子通道的功能以及精子发育、受精相关的通路上。结论:通过对弱精子症与正常精子的测序分析,鉴别出差异表达的lncRNA和mRNA,可通过胞膜离子通道对精子功能进行调控,进而导致弱精子症的发生,可为弱精子症的进一步研究提供分子基础。 展开更多
关键词 长链非编码RNA 弱精子症 RNA测序 差异表达分析
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基于隐结构模型联合频繁项集的针灸治疗弱精子症不育患者的辨证取穴规律
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作者 何瑞宣 孙自学 +3 位作者 华众 张芳 张迪 胡创政 《世界中医药》 CAS 北大核心 2024年第14期2185-2190,共6页
目的:探讨针灸治疗弱精子症不育患者的辨证取穴规律,为临床治疗弱精子症不育患者提供帮助。方法:检索国家知识基础设施数据库(CNKI)、中国生物医学文献数据库(CBM)、中国学术期刊数据库(CSPD)及中文科技期刊数据库(CCD)等数据库有关针... 目的:探讨针灸治疗弱精子症不育患者的辨证取穴规律,为临床治疗弱精子症不育患者提供帮助。方法:检索国家知识基础设施数据库(CNKI)、中国生物医学文献数据库(CBM)、中国学术期刊数据库(CSPD)及中文科技期刊数据库(CCD)等数据库有关针灸治疗弱精子症的相关文献,提取症状、取穴处方信息构建医案数据库,采用隐结构模型、频繁项集的数据挖掘方法,分析针灸治疗弱精子症的辨证取穴规律。结果:纳入文献35篇,涉及症状62种,穴位49个。高频症状包括腰酸、神疲乏力等,高频腧穴包括关元、肾俞等。对症状、腧穴、证型进行频繁项集分析,挖掘出症状-腧穴频繁项集4项,包括耳鸣+头晕+腰酸+关元+肾俞等;证型-症状频繁项集4项,包括肾精亏虚证+健忘+性欲淡漠+神疲乏力+脉细等;证型-症状-腧穴频繁项集4项,包括肾精亏虚证+性欲淡漠+神疲乏力+头发易脱+关元等。结论:针灸治疗弱精子症多以关元、肾俞、足三里为主穴。 展开更多
关键词 隐结构模型 频繁项集 弱精子症 辨证取穴规律 数据挖掘 Apriori算法 穴位 针灸
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男性弱精子症发病机制的研究进展
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作者 钱林 李文鑫 +1 位作者 王瀚枢 荆涛 《中华男科学杂志》 CAS CSCD 2024年第10期936-941,共6页
弱精子症是男性不育症的主要病因之一,它的发病机制复杂多样,包括精子运动结构的异常、信号传导通路的异常、精子运动相关的能量代谢异常等多种因素。目前,发现存在于精浆中的细胞外囊泡(EV)对生精过程产生积极影响。而EV的作用过程是... 弱精子症是男性不育症的主要病因之一,它的发病机制复杂多样,包括精子运动结构的异常、信号传导通路的异常、精子运动相关的能量代谢异常等多种因素。目前,发现存在于精浆中的细胞外囊泡(EV)对生精过程产生积极影响。而EV的作用过程是通过自身表面类似于脂质双分子层的结构与靶细胞直接融合的方式,将自身包裹的DAN,RNA,蛋白质等分子释放入靶细胞,从而调节其功能。本文将综述弱精子症发病机制的相关研究及进展,从而为弱精子症发病机制的科学研究提供理论依据。 展开更多
关键词 弱精子症 精子结构 信号通路 能量代谢
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Effectiveness and Safety Evaluation of Qixiong Zhongzi Decoction (芪芎种子汤) in Idiopathic Asthenozoospermia Treatment:A Randomized Controlled Trial 被引量:6
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作者 WANG Fu GAO Qing-he +7 位作者 GENG Qiang HAN Qiang ZHAO Jia-you YU Guo-jin ZHANG Ji-wei YAN Bin GUO Jun SONG Chun-sheng 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2020年第2期146-151,共6页
Objective:To evaluate the clinical effectiveness and safety of the Chinese medicine(CM)Qixiong Zhongzi Decoction(芪芎种子汤,QZD)in the treatment of patients with idiopathic asthenozoospermia.Methods:A total number of ... Objective:To evaluate the clinical effectiveness and safety of the Chinese medicine(CM)Qixiong Zhongzi Decoction(芪芎种子汤,QZD)in the treatment of patients with idiopathic asthenozoospermia.Methods:A total number of 66 patients with idiopathic asthenozoospermia were included and randomly divided into treatment and control groups by SAS-generated code from January 2015 to August 2016,33 patients in each group.Patients in the treatment group were administered with 150 m L of QZD twice a day,whereas those in the control group were given 1 g of levocarnitine oral liquid twice a day.The two groups received the indicated medication for 12 weeks and were then followed up for 4 weeks.The primary outcome was sperm motility,and the secondary therapeutic indices were sperm volume,density,pregnancy probability,and CM syndrome score.The comparison between groups was carried out at 4,8 and 12 weeks,respectively.The safety was determined before and after treatment.Results:(1)Drop-off:5 cases(7.58%)were lost after treatment(2 from the treatment group and 3 from the control group).(2)Primary outcomes:after 8-and 12-week treatment,the progressive sperms in the two groups were significantly higher than the baseline(all P<0.05);however,the treatment group showed greater improvement compared with the control group at 12-week treatment(22.7%±9.0%vs.14.1%±8.8%,P<0.05).The increasement of non-progressive grade sperms at both groups was observed at 8-and 12-week treatment with statistical difference(all P<0.05),however,the treatment group showed remarkable improvement compared with the control group at 12-week treatment(38.7%±14.1%vs.26.2%±15.4%,P<0.05).(3)Secondary outcomes:no significant statistical differences were found in semen volume and density(4,8,and 12-week treatment)and pregnancy probability of patients’wives(12-week treatment)between two groups(all P>0.05),however,the CM syndrome score of the treatment group significantly declined compared with baseline level at each time points(all P<0.05).(4)Safety:no obvious side reactions were found during the treatment in both groups.Conclusions:QZD could improve the progressive and non-progressive grade sperm in the treatment of idiopathic asthenozoospermia.It is safe with no obvious side effects. 展开更多
关键词 idiopathic asthenozoospermia Qixiong Zhongzi Decoction Chinese medicine random controlled trial
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弱精症患者精子线粒体DNA CYTB基因突变的研究
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作者 陈孟权 单婷婷 +2 位作者 郑温洁莹 陈君 孔万仲 《中国计划生育学杂志》 2024年第6期1266-1270,1274,共6页
目的:研究弱精症患者精子线粒体DNA CYTB基因的突变情况。方法:提取134例弱精症患者和129例健康对照者的精子细胞DNA,采用PCR法对线粒体DNA CYTB基因进行扩增,产物经测序后与剑桥标准序列(rCRS)比对,分析CYTB基因的突变情况。结果:线粒... 目的:研究弱精症患者精子线粒体DNA CYTB基因的突变情况。方法:提取134例弱精症患者和129例健康对照者的精子细胞DNA,采用PCR法对线粒体DNA CYTB基因进行扩增,产物经测序后与剑桥标准序列(rCRS)比对,分析CYTB基因的突变情况。结果:线粒体DNA CYTB基因突变以同义突变和错义突变为主,弱精症组中15301G/A、15326A/G杂合突变明显增多,15535C/T杂合突变仅存在于对照组,差异均具有统计学意义(P<0.05)。结论:精子线粒体DNA CYTB基因突变与弱精症相关,其中15301G/A和15326A/G可能是弱精症的风险因素,15535C/T突变可能降低弱精症的风险。 展开更多
关键词 弱精症 线粒体 CYTB基因 突变 风险
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Chloride channels are involved in sperm motility and are downregulated in spermatozoa from patients with asthenozoospermia 被引量:3
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作者 Shan-Wen Liu Yuan Li +7 位作者 Li-Li Zou Yu-Tao Guan Shuang Peng Li-Xin Zheng Shun-Mei Deng Lin-Yan Zhu Li-Wei Wang Li-Xin Chen 《Asian Journal of Andrology》 SCIE CAS CSCD 2017年第4期418-424,共7页
Human spermatozoa encounter an osmotic decrease from 330 to 290 mOsm I-z when passing through the female reproductive tract. We aimed to evaluate the role of chloride channels in volume regulation and sperm motility f... Human spermatozoa encounter an osmotic decrease from 330 to 290 mOsm I-z when passing through the female reproductive tract. We aimed to evaluate the role of chloride channels in volume regulation and sperm motility from patients with asthenozoospermia. Spermatozoa were purified using Percoll density gradients. Sperm volume was measured as the forward scatter signal using flow cytometry. Sperm motility was analyzed using computer-aided sperm analysis (CASA). When transferred from an isotonic solution (330 mOsm I-z) to a hypotonic solution (290 mOsm I-Z), cell volume was not changed in spermatozoa from normozoospermic men; but increased in those from asthenozoospermic samples. The addition of the chloride channel blockers, 4,4'-diisothiocyanatostilbene-2,2'- isulfonic acid (DIDS) or 5-nitro-2-(3-phenylpropylamino) benzoic acid (NPPB) to the hypotonic solution caused the normal spermatozoa to swell but did not increase the volume of those from the asthenozoospermic semen. DIDS and NPPB decreased sperm motility in both sets of semen samples. The inhibitory effect of NPPB on normal sperm motility was much stronger than on spermatozoa from the asthenozoospermic samples. Both sperm types expressed CIC-3 chloride channels, but the expression levels in the asthenozoospermic samples were much lower, especially in the neck and mid-piece areas. Spermatozoa from men with asthenozoospermia demonstrated lower volume regulating capacity, mobility, and CIC-3 expression levels (especially in the neck) than did normal spermatozoa. Thus, chloride channels play important roles in the regulation of sperm volume and motility and are downregulated in cases of asthenozoospermia. 展开更多
关键词 asthenozoospermia chloride channels CIC-3 sperm motility volume regulation
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特发性弱精子症精子前向运动率与DNA碎片指数、高活性氧率及高线粒体膜电位率的相关性分析 被引量:1
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作者 王凯立 高凯 +2 位作者 杨涛 马旭辉 韦三华 《临床检验杂志》 CAS 2024年第6期421-424,共4页
目的探讨特发性弱精子症患者精子DNA碎片指数(DFI)、高活性氧(ROS)率、高线粒体膜电位(MMP)率与精子前向运动率之间的关系。方法选取2022年12月至2023年11月在空军军医大学唐都医院生殖医学中心男科门诊就诊的250例患者,根据精子前向运... 目的探讨特发性弱精子症患者精子DNA碎片指数(DFI)、高活性氧(ROS)率、高线粒体膜电位(MMP)率与精子前向运动率之间的关系。方法选取2022年12月至2023年11月在空军军医大学唐都医院生殖医学中心男科门诊就诊的250例患者,根据精子前向运动率将其分为轻度(20%≤精子前向运动率<32%,86例)、中度(10%≤精子前向运动率<20%,67例)、重度(精子前向运动率<10%,47例)弱精子症组和正常组(女方因素不孕,男方精液常规结果均在参考区间内,精子前向运动率≥32%,50例)。采用流式细胞术检测精子DFI、高ROS率、高MMP率水平,并分析其与精子前向运动率的相关性。结果与正常组相比,弱精子症组精子浓度、活动率、正常形态百分率、高MMP率水平显著降低(P<0.05),DFI、高ROS率水平显著升高(P<0.01)。重度弱精子症组精子DFI、高ROS率显著高于轻、中度组,高MMP率水平显著低于轻、中度组(P<0.01);轻、中度组间精子DFI、高ROS率、高MMP率水平差异无统计学意义(P>0.05)。随着弱精子症严重程度增加,精子DFI、高ROS率水平升高,高MMP率水平降低。相关性分析显示,精子前向运动率与高MMP率呈显著正相关(r=0.439,P<0.01),与高ROS率(r=-0.435,P<0.01)、DFI(r=-0.478,P<0.01)呈显著负相关。结论特发性弱精子症患者精子DFI、高ROS率水平升高,高MMP率水平降低,且与弱精子症严重程度相关。较高ROS水平可能通过损伤精子DNA和线粒体功能,导致精子前向运动能力下降。 展开更多
关键词 特发性弱精子症 DNA碎片指数 活性氧 线粒体膜电位 精子前向运动率
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脂代谢相关基因单核苷酸多态性与男性精液质量的关联研究
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作者 刘璇 李媛静 +4 位作者 李悦嘉 毕佳杰 马婧 戴芳芳 王树松 《中华男科学杂志》 CAS CSCD 2024年第3期199-208,共10页
目的:探究脂质代谢基因单核苷酸多态性对男性精液质量的影响。方法:选取2023年2月至2023年10月邢台不孕不育专科医院和河北省人类精子库284例精液样本,CASA进行精液检测,提取血液DNA并利用MassARRAY^(■)Systems进行目标基因分型,对13... 目的:探究脂质代谢基因单核苷酸多态性对男性精液质量的影响。方法:选取2023年2月至2023年10月邢台不孕不育专科医院和河北省人类精子库284例精液样本,CASA进行精液检测,提取血液DNA并利用MassARRAY^(■)Systems进行目标基因分型,对13个脂质代谢相关基因的单核苷酸多态性位点进行基因型分型,比较不同组别及BMI分层下基因型的分布差异及不同基因型精液质量的差异。结果:FADS2 rs2727270突变纯合(TT)基因型可能是弱精子症的危险因素(OR=4.420,P=0.047)。APOA2 rs5082-A等位基因和MC4R rs17782313杂合(TC)基因型可能是少精子症的保护性因素(OR=0.422,0.389;P=0.045,0.043)。MC4R rs17782313杂合基因型(TC)的精子浓度显著高于纯合基因型,分层分析显示伴随BMI的增加会降低TC基因型的保护作用。APOA2 rs5082和MC4R rs17782313基因型交互对弱精子症的保护作用仍存在。结论:FADS2(rs2727270)、APOA2(rs5082)和MC4R(rs17782313)与精液参数异常发生的风险显著相关。 展开更多
关键词 少精子症 弱精子症 脂质代谢 单核苷酸多态性
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弱精子症患者精子锌稳态蛋白、GPR39和ANO1 mRNA的表达变化及其临床意义
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作者 贺春 戴芳芳 +5 位作者 刘俊生 耿亚松 周均霞 胡一珍 郑波 王树松 《中华男科学杂志》 CAS CSCD 2024年第1期18-25,共8页
目的:探究锌稳态相关蛋白、G蛋白偶联受体39(GPR39)及ANO1 mRNA在弱精子症精子中的表达变化,并分析其与精子运动能力的相关性。方法:选取2022年6月至2023年4月我中心收集的弱精子症患者精液标本(PR+NP<40%,PR<32%,精子浓度>15&... 目的:探究锌稳态相关蛋白、G蛋白偶联受体39(GPR39)及ANO1 mRNA在弱精子症精子中的表达变化,并分析其与精子运动能力的相关性。方法:选取2022年6月至2023年4月我中心收集的弱精子症患者精液标本(PR+NP<40%,PR<32%,精子浓度>15×10^(6)/ml)40例,正常精液标本(PR+NP≥40%,PR≥32%,精子浓度>15×10^(6)/ml)42例。通过CASA检测精液常规参数及精子活力,测量两组精浆锌的含量,运用实时荧光定量PCR(RT-qPCR)对两组精子锌转运蛋白(ZIP13、ZIP8、ZNT10)、金属硫蛋白(MT1G、MT1、MTF)、GPR39和钙依赖性氯离子通道蛋白(ANO1)表达进行定量检测;运用激光共聚焦检测精子中的游离锌分布;运用免疫荧光染色观察精子中GPR39、MT1蛋白的表达;进一步采用Spearman秩相关分析其与精液参数的相关性。结果:与正常组相比,弱精子症组精浆锌的浓度无明显差异(P>0.05),弱精子症组精子游离锌水平明显降低(P<0.05);RT-qPCR检测结果显示,弱精子症组精子MT1G、MTF、ZIP13、GPR39、ANO1 mRNA相对表达量低于正常组(P<0.05);两组间ZIP8、ZNT10、MT1 mRNA相对表达量无显著性差异(P>0.05);免疫荧光结果显示弱精子组GPR39蛋白表达较低(P<0.05);相关性分析结果显示MT1G、MTF、GPR39、ANO1 mRNA相对表达量与前向运动精子百分率和精子活动率呈正相关(P<0.05)。结论:弱精子症患者精子锌稳态蛋白(MT1G、MTF、ZIP13)、GPR39和ANO1 mRNA表达下调且其表达与精子运动能力呈正相关。 展开更多
关键词 弱精子症 锌敏感受体GPR39 ANO1 精子活力
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The expression of the new epididymal luminal protein of PDZ domain containing 1 is decreased in asthenozoospermia
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作者 A-Juan Liang Gui-Shuan Wang +6 位作者 Ping Ping Shuang-Gang Hu Yu Lin Yi Ma Zheng-Zheng Duan Han-Shu Wang Fei Sun 《Asian Journal of Andrology》 SCIE CAS CSCD 2018年第2期154-159,共6页
Spermatozoa are not mature until they transit the epididymis where they acquire motility and the ability to fertilize an egg through sequential modifications. The epididymis has three functional regions, caput, corpus... Spermatozoa are not mature until they transit the epididymis where they acquire motility and the ability to fertilize an egg through sequential modifications. The epididymis has three functional regions, caput, corpus, and cauda, and the luminal proteins of the epididymis play important roles in the above modifications. However, the proteins with differential enrichment between the caput and cauda are still largely unknown. To reveal the functions of the caput and cauda during sperm maturation, luminal proteins from caput and cauda of mice were analyzed by isobaric tag for relative and absolute quantitation (iTRAQ). Overall, 128 differentially enriched proteins were found, of which 46 were caput enriched and 82 were cauda enriched. Bioinformatic analysis showed that lipid metabolism was active in the caput; while anion- and cation-binding activity and phosphorus and organophosphate metabolism were active in the cauda. A new epididymal luminal protein, the caput-enriched PDZ domain containing 1 (Pdzkl), also named Na^+/H^+ exchange regulatory cofactor 3 (NHERF3), which plays a critical role in cholesterol metabolism and carnitine transport, was found in the lipid metabolism. Western blotting and immunofluorescence analyses showed that Pdzkl was expressed in the epididymis but not in the testis, and localized at the middle piece of the sperm tail. Pdzkl protein level was also reduced in the spermatozoa in case of asthenozoospermic patients compared with that in normozoospermic men, suggesting that Pdzkl may participate in sperm maturation regulation and may be associated with male infertility. These results may provide new insights into the mechanisms of sperm maturation and male infertility. 展开更多
关键词 asthenozoospermia EPIDIDYMIS FERTILITY PDZ domain containing 1 SPERM
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Spermatozoal protein profiles in male infertility with asthenozoospermia
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作者 LI Hong-ju YU Ning ZHANG Xin-yu JIN Wei LI Han-zhong 《Chinese Medical Journal》 SCIE CAS CSCD 2010年第20期2879-2882,共4页
Background Infertility is a major medical and social problem, and elementary research on the spermatozoal proteins and their functions are relatively scarce and there are very few confirmed and effective options for t... Background Infertility is a major medical and social problem, and elementary research on the spermatozoal proteins and their functions are relatively scarce and there are very few confirmed and effective options for the treatment of male infertility. Thus, it is essential to find candidate proteins that affect male infertility. This study was designed to detect the proteins with differential expression in sperm from infertile patients and normal donors.Methods Semen samples from patients with idiopathic asthenozoospermia (n=114) and from fertile men with normal spermiograms (n=37) were collected. Semen sample analysis, sperm protein extraction, SDS-PAGE electrophoresis and Western blotting analysis were performed. Results were analyzed by SPSS 16.0 statistical software.Results Western blotting analysis of spermatic proteins displayed a major differentially expressed protein in spermatozoa from fertile and idiopathic asthenozoospermia patients. Densities and volumes of the identified protein in the patients were significantly decreased compared to normal donors (P=0.034 and P=0.036, respectively). The protein was identified as DEAD-box protein 4 (DDX4, VASA). The expression and correction value (CV) of DDX4/VASA in the patients was reduced significantly compared to normal donors (P=0.037 and P=0.031, respectively).Conclusions The expression of spermatic protein DDX4/VASA associates with spermatic motility, implying that DDX4NASA may be a candidate marker for evaluation of spermatic motility. 展开更多
关键词 MALE INFERTILITY asthenozoospermia PROTEOMICS
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四味生精口服液联合左卡尼汀治疗弱精子症的疗效观察
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作者 谢俊明 《云南中医药大学学报》 2024年第1期40-42,共3页
目的本文旨在探讨四味生精口服液联合左卡尼汀口服液治疗弱精子症的临床效果。方法试验选取了56例临床确诊为男性不育弱精子症的患者,分为观察组和对照组,分组方法采用随机数字表法,每组患者28例。其中将只使用左卡尼汀口服液进行治疗... 目的本文旨在探讨四味生精口服液联合左卡尼汀口服液治疗弱精子症的临床效果。方法试验选取了56例临床确诊为男性不育弱精子症的患者,分为观察组和对照组,分组方法采用随机数字表法,每组患者28例。其中将只使用左卡尼汀口服液进行治疗的组别设为对照组,而观察组患者则采用四味生精口服液与左卡尼汀口服液联合治疗,治疗时间均为3个月。观察经治疗后两组患者的精子活力情况。结果观察组的精子活力a级、精子活力(a+b)级以及妊娠率均明显高于对照组。结论四味生精口服液与左卡尼汀口服液联合治疗弱精子症的效果较单独使用左卡尼汀口服液更为显著,明显提高了精子活力和妊娠率,同时对于改善男性阳虚畏寒、腰背酸痛、久虚体弱等症状也有显著疗效,值得在临床上推广使用。 展开更多
关键词 四味生精口服液 左卡尼汀口服液 弱精子症
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加味千金地肤子汤治疗肾虚湿热型慢性前列腺炎/慢性盆腔疼痛综合征合并弱精症的临床观察
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作者 龙广益 刘付国琛 +3 位作者 周武林 曾志宇 陈和亮 李静 《中国性科学》 2024年第5期135-138,共4页
目的探讨采用加味千金地肤子汤治疗慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)合并弱精症的临床疗效。方法选取2020年7月至2021年12月于珠海市中西医结合医院就诊的86例肾虚湿热型CP/CPPS合并弱精症患者作为研究对象,随机分为治疗组(n=... 目的探讨采用加味千金地肤子汤治疗慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)合并弱精症的临床疗效。方法选取2020年7月至2021年12月于珠海市中西医结合医院就诊的86例肾虚湿热型CP/CPPS合并弱精症患者作为研究对象,随机分为治疗组(n=44)和对照组(n=42)。对照组给予西药常规治疗,治疗组在对照组的基础上给予加味千金地肤子汤治疗。比较两组临床疗效、治疗前后的中医证候评分及精液质量。结果经12周治疗后,治疗组总体有效率(88.6%)高于对照组(66.7%),美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)评分、中医证候评分、精子DNA碎片率(DFI)显著低于对照组,平均尿流率(AFR)、最大尿流率(MRF)、精子总活力(PR+NP)、精子顶体酶活性显著高于对照组(P<0.05)。结论加味千金地肤子汤联合西药治疗可改善肾虚湿热型CP/CPPS合并弱精症患者的排尿困难、骨盆疼痛、性功能及精子活力下降等症状。 展开更多
关键词 肾虚湿热 加味千金地肤子汤 慢性前列腺炎/慢性盆腔疼痛综合征 慢性前列腺炎症状指数评分表 弱精症 中医证候评分 尿流动力学 精子质量
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DEFB126 polymorphisms and association with idiopathic asthenozoospermia in China
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作者 Jiao-Yu He Jian-Ying Peng +9 位作者 Qiu-Fu Li Xiao-Li Lin Yan-Ru Cui Shi-Yu Ma Shi-Yun Fan Yi-Ran Liu Zhi-Lin Song Jun-Hang Deng Xia Wei Xian-Ping Ding 《Asian Journal of Andrology》 SCIE CAS CSCD 2022年第6期607-614,共8页
Idiopathic asthenozoospermia,a common factor in male infertility,is characterized by altered sperm motility function in fresh ejaculate.Although theβ-defensin 126(DEFB126)protein is associated with asthenozoospermia,... Idiopathic asthenozoospermia,a common factor in male infertility,is characterized by altered sperm motility function in fresh ejaculate.Although theβ-defensin 126(DEFB126)protein is associated with asthenozoospermia,DEFB126 gene polymorphisms have not been extensively studied.Therefore,the association between DEFB126 gene polymorphisms and asthenozoospermia requires further investigation.Screening was performed by semen analysis,karyotype analysis,and Y microdeletion detection,and 102 fertile men and 106 men with asthenozoospermia in Chengdu,China,were selected for DEFB126 gene sequence analyses.Seven nucleotide mutations and two nucleotide deletions in the DEFB126 gene were detected.rs11467417(317-318 del/del),rs11467497(163-166 wt/del),c.152T>C,and c.227A>G were significantly different between the control and asthenozoospermia groups,likely representing high-risk genetic factors for asthenozoospermia among males.DEFB126 expression was not observed in sperm with rs11467497 homozygous deletion and was unstable in sperm with rs11467417 homozygous deletion.The rs11467497 four-nucleotide deletion leads to truncation of DEFB126 at the carboxy-terminus,and the rs11467417 binucleotide deletion produces a non-stop messenger RNA(mRNA).The above deletions may be responsible for male hypofertility and infertility by reducing DEFB126 affinity to sperm surfaces.Based on in silico analysis,the amino acids 51M and 76K are located in the highly conserved domain;c.152T>C(M51T)and c.227A>G(K76R)are predicted to be damaging and capable of changing alternative splice,structural and posttranslational modification sites of the RNA,as well as the secondary structure,structural stability,and hydrophobicity of the protein,suggesting that these mutations are associated with asthenozoospermia. 展开更多
关键词 β-defensin 126 idiopathic asthenozoospermia in silico analysis single-nucleotide polymorphisms
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Endogenous antioxidant DJ-1:A potential target for asthenozoospermia
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作者 王玉鹏 孙懿 蒲小平 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2017年第10期697-708,共12页
Asthenozoospermia is a common cause of male infertility and is characterized by reduced forward motility of spermatozoa. The pathogenesis of asthenozoospermia remains unclear. DJ-1 is a ubiquitous protein, widely expr... Asthenozoospermia is a common cause of male infertility and is characterized by reduced forward motility of spermatozoa. The pathogenesis of asthenozoospermia remains unclear. DJ-1 is a ubiquitous protein, widely expressed in the liver, skeletal muscle, kidney, brain and testis. It has been found correlated with many diseases including male infertility. This review presents the novel concept that the endogenous antioxidant properties of DJ-I in sperm is associated with asthenozoospermia. Thus, DJ-l is likely a new target for the treatment of asthenozoospermia. 展开更多
关键词 asthenozoospermia D J-1 Oxidative stress MITOCHONDRIA
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线粒体DNA D-Loop区突变与弱精症的相关性
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作者 陈孟权 单婷婷 +1 位作者 黄蕊 孔万仲 《温州医科大学学报》 CAS 2023年第12期969-973,979,共6页
目的:探讨精子线粒体DNAD-Loop区基因突变和弱精症的相关性。方法:收集2019年7月至2021年3月温州市中医院诊治的134例弱精症患者(弱精症组)和129例同期健康男性(对照组)的精液,提取精子细胞DNA,采用聚合酶链反应(PCR)对线粒体DNA D-Loo... 目的:探讨精子线粒体DNAD-Loop区基因突变和弱精症的相关性。方法:收集2019年7月至2021年3月温州市中医院诊治的134例弱精症患者(弱精症组)和129例同期健康男性(对照组)的精液,提取精子细胞DNA,采用聚合酶链反应(PCR)对线粒体DNA D-Loop区进行扩增并测序,测序结果与剑桥标准序列(r CRS)进行比对,分析弱精症患者精子细胞线粒体DNA D-Loop区的基因突变情况。结果:两组中发生率>5%的突变有62种,大部分位于HV-1区和HV-2区(87.78%),突变类型以替换突变为主(87.03%)。分析显示,有11种突变在弱精症组和对照组之间的差异有统计学意义(P<0.05),这些突变可能增加或降低弱精症风险。结论:精子线粒体DNA D-Loop区具有较高突变率,可能在弱精症发生发展中发挥重要作用。 展开更多
关键词 弱精症 线粒体DNA D-LOOP区 突变
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