Molecular Mechanisms Underlying the Relationship between Obesity and Male Infertility
Federica Barbagallo1, Rosita A Condorelli1, Laura M Mongioì1
1Department of Clinical and Experimental Medicine, University of Catania, 95131 Catania, Italy.
Abstract:
In recent decades, the worldwide prevalence of obesity has risen dramatically and is currently estimated to be around 20%. Obesity is linked to an increased risk of comorbidities and premature mortality. Several studies have shown that obesity negatively impacts male fertility through various mechanisms. This review aims to investigate the molecular mechanisms through which obesity impairs male reproduction, including obesity-associated hypogonadism and its effects on spermatogenesis, chronic inflammation, and oxidative stress. Obesity negatively impacts both conventional and biofunctional sperm parameters, and it also induces epigenetic changes that can be transferred to offspring. Moreover, obesity-related diseases are linked to a dysregulation of adipocyte function and micro-environmental inflammatory processes. The dysregulated adipokines significantly influence insulin signaling, and they may also have a detrimental effect on testicular function. Sirtuins can also play an important role in inflammatory and metabolic responses in obese patients. Understanding the molecular mechanisms that are involved in obesity-induced male infertility could increase our ability to identify novel targets for the prevention and treatment of obesity and its related consequences.
Insights
Obesity significantly impairs male fertility by affecting sperm quality, causing hormonal imbalances, inflammation, and epigenetic changes. Understanding these molecular links is crucial for developing new treatments for male infertility.
Area of Science:
- Endocrinology
- Reproductive Biology
- Metabolic Syndrome
Background:
- Rising global obesity rates (approx. 20%) correlate with increased comorbidities and mortality.
- Obesity is increasingly recognized as a significant factor negatively impacting male reproductive health.
- Existing research points to multiple mechanisms linking obesity to male infertility.
Purpose of the Study:
- To review the molecular mechanisms by which obesity impairs male reproduction.
- To explore the roles of hypogonadism, inflammation, oxidative stress, and epigenetic alterations.
- To identify potential therapeutic targets for obesity-induced male infertility.
Main Methods:
- Literature review of studies investigating obesity and male fertility.
- Analysis of molecular pathways including hormonal regulation, inflammation, and oxidative stress.
- Examination of effects on sperm parameters and epigenetic modifications.
Main Results:
- Obesity negatively affects conventional and biofunctional sperm parameters.
- Obesity is associated with hypogonadism, chronic inflammation, and oxidative stress impacting spermatogenesis.
- Obesity induces epigenetic changes transmissible to offspring and dysregulates adipokines and sirtuins.
Conclusions:
- Obesity-induced male infertility involves complex molecular disruptions, including hormonal, inflammatory, oxidative, and epigenetic factors.
- Dysregulated adipokines and sirtuins contribute to testicular dysfunction and metabolic disturbances.
- Further understanding of these mechanisms can guide novel prevention and treatment strategies for male infertility.
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