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Negative effect of varicocele on sperm mitochondrial dysfunction: A cross-sectional study
Mahshid Elahi1, Vida Hojati1, Mahmoud Hashemitabar2
1Department of Biology, Damghan Branch, Islamic Azad University, Damghan, Iran.
International Journal of Reproductive Biomedicine
|June 1, 2023
Summary
Varicocele significantly impairs sperm health, reducing mitochondrial function (MMP, ATP) and semen quality, while increasing DNA damage. This highlights sperm mitochondria dysfunction as a key factor in varicocele-associated infertility.
Area of Science:
- Reproductive Medicine
- Mitochondrial Biology
- Andrology
Background:
- Varicocele, characterized by enlarged scrotal veins, disrupts blood flow and is linked to male infertility.
- Impaired venous drainage in varicocele affects testicular function and sperm quality.
Purpose of the Study:
- To investigate the impact of varicocele on sperm mitochondria status, assessing mitochondrial membrane potential (MMP) and adenosine triphosphate (ATP) levels.
- To correlate sperm mitochondria health with semen parameters and overall sperm functionality in men with varicocele.
Main Methods:
- An analytical cross-sectional study involving 100 men (50 normal, 50 varicocele).
- Semen analysis, sperm DNA fragmentation index, MMP assay, ATP content, and apoptosis assessment were performed.
- Comparison of sperm parameters between normozoospermic and varicocele groups.
Main Results:
- Varicocele group exhibited significantly lower sperm concentration, progressive motility, normal morphology, MMP, and ATP levels compared to the normal group.
- Sperm DNA fragmentation index was significantly higher in the varicocele group.
- These findings indicate compromised sperm mitochondria function in men with varicocele.
Conclusions:
- Reduced MMP and ATP content in varicocele are strongly associated with decreased sperm quality and increased DNA fragmentation.
- Sperm mitochondria dysfunction is a significant contributor to infertility in men with varicocele.
- Targeting mitochondrial health may offer therapeutic strategies for varicocele-related infertility.
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