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Updated: Jul 20, 2025

Fluorimetric Techniques for the Assessment of Sperm Membranes
Published on: November 28, 2018
Proton pump inhibitors affect sperm parameters by regulating aquaporins
Fadian Ding1, Yuxin Liu2, Jintong Chen3
1Department of Hepatobiliary Surgery, The First Affiliated Hospital, Fujian Medical University, Fuzhou, 350005, China.
Long-term use of proton pump inhibitors (PPIs) significantly reduces sperm count and acrosomal integrity. PPIs may disrupt sperm function by altering aquaporin expression and increasing estrogen levels.
Area of Science:
- Reproductive Biology
- Pharmacology
- Molecular Mechanisms
Background:
- Proton pump inhibitors (PPIs) are widely used, but concerns exist regarding long-term adverse effects.
- The molecular mechanisms underlying PPI-induced sperm abnormalities require further investigation.
Purpose of the Study:
- To explore the molecular mechanisms of sperm abnormality induced by proton pump inhibitors (PPIs).
- To investigate the impact of omeprazole on sperm parameters, aquaporin expression, liver cytochrome enzyme activity, and estrogen levels.
Main Methods:
- Omeprazole was administered to rats for 28 days.
- Sperm count and acrosomal integrity were assessed.
- Expression of aquaporins in testes, epididymis, and spermatozoa was analyzed.
- Liver cytochrome enzyme activity, serum estrogen, and ALT levels were measured.
Main Results:
- Omeprazole treatment reduced sperm count and acrosomal integrity.
- Aquaporin 3 and 8 expression increased in the testis, while aquaporin 7 decreased.
- Aquaporin 3 and 7 expression increased in the epididymis and sperm, while aquaporin 8 decreased.
- Liver cytochrome enzyme activity decreased, while estrogen and ALT levels increased.
Conclusions:
- PPIs may induce sperm dysfunction by inhibiting liver cytochrome enzyme activity, leading to elevated estrogen levels.
- Altered aquaporin expression in reproductive tissues likely contributes to PPI-induced sperm abnormalities.
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