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Updated: Jun 9, 2025

Author Spotlight: Advancing Male Infertility Research by Unraveling Sperm Metabolism and Mitochondrial Function
Published on: June 23, 2023
A Mendelian randomization study on causal relationship between metabolic factors and abnormal spermatozoa
Zhenhui Zhang1, Xuelan Li1, Shuntian Guo1
1Reproductive Medicine Center, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, China.
Elevated body fat percentage and resistin levels are causally linked to male infertility. This Mendelian randomization study identifies key metabolic risk factors for abnormal spermatozoa, aiding in prevention strategies.
Area of Science:
- Reproductive biology
- Metabolic health
- Genetics
Background:
- Male infertility is a significant global health concern.
- The relationship between metabolic status and spermatogenesis requires further clarification.
- Understanding metabolic impacts on semen quality is crucial for developing interventions.
Purpose of the Study:
- To investigate the causal relationship between various metabolic factors and abnormal spermatozoa using Mendelian randomization.
- To identify specific metabolic risk factors contributing to male infertility.
- To provide evidence for targeted disease screening and prevention strategies.
Main Methods:
- A two-sample Mendelian randomization (MR) study was conducted.
- 16 metabolic factors were assessed for their causal effects on abnormal spermatozoa.
- Genome-wide association studies (GWASs) data and rigorous statistical methods (IVW, MR-Egger, weighted median) were utilized.
Main Results:
- Body fat percentage was found to be causally associated with an increased risk of abnormal spermatozoa (OR = 1.49).
- Resistin levels also showed a causal association with a higher risk of abnormal spermatozoa (OR = 1.55).
- No significant causal effects were observed for other metabolic traits, glucose metabolism, lipid profiles, uric acid, type 2 diabetes mellitus, or non-alcoholic fatty liver disease.
Conclusions:
- Body fat percentage and resistin are identified as significant risk factors for abnormal spermatozoa.
- These findings have implications for clinical interventions and therapies in managing male infertility.
- Further large-scale GWASs are recommended to explore impacts on spermatogenesis in specific subgroups.
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