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Nickel and human sperm quality: a systematic review
Denis Vinnikov1,2, Sergei Syurin3
1al-Farabi Kazakh National University, 71 al-Farabi avenue, Almaty, 050040, Kazakhstan. denisvinnikov23@gmail.com.
BMC Public Health
|December 20, 2024
Summary
Research on nickel (Ni) exposure and human sperm quality shows inconsistent results. Current evidence does not confirm a clear adverse effect, highlighting the need for more robust studies.
Area of Science:
- Environmental Health
- Reproductive Toxicology
- Human Physiology
Background:
- Chronic exposure to nickel (Ni) has been linked to reproductive effects, but studies on its impact on sperm quality yield conflicting results.
- Existing literature presents a debate regarding the association between nickel exposure and human sperm parameters.
- This systematic review aims to clarify the relationship between nickel exposure and sperm quality in humans.
Purpose of the Study:
- To systematically search and analyze medical literature on the association between nickel exposure and human sperm quality.
- To ascertain the impact of nickel on various sperm parameters, including quality, DNA damage, and metabolome.
Main Methods:
- A systematic literature search was conducted across PubMed, Scopus, and Embase without time or language restrictions.
- PRISMA guidelines were used for reporting, and the JBI critical appraisal checklist and SIGN tool assessed the risk of bias.
- Meta-analysis was not feasible due to the heterogeneity and inconsistency of reported effects.
Main Results:
- Nineteen studies from 12 countries were included, assessing sperm quality and DNA damage, with nickel quantified in biological samples (blood, semen, urine).
- Most studies (16/19) were of acceptable quality, but results were inconsistent; 8 studies found no association, while 11 showed some association (9 with elevated risk, 2 with protective effects).
- Only one study focused on an occupationally exposed population, showing an association with tail defects in both exposed and control groups.
Conclusions:
- Current human studies provide inconsistent evidence and do not confirm a clear adverse effect of nickel on sperm quality.
- Future research requires robust methodologies, including powerful designs like cohort or experimental studies.
- Further investigation is needed to establish a definitive link between nickel exposure and male reproductive health.
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