氧化应激和炎症生物标志物在男性不孕症:诊断价值和临床整合的叙述性审查
Athanasios Zikopoulos1, Panagiotis Christopoulos2, Theodoros Kalampokas2
1Torbay and South Devon NHS Foundation Trust Lowes Brg, Torquay TQ2 7AA, UK.
Diagnostics (Basel, Switzerland)
|February 27, 2026
概括
炎症和氧化应激 (OS) 通过破坏精子,导致男性不育. 这些疾病的生物标志物对诊断有希望,但需要进一步验证才能在临床上使用.
科学领域:
- 生殖医学 生殖医学
- 生物化学 生化学
- 病理生理学 病理生理学
背景情况:
- 男性不孕症是复杂的,通常无法通过传统的精液分析来解释.
- 炎症和氧化应激 (OS) 是导致男性生殖功能衰竭的关键因素.
- 反应性氧物种 (ROS) 和促炎媒介会损害精子功能和丸健康.
研究的目的:
- 批判性地评估男性不孕症的氧化应激和炎症生物标志物.
- 评估它们的诊断意义,临床效用和局限性.
- 探索个性化不孕症治疗的生物标志物引导方法.
主要方法:
- 关于男性不孕症的OS和炎症现有研究的全面审查.
- 评估生物标志物,如马隆迪甲 (MDA),8-基-2'-脱氧氨酸 (8-OHdG) 和炎症标志物.
- 对诊断值,方法变化和翻译挑战的分析.
主要成果:
- 操作系统和炎症创造了一个循环,加剧了精子损伤和生殖功能障碍.
- 特定的生物标志物 (MDA,8-OHdG,TAC,IL-6,IL-8,TNF-α) 与精液质量不佳有关.
- 由于缺乏标准化,目前的生物标志物在广泛的临床采用中面临限制.
结论:
- 运行系统和炎症生物标志物有潜力提高男性不孕症的诊断,超出传统的方法.
- 需要进一步的研究来克服翻译的局限性,并建立诊断值.
- 以生物标志物为指导的策略可以实现更精确的,基于机制的不孕症管理.
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