Volume 21, Issue 4 (April 2023)                   IJRM 2023, 21(4): 323-332 | Back to browse issues page


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Elahi M, Hojati V, Hashemitabar M, Afrough M, Mohammadpour Kargar H, Dastoorpoor M. Negative effect of varicocele on sperm mitochondrial dysfunction: A cross-sectional study. IJRM 2023; 21 (4) :323-332
URL: http://ijrm.ir/article-1-2675-en.html
1- Department of Biology, Damghan Branch, Islamic Azad University, Damghan, Iran.
2- Cellular and Molecular Research Center, Medical Basic Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3- Health Education Research Department, ACECR, Khuzestan, Ahvaz, Iran.
4- Department of Biostatistics and Epidemiology, Social Determinants of Health Research Center, Ahvaz Jondishapur University of Medical Sciences, Ahvaz, Iran. , mdastoorpour@yahoo.com
Abstract:   (713 Views)
Background: Varicocele is an abnormal dilation and enlargement of the scrotal venous pampiniform plexus that impairs normal blood drainage and finally leads to infertility if not treated.
Objective: This study aimed to figure out the impact of mitochondria status through the mitochondrial membrane potential (MMP) and adenosine triphosphate (ATP) assessment and its correlation with semen parameters to illuminate the impact of sperm mitochondria healthiness on normal sperm functionality.
Materials and Methods: This analytical cross-sectional study was conducted with 100 men including 50 cases in the normozoospermic group (normal) and 50 in an infertile group with the non-varicocelectomy operation (varicocele) referring to Infertility Research and Treatment Center, ACECR Khuzestan, Iran. Routine semen analysis was performed according to World Health Organization guidelines, DNA fragmentation index, the MMP assay, ATP content, and apoptosis were carried out for all samples.
Results: The results showed that the concentration, progressive motility, normal morphology, MMP, and ATP contents of sperm in varicocele were significantly lower than the normal group. In addition, the sperm DNA fragmentation index was significantly higher in the varicocele group in comparison with the normal group.
Conclusion: Reduction in MMP and ATP contents, besides the loss of sperm parameters quality and increase in sperm DNA fragmentation, were seriously implicating sperm mitochondria dysfunctionality in varicocele men.
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Type of Study: Original Article | Subject: Reproductive Urology

References
1. Kupis Ł, Dobroński PA, Radziszewski P. Varicocele as a source of male infertility-current treatment techniques. Cent European J Urol 2015; 68: 365-370. [DOI:10.5173/ceju.2015.642] [PMID] [PMCID]
2. Roque M, Esteves SC. Effect of varicocele repair on sperm DNA fragmentation: A review. Int Urol Nephrol 2018; 50: 583-603. [DOI:10.1007/s11255-018-1839-4] [PMID]
3. Panner Selvam MK, Ambar RF, Agarwal A, Henkel R. Etiologies of sperm DNA damage and its impact on male infertility. Andrologia 2021; 53: e13706. [DOI:10.1111/and.13706] [PMCID]
4. Kimura M, Nagao K. Role of varicocele repair for male infertility in the era of assisted reproductive technologies. Reprod Med Biol 2014; 13: 185-192. [DOI:10.1007/s12522-014-0181-5] [PMID] [PMCID]
5. Adams Y, Afoko AA, Amidu N. Effect of varicocelectomy on semen parameters of men seeking infertility treatment in Tamale, Ghana. Open J Urol 2022; 12: 7-26. [DOI:10.4236/oju.2022.121002]
6. Pastuszak AW, Wang R. Varicocele and testicular function. Asian J Androl 2015; 17: 659-667. [DOI:10.4103/1008-682X.153539] [PMID] [PMCID]
7. Tiseo BC, Esteves SC, Cocuzza MS. Summary evidence on the effects of varicocele treatment to improve natural fertility in subfertile men. Asian J Androl 2016; 18: 239-245. [DOI:10.4103/1008-682X.172639] [PMID] [PMCID]
8. Hassanin AM, Ahmed HH, Kaddah AN. A global view of the pathophysiology of varicocele. Andrology 2018; 6: 654-661. [DOI:10.1111/andr.12511] [PMID]
9. Wang K, Gao Y, Wang C, Liang M, Liao Y, Hu K. Role of oxidative stress in varicocele. Front Genet 2022; 13: 850114. [DOI:10.3389/fgene.2022.850114] [PMID] [PMCID]
10. Esteves SC, Hamada A, Kondray V, Pitchika A, Agarwal A. What every gynecologist should know about male infertility: An update. Arch Gynecol Obstet 2012; 286: 217-229. [DOI:10.1007/s00404-012-2274-x] [PMID]
11. Wood GJA, Cardoso JPG, Paluello DV, Nunes TF, Cocuzza M. Varicocele-associated infertility and the role of oxidative stress on sperm DNA fragmentation. Front Reprod Health 2021; 3: 695992. [DOI:10.3389/frph.2021.695992] [PMID] [PMCID]
12. Gómez-Carballa A, Pardo-Seco J, Martinón-Torres F, Salas A. Phylogenetic and population-based approaches to mitogenome variation do not support association with male infertility. J Hum Genet 2017; 62: 361-371. [DOI:10.1038/jhg.2016.130] [PMID]
13. Cho C-L, Esteves SC, Agarwal A. Novel insights into the pathophysiology of varicocele and its association with reactive oxygen species and sperm DNA fragmentation. Asian J Androl 2016; 18: 186-193. [DOI:10.4103/1008-682X.170441] [PMID] [PMCID]
14. World Health Organization. WHO laboratory manual for the examination and processing of human semen. 5th Ed. Cambridge: Cambridge University Press; 2010.
15. Alargkof V, Kersten L, Stanislavov R, Kamenov Z, Nikolinakos P. Relationships between sperm DNA integrity and bulk semen parameters in Bulgarian patients with varicocele. Arch Ital Urol Androl 2019; 91: 31266282. [DOI:10.4081/aiua.2019.2.125] [PMID]
16. Ustuner M, Yilmaz H, Yavuz U, Ciftci S, Saribacak A, Serkan Aynur B, et al. Varicocele repair improves testicular histology in men with nonobstructive azoospermia. Biomed Res Int 2015; 2015: 709452. [DOI:10.1155/2015/709452] [PMID] [PMCID]
17. Mongioì LM, Mammino L, Compagnone M, Condorelli RA, Basile A, Alamo A, et al. Effects of varicocele treatment on sperm conventional parameters: Surgical varicocelectomy versus sclerotherapy. Cardiovasc Intervent Radiol 2019; 42: 396-404. [DOI:10.1007/s00270-018-2136-4] [PMID]
18. Dieamant F, Petersen CG, Mauri AL, Conmar V, Mattila M, Vagnini LD, et al. Semen parameters in men with varicocele: DNA fragmentation, chromatin packaging, mitochondrial membrane potential, and apoptosis. JBRA Assist Reprod 2017; 21: 295-301. [DOI:10.5935/1518-0557.20170053] [PMID] [PMCID]
19. Fraczek M, Szumala-Kakol A, Dworacki G, Sanocka D, Kurpisz M. In vitro reconstruction of inflammatory reaction in human semen: Effect on sperm DNA fragmentation. J Reprod Immunol 2013; 100: 76-85. [DOI:10.1016/j.jri.2013.09.005] [PMID]
20. Zhang MH, Shi Z-D, Yu J-C, Zhang Y-P, Wang L-G, Qiu Y. Scrotal heat stress causes sperm chromatin damage and cysteinyl aspartate-spicific proteinases 3 changes in fertile men. J Assist Reprod Genet 2015; 32: 747-755. [DOI:10.1007/s10815-015-0451-0] [PMID] [PMCID]

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