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World J Mens Health. 2018 Sep;36(3):255-262. doi: 10.5534/wjmh.180028.

Superoxide Anion Production by the Spermatozoa of Men with Varicocele: Relationship with Varicocele Grade and Semen Parameters.

The world journal of men's health

İlter Alkan, Meral Yüksel, Halil Lütfi Canat, Hasan Anıl Atalay, Osman Can, Hakan Özveri, Mehmet Murad Başar

Affiliations

  1. Department of Urology, Okmeydan? Training and Research Hospital, University of Health Sciences, Istanbul, Turkey. [email protected].
  2. Department of Medical Laboratory, Vocational School of Health-Related Services, Marmara University, Istanbul, Turkey.
  3. Department of Urology, Okmeydan? Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
  4. Department of Urology & Andrology, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.
  5. Department of Urology & Andrology, Memorial ?i?li Hospital, Istanbul, Turkey.

PMID: 30168299 PMCID: PMC6119845 DOI: 10.5534/wjmh.180028

Abstract

PURPOSE: To investigate the pathophysiological role of superoxide anion and total reactive oxygen species (ROS) production by the spermatozoa of men with varicocele and its relationship with varicocele grade and semen parameters.

MATERIALS AND METHODS: This prospective study included 34 men with grade II-III varicocele, regardless of their fertility status. The control group consisted of 13 healthy men. Semen characteristics were examined according to the 2010 World Health Organization criteria. The swim-up method was used for sperm preparation. Total ROS and superoxide anion production was assayed by luminol- and lucigenin-dependent chemiluminescence (CL), respectively.

RESULTS: The men with varicocele had significantly higher total ROS and superoxide anion levels than the healthy control subjects (2.9±0.4 relative light unit (RLU) vs. 2.4±0.1 RLU, p=0.001 for luminol-dependent CL and 2.8±0.4 RLU vs. 2.3±0.2 RLU, p=0.002 for lucigenin-dependent CL). Cases of grade III varicocele had significantly higher superoxide anion and total ROS levels than grade II cases and control subjects (p<0.001). Superoxide anion and total ROS levels were negatively correlated with all semen parameters.

CONCLUSIONS: The superoxide anion levels produced by spermatozoa were significantly higher in varicocele patients than in control subjects. ROS production was related to increased varicocele grade, impaired semen concentration, and abnormal morphology in men with varicocele. Our findings suggest that superoxide anion overproduction may be an important step in the cascade of ROS-related damage to spermatozoa, resulting in impaired semen parameters in patients with varicocele.

Copyright © 2018 Korean Society for Sexual Medicine and Andrology.

Keywords: Oxidative stress; Reactive oxygen species; Spermatozoa; Superoxides; Varicocele

Conflict of interest statement

The authors have no potential conflicts of interest to disclose.

References

  1. Rev Reprod. 1997 Jan;2(1):48-54 - PubMed
  2. Int J Androl. 2004 Aug;27(4):228-33 - PubMed
  3. Andrologia. 2012 Feb;44(1):66-9 - PubMed
  4. Hum Reprod Update. 2001 Sep-Oct;7(5):473-81 - PubMed
  5. Free Radic Biol Med. 1993 Feb;14(2):157-66 - PubMed
  6. J Urol. 1999 Jun;161(6):1831-4 - PubMed
  7. Biol Reprod. 1989 Jul;41(1):183-97 - PubMed
  8. Fertil Steril. 2011 Dec;96(6):1283-7 - PubMed
  9. Asian J Androl. 2016 Mar-Apr;18(2):186-93 - PubMed
  10. Urology. 2009 Mar;73(3):461-9 - PubMed
  11. Urology. 1996 Jan;47(1):73-6 - PubMed
  12. Fertil Steril. 2004 Dec;82(6):1684-6 - PubMed
  13. Fertil Steril. 1993 Mar;59(3):613-6 - PubMed
  14. Redox Biol. 2017 Oct;13:228-234 - PubMed
  15. J Cell Physiol. 1992 Jun;151(3):466-77 - PubMed
  16. Asian J Androl. 2016 Mar-Apr;18(2):282-91 - PubMed
  17. Cell Metab. 2015 Nov 3;22(5):825-37 - PubMed
  18. Urology. 2010 Jan;75(1):217-22 - PubMed
  19. BJU Int. 2008 Jun;101(12):1547-52 - PubMed
  20. DNA Repair (Amst). 2004 Aug-Sep;3(8-9):1109-15 - PubMed
  21. Am J Obstet Gynecol. 1991 Feb;164(2):542-51 - PubMed
  22. Urology. 1997 Dec;50(6):953-6 - PubMed
  23. Fertil Steril. 2000 Mar;73(3):459-64 - PubMed
  24. J Biol Chem. 1998 May 8;273(19):11619-24 - PubMed
  25. Fertil Steril. 1992 Jun;57(6):1289-93 - PubMed
  26. Fertil Steril. 1994 Oct;62(4):862-8 - PubMed

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