Male Infertility
Conditions
Keywords
oxidative stress, oxysterols, fatty acids, seminal fluid
Brief summary
Infertility is a common problem, affecting perhaps one couple in six, the majority of whom now seek medical care. It is becoming a social challenge because it is responsible for personal and interpersonal discomfort and anxiety. A major obstacle to meaningful study of the epidemiology of male infertility is the difficulty in accurate diagnosis of the presence or absence of a problem. Traditionally, the diagnosis of male infertility is facilitated by the conventional assessment of the semen profile - constructed according to recognized guidelines (i.e. WHO) and including pH, cell count and motility - but no specific biomarkers are available. We sought to determine the oxysterol and fatty acid lipidome with the ai of finding a lipid biomarker useful for the diagnosis of male infertility.
Detailed description
Subjects referring to an outpatient infertility laboratory will be enrolled in the study. A complete clinical record is collected as well as a sperm and a fasting blood sample. Patients are stratified according to current guidelines focusing on sperm and anatomical characteristics. Sperm characteristics will be studied on fresh samples immediately after collection; blood samples will be centrifuged and plasma stored at -80°C until analysis that include routine glucose and lipid profile by commercial kits. Vitamin E (alpha- and gamma-tocopherol), oxysterols profiling, and fatty acids profiling is analyzed by state of the art gas chromatography-mass spectrometry (GC/MS) using isotope dilution methods.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* clinically healthy subjects and clinical healthy subjects with infertility
Exclusion criteria
* subjects with endocrine, cardiovascular, metabolic, inflammatory and neurologic diseases or cancer * subjects taking medicines and/or supplements
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Oxysterol profiling in seminal fluid | 1 day | Oxysterol profiling will be assessed in seminal fluid by state of the art GC/MS |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fatty acids lipidomics | 1 day | Profiling of fatty acids in seminal fluid will be assessed by GC/MS |
Other
| Measure | Time frame | Description |
|---|---|---|
| Vitamin E concentration in seminal fluid | 1 day | the two main vitamin isoforms, alpha- and gamma-tocopherol, will be measured by GC/MS |
Countries
Italy