Experimental and Clinical Endocrinology & Diabetes,
Journal Year:
2023,
Volume and Issue:
132(01), P. 23 - 32
Published: Dec. 4, 2023
Abstract
Background
The
severe
acute
respiratory
syndrome
coronavirus
2
can
affect
the
hypothalamic-pituitary-gonadal
axis
(HPG)
due
to
expression
of
angiotensin-converting
enzyme
receptor.
Objectives
To
assess
prevalence
hypogonadism
and
Sertoli
cell
dysfunction
in
disease
2019
(COVID-19)
male
survivors.
Method
Male
subjects
recovered
from
COVID-19
infection
were
prospectively
observed.
primary
outcomes
included
proportion
hypogonadism,
defined
biochemically
as
serum
testosterone<230
ng/dL
or
CFT
of<6.4
ng/mL
if
total
testosterone
is
between
230–320
ng/m.
was
inhibin-B
level<54.5
pg/mL.
Subjects
with
followed
up
at
12
months
recovery
HPG
axis.
Results
Eighty-three
aged≥18
years
evaluated
a
median
120
(±35)
days
post-recovery.
Their
mean
age
49.50±12.73
years,
BMI
26.84±5.62
kg/m2.
Low
detected
21
(24.71%)
low
14
(19.71%)
out
71
3
months.
younger,
43.29±12.03
(P-0.08)
higher
(P-0.012).
severity
infection,
duration
hospitalization,
other
factors
not
significantly
associated
testosterone.
At
months,
18
came
for
follow-up,
which
9
(50%)
showed
persistently
testosterone,
suggestive
hypogonadism.
Conclusion
Following
levels
over
time;
however,
significant
had
12-month
follow-up.
These
findings
have
long-term
implications
management
subjects.
PLoS Pathogens,
Journal Year:
2025,
Volume and Issue:
21(1), P. e1012804 - e1012804
Published: Jan. 7, 2025
Compromised
male
reproductive
health,
including
reduced
testosterone
and
sperm
count,
is
one
of
the
long
COVID
symptoms
in
individuals
recovering
from
mild-severe
disease.
COVID-19
patients
display
testicular
injury
acute
stage
altered
serum
fertility
markers
recovery
phase,
however,
long-term
implications
on
testis
remain
unknown.
This
study
characterized
consequences
SARS-CoV-2
function.
The
K18-hACE2
mice
that
survived
infection
were
followed
for
month
after
function
assessed
at
different
stages
recovery.
impact
key
testes
function-related
hormones
was
measured.
efficacy
inflammation-suppressing
drug
preventing
also
evaluated.
morphological
defects
like
sloughing
spermatids
into
lumen
increased
apoptotic
cells
sustained
2–4
weeks
correlated
with
inflammation
immune
cell
infiltration.
Transcriptomic
analysis
revealed
dysregulation
inflammatory,
death,
steroidogenic
pathways.
Furthermore,
levels
associated
a
transient
reduction
count
fertility.
Most
impairments
resolved
within
infection.
Importantly,
dexamethasone
treatment
attenuated
damage,
inflammation,
Our
results
implicate
virus-induced
cytokine
storm
as
major
driver
functional
impairments,
timely
prevention
which
limits
damage.
These
findings
serve
model
evaluating
therapeutics
may
guide
clinical
strategies
to
improve
health
outcomes
post-SARS-CoV-2
Endocrine,
Journal Year:
2024,
Volume and Issue:
85(1), P. 44 - 66
Published: Feb. 12, 2024
Studies
investigating
the
effects
of
SARS-CoV-2
on
male
reproductive
function
are
few
and
heterogeneous,
results
often
conflicting.
This
systematic
review
meta-analysis
was
carried
out
studies
conducted
in
men
with
active
or
anamnestic
infection
to
evaluate
its
consequences
sex
hormone
profile
semen
parameters.
Biomedicines,
Journal Year:
2024,
Volume and Issue:
12(4), P. 913 - 913
Published: April 20, 2024
Background:
Post-acute
sequelae
of
SARS-CoV-2
infection
(PASC)
is
a
complicated
disease
that
affects
millions
people
all
over
the
world.
Previous
studies
have
shown
PASC
impacts
10%
infected
patients
which
50–70%
are
hospitalised.
It
has
also
been
10–12%
those
vaccinated
against
COVID-19
were
affected
by
and
its
complications.
The
severity
later
development
symptoms
positively
associated
with
early
intensity
infection.
Results:
generated
health
complications
caused
involve
vast
variety
organ
systems.
Patients
diagnosed
neuropsychiatric
neurological
symptoms.
cardiovascular
system
involved
several
diseases
such
as
myocarditis,
pericarditis,
coronary
artery
reported.
Chronic
hematological
problems
thrombotic
endothelialitis
hypercoagulability
described
conditions
could
increase
risk
clotting
disorders
coagulopathy
in
patients.
Chest
pain,
breathlessness,
cough
respiratory
long-COVID
causing
distress
syndrome.
observed
immune
notable,
involving
diseases.
renal
was
impacted,
resulted
raising
issues,
fibrosis,
sepsis.
Endocrine
gland
malfunction
can
lead
to
diabetes,
thyroiditis,
male
infertility.
Symptoms
diarrhea,
nausea,
loss
appetite,
taste
among
reported
observations
due
gastrointestinal
disorders.
Skin
abnormalities
might
be
an
indication
long-term
implications
persistent
cutaneous
complaints
linked
PASC.
Conclusions:
Long-COVID
multidimensional
syndrome
considerable
public
implications,
affecting
physiological
systems
demanding
thorough
medical
therapy,
more
study
address
underlying
causes
effects
needed.
Frontiers in Physiology,
Journal Year:
2023,
Volume and Issue:
14
Published: July 11, 2023
Introduction:
COVID-19
exerts
deleterious
effects
on
the
respiratory,
cardiovascular,
gastrointestinal,
and
central
nervous
systems,
causing
more
severe
disease
in
men
than
women.
However,
cumulative
reported
data
about
putative
consequences
male
reproductive
tract
fertility
are
controversial.
Furthermore,
long-term
of
SARS-CoV-2
infection
still
uncertain.
Methods:
In
this
study,
we
prospectively
evaluated
levels
inflammatory
cytokines
leukocytes
semen
sperm
quality
parameters
a
cohort
231
reproductive-aged
patients,
unvaccinated,
who
had
recovered
from
mild
or
62
healthy
control
individuals.
Sperm
was
assessed
early
(less
3
months)
long
(more
up
to
6
after
having
COVID-19.
Interestingly,
unlike
most
studies,
available
extensive
background
baseline
patients'
allowed
performing
accurate
analysis
quality.
Results:
Significantly
higher
IL-1β,
TNF
IFNγ
were
detected
patients
recently
and/or
with
respect
individuals
indicating
inflammation.
Moreover,
showed
significantly
reduced
volume,
lower
total
counts,
impaired
motility
viability.
all
observed
alterations
returned
values
months
recovery.
Discussion:
These
results
indicate
that
associates
inflammation
disease.
seems
not
include
detrimental
potential
since
reversible
1-2
spermatogenesis
cycles.
constitute
compelling
evidence
allowing
better
understanding
associated
sequelae,
fundamental
for
collection
assisted
reproduction.
Biomolecules,
Journal Year:
2024,
Volume and Issue:
14(6), P. 685 - 685
Published: June 12, 2024
pH
homeostasis
is
crucial
for
spermatogenesis,
sperm
maturation,
physiological
function,
and
fertilization
in
mammals.
HCO3−
H+
are
the
most
significant
factors
involved
regulating
male
reproductive
system.
Multiple
pH-regulating
transporters
ion
channels
localize
testis,
epididymis,
spermatozoa,
such
as
(solute
carrier
family
4
solute
26
transporters),
carbonic
anhydrases,
H+-transport
enzymes
(e.g.,
Na+-H+
exchangers,
monocarboxylate
transporters,
H+-ATPases,
voltage-gated
proton
channels).
Hormone-mediated
signals
impose
an
influence
on
production
of
some
or
NBCe1,
SLC4A2,
MCT4,
etc.
Additionally,
including
sperm-specific
cationic
Ca2+
(CatSper)
K+
(SLO3)
directly
indirectly
regulated
by
pH,
exerting
specific
actions
spermatozoa.
The
slightly
alkaline
testicular
conducive
to
whereas
epididymis’s
low
concentration
acidic
lumen
favorable
maturation
storage.
Spermatozoa
increases
substantially
after
being
fused
with
seminal
fluid
enhance
motility.
In
female
tract,
subjected
increasing
concentrations
uterine
fallopian
tube,
causing
a
rise
intracellular
(pHi)
leading
hyperpolarization
plasma
membranes,
capacitation,
hyperactivation,
acrosome
reaction,
ultimately
fertilization.
regulation
initiated
SLC26A3,
SLC26A8,
NHA1,
sNHE,
CFTR
localized
proven
certain
be
fertility.
This
review
intends
present
key
characteristics
pHi
testes,
efferent
duct,
fluid,
well
associated
mechanisms
during
journey
fertilization,
proposing
insights
into
outstanding
subjects
future
research
trends.
Background:
Post-acute
sequelae
of
SARS-CoV-2
infection
(PASC)
is
a
complicated
disease
that
affects
millions
people
all
over
the
world.
Previous
studies
have
shown
PASC
impacts
10%
infected
patients
which
50-70%
are
hospitalized.
It
has
also
been
10-12%
those
vaccinated
against
COVID-19
were
affected
with
and
its
complications.
The
severity
later
development
symptoms
positively
associated
early
intensity
infection.
Results:
generated
health
complications
caused
by
involve
vast
variety
organ
systems.
Patients
diagnosed
neuropsychiatric
neurological
symptoms.
Cardiovascular
system
involved
several
diseases
such
as
myocarditis,
pericarditis,
coronary
artery
reported.
Chronic
hematological
problems
thrombotic
endothelialitis
hypercoagulability
described
condition
could
increase
risk
clotting
disorders
coagulopathy
in
patients.
Chest
pain,
breathlessness,
cough
respiratory
long
causing
distress
syndrome.
observed
immune
notable,
involving
diseases.
Renal
was
impacted
result
raising
issues,
fibrosis,
sepsis.
Endocrine
gland
malfunction
can
lead
to
diabetes,
thyroiditis,
male
infertility.
Symptoms
diarrhea,
nausea,
loss
appetite
taste
among
reported
observations
due
gastrointestinal
disorders.
Skin
abnormalities
might
be
an
indication
long-term
implications
persistent
cutaneous
complaints
linked
PASC.
Conclusions:
Long
COVID
multidimensional
syndrome
considerable
public
implications,
affecting
physiological
systems
demanding
thorough
medical
therapy
well
more
study
address
underlying
causes
effects.
Biomolecules,
Journal Year:
2024,
Volume and Issue:
14(5), P. 529 - 529
Published: April 28, 2024
The
spatiotemporal
expression
patterns
of
genes
are
crucial
for
maintaining
normal
physiological
functions
in
animals.
Conditional
gene
knockout
using
the
cyclization
recombination
enzyme
(Cre)/locus
crossover
P1
(Cre/LoxP)
strategy
has
been
extensively
employed
functional
assays
at
specific
tissue
or
developmental
stages.
This
approach
aids
uncovering
associations
between
phenotypes
and
regulation
while
minimizing
interference
among
distinct
tissues.
Various
Cre-engineered
mouse
models
have
utilized
male
reproductive
system,
including
Dppa3-MERCre
primordial
germ
cells,
Ddx4-Cre
Stra8-Cre
spermatogonia,
Prm1-Cre
Acrv1-iCre
haploid
spermatids,
Cyp17a1-iCre
Leydig
cell,
Sox9-Cre
Sertoli
Lcn5/8/9-Cre
differentiated
segments
epididymis.
Notably,
specificity
functioning
stage
Cre
recombinases
vary,
efficiency
driven
by
depends
on
endogenous
promoters
with
different
sequences
as
well
constructed
vectors,
even
when
controlled
an
identical
promoter.
generated
via
traditional
CRISPR/Cas9
also
exhibit
properties.
review
focuses
applied
to
Cre-targeting
strategies,
model
screening,
practical
challenges
encountered,
particularly
novel
strains
over
past
decade.
It
aims
provide
valuable
references
studies
conducted
system.
Frontiers in Cellular and Infection Microbiology,
Journal Year:
2024,
Volume and Issue:
14
Published: May 22, 2024
SARS-CoV-2
is
the
causative
virus
of
devastating
COVID-19
pandemic
that
results
in
an
unparalleled
global
health
and
economic
crisis.
Despite
unprecedented
scientific
efforts
therapeutic
interventions,
fight
against
continues
as
rapid
emergence
different
variants
concern
increasing
challenge
long
COVID-19,
raising
a
vast
demand
to
understand
pathomechanisms
its
long-term
sequelae
develop
strategies
beyond
per
se
.
Notably,
addition
itself,
replication
cycle
clinical
severity
also
governed
by
host
factors.
In
this
review,
we
therefore
comprehensively
overview
pathogenesis
from
perspective
factors
host-virus
interactions.
We
sequentially
outline
pathological
implications
molecular
interactions
between
multi-organ
multi-system
summarize
current
agents
targeting
for
treating
these
diseases.
This
knowledge
would
be
key
identification
new
pathophysiological
aspects
mechanisms,
development
actionable
targets
tackling
sequelae.