“Unraveling the Clot-Miscarriage Nexus: Mechanisms, Management, and Future Directions in Thrombosis-Related Recurrent Pregnancy Loss” DOI Creative Commons
Ahmed Hussein, Amin Solouki, Niloofar Pilehvari

et al.

Clinical and Applied Thrombosis/Hemostasis, Journal Year: 2025, Volume and Issue: 31

Published: April 1, 2025

Recurrent spontaneous abortion (RSA) is a multifactorial condition influenced by genetic, hormonal, immunological, and anatomical factors. Thrombophilia, characterized heightened propensity for blood clotting, significant contributor to RSA. This review examines the mechanisms connecting thrombosis RSA, focusing on hypercoagulable states, placental thrombosis, inflammation, endothelial dysfunction. Genetic acquired thrombophilic factors, such as factor V Leiden mutation, prothrombin gene protein C S deficiencies, antithrombin III deficiency, antiphospholipid syndrome, hyperhomocysteinemia, are discussed in detail. The diagnosis of thrombophilia RSA entails comprehensive clinical evaluation, including assessment physical examination, medical history laboratory investigations, although there still debate over need universal screening. Therapeutic strategies, anticoagulant antiplatelet therapies, well lifestyle modifications, tailored individual risk factors disease severity. Although therapy demonstrates potential lowering miscarriage, additional research necessary refine treatment protocols assess long-term outcomes. highlights nuanced approach managing thrombophilia-associated balancing diagnostic precision with therapeutic efficacy improve reproductive

Language: Английский

Protective Role of Physical Activity and Antioxidant Systems During Spermatogenesis DOI Creative Commons
Cristina Antinozzi, Luigi Di Luigi,

Laura Sireno

et al.

Biomolecules, Journal Year: 2025, Volume and Issue: 15(4), P. 478 - 478

Published: March 25, 2025

Oxidative stress is a significant factor that contributes to male infertility and sperm dysfunction. In this condition, an increase in ROS production exceeds the body's antioxidant defenses, resulting decline spermatozoa quality fertilizing capacity. Furthermore, excessive has been linked promotion of genomic damage, lipid peroxidation, inflammation, altered enzyme activity, ultimately, irreversible alterations, cell death, seminal parameters associated with infertility. It established physical activity (PA), acting on inflammatory improving defense, can alleviate negative effects caused by free radicals, offering numerous health benefits positively influencing quality. The objective review highlight mechanisms production, physiological pathophysiological roles relation reproductive system, recent knowledge impact some protocols PA these systems molecular involved.

Language: Английский

Citations

0

From infection to infertility: a review of the role of human papillomavirus-induced oxidative stress on reproductive health and infertility DOI Creative Commons
Omid Salahi Ardekani, Arash Letafati,

Sepehr Ebrahimi Dehkordi

et al.

European journal of medical research, Journal Year: 2025, Volume and Issue: 30(1)

Published: April 28, 2025

Infertility has emerged as a significant global health concern, affecting nearby 8-12% of couples in reproductive age worldwide. Increasing evidence suggests potential link between human papillomavirus (HPV) and infertility both men women. Some research indicate that HPV can infect various components semen, potentially sperm quality by decreasing motility, viability, increasing DNA fragmentation, all which may contribute to male infertility. The virus attach the equatorial region head, enabling infected transmit oocyte or placenta. Consequently, induces apoptosis trophoblastic cells disrupts their adhesion endometrial cells, raises risk miscarriage. also affect ovarian reserve causing chronic inflammation, impair granulosa cell function lower serum anti-Müllerian hormone (AMH) levels. Besides, HPV-related immune responses producing anti-sperm antibodies (ASAs), cause clumping, reduce motility through cervical mucus, activate complement system damages female tract interfere with sperm-egg interactions. Moreover, infection been linked reduced success rates assisted technologies (ART), disrupting critical processes such acrosome reaction, sperm-oocyte interaction, fusion. One mechanism contributes is oxidative stress (OS). Triggered OS negatively impact damage system, ultimately contributing Despite these associations, precise mechanisms strength relationship remain uncertain. Thus, this review seeks investigate on infertility, particularly its effects OS. A clearer understanding could inform future strategies for addressing

Language: Английский

Citations

0

“Unraveling the Clot-Miscarriage Nexus: Mechanisms, Management, and Future Directions in Thrombosis-Related Recurrent Pregnancy Loss” DOI Creative Commons
Ahmed Hussein, Amin Solouki, Niloofar Pilehvari

et al.

Clinical and Applied Thrombosis/Hemostasis, Journal Year: 2025, Volume and Issue: 31

Published: April 1, 2025

Recurrent spontaneous abortion (RSA) is a multifactorial condition influenced by genetic, hormonal, immunological, and anatomical factors. Thrombophilia, characterized heightened propensity for blood clotting, significant contributor to RSA. This review examines the mechanisms connecting thrombosis RSA, focusing on hypercoagulable states, placental thrombosis, inflammation, endothelial dysfunction. Genetic acquired thrombophilic factors, such as factor V Leiden mutation, prothrombin gene protein C S deficiencies, antithrombin III deficiency, antiphospholipid syndrome, hyperhomocysteinemia, are discussed in detail. The diagnosis of thrombophilia RSA entails comprehensive clinical evaluation, including assessment physical examination, medical history laboratory investigations, although there still debate over need universal screening. Therapeutic strategies, anticoagulant antiplatelet therapies, well lifestyle modifications, tailored individual risk factors disease severity. Although therapy demonstrates potential lowering miscarriage, additional research necessary refine treatment protocols assess long-term outcomes. highlights nuanced approach managing thrombophilia-associated balancing diagnostic precision with therapeutic efficacy improve reproductive

Language: Английский

Citations

0