The Role of Oxidative Stress in Male Infertility

A special issue of Antioxidants (ISSN 2076-3921). This special issue belongs to the section "Health Outcomes of Antioxidants and Oxidative Stress".

Deadline for manuscript submissions: 30 July 2025 | Viewed by 3010

Special Issue Editor


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Guest Editor
Department of Urology, Tulane University School of Medicine, New Orleans, LA 70112, USA
Interests: male reproduction and erectile dysfunction (including penile doppler ultrasound); understanding the role of oxidative stress and aging as related to many urological disorders (mainly erectile dysfunction, infertility, GUI); their early detection and prevention employing specific molecular markers, stem-cells, in-vivo and in-vitro models
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Special Issue Information

Dear Colleagues,

Male factor issues are responsible for 50% of infertility cases in couples desiring children. Increasing evidence suggests that oxidative stress due to elevated seminal reactive oxygen species levels plays an independent and important role in the etiology of male infertility. Seminal oxidative stress is one of the major factors that adversely affect the normal physiological aspects of sperm, such as motility and progression, DNA fragmentation, hyperactivation, capacitation, acrosome reaction, and zona pellucida penetration prior to fertilization, resulting in male infertility. In addition, reactive nitrogen species (RNS), like reactive oxygen species (ROS), are useful for sustaining reproductive processes such as cell signaling, the regulation of hormonal biosynthesis, sperm capacitation, hyperactivation, and acrosome reaction. However, endogenous levels of RNS beyond physiological limits can impair fertility by disrupting testicular function, reducing gonadotropin production, and compromising semen quality. Although the use of antioxidants to reduce oxidative stress across a range of etiologies and risk factors of male infertility has gained increasing attention, there are no standard guidelines that may ensure the reversal of such infertility. In this Special Issue, we plan to focus on research in and clinical aspects of oxidative stress that affect male fertility and success with selective antioxidants alone or in various combinations. Listed below are a few guidelines:

  • Introduction to male infertility.
  • Why is oxidative stress (OS) related to clinical practice of male infertility?
  • How does OS affect sperm function?
  • Mechanistic issues, e.g., role of DNA fragmentation, proteomics, and metabolomic aspects of such interactions.
  • Presence of molecular and genetic differences.
  • How can oxidative stress be evaluated in clinical practice?
  • What are antioxidants and how do they affect sperm function?
  • What is the future of such evaluation in the clinical practice of andrology?
  • Focus on well-designed, multicenter, placebo-controlled clinical trials needed to establish the clear role and candidate for AO therapy.

For this issue, we invite you and your colleagues to submit original research manuscripts, or comprehensive review articles related to these aspects of oxidative stress and male infertility.

Dr. Suresh C. Sikka
Guest Editor

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Keywords

  • male infertility
  • seminal reactive oxygen species
  • sperm
  • reactive nitrogen species
  • antioxidant

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Published Papers (3 papers)

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Research

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13 pages, 426 KiB  
Article
The Effect of Antioxidant Administration on Semen Quality in Men with Infertility: A Randomized Placebo-Controlled Clinical Trial
by Pinelopi Ioannidou, Theodosia Zeginiadou, Christos Venetis, Dimitrios Papanikolaou, Leonidas Zepiridis, Despoina Savvaidou, Katerina Chatzimeletiou, Alexandros Lambropoulos, Dimitrios G. Goulis, Grigoris Grimbizis and Efstratios M. Kolibianakis
Antioxidants 2025, 14(4), 488; https://doi.org/10.3390/antiox14040488 - 18 Apr 2025
Viewed by 791
Abstract
A randomized, placebo-controlled, quadruple-blind trial was performed to evaluate the effect of oral administration of the antioxidant combination Spermotrend® for three months on semen quality in infertile men with at least one abnormal variable in semen analysis. Eighty men were randomized between [...] Read more.
A randomized, placebo-controlled, quadruple-blind trial was performed to evaluate the effect of oral administration of the antioxidant combination Spermotrend® for three months on semen quality in infertile men with at least one abnormal variable in semen analysis. Eighty men were randomized between 2019 and 2022, receiving either the antioxidant combination Spermotrend® (n = 40, spermotrend-group) or placebo (n = 40, placebo-group). Although a total of 80 patients were enrolled in the study, the final data is only from 70 patients. The primary outcome measure was sperm motility (rapid progressive, progressive, and total motility). The values of primary and secondary outcomes between treatment initiation and treatment completion were compared within groups. Moreover, their changes between treatment initiation and treatment completion were compared between the placebo- and the spermotrend-groups. Sperm rapid progressive motility significantly increased in infertile men treated for three months with antioxidant combination Spermotrend® (+1.0%, 95% CI: 0.0 to +2.0, p = 0.04), while this increase was not observed in the placebo-group. Sperm progressive motility significantly increased in infertile men treated for three months with antioxidant combination Spermotrend® (+3.0%, 95% CI: 0.0 to +15.1, p = 0.02), while this increase was not observed in the placebo-group. Similarly, DFI was significantly decreased in infertile men treated for three months by antioxidant combination Spermotrend® (−3.2%, 95% CI: −5.8 to −0.5, p = 0.02). However, no statistically significant differences were observed in the changes of pre- and post-treatment values between the spermotrend- and the placebo-group regarding sperm progressive motility, concentration, normal morphology, DFI, and formation of 8-OH-dG. The antioxidant combination Spermotrend® appears to exert limited benefit on sperm motility and DFI in infertile men with at least one abnormal variable in semen analysis. Full article
(This article belongs to the Special Issue The Role of Oxidative Stress in Male Infertility)
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Review

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21 pages, 1383 KiB  
Review
Redox-Driven Epigenetic Modifications in Sperm: Unraveling Paternal Influences on Embryo Development and Transgenerational Health
by Aron Moazamian, Fabrice Saez, Joël R. Drevet, Robert John Aitken and Parviz Gharagozloo
Antioxidants 2025, 14(5), 570; https://doi.org/10.3390/antiox14050570 - 9 May 2025
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Abstract
Male-factor infertility accounts for nearly half of all infertility cases, and mounting evidence points to oxidative stress as a pivotal driver of sperm dysfunction, genetic instability, and epigenetic dysregulation. In particular, the oxidative DNA lesion 8-hydroxy-2′-deoxyguanosine (8-OHdG) has emerged as a central mediator [...] Read more.
Male-factor infertility accounts for nearly half of all infertility cases, and mounting evidence points to oxidative stress as a pivotal driver of sperm dysfunction, genetic instability, and epigenetic dysregulation. In particular, the oxidative DNA lesion 8-hydroxy-2′-deoxyguanosine (8-OHdG) has emerged as a central mediator at the interface of DNA damage and epigenetic regulation. We discuss how this lesion can disrupt key epigenetic mechanisms such as DNA methylation, histone modifications, and small non-coding RNAs, thereby influencing fertilization outcomes, embryo development, and offspring health. We propose that the interplay between oxidative DNA damage and epigenetic reprogramming is further exacerbated by aging in both the paternal and maternal germlines, creating a “perfect storm” that increases the risk of heritable (epi)mutations. The consequences of unresolved oxidative lesions can thus persist beyond fertilization, contributing to transgenerational health risks. Finally, we explore the promise and potential pitfalls of antioxidant therapy as a strategy to mitigate sperm oxidative damage. While antioxidant supplementation may hold significant therapeutic value for men with subfertility experiencing elevated oxidative stress, a careful, personalized approach is essential to avoid reductive stress and unintended epigenetic disruptions. Recognizing the dual role of oxidative stress in shaping both the genome and the epigenome underscores the need for integrating redox biology into reproductive medicine, with the aim of improving fertility treatments and safeguarding the health of future generations. Full article
(This article belongs to the Special Issue The Role of Oxidative Stress in Male Infertility)
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19 pages, 5333 KiB  
Review
Protective Role of Sphingosine-1-Phosphate During Radiation-Induced Testicular Injury
by Defan Wang, Renfeng Xu and Zhengchao Wang
Antioxidants 2024, 13(11), 1322; https://doi.org/10.3390/antiox13111322 - 30 Oct 2024
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Abstract
The impact of ionizing radiation on the male reproductive system is gaining increasing attention, particularly when it comes to testicular damage, which may result in decreased sperm quality and hormonal imbalances. Finding effective protective measures to mitigate testicular damage caused by radiation has [...] Read more.
The impact of ionizing radiation on the male reproductive system is gaining increasing attention, particularly when it comes to testicular damage, which may result in decreased sperm quality and hormonal imbalances. Finding effective protective measures to mitigate testicular damage caused by radiation has become a focal point in the biomedical field. S1P, an essential biological signaling molecule, has garnered significant interest due to its multiple roles in regulating cellular functions and its protective effects against radiation-induced testicular injury. S1P not only effectively reduces the generation of ROS induced by radiation but also alleviates oxidative stress by enhancing the activity of antioxidant enzymes. Furthermore, S1P inhibits radiation-induced cell apoptosis by regulating the expression of anti-apoptotic and pro-apoptotic proteins. Additionally, S1P alleviates radiation-induced inflammation by inhibiting the production of inflammatory factors, thereby further protecting testicular tissue. In summary, S1P effectively reduces radiation-induced testicular damage through multiple mechanisms, offering a promising therapeutic approach to safeguard male reproductive health. Future research should explore the specific mechanisms of action and clinical application potential of S1P, aiming to contribute significantly to the prevention and treatment of radiation damage. Full article
(This article belongs to the Special Issue The Role of Oxidative Stress in Male Infertility)
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