American Center for Reproductive Medicine, Department of Urology, Cleveland Clinic, Cleveland, OH, USA.
Ohio University Heritage College of Osteopathic Medicine, Athens, OH, USA.
Investig Clin Urol. 2017 Nov;58(6):385-399. doi: 10.4111/icu.2017.58.6.385. Epub 2017 Nov 2.
Male infertility affects men worldwide. Oxidative stress (OS), characterized by an overabundance of reactive oxygen species (ROS) or a deficiency of antioxidants, is one of the major causes of male infertility. OS causes damage at the molecular level, which impairs lipids, proteins, and DNA. The cyclic cascade of redox reactions weakens sperm function which leads to poor semen parameters and eventual sterility. There is a need for advanced diagnostic tests that can quickly and accurately detect OS. Most commonly used assays can only measure single constituents of OS. However, the MiOXSYS System introduces a new strategy to detect OS by measuring the oxidation-reduction potential (ORP)--a direct evaluation of the redox balance between ROS and antioxidants. The MiOXSYS System has shown promise as a diagnostic tool in the evaluation of male infertility. This review explores the concept of ORP, details the principle of the MiOXSYS System, and summarizes the findings in clinical studies that support ORP measurement in semen.
男性不育影响全球男性。氧化应激(OS)是由活性氧(ROS)过多或抗氧化剂缺乏引起的,是男性不育的主要原因之一。OS 会在分子水平上造成损害,破坏脂质、蛋白质和 DNA。氧化还原反应的循环级联削弱了精子功能,导致精液参数差和最终不育。需要先进的诊断测试,可以快速准确地检测 OS。最常用的检测方法只能测量 OS 的单个成分。然而,MiOXSYS 系统通过测量氧化还原电位(ORP)引入了一种新的检测 OS 的策略,这是对 ROS 和抗氧化剂之间氧化还原平衡的直接评估。MiOXSYS 系统已作为男性不育评估的诊断工具显示出前景。本文探讨了 ORP 的概念,详细说明了 MiOXSYS 系统的原理,并总结了支持精液中 ORP 测量的临床研究结果。