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SARS-CoV-2(Covid-19)与男性生育力:我们处于什么阶段?

SARS-COV-2 (Covid-19) and male fertility: Where are we?

机构信息

Division of Medical Physiology, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa.

Division of Family Medicine and Primary Care, Faculty of Health Sciences, Stellenbosch University, Cape Town, South Africa; Ceres Hospital, Cape Winelands Health District, Department of Health, Ceres, South Africa.

出版信息

Reprod Toxicol. 2021 Jan;99:65-70. doi: 10.1016/j.reprotox.2020.11.012. Epub 2020 Nov 26.

DOI:10.1016/j.reprotox.2020.11.012
PMID:33249233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7689309/
Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-COV-2), a single-stranded RNA virus, was found to be the causal agent of the disease called coronavirus disease. During December 2019, China informed the World Health Organization (WHO) of an outbreak of cases of pneumonia of unknown etiology, which caused severe-acute respiratory distress. The disease was termed coronavirus disease 2019 (Covid-19). Due to alarming levels of spread and severity, on the 11th of March 2020, the WHO declared the outbreak as a global pandemic. As of September 14, 2020, more than 29 million cases have been reported, with over 900,000 deaths globally. Since the outbreak, although not conclusive, discoveries have been made regarding the understanding of the epidemiology, etiology, clinical features, clinical treatment, and prevention of the disease. SARS-COV-2 has been detected in saliva, respiratory fluids, blood, urine, and faeces. Findings are however controversial regarding its presence in the semen or the testis. Hence, this review aimed to further analyse the literature concerning (i) the effects of previously identified human coronaviruses on male fertility (ii) the impact of Covid-19 on male fertility and (iii) the implication for general health in terms of infection and transmission.

摘要

严重急性呼吸综合征冠状病毒 2(SARS-COV-2)是一种单链 RNA 病毒,被认为是导致冠状病毒病的病原体。2019 年 12 月,中国向世界卫生组织(WHO)报告了一起不明病因肺炎病例的爆发,导致严重急性呼吸窘迫。该疾病被称为 2019 年冠状病毒病(Covid-19)。由于传播范围和严重程度令人震惊,2020 年 3 月 11 日,世界卫生组织宣布该疫情为全球大流行。截至 2020 年 9 月 14 日,已报告超过 2900 万例病例,全球有超过 90 万人死亡。自疫情爆发以来,尽管尚未得出明确结论,但在了解该疾病的流行病学、病因、临床特征、临床治疗和预防方面取得了一些发现。SARS-COV-2 已在唾液、呼吸道分泌物、血液、尿液和粪便中被检测到。然而,关于其在精液或睾丸中存在的发现存在争议。因此,本综述旨在进一步分析有关以下方面的文献:(i)先前鉴定的人类冠状病毒对男性生育力的影响;(ii)Covid-19 对男性生育力的影响;(iii)感染和传播方面对一般健康的影响。

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Editorial: Male fertility: lessons learnt from the SARS-CoV-2 pandemic.社论:男性生育能力:从新冠疫情中吸取的教训
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本文引用的文献

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Male Ebola Survivors: Do Not Forget to Use a Condom!男性埃博拉幸存者:别忘了使用避孕套!
Reprod Sci. 2019 Oct;26(10):1326. doi: 10.1177/1933719114563733.
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Sex differences in immune responses that underlie COVID-19 disease outcomes.COVID-19 疾病结局相关的免疫反应中的性别差异。
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Investigation of SARS-CoV-2 in Semen of Patients in the Acute Stage of COVID-19 Infection.新型冠状病毒肺炎(COVID-19)感染急性期患者精液中严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的调查
严重急性呼吸综合征冠状病毒2型灭活疫苗对冻融胚胎移植结局的影响:一项大规模临床研究。
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Monkeypox and Male Fertility: Is There Any Looming Danger?猴痘与男性生育能力:是否存在潜在风险?
J Reprod Infertil. 2022 Oct-Dec;23(4):314-317. doi: 10.18502/jri.v23i4.10819.
8
Single-cell sequencing of brain tissues reveal the central nervous system's susceptibility to SARS-CoV-2 and the drug.脑组织的单细胞测序揭示了中枢神经系统对SARS-CoV-2及该药物的易感性。
Front Pharmacol. 2022 Sep 13;13:971017. doi: 10.3389/fphar.2022.971017. eCollection 2022.
9
Effect of Coronavirus Disease (COVID-19) on Human Semen: No Evidence of Coronavirus in Semen of Patients.新型冠状病毒肺炎(COVID-19)对人类精液的影响:患者精液中未检测到冠状病毒。
Biomed Res Int. 2022 Sep 12;2022:6204880. doi: 10.1155/2022/6204880. eCollection 2022.
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SARS-CoV-2 infection and multi-organ system damage: A review.SARS-CoV-2 感染与多器官系统损伤:综述。
Biomol Biomed. 2023 Feb 1;23(1):37-52. doi: 10.17305/bjbms.2022.7762.
Urol Int. 2020;104(9-10):678-683. doi: 10.1159/000510531. Epub 2020 Aug 11.
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The protein expression profile of ACE2 in human tissues.ACE2 在人体组织中的蛋白表达谱。
Mol Syst Biol. 2020 Jul;16(7):e9610. doi: 10.15252/msb.20209610.
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Assessment of SARS-CoV-2 in human semen-a cohort study.人类精液中 SARS-CoV-2 的评估——一项队列研究。
Fertil Steril. 2020 Aug;114(2):233-238. doi: 10.1016/j.fertnstert.2020.05.028. Epub 2020 May 29.
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J Med Virol. 2021 Jan;93(1):456-462. doi: 10.1002/jmv.26259. Epub 2020 Jul 19.
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Andrology. 2021 Jan;9(1):42-47. doi: 10.1111/andr.12848. Epub 2020 Sep 15.
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The ACE2 expression in Sertoli cells and germ cells may cause male reproductive disorder after SARS-CoV-2 infection.ACE2 在支持细胞和生殖细胞中的表达可能导致 SARS-CoV-2 感染后男性生殖障碍。
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