College of Ecological Technology and Engineering, Shanghai Institute of Technology, Shanghai, China.
Molecular Neurogenetics, Max Planck Institute of Psychiatry, Munich, Germany.
Reproduction. 2023 May 26;166(1):27-36. doi: 10.1530/REP-23-0097. Print 2023 Jul 1.
The current declining trend in male fertility parallels the increasing prevalence of obesity worldwide. This paper revealed that the poor in vitro fertilization rates and decreased sperm motility in obese mice due to excessive oxidative stress enhanced apoptosis and impaired glucose metabolism in the testes.
Obesity is an urgent public health problem in recent decades, linked to reduced reproductive potential, and negatively affects the success of assisted reproduction technology. The aim of this study is to investigate the mechanisms underlying impaired male fertility caused by obesity. Male C57BL/6 mice fed a high-fat diet for 20 weeks served as mouse models with moderate (20% < body fat rate (BFR) < 30%) and severe obesity (BFR > 30%). Our results showed poor in vitro fertilization rates and decreased sperm motility in obese mice. Abnormal testicular structures were identified in male mice with moderate and severe obesity. The expression level of malondialdehyde increased with obesity severity. This finding indicates that oxidative stress plays a role in male infertility caused by obesity, which was further confirmed by the decreased expression of nuclear factor erythroid 2-related factor 2, superoxide dismutase, and glutathione peroxidases. Our study also found that the expression of cleaved caspase-3 and B-cell lymphoma-2 showed an obesity severity-dependent manner indicating that apoptosis is highly correlated with male infertility caused by obesity. Moreover, the expression of glycolysis-related proteins, including glucose transporter 8, lactate dehydrogenase A, monocarboxylate transporter 2 (MCT2), and MCT4, decreased significantly in the testes of obese male mice, suggesting energy supply for spermatogenesis is impaired by obesity. Taken together, our findings provide evidence that obesity impairs male fertility through oxidative stress, apoptosis, and blockage of energy supply in the testes and suggest that male obesity influences fertility through complex and multiple mechanisms.
男性生育力的下降趋势与全球肥胖症的流行呈正相关。本文揭示了肥胖导致的过度氧化应激会降低肥胖小鼠的体外受精率和精子活力,增加睾丸细胞凋亡和葡萄糖代谢损伤。
肥胖是近几十年来的一个紧迫的公共卫生问题,与生殖能力下降有关,并对辅助生殖技术的成功产生负面影响。本研究旨在探讨肥胖导致男性生育力受损的机制。将 20 周龄雄性 C57BL/6 小鼠喂食高脂肪饮食构建肥胖模型,分为中(20%<体脂肪率(BFR)<30%)度肥胖组和重度肥胖组(BFR>30%)。结果显示肥胖小鼠的体外受精率较低,精子活力下降。中度和重度肥胖的雄性小鼠睾丸结构异常。随着肥胖程度的增加,丙二醛的表达水平增加。这表明氧化应激在肥胖引起的男性不育中起作用,这一发现进一步被核因子红细胞 2 相关因子 2、超氧化物歧化酶和谷胱甘肽过氧化物酶表达减少所证实。本研究还发现,cleaved caspase-3 和 B 细胞淋巴瘤-2 的表达呈肥胖严重程度依赖性,表明凋亡与肥胖引起的男性不育高度相关。此外,肥胖雄性小鼠睾丸中糖酵解相关蛋白,包括葡萄糖转运蛋白 8、乳酸脱氢酶 A、单羧酸转运蛋白 2(MCT2)和 MCT4 的表达显著降低,表明肥胖会损害精子发生的能量供应。综上所述,我们的研究结果表明,肥胖通过氧化应激、细胞凋亡和阻断睾丸能量供应来损害男性生育力,并表明男性肥胖通过复杂的多种机制影响生育力。