Department of Urology, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110 Ioannina, Greece.
Medicina (Kaunas). 2023 Oct 4;59(10):1769. doi: 10.3390/medicina59101769.
Oxidative stress is a significant factor in male infertility, compromising sperm function and overall reproductive health. As male infertility garners increasing attention, effective therapeutic interventions become paramount. This review investigates the therapeutic role of antioxidants in addressing male infertility. A detailed examination was conducted on antioxidants such as vitamin C, E, B12, D, coenzyme Q10, zinc, folic acid, selenium, l-carnitine, l-arginine, inositols, and alpha-lipoic acid. This analysis examines the methodologies, outcomes, and constraints of current clinical studies. Antioxidants show notable potential in counteracting the negative effects of oxidative stress on sperm. Based on the evidence, these antioxidants, individually or synergistically, can enhance sperm health and reproductive outcomes. However, certain limitations in the studies call for careful interpretation. Antioxidants are integral in tackling male infertility attributed to oxidative stress. The current findings underscore their therapeutic value, yet there's a pressing need for deeper, comprehensive research. Future studies should focus on refining dosage guidelines, identifying potential side effects, and discerning the most efficacious antioxidant combinations for male infertility solutions.
氧化应激是男性不育的一个重要因素,会损害精子功能和整体生殖健康。随着男性不育问题受到越来越多的关注,有效的治疗干预措施变得至关重要。本综述探讨了抗氧化剂在治疗男性不育中的作用。我们详细研究了维生素 C、E、B12、D、辅酶 Q10、锌、叶酸、硒、左旋肉碱、精氨酸、肌醇和硫辛酸等抗氧化剂。分析了当前临床研究的方法、结果和局限性。抗氧化剂在抵消氧化应激对精子的负面影响方面显示出显著的潜力。基于这些证据,这些抗氧化剂单独或协同使用可以改善精子健康和生殖结果。然而,研究中的某些局限性需要谨慎解释。抗氧化剂是解决氧化应激引起的男性不育的关键因素。目前的研究结果强调了它们的治疗价值,但仍迫切需要更深入、全面的研究。未来的研究应侧重于细化剂量指南、确定潜在的副作用,并确定最有效的抗氧化剂组合,以解决男性不育问题。