微生物在不孕症中的可能致病机制:一篇叙述性综述

The possible pathogenic mechanisms of microorganisms in infertility: a narrative review.

作者信息

Chegini Zahra, Khoshbayan Amin, Kashi Milad, Zare Shahraki Raha, Didehdar Mojtaba, Shariati Aref

机构信息

Department of Microbiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.

Department of Microbiology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Arch Microbiol. 2025 Jan 8;207(2):27. doi: 10.1007/s00203-024-04231-w.

Abstract

Infertility can harm a patient in physical, psychological, spiritual, and medical ways. This illness is unusual because it affects the patient's companion and the patient individually. Infertility is a multifactorial disease, and various etiological factors like infection are known to develop this disorder. Recently published studies reported that different bacteria, such as Chlamydia trachomatis, Mycoplasma spp., Ureaplasma urealyticum, Escherichia coli, Staphylococcus aureus, and Pseudomonas aeruginosa, can lead to infertility by immunopathological effects, oxidative stress, and adverse effects on sperm concentration, motility, morphology, and DNA condensation. Among viruses, Human papillomavirus and Herpes simplex virus reduce sperm progressive motility and sperm concentration. The viruses can lead to the atrophy of the germinal epithelium and degenerative changes in the testes. Candida albicans also harm sperm quality, motility, and chromatin integrity and induce apoptosis in sperm cells. Finally, Trichomonas vaginalis leads to distorted heads, broken necks, and acrosomes exocytosis in sperms. This parasite decreases sperm viability and functional integrity. Noteworthy, oxidative stress could have a role in many pathological changes in the reproductive system. Recent findings show that microorganisms can increase reactive oxygen species concentration inside the host cells, leading to oxidative stress and sperm distress and dysfunction. Therefore, this article explores the potential significance of critical bacteria linked to infertility and their pathogenic mechanisms that can affect sperm function and the female reproductive system.

摘要

不孕症会在身体、心理、精神和医学等方面对患者造成伤害。这种疾病较为特殊,因为它会分别影响患者及其伴侣。不孕症是一种多因素疾病,已知多种病因,如感染会引发这种病症。最近发表的研究报告称,不同的细菌,如沙眼衣原体、支原体属、解脲脲原体、大肠杆菌、金黄色葡萄球菌和铜绿假单胞菌,可通过免疫病理作用、氧化应激以及对精子浓度、活力、形态和DNA凝聚的不利影响导致不孕症。在病毒方面,人乳头瘤病毒和单纯疱疹病毒会降低精子的前向运动能力和精子浓度。这些病毒可导致生精上皮萎缩和睾丸的退行性变化。白色念珠菌也会损害精子质量、活力和染色质完整性,并诱导精子细胞凋亡。最后,阴道毛滴虫会导致精子头部扭曲、颈部断裂和顶体胞吐。这种寄生虫会降低精子活力和功能完整性。值得注意的是,氧化应激可能在生殖系统的许多病理变化中起作用。最近的研究结果表明,微生物会增加宿主细胞内活性氧的浓度,导致氧化应激以及精子受损和功能障碍。因此,本文探讨了与不孕症相关的关键细菌的潜在重要性及其可能影响精子功能和女性生殖系统的致病机制。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索