A translational medicine appraisal of specialized andrology testing in unexplained male infertility

The diagnostic and prognostic validity of sperm function biomarkers is particularly relevant for males with unexplained infertility in which routine semen analysis fails to detect subcellular sperm dysfunctions. In this general review, we examine the role and significance of specialized andrology la...

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Veröffentlicht in:International urology and nephrology 2014-06, Vol.46 (6), p.1037-1052
Hauptverfasser: Esteves, Sandro C., Sharma, Rakesh K., Gosálvez, Jaime, Agarwal, Ashok
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container_end_page 1052
container_issue 6
container_start_page 1037
container_title International urology and nephrology
container_volume 46
creator Esteves, Sandro C.
Sharma, Rakesh K.
Gosálvez, Jaime
Agarwal, Ashok
description The diagnostic and prognostic validity of sperm function biomarkers is particularly relevant for males with unexplained infertility in which routine semen analysis fails to detect subcellular sperm dysfunctions. In this general review, we examine the role and significance of specialized andrology laboratory tests from past to present and provide a glance toward the future. We concluded that the assessment of sperm DNA damage and oxidative stress provide a relatively independent measure of fertility that yields diagnostic and prognostic information complementary to, but distinct and more significant than, standard sperm parameters. Since none of the available methods for such testing have been fully translated, further research is necessary to evaluate their cost-effectiveness when applied in large scale to daily medical practice. Application of translational medicine concepts would also be useful to accelerate the clinical application of recent discoveries in the fields of genomics, proteomics and metabolomics.
doi_str_mv 10.1007/s11255-014-0715-0
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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Acrosome Reaction
DNA Damage
Humans
Infertility, Male - etiology
Infertility, Male - genetics
Infertility, Male - physiopathology
Male
Medicine
Medicine & Public Health
Nephrology
Oxidative Stress
Reactive Oxygen Species - metabolism
Semen Analysis
Spermatozoa - physiology
Translational Medical Research
Urology
Urology – Review
title A translational medicine appraisal of specialized andrology testing in unexplained male infertility
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