Disease ⇒ Male Infertility {40000569} Record Keys Type:Disease Parent:[ ] Definition:Male Infertility Details Initialisation date:[ ] Other Terms:[ ] Meta Information MedDra ID:[ ] MedDra Level:[ ] ICD:[ ] Category:[ ] Zone: Urogenital Mechanism:[ ] Notes: [ ]Shared Reference Notes [1.1] - Lactobacillus-predominant semen has been reported to have higher quality with respect to Prevotella-or Pseudomonas-predominant semen with Lactobacilli being able to prevent sperm lipid peroxidation, and to preserve sperm motility and viability [1.2] - potential protective role against male infertility> #Bacteroides, #Romboutsia - #Allisonella was positively associated with male infertility. [#Lipopolysaccharide] - Toll-like receptor-4 (TLR-4) is expressed in human sperm and Sertoli cells, and endotoxin acts as a ligand for TLR-4. - activated inflammatory factors, which can cause vascular endothelial damage, disruption of the blood-testis barrier, and impair spermatogenesis and viability,ultimately contributing to male infertility; - intestinal capillary endothelial cells express iNOS, which is the rate-limiting enzyme for #Nitric Oxide (NO) biosynthesis. - Under the stimulation of endotoxin, pathogenic microorganisms can induce the binding of specific bacterial species or NF-κB to the promoter region of iNOS, thereby upregulating transcription of iNOS28. - The abnormal increases in iNOS can disrupt the integrity of tight junctions within the blood-testis barrier, impair sperm-egg binding during fertilization, induce apoptosis in germ cells, and adversely affect sperm count. - elevated levels of NO inhibit sperm mitochondrial respiration, leading to mitochondrial hyperpolarization, the release of cytochrome C, and ultimately, the death of sperm cells. - the presence of endotoxin can significantly reduce Bin1b expression and its affinity for sperm, thereby impairing sperm maturation and motilityReferences Notes[ ]