1
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Gonzalez-Martin R, Palomar A, Perez-Deben S, Salsano S, Quiñonero A, Caracena L, Fernandez-Saavedra R, Fernandez-Martinez R, Conde-Vilda E, Quejido AJ, Giles J, Vidal C, Bellver J, Dominguez F. Higher Concentrations of Essential Trace Elements in Women Undergoing IVF May Be Associated with Poor Reproductive Outcomes Following Single Euploid Embryo Transfer. Cells 2024; 13:839. [PMID: 38786061 PMCID: PMC11119764 DOI: 10.3390/cells13100839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2024] [Revised: 05/07/2024] [Accepted: 05/13/2024] [Indexed: 05/25/2024] Open
Abstract
Essential trace elements are micronutrients whose deficiency has been associated with altered fertility and/or adverse pregnancy outcomes, while surplus may be toxic. The concentrations of eight essential trace elements were measured using inductively coupled mass spectrometry (ICP-MS) and assessed with respect to clinical in vitro fertilization (IVF) outcomes in a population of 51 women undergoing IVF with intracytoplasmic sperm injection (ICSI), pre-implantation genetic screening for aneuploidy (PGT-A), and single frozen euploid embryo transfer (SET/FET). Specifically, copper (Cu), zinc (Zn), molybdenum, selenium, lithium, iron, chromium, and manganese were quantified in follicular fluid and whole blood collected the day of vaginal oocyte retrieval (VOR) and in urine collected the day of VOR and embryo transfer. We found that the whole blood Cu/Zn ratio was significantly associated with superior responses to ovarian stimulation. Conversely, the whole blood zinc and selenium concentrations were significantly associated with poor ovarian response outcomes. Higher levels of whole blood zinc and selenium, urinary selenium, lithium, and iron had significant negative associations with embryologic outcomes following IVF. Regarding clinical IVF outcomes, higher urinary molybdenum concentrations the day of VOR were associated with significantly lower odds of implantation and live birth, while higher urinary Cu/Mo ratios on the day of VOR were associated with significantly higher odds of implantation, clinical pregnancy, and live birth. Our results suggest that essential trace element levels may directly influence the IVF outcomes of Spanish patients, with selenium and molybdenum exerting negative effects and copper-related ratios exerting positive effects. Additional studies are warranted to confirm these relationships in other human populations.
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Affiliation(s)
- Roberto Gonzalez-Martin
- IVI-RMA Global Research Alliance, IVI Foundation, Instituto de Investigación Sanitaria La Fe (IIS La Fe), 46026 Valencia, Spain; (R.G.-M.); (A.P.); (A.Q.); (L.C.); (J.G.); (C.V.); (J.B.)
| | - Andrea Palomar
- IVI-RMA Global Research Alliance, IVI Foundation, Instituto de Investigación Sanitaria La Fe (IIS La Fe), 46026 Valencia, Spain; (R.G.-M.); (A.P.); (A.Q.); (L.C.); (J.G.); (C.V.); (J.B.)
| | - Silvia Perez-Deben
- IVI-RMA Global Research Alliance, IVI Foundation, Instituto de Investigación Sanitaria La Fe (IIS La Fe), 46026 Valencia, Spain; (R.G.-M.); (A.P.); (A.Q.); (L.C.); (J.G.); (C.V.); (J.B.)
| | - Stefania Salsano
- IVI-RMA Global Research Alliance, IVI Foundation, Instituto de Investigación Sanitaria La Fe (IIS La Fe), 46026 Valencia, Spain; (R.G.-M.); (A.P.); (A.Q.); (L.C.); (J.G.); (C.V.); (J.B.)
| | - Alicia Quiñonero
- IVI-RMA Global Research Alliance, IVI Foundation, Instituto de Investigación Sanitaria La Fe (IIS La Fe), 46026 Valencia, Spain; (R.G.-M.); (A.P.); (A.Q.); (L.C.); (J.G.); (C.V.); (J.B.)
| | - Laura Caracena
- IVI-RMA Global Research Alliance, IVI Foundation, Instituto de Investigación Sanitaria La Fe (IIS La Fe), 46026 Valencia, Spain; (R.G.-M.); (A.P.); (A.Q.); (L.C.); (J.G.); (C.V.); (J.B.)
- IVI-RMA Global Research Alliance, IVI-RMA Valencia, 46015 Valencia, Spain
| | - Rocio Fernandez-Saavedra
- Unit of Mass Spectrometry and Geochemical Applications, Chemistry Division, Department of Technology, Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), 28040 Madrid, Spain; (R.F.-S.); (R.F.-M.); (E.C.-V.); (A.J.Q.)
| | - Rodolfo Fernandez-Martinez
- Unit of Mass Spectrometry and Geochemical Applications, Chemistry Division, Department of Technology, Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), 28040 Madrid, Spain; (R.F.-S.); (R.F.-M.); (E.C.-V.); (A.J.Q.)
| | - Estefania Conde-Vilda
- Unit of Mass Spectrometry and Geochemical Applications, Chemistry Division, Department of Technology, Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), 28040 Madrid, Spain; (R.F.-S.); (R.F.-M.); (E.C.-V.); (A.J.Q.)
| | - Alberto J. Quejido
- Unit of Mass Spectrometry and Geochemical Applications, Chemistry Division, Department of Technology, Centro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT), 28040 Madrid, Spain; (R.F.-S.); (R.F.-M.); (E.C.-V.); (A.J.Q.)
| | - Juan Giles
- IVI-RMA Global Research Alliance, IVI Foundation, Instituto de Investigación Sanitaria La Fe (IIS La Fe), 46026 Valencia, Spain; (R.G.-M.); (A.P.); (A.Q.); (L.C.); (J.G.); (C.V.); (J.B.)
- IVI-RMA Global Research Alliance, IVI-RMA Valencia, 46015 Valencia, Spain
| | - Carmen Vidal
- IVI-RMA Global Research Alliance, IVI Foundation, Instituto de Investigación Sanitaria La Fe (IIS La Fe), 46026 Valencia, Spain; (R.G.-M.); (A.P.); (A.Q.); (L.C.); (J.G.); (C.V.); (J.B.)
- IVI-RMA Global Research Alliance, IVI-RMA Valencia, 46015 Valencia, Spain
| | - Jose Bellver
- IVI-RMA Global Research Alliance, IVI Foundation, Instituto de Investigación Sanitaria La Fe (IIS La Fe), 46026 Valencia, Spain; (R.G.-M.); (A.P.); (A.Q.); (L.C.); (J.G.); (C.V.); (J.B.)
- IVI-RMA Global Research Alliance, IVI-RMA Valencia, 46015 Valencia, Spain
- Department of Pediatrics, Obstetrics and Gynecology, Faculty of Medicine of Valencia, 46010 Valencia, Spain
| | - Francisco Dominguez
- IVI-RMA Global Research Alliance, IVI Foundation, Instituto de Investigación Sanitaria La Fe (IIS La Fe), 46026 Valencia, Spain; (R.G.-M.); (A.P.); (A.Q.); (L.C.); (J.G.); (C.V.); (J.B.)
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2
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Ren M, Wu T, Yang S, Gao N, Lan C, Zhang H, Lin W, Su S, Yan L, Zhuang L, Lu Q, Xu J, Han B, Bai Z, Meng F, Chen Y, Pan B, Wang B, Lu X, Fang M. Ascertaining sensitive exposure biomarkers of various metal(loid)s to embryo implantation. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2024; 347:123679. [PMID: 38462199 DOI: 10.1016/j.envpol.2024.123679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/14/2024] [Revised: 02/08/2024] [Accepted: 02/27/2024] [Indexed: 03/12/2024]
Abstract
Close relationships exist between metal(loid)s exposure and embryo implantation failure (EIF) from animal and epidemiological studies. However, there are still inconsistent results and lacking of sensitive metal(loid) exposure biomarkers associated with EIF risk. We aimed to ascertain sensitive metal(loid) biomarkers to EIF and provide potential biological explanations. Candidate metal(loid) biomarkers were measured in the female hair (FH), female serum (FS), and follicular fluid (FF) with various exposure time periods. An analytical framework was established by integrating epidemiological association results, comprehensive literature searching, and knowledge-based adverse outcome pathway (AOP) networks. The sensitive biomarkers of metal(loid)s along with potential biological pathways to EIF were identified in this framework. Among the concerned 272 candidates, 45 metal(loid)s biomarkers across six time periods and three biomatrix were initially identified by single-metal(loid) analyses. Two biomarkers with counterfactual results according to literature summary results were excluded, and a total of five biomarkers were further determined from 43 remained candidates in mixture models. Finally, four sensitive metal(loid) biomarkers were eventually assessed by overlapping AOP networks information, including Se and Co in FH, and Fe and Zn in FS. AOP networks also identified key GO pathways and proteins involved in regulation of oxygen species biosynthetic, cell proliferation, and inflammatory response. Partial dependence results revealed Fe in FS and Co in FH at their low levels might be potential sensitive exposure levels for EIF. Our study provided a typical framework to screen the crucial metal(loid) biomarkers and ascertain that Se and Co in FH, and Fe and Zn in FS played an important role in embryo implantation.
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Affiliation(s)
- Mengyuan Ren
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, 100191, China; Institute of Reproductive and Child Health, School of Public Health Peking University Beijing 100191, P.R. China/ Key Laboratory of Reproductive Health, National Health and Family Planning Commission of the People's Republic of China, Beijing, 100191, China; Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing, 100191, China
| | - Tianxiang Wu
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, 100191, China; Institute of Reproductive and Child Health, School of Public Health Peking University Beijing 100191, P.R. China/ Key Laboratory of Reproductive Health, National Health and Family Planning Commission of the People's Republic of China, Beijing, 100191, China; Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing, 100191, China
| | - Shuo Yang
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, 100191, China; Institute of Reproductive and Child Health, School of Public Health Peking University Beijing 100191, P.R. China/ Key Laboratory of Reproductive Health, National Health and Family Planning Commission of the People's Republic of China, Beijing, 100191, China; Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing, 100191, China
| | - Ning Gao
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, 100191, China; Institute of Reproductive and Child Health, School of Public Health Peking University Beijing 100191, P.R. China/ Key Laboratory of Reproductive Health, National Health and Family Planning Commission of the People's Republic of China, Beijing, 100191, China; Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing, 100191, China
| | - Changxin Lan
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, 100191, China; Institute of Reproductive and Child Health, School of Public Health Peking University Beijing 100191, P.R. China/ Key Laboratory of Reproductive Health, National Health and Family Planning Commission of the People's Republic of China, Beijing, 100191, China; Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing, 100191, China
| | - Han Zhang
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, 100191, China; Institute of Reproductive and Child Health, School of Public Health Peking University Beijing 100191, P.R. China/ Key Laboratory of Reproductive Health, National Health and Family Planning Commission of the People's Republic of China, Beijing, 100191, China; Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing, 100191, China
| | - Weinan Lin
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, 100191, China; Institute of Reproductive and Child Health, School of Public Health Peking University Beijing 100191, P.R. China/ Key Laboratory of Reproductive Health, National Health and Family Planning Commission of the People's Republic of China, Beijing, 100191, China; Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing, 100191, China
| | - Shu Su
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, 100191, China; Institute of Reproductive and Child Health, School of Public Health Peking University Beijing 100191, P.R. China/ Key Laboratory of Reproductive Health, National Health and Family Planning Commission of the People's Republic of China, Beijing, 100191, China; Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing, 100191, China
| | - Lailai Yan
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing, 100191, China
| | - Lili Zhuang
- Reproductive Medicine Center, Yuhuangding Hospital of Yantai, Affiliated Hospital of Qingdao University, Yantai, 264000, China
| | - Qun Lu
- Medical Center for Human Reproduction, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, 100020, China; Center of Reproductive Medicine, Peking University People's Hospital, Beijing, 100044, China
| | - Jia Xu
- State Key Laboratory of Environmental Criteria and Risk Assessment, Chinese Research Academy of Environmental Sciences, Beijing, 100012, China
| | - Bin Han
- State Key Laboratory of Environmental Criteria and Risk Assessment, Chinese Research Academy of Environmental Sciences, Beijing, 100012, China
| | - Zhipeng Bai
- State Key Laboratory of Environmental Criteria and Risk Assessment, Chinese Research Academy of Environmental Sciences, Beijing, 100012, China; Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, Washington, 353770, USA
| | - Fangang Meng
- Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China
| | - Yuanchen Chen
- Key Laboratory of Microbial Technology for Industrial Pollution Control of Zhejiang Province, College of Environment, Zhejiang University of Technology, Hangzhou, Zhejiang, 310032, PR China
| | - Bo Pan
- Yunnan Provincial Key Lab of Soil Carbon Sequestration and Pollution Control, Faculty of Environmental Science and Engineering, Kunming University of Science and Technology, Kunming, 650500, China
| | - Bin Wang
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, 100191, China; Institute of Reproductive and Child Health, School of Public Health Peking University Beijing 100191, P.R. China/ Key Laboratory of Reproductive Health, National Health and Family Planning Commission of the People's Republic of China, Beijing, 100191, China; Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing, 100191, China; Laboratory for Earth Surface Processes, College of Urban and Environmental Science, Peking University, Beijing, 100871, China.
| | - Xiaoxia Lu
- Laboratory for Earth Surface Processes, College of Urban and Environmental Science, Peking University, Beijing, 100871, China
| | - Mingliang Fang
- Department of Environmental Science and Engineering, Fudan University, Shanghai, 200433, China
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3
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van den Berg JS, Molina NM, Altmäe S, Arends B, Steba GS. A systematic review identifying seminal plasma biomarkers and their predictive ability on IVF and ICSI outcomes. Reprod Biomed Online 2024; 48:103622. [PMID: 38128376 DOI: 10.1016/j.rbmo.2023.103622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Revised: 06/30/2023] [Accepted: 10/12/2023] [Indexed: 12/23/2023]
Abstract
The diverse nature and high molecule concentration of seminal plasma (SP) makes this fluid a good potential source for a potential biomarker that could predict assisted reproductive technology (ART) outcomes. Currently, semen quality parameters cannot accurately predict ART outcomes. A systematic literature search was conducted to identify human SP biomarkers with potential predictive ability for the outcomes of IVF and intracytoplasmic sperm injection. Observational cohort and case-control studies describing the association between biomarkers in human SP and the outcome of infertile men attending for ART were included. Forty-three studies were selected, reporting on 89 potential SP biomarkers (grouped as oxidative stress, proteins glycoproteins, metabolites, immune system components, metals and trace elements and nucleic acids). The present review supports 32 molecules in SP as potentially relevant biomarkers for predicting ART outcomes; 23 molecules were reported once and nine molecules were reported in more than one study; IL-18 and TGF-β1-IL-18 ratio were confirmed in distinct studies. This review presents the most comprehensive overview of relevant SP biomarkers to predict ART outcomes to date, which is of clinical interest for infertility investigations and assisted reproduction; nevertheless, its potential is under-exploited. This review could serve as starting point for designing an all-encompassing study for biomarkers in SP and their predictive ability for ART outcomes, and for developing a non-invasive diagnostic tool.
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Affiliation(s)
- Jonna S van den Berg
- Department of Reproductive Medicine and Gynaecology, Division Female and Baby, University Medical Centre Utrecht, Utrecht, the Netherlands
| | - Nerea M Molina
- Department of Biochemistry and Molecular Biology I, Faculty of Sciences, University of Granada, Granada, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain
| | - Signe Altmäe
- Department of Biochemistry and Molecular Biology I, Faculty of Sciences, University of Granada, Granada, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain; Division of Obstetrics and Gynecology, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden
| | - Brigitte Arends
- Department of Reproductive Medicine and Gynaecology, Division Female and Baby, University Medical Centre Utrecht, Utrecht, the Netherlands
| | - Gaby Sarina Steba
- Department of Reproductive Medicine and Gynaecology, Division Female and Baby, University Medical Centre Utrecht, Utrecht, the Netherlands.
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4
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López-Botella A, Gómez-Torres MJ, Sánchez R, Todolí-Torró JL, Velasco I, Acién M. Elevated Lead, Nickel, and Bismuth Levels in the Peritoneal Fluid of a Peritoneal Endometriosis Patient without Toxic Habits or Occupational Exposure following a Vegetarian Diet. TOXICS 2023; 11:1009. [PMID: 38133409 PMCID: PMC10747131 DOI: 10.3390/toxics11121009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Revised: 11/30/2023] [Accepted: 12/08/2023] [Indexed: 12/23/2023]
Abstract
Potentially toxic elements (PTEs), found as environmental contaminants, have been related to endometriosis disease. In this context, the peritoneal fluid (PF) matrix has been poorly studied despite its importance. PF is the environment in which endometriotic lesions reside and communicate with surrounding tissues including tissues and nerve cells. In this work, our investigation group reports the special case of a peritoneal endometriosis patient presenting elevated lead, nickel, and bismuth levels in PF. This patient reported following a vegetarian diet and no toxic habits or occupational exposure. In conclusion, the elevated levels of PTEs found may result from a vegetarian diet or an unidentified environmental exposure source. This report provides new insights regarding the possible etiology of endometriosis disease and potential biomarkers for its diagnosis in early stages, although additional research is needed.
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Affiliation(s)
- Andrea López-Botella
- Service of Obstetrics and Gynecology, Unit of Human Reproduction, FISABIO—San Juan University Hospital, Carretera Alicante-Valencia s/n, 03550 Sant Joan d’Alacant, Alicante, Spain; (A.L.-B.); (M.A.)
- Biotechnology Department, Faculty of Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 San Vicente del Raspeig, Alicante, Spain;
- Department of Analytical Chemistry, Nutrition and Food Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 San Vicente del Raspeig, Alicante, Spain; (R.S.); (J.-L.T.-T.)
| | - María José Gómez-Torres
- Biotechnology Department, Faculty of Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 San Vicente del Raspeig, Alicante, Spain;
| | - Raquel Sánchez
- Department of Analytical Chemistry, Nutrition and Food Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 San Vicente del Raspeig, Alicante, Spain; (R.S.); (J.-L.T.-T.)
| | - José-Luis Todolí-Torró
- Department of Analytical Chemistry, Nutrition and Food Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 San Vicente del Raspeig, Alicante, Spain; (R.S.); (J.-L.T.-T.)
| | - Irene Velasco
- Service of Obstetrics and Gynecology, Unit of Human Reproduction, FISABIO—San Juan University Hospital, Carretera Alicante-Valencia s/n, 03550 Sant Joan d’Alacant, Alicante, Spain; (A.L.-B.); (M.A.)
- Biotechnology Department, Faculty of Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 San Vicente del Raspeig, Alicante, Spain;
| | - Maribel Acién
- Service of Obstetrics and Gynecology, Unit of Human Reproduction, FISABIO—San Juan University Hospital, Carretera Alicante-Valencia s/n, 03550 Sant Joan d’Alacant, Alicante, Spain; (A.L.-B.); (M.A.)
- Gynecology Division, Faculty of Medicine, Miguel Hernández University, Carretera Alicante-Valencia s/n, 03202 Elche, Alicante, Spain
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Rodríguez-Díaz R, Blanes-Zamora R, Paz-Montelongo S, Gómez-Rodríguez J, Fiestas SR, González-Weller D, Gutiérrez ÁJ, Rubio C, Hardisson A, Niebla-Canelo D, Vega SA, González-Dávila E. The Influence of Follicular Fluid Metals on Assisted Reproduction Outcome. Biol Trace Elem Res 2023; 201:5069-5082. [PMID: 36807885 PMCID: PMC10509058 DOI: 10.1007/s12011-023-03578-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 01/18/2023] [Indexed: 02/20/2023]
Abstract
Infertility has become more common, with an increased exposure to toxic compounds including heavy metals (HM). Follicular fluid (FF) surrounds the developing oocyte in the ovary and can be analysed to assess metal content. The levels of twenty-two metals were measured in the FF of ninety-three females in a reproduction unit, and their influence on assisted reproduction technique (ART), were examined. The metals were determined by optical emission spectrophotometry. Low values of copper, zinc, aluminium, and calcium favour polycystic ovary syndrome. The relationships between the number of oocytes and metals: iron (rs=0.303; p=0.003) and calcium (rs=-0.276; p=0.007) are significant, as well as between the number of mature oocytes with iron (rs=0.319; p=0.002), calcium (rs=-0.307; p=0.003) and sodium (rs=-0.215; p=0.039) and are near to significance in the case of aluminium (rs=-0.198; p=0.057). In the group with a fertilisation rate ≤ 75%, 36% of the women presented calcium >176.62 mg/kg compared to the group with a fertilisation rate ≥ 75% where this percentage was only 10% (p=0.011). An excess of iron and calcium reduces the good quality embryo rate, and an excess of potassium impairs the blastocyst rate. If potassium is above 237.18 mg/kg and calcium is below 147.32 mg/kg, these conditions favour embryo implantation. Pregnancy is influenced by high potassium and low copper levels. Controlling exposure to toxic elements is recommended for all couples with reduced fertility or receiving an ART.
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Affiliation(s)
- Rubí Rodríguez-Díaz
- Human Reproduction Unit, Hospital Universitario de Canarias, La Laguna, Tenerife, Spain.
- Obstetrics and Gynecology, Universidad de La Laguna, Tenerife, Spain.
| | - Raquel Blanes-Zamora
- Human Reproduction Unit, Hospital Universitario de Canarias, La Laguna, Tenerife, Spain
- Obstetrics and Gynecology, Universidad de La Laguna, Tenerife, Spain
| | | | | | - Sonsoles Rodríguez Fiestas
- Human Reproduction Unit, Hospital Universitario de Canarias, La Laguna, Tenerife, Spain
- Obstetrics and Gynecology, Universidad de La Laguna, Tenerife, Spain
| | | | | | - Carmen Rubio
- Toxicology, Universidad de La Laguna, Tenerife, Spain
| | | | | | | | - Enrique González-Dávila
- Mathematics, Statistics and Operations Research. IMAULL, Universidad de La Laguna, Tenerife, Spain
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6
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Ren M, Wang L, Wen L, Chen J, Quan S, Shi X. Association between female circulating heavy metal concentration and abortion: a systematic review and meta-analysis. Front Endocrinol (Lausanne) 2023; 14:1216507. [PMID: 37711903 PMCID: PMC10497972 DOI: 10.3389/fendo.2023.1216507] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 07/31/2023] [Indexed: 09/16/2023] Open
Abstract
Objective This study aimed to evaluate the association between blood heavy metal (zinc (Zn), copper (Cu), lead (Pb), and cadmium (Cd)) concentrations and spontaneous abortion (SA) and recurrent pregnancy loss (RPL) and explore the possible endocrine dysfunction associated with it. Methods A literature search was performed in the PubMed, Embase, Cochrane Library, and Web of Science databases up to April 2023. The overall effects were expressed as the standard mean difference (SMD). Subgroup analysis was performed according to the type of abortion (SA or RPL). Stata 16.0 was utilized for data analysis. Results Based on the integrated findings, abortion women showed significantly lower Zn (SMD = -1.05, 95% CI: -1.74 to -0.36, p = 0.003) and Cu concentrations (SMD = -1.42, 95% CI: -1.97 to -0.87, p <0.001) and higher Pb (SMD = 1.47, 95% CI: 0.89-2.05, p <0.001) and Cd concentrations (SMD = 1.15, 95% CI: 0.45-1.85, p = 0.001) than normal pregnant women. Subgroup analysis showed that Zn and Cu deficiency and Cd and Pb exposure were significantly (p <0.05) associated with RPL, whereas Cu deficiency and Cd and Pb exposure were significantly (p <0.05) associated with SA. Conclusion Zn and Cu deficiencies and Pb and Cd exposure were associated with abortion. Endocrine dysfunction, such as insulin resistance, vitamin D insufficiency, and abnormal thyroid and sex hormone concentrations, is thought to be involved in heavy metal-related abortion.
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Affiliation(s)
- Meiqi Ren
- Center for Reproductive Medicine, Department of Obstetrics and Gynaecology, NanFang Hospital, Southern Medical University, Guangzhou, China
| | - Liantong Wang
- Center for Reproductive Medicine, Department of Obstetrics and Gynaecology, NanFang Hospital, Southern Medical University, Guangzhou, China
| | - Liqin Wen
- The First School of Clinical Medicine, Southern Medical University, Guangzhou, China
| | - Jinghua Chen
- The First School of Clinical Medicine, Southern Medical University, Guangzhou, China
| | - Song Quan
- Center for Reproductive Medicine, Department of Obstetrics and Gynaecology, NanFang Hospital, Southern Medical University, Guangzhou, China
| | - Xiao Shi
- Center for Reproductive Medicine, Department of Obstetrics and Gynaecology, NanFang Hospital, Southern Medical University, Guangzhou, China
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7
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Palomar A, Gonzalez-Martin R, Quiñonero A, Pellicer N, Fernandez-Saavedra R, Rucandio I, Fernandez-Martinez R, Conde-Vilda E, Quejido AJ, Zuckerman C, Whitehead C, Scott RT, Dominguez F. Bioaccumulation of Non-Essential Trace Elements Detected in Women's Follicular Fluid, Urine, and Plasma Is Associated with Poor Reproductive Outcomes following Single Euploid Embryo Transfer: A Pilot Study. Int J Mol Sci 2023; 24:13147. [PMID: 37685954 PMCID: PMC10487767 DOI: 10.3390/ijms241713147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 08/21/2023] [Accepted: 08/22/2023] [Indexed: 09/10/2023] Open
Abstract
This study aims to determine the association of non-essential trace elements present in follicular fluid, plasma, and urine with reproductive outcomes of women undergoing intracytoplasmic sperm injection (ICSI), preimplantation genetic testing for aneuploidies (PGT-A) and single frozen euploid embryo transfer (SET/FET). This single-center, prospective cohort study included sixty women undergoing ICSI with PGT-A and SET/FET between 2018 and 2019. Urine, plasma and follicular fluid samples were collected on the vaginal oocyte retrieval day to simultaneously quantify ten non-essential trace elements (i.e., Ba, Sr, Rb, Sn, Ti, Pb, Cd, Hg, Sb, and As). We found several associations between the levels of these non-essential trace elements and clinical IVF parameters. Specifically, the increased levels of barium in follicular fluid were negatively associated with ovarian function, pre-implantation development and embryo euploidy, while elevated strontium concentrations in this biofluid were negatively associated with impaired blastulation and embryo euploidy. Elevated plasma strontium levels were negatively associated with ovarian function, fertilization and blastulation. Enhanced presence of other trace elements in plasma (i.e., rubidium and arsenic) were associated with a diminished ovarian function and limited the number of recovered oocytes, mature oocytes and zygotes, respectively. Fully adjusted models suggested significantly lower odds of achieving a live birth when increased concentrations of barium and tin were found in urine.
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Affiliation(s)
- Andrea Palomar
- Reproductive Biology and Bioengineering in Human Reproduction, IVIRMA Global Research Alliance IVI Foundation—Health Research Institute La Fe (IIS La Fe), 46026 Valencia, Spain; (A.P.); (R.G.-M.); (A.Q.); (N.P.)
| | - Roberto Gonzalez-Martin
- Reproductive Biology and Bioengineering in Human Reproduction, IVIRMA Global Research Alliance IVI Foundation—Health Research Institute La Fe (IIS La Fe), 46026 Valencia, Spain; (A.P.); (R.G.-M.); (A.Q.); (N.P.)
| | - Alicia Quiñonero
- Reproductive Biology and Bioengineering in Human Reproduction, IVIRMA Global Research Alliance IVI Foundation—Health Research Institute La Fe (IIS La Fe), 46026 Valencia, Spain; (A.P.); (R.G.-M.); (A.Q.); (N.P.)
| | - Nuria Pellicer
- Reproductive Biology and Bioengineering in Human Reproduction, IVIRMA Global Research Alliance IVI Foundation—Health Research Institute La Fe (IIS La Fe), 46026 Valencia, Spain; (A.P.); (R.G.-M.); (A.Q.); (N.P.)
| | - Rocio Fernandez-Saavedra
- Chemistry Division, Department of Technology, Research Centre for Energy, Environment and Technology (CIEMAT), 28040 Madrid, Spain; (R.F.-S.); (I.R.); (R.F.-M.); (E.C.-V.); (A.J.Q.)
| | - Isabel Rucandio
- Chemistry Division, Department of Technology, Research Centre for Energy, Environment and Technology (CIEMAT), 28040 Madrid, Spain; (R.F.-S.); (I.R.); (R.F.-M.); (E.C.-V.); (A.J.Q.)
| | - Rodolfo Fernandez-Martinez
- Chemistry Division, Department of Technology, Research Centre for Energy, Environment and Technology (CIEMAT), 28040 Madrid, Spain; (R.F.-S.); (I.R.); (R.F.-M.); (E.C.-V.); (A.J.Q.)
| | - Estefania Conde-Vilda
- Chemistry Division, Department of Technology, Research Centre for Energy, Environment and Technology (CIEMAT), 28040 Madrid, Spain; (R.F.-S.); (I.R.); (R.F.-M.); (E.C.-V.); (A.J.Q.)
| | - Alberto J. Quejido
- Chemistry Division, Department of Technology, Research Centre for Energy, Environment and Technology (CIEMAT), 28040 Madrid, Spain; (R.F.-S.); (I.R.); (R.F.-M.); (E.C.-V.); (A.J.Q.)
| | - Caroline Zuckerman
- Department of Clinical Research, IVIRMA Global Research Alliance IVI-RMA New Jersey, Basking Ridge, NJ 07920, USA; (C.Z.); (C.W.)
| | - Christine Whitehead
- Department of Clinical Research, IVIRMA Global Research Alliance IVI-RMA New Jersey, Basking Ridge, NJ 07920, USA; (C.Z.); (C.W.)
| | - Richard T. Scott
- Department of Clinical Research, IVIRMA Global Research Alliance IVI-RMA New Jersey, Basking Ridge, NJ 07920, USA; (C.Z.); (C.W.)
- Sidney Kimmel College of Medicine, Thomas Jefferson University, Philadelphia, PA 19107, USA
| | - Francisco Dominguez
- Reproductive Biology and Bioengineering in Human Reproduction, IVIRMA Global Research Alliance IVI Foundation—Health Research Institute La Fe (IIS La Fe), 46026 Valencia, Spain; (A.P.); (R.G.-M.); (A.Q.); (N.P.)
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Gonzalez-Martin R, Palomar A, Quiñonero A, Pellicer N, Fernandez-Saavedra R, Conde-Vilda E, Quejido AJ, Whitehead C, Scott RT, Dominguez F. The Impact of Essential Trace Elements on Ovarian Response and Reproductive Outcomes following Single Euploid Embryo Transfer. Int J Mol Sci 2023; 24:10968. [PMID: 37446146 DOI: 10.3390/ijms241310968] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Revised: 06/29/2023] [Accepted: 06/30/2023] [Indexed: 07/15/2023] Open
Abstract
Essential trace elements are required in extremely small amounts and obtained through diet. This research focuses on detecting major trace elements in different biofluids of sixty women undergoing ICSI with PGT-A and SET/FET at IVI-RMA, New Jersey, and assessing their impact on their IVF outcomes. Urine, plasma, and follicular fluid samples were collected on the vaginal oocyte retrieval day to measure the concentrations of eight essential trace elements (copper, zinc, molybdenum, lithium, selenium, manganese, chromium, and iron) using ICP-MS. After analysis, ovarian response and preimplantation outcomes had significant positive associations with both copper alone and the copper/zinc ratio in the follicular fluid and plasma, in addition to plasma manganese. Alternatively, elevated follicular fluid lithium concentrations were significantly associated with poor preimplantation outcomes while the urinary molybdenum concentration was significantly associated with a lower probability of implantation, clinical pregnancy, and live birth. Urinary lithium and chromium concentrations were significantly associated with a lower probability of achieving a live birth. Our results suggest that the essential trace elements present in follicular fluid, plasma, and urine of women are directly associated with their reproductive outcomes, with copper and manganese exerting positive effects and lithium and molybdenum exerting negative effects.
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Affiliation(s)
- Roberto Gonzalez-Martin
- IVIRMA Global Research Alliance, IVI Foundation, Instituto de Investigación Sanitaria La Fe (IIS La Fe), 46026 Valencia, Spain
| | - Andrea Palomar
- IVIRMA Global Research Alliance, IVI Foundation, Instituto de Investigación Sanitaria La Fe (IIS La Fe), 46026 Valencia, Spain
| | - Alicia Quiñonero
- IVIRMA Global Research Alliance, IVI Foundation, Instituto de Investigación Sanitaria La Fe (IIS La Fe), 46026 Valencia, Spain
| | - Nuria Pellicer
- IVIRMA Global Research Alliance, IVI Foundation, Instituto de Investigación Sanitaria La Fe (IIS La Fe), 46026 Valencia, Spain
| | - Rocio Fernandez-Saavedra
- Unit of Mass Spectrometry and Geochemical Applications, Chemistry Division, Department of Technology, CIEMAT, 28040 Madrid, Spain
| | - Estefania Conde-Vilda
- Unit of Mass Spectrometry and Geochemical Applications, Chemistry Division, Department of Technology, CIEMAT, 28040 Madrid, Spain
| | - Alberto J Quejido
- Unit of Mass Spectrometry and Geochemical Applications, Chemistry Division, Department of Technology, CIEMAT, 28040 Madrid, Spain
| | - Christine Whitehead
- IVIRMA Global Research Alliance, IVI-RMA New Jersey, Basking Ridge, New Jersey, NJ 07920, USA
| | - Richard T Scott
- IVIRMA Global Research Alliance, IVI-RMA New Jersey, Basking Ridge, New Jersey, NJ 07920, USA
- Sidney Kimmel College of Medicine, Thomas Jefferson University, Philadelphia, PA 19044, USA
| | - Francisco Dominguez
- IVIRMA Global Research Alliance, IVI Foundation, Instituto de Investigación Sanitaria La Fe (IIS La Fe), 46026 Valencia, Spain
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Shi X, Ren MQ, Wang LT, Chan CPS, Chan DYL, Quan S, Li TC. Blood metal/metalloid concentration of male subjects undergoing IVF/ICSI treatment outcomes: A prospective cohort study. J Trace Elem Med Biol 2023; 78:127196. [PMID: 37209528 DOI: 10.1016/j.jtemb.2023.127196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Revised: 04/26/2023] [Accepted: 05/05/2023] [Indexed: 05/22/2023]
Abstract
BACKGROUND Previous epidemiology studies reported that heavy metal/metalloid exposure is associated with the impairment of semen quality. However, it is still not clear whether the in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) treatment outcome will be affected after the heavy metal/metalloid exposure of the male partners. METHODS A prospective cohort study with a 2-year followed-up was conducted in a tertiary IVF center. A total of 111 couples undergoing IVF/ICSI treatment were initially recruited from November 2015 to November 2016. Male blood concentrations of heavy metal/metalloid including Ca, Cr, Mn, Fe, Ni, Cu, Zn, As, Se, Mo, Cd, Hg, and Pb were measured by inductively coupled plasma mass spectrometry, and the lab and pregnancy outcome data were followed up. The associations between male blood heavy metal/metalloid concentration and the clinical outcomes were analyzed by Poisson regression analysis. RESULTS Our results showed that none of the heavy metal/metalloid of male partners we investigated are significantly associated with the oocyte fertilization and good embryo (P ≥ 0.05); however, antral follicle count (AFC) was a protective factor for the oocyte fertilization (RR: 1.07, 95 % CI: 1.04-1.10). The blood Fe concentration of the male partner was positively associated (P < 0.05) with pregnancy in the first fresh cycle (RR:170.93, 95 % CI: 4.13-7082.04), cumulative pregnancy (RR: 23.61, 95 % CI: 3.25-171.64) and cumulative live birth (RR: 36.42, 95 % CI: 1.21-1092.54). In the first frozen embryo cycles, pregnancy was significantly associated (P < 0.05) with the blood Mn (RR: 0.01, 95 % CI:0.00-0.11) and Se concentration (RR: 0.01, 95 % CI:8.25 E-5-0.47) and female age (RR: 0.86, 95 % CI:0.75-0.99); live birth was significantly associated (P < 0.05) with the blood Mn concentration (RR: 0.00, 95 % CI: 1.14E-7-0.51). CONCLUSIONS Our results suggested that the higher male blood Fe concentration was positively associated with pregnancy in the fresh embryo transfer cycle, cumulative pregnancy, and cumulative live birth, whereas the higher male blood Mn and Se concentration were associated with lower chance of pregnancy and live birth in the frozen embryo transfer cycle. However, the underline mechanism of this finding still needs further investigation.
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Affiliation(s)
- Xiao Shi
- Center for Reproductive Medicine, Department of Obstetrics and Gynaecology, NanFang Hospital, Southern Medical University, Guangzhou, Guangdong, China
| | - Mei Qi Ren
- Center for Reproductive Medicine, Department of Obstetrics and Gynaecology, NanFang Hospital, Southern Medical University, Guangzhou, Guangdong, China; The First School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, China
| | - Lian Tong Wang
- Center for Reproductive Medicine, Department of Obstetrics and Gynaecology, NanFang Hospital, Southern Medical University, Guangzhou, Guangdong, China; The First School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, China
| | - Carol Pui Shan Chan
- Assisted Reproductive Technology Unit, Department of Obstetrics and Gynaecology, Faculty of Medicine, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
| | - David Yiu Leung Chan
- Assisted Reproductive Technology Unit, Department of Obstetrics and Gynaecology, Faculty of Medicine, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
| | - Song Quan
- Center for Reproductive Medicine, Department of Obstetrics and Gynaecology, NanFang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
| | - Tin-Chiu Li
- Assisted Reproductive Technology Unit, Department of Obstetrics and Gynaecology, Faculty of Medicine, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
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López-Botella A, Sánchez R, Todolí-Torró JL, Gómez-Torres MJ, Velasco I, Acién M. A New Advanced and Validated Method for the Determination of Potentially Toxic Metals and Trace and Ultra-Trace Elements in Peritoneal Fluid to Assess the Health Risks of Women with Gynecological Pathologies. TOXICS 2023; 11:toxics11050399. [PMID: 37235214 DOI: 10.3390/toxics11050399] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 04/20/2023] [Accepted: 04/21/2023] [Indexed: 05/28/2023]
Abstract
Toxic metals found in the environment have been linked to female infertility and gynecological illnesses. Reliable analytical methods, such as inductively coupled plasma tandem mass spectrometry (ICP-MS/MS), are necessary to determine the elemental composition of biological samples. Currently, the multielemental profile of peritoneal fluid (PF) samples has not yet been established. Due to the complexity of the PF matrix, an ICP-MS/MS-based method has been optimized to mitigate matrix effects and spectral interferences. A dilution factor of 1:4 was the best option to mitigate matrix effects while keeping sensitivity at an appropriate level. A collision gas (He) was useful to lower the extent of spectral interferences for 56Fe, 52Cr, 63Cu, and 68Zn. An intermediate validation test was performed to evaluate accuracy, achieving recoveries ranging from 90 to 110%. The method was validated in terms of intermediate precision, reproducibility, and trueness, with an expanded uncertainty lower than 15%. Afterward, it was applied to perform the multielemental analysis of 20 PF samples. The concentrations for major analytes were up to 151 µg L-1. Meanwhile,209Bi, 111Cd, 52Cr, 55Mn, 95Mo, 60Ni, 208Pb, 118Sn, and 51V were present at concentrations included within the 1-10 µg L-1 range, while 59Co and 139La were found at concentrations below 1 µg L-1.
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Affiliation(s)
- Andrea López-Botella
- Service of Obstetrics and Gynecology, Unit of Human Reproduction, FISABIO-San Juan University Hospital, Carretera Alicante-Valencia s/n, 03550 Alicante, Spain
- Biotechnology Department, Faculty of Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 Alicante, Spain
- Department of Analytical Chemistry, Nutrition and Food Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 Alicante, Spain
| | - Raquel Sánchez
- Department of Analytical Chemistry, Nutrition and Food Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 Alicante, Spain
| | - José-Luis Todolí-Torró
- Department of Analytical Chemistry, Nutrition and Food Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 Alicante, Spain
| | - María José Gómez-Torres
- Biotechnology Department, Faculty of Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 Alicante, Spain
| | - Irene Velasco
- Service of Obstetrics and Gynecology, Unit of Human Reproduction, FISABIO-San Juan University Hospital, Carretera Alicante-Valencia s/n, 03550 Alicante, Spain
- Biotechnology Department, Faculty of Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 Alicante, Spain
| | - Maribel Acién
- Service of Obstetrics and Gynecology, Unit of Human Reproduction, FISABIO-San Juan University Hospital, Carretera Alicante-Valencia s/n, 03550 Alicante, Spain
- Gynecology Division, Faculty of Medicine, Miguel Hernández University, Carretera Alicante-Valencia s/n, 03550 Alicante, Spain
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11
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Rodríguez-Díaz R, Blanes-Zamora R, Vaca-Sánchez R, Gómez-Rodríguez J, Hardisson A, González-Weller D, Gutiérrez ÁJ, Paz S, Rubio C, González-Dávila E. Influence of Seminal Metals on Assisted Reproduction Outcome. Biol Trace Elem Res 2023; 201:1120-1134. [PMID: 35543968 PMCID: PMC9898355 DOI: 10.1007/s12011-022-03256-w] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2022] [Accepted: 04/21/2022] [Indexed: 02/06/2023]
Abstract
Increased levels of metal ions in human seminal fluid have a significant correlation with male fertility. Few publications explain the effect of metals in semen and their influence on assisted reproductive treatments. Semen parameters and the levels of twenty-two metals were measured in the seminal fluid of 102 men attended in a Reproductive Unit. Metals were determined by optical emission spectrophotometry. A statistical relationship was found between spermiogram and iron, which was lower than expected in pathological spermiograms (p = 0.032); zinc (p = 0.066), calcium (p = 0.047), and magnesium (p = 0.048) mean levels were higher in normozoospermics. More days of sexual abstinence correlates with higher seminal zinc (p = 0.001) and magnesium levels (p = 0.002). Lower vanadium values were found to be associated with higher fertilization rates (p = 0.039). Higher values of lead (p = 0.052) and vanadium (p = 0.032) were obtained in patients who did not reach 100% embryo cleavage rate. Aluminium (p = 0.042) and sodium (p = 0.002) were found in lower amounts associated with better blastocyst rates. The implantation rate shows an inverse association with women's age and iron and calcium content, compared to magnesium and sodium which presented a significant direct association with this percentage. A significant direct relationship was found between the positive evolution of pregnancy and the values of zinc (p = 0.004), calcium (p = 0.013), potassium (p = 0.002), and magnesium (p = 0.009). The study confirms that zinc, iron, calcium, sodium, aluminium, magnesium, vanadium, and lead have positive-negative effects on reproduction and support the analysis of metals in semen as a new line of study on male fertility with implications for reproductive outcomes.
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Affiliation(s)
- Rubí Rodríguez-Díaz
- Human Reproduction Unit, Canary Islands University Hospital, San Cristobal de La Laguna, Spain.
- Obstetrics and Gynecology, University of La Laguna, San Cristobal de La Laguna, Tenerife, Spain.
| | - Raquel Blanes-Zamora
- Human Reproduction Unit, Canary Islands University Hospital, San Cristobal de La Laguna, Spain
- Obstetrics and Gynecology, University of La Laguna, San Cristobal de La Laguna, Tenerife, Spain
| | - Rebeca Vaca-Sánchez
- Human Reproduction Unit, Canary Islands University Hospital, San Cristobal de La Laguna, Spain
- Obstetrics and Gynecology, University of La Laguna, San Cristobal de La Laguna, Tenerife, Spain
| | - Jorge Gómez-Rodríguez
- Human Reproduction Unit, Canary Islands University Hospital, San Cristobal de La Laguna, Spain
- Obstetrics and Gynecology, University of La Laguna, San Cristobal de La Laguna, Tenerife, Spain
| | - Arturo Hardisson
- Toxicology, University of La Laguna, San Cristobal de La Laguna, Tenerife, Spain
| | | | - Ángel J Gutiérrez
- Toxicology, University of La Laguna, San Cristobal de La Laguna, Tenerife, Spain
| | - Soraya Paz
- Toxicology, University of La Laguna, San Cristobal de La Laguna, Tenerife, Spain
| | - Carmen Rubio
- Toxicology, University of La Laguna, San Cristobal de La Laguna, Tenerife, Spain
| | - E González-Dávila
- Mathematics, Statistics and Operations Research, University of La Laguna, San Cristobal de La Laguna, Tenerife, Spain
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Lin J, Lin X, Qiu J, You X, Xu J. Association between heavy metals exposure and infertility among American women aged 20-44 years: A cross-sectional analysis from 2013 to 2018 NHANES data. Front Public Health 2023; 11:1122183. [PMID: 36866101 PMCID: PMC9971928 DOI: 10.3389/fpubh.2023.1122183] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 01/30/2023] [Indexed: 02/16/2023] Open
Abstract
Background Infertility has been confirmed as a significant medical and social problem. Heavy metal exposure refers to a risk factor for infertility, which is capable of damaging the reproductive system of males and females. However, heavy metal exposure and female infertility have rarely been investigated. The aim of this study was to analyze the association between heavy metal exposure and female infertility. Methods A cross-sectional study using data from three cycles of the National Health and Nutrition Examination Survey (NHANES, 2013-2018) was performed. Female infertility was evaluated by positive responses to question rhq074 in the questionnaire. Cadmium (Cd), lead (Pb), mercury (Hg), and arsenic (As) levels in blood or urine were examined by inductively coupled plasma mass spectrometry. The correlation between heavy metal and female infertility was analyzed through weighted logistic regression. Results A total of 838 American women aged 20-44 years were covered in the study. Among all participants, 112 (13.37%) women were subjected to infertility. Urinary Cd and urinary As levels were significantly higher in infertile women than in control women (P < 0.05, P < 0.05). Urinary As showed a positive correlation with the prevalence of female infertility, and the risk of infertility rose with the increase of urinary As levels (P for trend = 0.045). Urinary Cd was associated with female infertility in some weighted logistic regression (Crude, Q2: OR = 3.99, 95% CI 1.82, 8.74, Q3: OR = 2.90, 95% CI 1.42, 5.92. Model 1, Q2: OR = 3.68, 95% CI 1.64, 8.27, Q3: OR = 2.33, 95% CI 1.13, 4.48. Model 2, Q2: OR = 4.11, 95% CI 1.63, 10.07, Q3: OR = 2.44, 95% CI 1.07, 5.53. Model 3, Q2: OR = 3.77, 95% CI 1.52, 9.35). Moreover, blood Pb (OR = 1.52, 95% CI 1.07, 2.16), urinary Pb (OR = 1.68, 95% CI 1.11, 2.55), and urinary As (OR = 1.02, 95% CI 1.00, 1.03) were positively correlated with the risk of infertility in women aged 35-44 years. The blood Pb (OR = 1.67, 95% CI 1.16, 2.40, 2.49) and urinary Pb (OR = 1.54, 95% CI 1.00, 2.38) in women with BMI ≥25 were positively correlated with the risk of infertility. Conclusions Urinary As was significantly associated with female infertility, and the risk of infertility increased with higher urinary As levels. To some extent, urinary Cd was correlated with infertility. Blood/urine Pb was related to infertility in advanced age and overweight/obese women. The results of this study need to be further validated in future prospective studies.
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Affiliation(s)
- Jie Lin
- Department of Traditional Chinese Medicine, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian, China
| | - Xiaoyan Lin
- College of Economics and Management, Fujian Agriculture and Forestry University, Fuzhou, Fujian, China
| | - Jiahui Qiu
- Department of Traditional Chinese Medicine, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian, China
| | - Xiumi You
- Department of Traditional Chinese Medicine, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian, China
| | - Jinbang Xu
- Department of Traditional Chinese Medicine, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian, China,*Correspondence: Jinbang Xu ✉
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