Evidence map›Paper›PMID 25999357›Full record

ArticleAsian journal of andrology

Spermatozoa protein alterations in infertile men with bilateral varicocele.

Ashok Agarwal, Rakesh Sharma, Damayanthi Durairajanayagam, Zhihong Cui, Ahmet Ayaz, Sajal Gupta, Belinda Willard, Banu Gopalan, Edmund Sabanegh

Open access · goldAbstract readValidation Study
In one paragraph

Article in Asian journal of andrology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
6.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 51 citations in OpenAlex.

  1. Review
  2. Article
  3. Proteostasis as a Sentry for Sperm Quality and Male Fertility.Advances in experimental medicine and biology · 2025
    Review
  4. Review
  5. Review
  6. Article
  7. bioRxiv : the preprint server for biology · 2023
    Article
  8. Varicocele Embolization: Interventional Radiologist's Perspective.Seminars in interventional radiology · 2022
    Review
  9. Article
  10. Role of Oxidative Stress in Varicocele.Frontiers in genetics · 2022
    Review
  11. Review
  12. Frontiers in endocrinology · 2021
    Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Ashok AgarwalCenter for Reproductive Medicine, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA, .
Rakesh Sharma
Damayanthi Durairajanayagam
Zhihong Cui
Ahmet Ayaz
Sajal Gupta
Belinda Willard
Banu Gopalan
Edmund Sabanegh
Cleveland Clinic · USCleveland Clinic Lerner College of Medicine · USUniversiti Teknologi MARA · MY

Funding

LTQ-Orbitrap Velos instrumentS10RR031537 · NCRR · CLEVELAND CLINIC LERNER COM-CWRU · PI WILLARD, BELINDA BELLE · 2011 to 2011
$600k
NCRR NIH HHS 1S10RR031537-01NCRR NIH HHS S10 RR031537
6 · The paper itself

Abstract

Among infertile men, a diagnosis of unilateral varicocele is made in 90% of varicocele cases and bilateral in the remaining varicocele cases. However, there are reports of under-diagnosis of bilateral varicocele among infertile men and that its prevalence is greater than 10%. In this prospective study, we aimed to examine the differentially expressed proteins (DEP) extracted from spermatozoa cells of patients with bilateral varicocele and fertile donors. Subjects consisted of 17 men diagnosed with bilateral varicocele and 10 proven fertile men as healthy controls. Using the LTQ-orbitrap elite hybrid mass spectrometry system, proteomic analysis was done on pooled samples from 3 patients with bilateral varicocele and 5 fertile men. From these samples, 73 DEP were identified of which 58 proteins were differentially expressed, with 7 proteins unique to the bilateral varicocele group and 8 proteins to the fertile control group. Majority of the DEPs were observed to be associated with metabolic processes, stress responses, oxidoreductase activity, enzyme regulation, and immune system processes. Seven DEP were involved in sperm function such as capacitation, motility, and sperm-zona binding. Proteins TEKT3 and TCP11 were validated by Western blot analysis and may serve as potential biomarkers for bilateral varicocele. In this study, we have demonstrated for the first time the presence of DEP and identified proteins with distinct reproductive functions which are altered in infertile men with bilateral varicocele. Functional proteomic profiling provides insight into the mechanistic implications of bilateral varicocele-associated male infertility.

Indexed as

AdultCase-Control StudiesHumansInfertility, MaleMaleProteinsSpermatozoaVaricoceleYoung AdultProteins

Identifiers

PMID25999357
PMCPMC4736356
OpenAlexW2019058302

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.