Evidence map›Paper›PMID 32146776›Full record

ArticleClinical and experimental reproductive medicine2020

The effect of vitamin C on the gene expression profile of sperm protamines in the male partners of couples with recurrent pregnancy loss: A randomized clinical trial.

Saeideh Hamidian, Ali Reza Talebi, Farzaneh Fesahat, Mohammad Bayat, Ali Mohammad Mirjalili, Hamid Reza Ashrafzadeh, Mahya Rajabi, Fateme Montazeri, Saeid Babaei

Open access · diamondAbstract read
In one paragraph

Article in Clinical and experimental reproductive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 21% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Nutritional modulation of male fertility: a molecular-focused scoping review.Journal of health, population, and nutrition · 2026
    Article
  4. Therapeutic effects ofInternational journal of reproductive biomedicine · 2026
    Article
  5. Review
  6. Article
  7. Review
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  9. Review
  10. Article
  11. Male Contributory Factors in Recurrent Pregnancy Loss.Reproductive sciences (Thousand Oaks, Calif.) · 2023
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. 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 1 country.

Saeideh HamidianDepartment of Anatomy, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.
Ali Reza TalebiDepartment of Anatomy, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Farzaneh FesahatReproductive Immunology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Mohammad BayatDepartment of Anatomy, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.
Ali Mohammad MirjaliliDepartment of Anatomy, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.
Hamid Reza AshrafzadehYazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Mahya RajabiGenetics Department of Biology, Yazd Science and Arts University, Yazd, Iran.
Fateme MontazeriYazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Saeid BabaeiDepartment of Anatomy, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.
Arak University of Medical Sciences · IRShahid Sadoughi University of Medical Sciences and Health Services · IRYazd University · IR

Funding

Institute for Reproductive Sciences
6 · The paper itself

Abstract

objectiveSince sperm abnormalities are known to be a major reason for recurrent pregnancy loss (RPL), any defects in DNA structure and chromatin condensation can place embryos at risk in the early stage of development and implantation. As antioxidants such as vitamin C may play a protective role against the destruction of protamine genes in sperm chromatin, this study was conducted to evaluate the effects of vitamin C on chromatin and the expression of protamine genes in the male partners of couples with RPL.

methodsTwenty male partners of couples with RPL were selected as the intervention group and received vitamin C supplementation (250 mg daily for 3 months). Healthy fertile men (n=20) were included as controls. Sperm chromatin, DNA integrity, and the expression levels of protamine genes were evaluated before and after treatment.

resultsSignificant differences were found in sperm morphology, protamine deficiency, and apoptosis between the two groups and before and after vitamin C administration. A significant change was found in mRNA levels of PRM1, PRM2, and the PRM1/PRM2 ratio after treatment.

conclusionDaily oral administration of vitamin C may improve human sperm parameters and DNA integrity by increasing protamine gene expression levels in the male partners of couples with RPL. The beneficial effects of vitamin C supplementation as an antioxidant for the male partners of couples with RPL could lead to improved pregnancy outcomes in these cases.

Indexed as

Clinical trialGene expressionProtaminesRecurrent pregnancy lossSpermatozoaVitamin C

Identifiers

PMID32146776
PMCPMC7127905
OpenAlexW3010218435

What OpenQuestion holds

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LicenceCC BY-NC
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.