Evidence map›Paper›PMID 32998451›Full record

ReviewMicroorganisms2020

Renin Angiotensin System, COVID-19 and Male Fertility: Any Risk for Conceiving?

Lorella Pascolo, Gabriella Zito, Luisa Zupin, Stefania Luppi, Elena Giolo, Monica Martinelli, Daniela De Rocco, Sergio Crovella, Giuseppe Ricci

Abstract readReview
In one paragraph

Review in Microorganisms, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Spatial Distribution of SARS-CoV-2 Receptors and Proteases in Testicular Cells.The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society · 2023
    Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. ACE2 Receptor and Its Isoform Short-ACE2 Are Expressed on Human Spermatozoa.International journal of molecular sciences · 2022
    Article
  10. Article
  11. Article
  12. Molecular diagnosis of SARS-CoV-2 in seminal fluid.Journal of endocrinological investigation · 2021
    Article
  13. COVID-19 disrupts the blood-testis barrier through the induction of inflammatory cytokines and disruption of junctional proteins.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2021
    Article
  14. Review
  15. Review
  16. Review
  17. Testosterone in COVID-19: An Adversary Bane or Comrade Boon.Frontiers in cellular and infection microbiology · 2021
    Review
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.

Lorella PascoloInstitute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, Italy.
Gabriella ZitoInstitute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, Italy.
Luisa ZupinInstitute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, Italy.ORCID 0000-0001-5886-9129
Stefania LuppiInstitute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, Italy.
Elena GioloInstitute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, Italy.
Monica MartinelliInstitute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, Italy.
Daniela De RoccoInstitute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, Italy.
Sergio CrovellaInstitute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, Italy.
Giuseppe RicciInstitute for Maternal and Child Health, IRCCS Burlo Garofolo, 34137 Trieste, Italy.ORCID 0000-0002-8031-1102

Funding

IRCCS Burlo Garofolo Ricerca corrente 18/16
6 · The paper itself

Abstract

The current knowledge concerning the connection between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the renin-angiotensin system (RAS) system in the male reproductive apparatus is still limited, so dedicated studies are urgently required. Concerns about the male fertility consequences of SARS-CoV-2 infection have started to emerge, since epidemiologic studies observed that this coronavirus affects male patients more frequently and with increased severity, possibly because of the hormone-regulated expression of angiotensin-converting enzyme 2 (ACE2) receptor. A disturbance in fertility is also expected based on studies of the previous SARS-CoV infection, which targets the same ACE2 receptor when entering the host cells. In addition, bioinformatics analyses reveal the abundant expression of ACE2 receptor in the male reproductive tissues, particularly in the testis. It has been proposed that pharmacological intervention favoring the angiotensin-(1-7)/ACE2/Mas receptor pathway and increasing ACE2 expression and activity could greatly prevent inflammatory lesions in this area. Finally, in laboratories performing assisted reproductive technologies it is recommended that more attention should be paid not only to sperm quality but also to safety aspects. Data about the potential infectivity of seminal fluid are in fact conflicting and do not exclude risks for both personnel and patients. The potential infectivity of SARS-CoV-2 in reproductive male tissues should be strongly considered and further investigated for the proper management of in vitro fertilization procedures.

Indexed as

male fertilitySARS-CoV-2

Identifiers

PMID32998451
PMCPMC7601043

What OpenQuestion holds

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Registered trials

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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.