Evidence map›Paper›PMID 33209664›Full record

ArticleTranslational andrology and urology2020

The vasal fluid proteomic profile and microscopic sperm presence at time of vasectomy reversal.

Theodore R Saitz, Kevin A Ostrowski, Ann Martinez Acevedo, Jasper C Bash, John Klimek, Eugene F Fuchs, Larry L David, Jason C Hedges

Open access · diamondAbstract read
In one paragraph

Article in Translational andrology and urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
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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

8 authors at 3 institutions in 1 country.

Theodore R SaitzDepartment of Urology, Oregon Health & Science University, Portland, OR, USA.
Kevin A OstrowskiDepartment of Urology, University of Washington School of Medicine, Health Sciences Building, Seattle, WA, USA.
Ann Martinez AcevedoDepartment of Urology, Oregon Health & Science University, Portland, OR, USA.
Jasper C BashDepartment of Urology, Oregon Health & Science University, Portland, OR, USA.
John KlimekProteomics Shared Resource, Oregon Health & Sciences University, Portland, OR, USA.
Eugene F FuchsDepartment of Urology, Oregon Health & Science University, Portland, OR, USA.
Larry L DavidDepartment of Chemical Physiology & Biochemistry, Oregon Health Sciences University, Portland, OR, USA.
Jason C HedgesDepartment of Urology, Oregon Health & Science University, Portland, OR, USA.
Oregon Health & Science University · USUniformed Services University of the Health Sciences · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe microscopic characteristics of vasal fluid at time of vasectomy reversal (VR) guide operative decision making and predict fertility outcomes. The proteomic profile of this vasal fluid has not been described or correlated with the microscopic fluid appearance. To characterize the vasal fluid proteome at time of VR and evaluate the variation of the vasal fluid proteome with respect to microscopic presence of sperm.

methodsA prospective cohort study was conducted enrolling twenty-five men undergoing VR for infertility and/or pain at a University-affiliated hospital. Vasal fluid samples obtained at time of VR were grouped based on presence of sperm on light microscopy at time of VR. Proteomic profiles were generated using liquid chromatography/ tandem mass spectrometry, and MS/MS protein spectral counts compared between individuals and treatment groups, controlling for less than 5% protein false discovery rate (FDR). Proteins were matched with the human swissprot database using the Comet search engine, and categorized by Gene Ontology (GO) terms.

resultsThere was large variability between the 46 vasal fluid samples collected, with 1,692 unique proteins detected. The three most abundant proteins were Lactotransferrin, Cysteine-rich secretory protein 1, A-kinase anchor protein 4. There was no correlation between the proteome and microscopic sperm presence. Prevalent GO terms included viral process, signal transduction, innate immune response, protein folding and spermatogenesis.

conclusionsWe describe the proteome and the most common proteins in vasal fluid at time of VR. Numerable sperm, testis and epididymis specific proteins were present even in the absence of sperm on microscopy. Further evaluation is needed to determine if a protein biomarker may better guide operative decision making and predict VR fertility outcomes.

Indexed as

obstructive azoospermiaproteomicsVasectomy reversal (VR)vasovasostomy (VV)

Identifiers

PMID33209664
PMCPMC7658130
OpenAlexW3094548987

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.