Evidence map›Paper›PMID 34573104›Full record

ReviewAntioxidants (Basel, Switzerland)2021

Impact of Heavy Metals on Human Male Fertility-An Overview.

Andrea López-Botella, Irene Velasco, Maribel Acién, Paula Sáez-Espinosa, José-Luis Todolí-Torró, Raquel Sánchez-Romero, María José Gómez-Torres

Open access · goldAbstract readReview
In one paragraph

Review in Antioxidants (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% 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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.

  1. Pooled it
  2. Impact Assessment and Sustainable Remediation of Heavy Metal and Radioactive Contamination in Aquatic Systems: A Review.Water environment research : a research publication of the Water Environment Federation · 2026
    Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. In vitro models of the male reproductive system: applications for developmental and reproductive toxicology.Toxicological sciences : an official journal of the Society of Toxicology · 2025
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Exploring the protective role ofToxicology research · 2025
    Article
  18. Review
  19. Review
  20. 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

7 authors at 2 institutions in 1 country.

Andrea López-BotellaService of Obstetrics and Gynecology, Unit of Human Reproduction, FISABIO-San Juan University Hospital, Carretera Alicante-Valencia s/n, 03550 San Juan de Alicante, Spain.ORCID 0000-0001-9931-826X
Irene VelascoService of Obstetrics and Gynecology, Unit of Human Reproduction, FISABIO-San Juan University Hospital, Carretera Alicante-Valencia s/n, 03550 San Juan de Alicante, Spain.ORCID 0000-0001-5497-5813
Maribel AciénService of Obstetrics and Gynecology, Unit of Human Reproduction, FISABIO-San Juan University Hospital, Carretera Alicante-Valencia s/n, 03550 San Juan de Alicante, Spain.ORCID 0000-0002-6536-453X
Paula Sáez-EspinosaBiotechnology Department, Faculty of Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 San Vicente del Raspeig, Alicante, Spain.ORCID 0000-0002-6840-8788
José-Luis Todolí-TorróDepartment of Analytical Chemistry, Nutrition and Food Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 San Vicente del Raspeig, Alicante, Spain.ORCID 0000-0002-9151-7050
Raquel Sánchez-RomeroDepartment of Analytical Chemistry, Nutrition and Food Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 San Vicente del Raspeig, Alicante, Spain.ORCID 0000-0003-0283-6103
María José Gómez-TorresBiotechnology Department, Faculty of Sciences, University of Alicante, Carretera San Vicente del Raspeig s/n, 03690 San Vicente del Raspeig, Alicante, Spain.ORCID 0000-0003-2384-8154
University of Alicante · ESUniversitat de Miguel Hernández d'Elx · ES

Funding

Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana UGP-19-042, UGP-20-039
6 · The paper itself

Abstract

Heavy metals are endocrine disruptors which interfere with processes mediated by endogenous hormones of the organism, negatively affecting endocrine functions. Some studies have correlated heavy metal exposure with male infertility. However, the number of studies conducted on humans are limited. Therefore, the aim of this study is to summarize the current knowledge on how heavy metals influence human male fertility. Hence, three distinct databases were consulted-PubMed, Scopus and Web of Science-using single keywords and combinations of them. The total number of identified articles was 636. Nevertheless, by using the inclusion and exclusion criteria, 144 articles were finally included in this work. Results display that the development of adequate instruments for heavy metal assessment may play an important function in human male fertility diagnosis and treatment. Furthermore, clinical trials could be useful to confirm the role of heavy metals in human male fertility diagnosis. Overall, further research is required to fully understand the molecular and cellular basis of the influence of environmental and occupational exposure to heavy metals on human male infertility and reproductive outcomes.

Indexed as

endocrine disrupting compoundsenvironmental exposureheavy metalshuman spermmale fertilityoccupational exposure

Identifiers

PMID34573104
PMCPMC8468047
OpenAlexW3199954337

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.