Evidence map›Paper›PMID 34816001›Full record

ReviewDiscoveries (Craiova, Romania)

SARS-CoV-2 effect on male infertility and its possible pathophysiological mechanisms.

Arjola Agolli, Zeynep Yukselen, Olsi Agolli, Mehrie H Patel, Kinal Paresh Bhatt, Luis Concepcion, John Halpern, Sabaa Alvi, Rafael Abreu

Open access · diamondAbstract readReview
In one paragraph

Review in Discoveries (Craiova, Romania). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Impact of COVID-19 on fertility and assisted reproductive technology (ART): a systematic review.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    Pooled it
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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

9 authors at 3 institutions in 1 country.

Arjola AgolliDivision of Clinical and Translational Research, Larkin Health System, South Miami, FL, USA.
Zeynep YukselenDivision of Clinical and Translational Research, Larkin Health System, South Miami, FL, USA.
Olsi AgolliDivision of Clinical and Translational Research, Larkin Health System, South Miami, FL, USA.
Mehrie H PatelDivision of Clinical and Translational Research, Larkin Health System, South Miami, FL, USA.
Kinal Paresh BhattDivision of Clinical and Translational Research, Larkin Health System, South Miami, FL, USA.
Luis ConcepcionLarkin Community Hospital, South Miami, FL, USA.
John HalpernLarkin Community Hospital, South Miami, FL, USA.
Sabaa AlviLarkin Community Hospital, South Miami, FL, USA.
Rafael AbreuLarkin Community Hospital, South Miami, FL, USA.
Larkin Community Hospital · USLarkin University · USUniversity of Massachusetts Amherst · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

First case of COVID-19 was reported in Wuhan, China in December 2019. As of now, May 2021, a total of 164,189,004 people were infected, and 3,401,990 deaths have occurred caused by SARS-CoV-2. As SARS-CoV-2 virus cell entry mainly depends on the ACE2 and TMPRSS2 proteins, the presence of high expression levels of both ACE2 and TMPRSS2 in testes highlights the possible vulnerability of men to the virus. Other RNA viruses frequently induce orchitis and result in male infertility. This review evaluates the decline in male fertility and a total of 48 original articles were included for the analysis. We investigated the effects of COVID-19 on male reproductive health and male fertility.  There is a strong association between the high number of ACE2 receptors in the testes and the COVID-19 viral loads. SARS-CoV-2 infection negatively affects the male reproductive tract. Human biological tissues, including body fluids and excretions, tissues, and organs showed positive results tests for SARS-CoV-2. A disruption in the balance of male reproductive system hormones is also observed. Male gonads may be potentially vulnerable to SARS-CoV-2 infection, suggesting caution to follow-up and evaluate infected men that have plans to conceive. Further studies are required to determine if this impairment is temporary or permanent, elucidate SARS-CoV-2's entrance strategies into the testis and how it can affect the semen quality and quantity. We recommend a post-infection follow-up, especially in male patients of reproductive age already having fertility issues.

Indexed as

ACE2CoronavirusCOVID-19fertilitymale infertilitymale reproductionspermTMPRSS2.

Identifiers

PMID34816001
PMCPMC8605861
OpenAlexW3212500525

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.