Evidence map›Paper›PMID 36261884›Full record

ArticleAndrologia2022

The impact of dolutegravir-based combination antiretroviral therapy on the spermatozoa and fertility parameters of men living with human immunodeficiency virus.

Edidiong N Akang, Olufunke O Dosumu, Ann A Ogbenna, Utom-Obong U Akpan, Jane C Ezeukwu, Mayowa O Odofin, Ademola A Oremosu, Alani S Akanmu

Open access · greenAbstract read
In one paragraph

Article in Andrologia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

8 authors at 3 institutions in 1 country.

Edidiong N AkangDepartment of Anatomy, College of Medicine, University of Lagos, Lagos, Nigeria.ORCID https://orcid.org/0000-0001-8690-7778
Olufunke O DosumuDepartment of Anatomy, College of Medicine, University of Lagos, Lagos, Nigeria.
Ann A OgbennaDepartment of Haematology and Blood Transfusion, College of Medicine, University of Lagos, Lagos, Nigeria.
Utom-Obong U AkpanDepartment of Anatomy, Faculty of Basic Medical Sciences, Bowen University, Iwo, Osun, Nigeria.
Jane C EzeukwuDepartment of Anatomy, College of Medicine, University of Lagos, Lagos, Nigeria.
Mayowa O OdofinDepartment of Haematology and Blood Transfusion, Antiretroviral therapy (ART) Clinic, Lagos University Teaching Hospital (LUTH), Lagos, Nigeria.
Ademola A OremosuDepartment of Anatomy, College of Medicine, University of Lagos, Lagos, Nigeria.ORCID https://orcid.org/0000-0002-4166-5741
Alani S AkanmuDepartment of Haematology and Blood Transfusion, College of Medicine, University of Lagos, Lagos, Nigeria.ORCID https://orcid.org/0000-0001-7424-6060
University of Lagos · NGBowen University · NGLagos University Teaching Hospital · NG

Funding

Building Research And Innovation in Nigeria's Science - (BRAINS)D43TW010134 · FIC · COLLEGE OF MEDICINE, UNIVERSITY OF LAGOS · PI OGUNSOLA, FOLASADE TOLULOPE · 2015 to 2020
$3.2M
FIC NIH HHS D43 TW010134Fogarty International Center of the National Institutes of Health D43TW010134
6 · The paper itself

Abstract

The factors responsible for this reported fertility decline among human immunodeficiency virus (HIV) positive men is yet to be determined. This study is aimed at investigating the impact of HIV or combination antiretroviral therapy (cART) on sperm cells, reproductive hormones, oxidative stress markers, apoptosis, and sperm DNA fragmentation of men living with HIV. Twenty-one men living with HIV gave their written informed consent to participate in this study. Only 11 of the participants successfully donated blood and semen before and after 3 months of their treatment with cART. Semen, reproductive hormones, oxidative stress biomarkers, and DNA fragmentation were analysed. Data were subjected to Wilcoxon matched pairs signed rank test (ethical approval: CMUL/HREC/09/19/614). There was a significant decrease in viral load of HIV (p < 0.01), and a marked increase in progressive and total sperm motility. Total sperm count, morphology, and vitality had no significant change after 3 months of treatment with cART however, there was a significant increase (p < 0.05) in testosterone from 2.48 to 3.68 ng/ml, but luteinizing hormone decreased significantly (p < 0.05) from 9.6 to 6.5 mIU/ml. In addition, sperm DNA fragmentation increased significantly (p < 0.01). Conversely, viral load, and catalase decreased significantly, but no significant difference in malondialdehyde. This study showed that HIV depleted testosterone and impaired sperm motility which may negatively affect the fertility potential of men living with HIV. It also showed that adherence to cART (a combination of tenofovir, lamivudine, and dolutegravir) reduces the viral load and reverses the deleterious effects of cART albeit, cART appears to be toxic at subcellular spermatogenic levels.

Indexed as

HIV InfectionsSperm MotilityAntiretroviral Therapy, Highly ActiveDolutegravirFertilityHIVHumansLuteinizing HormoneMaleSemenSemen AnalysisSpermatozoaSperm CountTestosteroneDolutegravirLuteinizing HormoneTestosteroneantiretroviral therapyhuman immunodeficiency virushypogonadismsperm motilitytestosterone

Identifiers

PMID36261884
PMCPMC9722517
OpenAlexW4306909340

What OpenQuestion holds

Textmetadata
LicenceTDM
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.