Evidence map›Paper›PMID 40457018›Full record

ArticleReproductive sciences (Thousand Oaks, Calif.)2025

The Relationship Between Sperm Midpiece Details and DNA Fragmentation in Human Sperm.

Muhammed Arif Ibis, Neslihan Oytun Mencik, Burcu Öztürk, Murat Can Karaburun, Cagri Akpinar, Aykut Akıncı, Hakan Bahadır Haberal, Kaan Aydos, Onder Yaman

Abstract read
In one paragraph

Article in Reproductive sciences (Thousand Oaks, Calif.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Muhammed Arif IbisCenter for Research On Human Reproduction, Ankara University School of Medicine, Ankara, Turkey. dr.arifibis@gmail.com.ORCID 0000-0001-8581-2101
Neslihan Oytun MencikCenter for Research On Human Reproduction, Ankara University School of Medicine, Ankara, Turkey.ORCID 0009-0006-2265-033X
Burcu ÖztürkCenter for Research On Human Reproduction, Ankara University School of Medicine, Ankara, Turkey.ORCID 0009-0007-5605-471X
Murat Can KaraburunDepartment of Urology, School of Medicine, Ibn-I Sina Hospital, Ankara University, Altındag/Ankara, Turkey.ORCID 0000-0001-6917-9051
Cagri AkpinarDepartment of Urology, School of Medicine, Ibn-I Sina Hospital, Ankara University, Altındag/Ankara, Turkey.ORCID 0000-0002-0288-8272
Aykut AkıncıDepartment of Urology, School of Medicine, Ibn-I Sina Hospital, Ankara University, Altındag/Ankara, Turkey.ORCID 0000-0003-4026-1371
Hakan Bahadır HaberalDepartment of Urology, Ankara Ataturk Sanatoryum Training and Research Hospital, Ministry of Health, University of Health Sciences, Ankara, Turkey.ORCID 0000-0001-9774-2040
Kaan AydosCenter for Research On Human Reproduction, Ankara University School of Medicine, Ankara, Turkey.ORCID 0000-0001-7691-5459
Onder YamanDepartment of Urology, School of Medicine, Ibn-I Sina Hospital, Ankara University, Altındag/Ankara, Turkey.ORCID 0000-0002-1587-0688

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sperm DNA fragmentation is associated with poor sperm quality and reproductive outcomes. Free radicals are a significant cause of DNA fragmentation, with mitochondria being the primary intrinsic source. To investigate the relationship between midpiece measurements containing mitochondria and sperm DNA fragmentation, and to determine the ideal midpiece area. Demographic data, semen analysis results, and DNA fragmentation values were prospectively collected from 239 men with infertility complaints. Detailed analyses and morphometric measurements were performed on 50 spermatozoa from each patient, totaling 11,950 spermatozoa. The ideal DNA fragmentation index (DFI) cutoff value was calculated. Patients were classified into three subgroups based on midpiece length, midpiece width, and midpiece area measurements. The correlation between mid-piece measurements and DFI was investigated. The cutoff value for DFI was determined as 19.50. The odds ratio evaluating the relationship between morphology status and high DFI was 0.159 (95% CI: 0.089-0.282). It was observed that midpiece length and width have statistically significant but low correlations with DFI, whereas midpiece area shows a higher correlation. Finally, based on DFI values, the ideal midpiece area was between 2.31 and 3.13 µm

Indexed as

DNA FragmentationInfertility, MaleSpermatozoaAdultHumansMaleProspective StudiesSemen AnalysisDNA fragmentationMale infertilityMidpieceMorphometricsSpermatozoa

Identifiers

PMID40457018
PMCPMC12270962

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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.