Evidence map›Paper›PMID 42116327›Full record

ReviewMedicine2026

The relationships between diabetic male infertility, diabetic cognitive impairment, and the neuroendocrine-immune network: A review.

Shang-Mei Cao, Li Guo, Xue-Ya Han, Tian Wang, Wei Wang, Zuo-Min Wu, Xiu-Hong Fu

Abstract readReview
In one paragraph

Review in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Shang-Mei CaoDepartment of Science and Technology Innovation Center, Luohe Central Hospital, The First Affiliated Hospital of Luohe Medical College, Henan Key Laboratory of Fertility Protection and Aristogenesis, Luohe, China.
Li GuoPharmacy Department, Luohe Central Hospital, The First Affiliated Hospital of Luohe Medical College, Henan Province Key Laboratory of Traditional Chinese Medicine Formulation and Processing, Henan Province Engineering Research Center for Modernization of Traditional Chinese Medicine Formulation and Clinical Application, Luohe, China.
Xue-Ya HanDepartment of Science and Technology Innovation Center, Luohe Central Hospital, The First Affiliated Hospital of Luohe Medical College, Henan Key Laboratory of Fertility Protection and Aristogenesis, Luohe, China.
Tian WangDepartment of Science and Technology Innovation Center, Luohe Central Hospital, The First Affiliated Hospital of Luohe Medical College, Henan Key Laboratory of Fertility Protection and Aristogenesis, Luohe, China.
Wei WangDepartment of Science and Technology Innovation Center, Luohe Central Hospital, The First Affiliated Hospital of Luohe Medical College, Henan Key Laboratory of Fertility Protection and Aristogenesis, Luohe, China.
Zuo-Min WuPharmacy Department, Luohe Central Hospital, The First Affiliated Hospital of Luohe Medical College, Henan Province Key Laboratory of Traditional Chinese Medicine Formulation and Processing, Henan Province Engineering Research Center for Modernization of Traditional Chinese Medicine Formulation and Clinical Application, Luohe, China.
Xiu-Hong FuDepartment of Science and Technology Innovation Center, Luohe Central Hospital, The First Affiliated Hospital of Luohe Medical College, Henan Key Laboratory of Fertility Protection and Aristogenesis, Luohe, China.ORCID 0000-0001-9120-2318

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetes mellitus (DM) has become a serious public health problem. Diabetes-related male infertility (DMI) and diabetes-related cognitive impairment (DCI) in DM patients are common and easily ignored problems in clinical practice. To explore the deep-seated connections between DMI, DCI, and DM from the neuroendocrine-immune (NEI) network. We reviewed literature related to DMI and DCI separately, and conducted an in-depth analysis of their relationship with the NEI network. Through an extensive literature review, we found that the important mechanisms involved in DMI and DCI are closely related to the NEI network, including the hypothalamic-pituitary-adrenal-thymus axis and the hypothalamic-pituitary-gonadal-thymus axis. This article elaborates on the different states of these axes in DM patients at different stages, their interrelationships, and how high sugar affects the blood-testis barrier and triggers DMI. The impact of high sugar on the hippocampus leads to a decline in recent memory and cognitive function problems, and the relationship between cognition and the catecholamine system can lead to cognitive impairment during stress states.

Indexed as

Cognitive DysfunctionDiabetes ComplicationsDiabetes MellitusInfertility, MaleNeurosecretory SystemsHumansHypothalamic-Pituitary-Gonadal AxisHypothalamo-Hypophyseal SystemMalePituitary-Adrenal Systemcognitive impairmentdiabetesmale Infertilityneuroendocrine-immune network

Identifiers

PMID42116327
PMCPMC13166851

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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.