Evidence map›Paper›PMID 42875475›Full record

ArticleJournal of exposure science & environmental epidemiology2026

Development and application of a sensitive method for urinary biomonitoring of microcystin-LR: association with semen quality in adult men.

Yu Fu, Hao Wu, Xiaodong Liu, Jun Yang, Feng Wan, Ruiyang Meng, Yishu Chen, Xiao Liang, Xinghai Chen, Michael D Losiewicz and 4 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of exposure science & environmental epidemiology, 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

14 authors.

Yu Fu *College of Public Health, Zhengzhou University, Zhengzhou, China.
Hao Wu *College of Public Health, Zhengzhou University, Zhengzhou, China.
Xiaodong LiuThe Central Laboratory of Beijing Institute of Occupational Disease Prevention and Treatment, Beijing, China.
Jun YangCollege of Public Health, Zhengzhou University, Zhengzhou, China.
Feng WanThe Reproductive Medicine Center, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Ruiyang MengCollege of Public Health, Zhengzhou University, Zhengzhou, China.
Yishu ChenCollege of Public Health, Zhengzhou University, Zhengzhou, China.
Xiao LiangCollege of Public Health, Zhengzhou University, Zhengzhou, China.
Xinghai ChenDepartment of Chemistry and Biochemistry, St Mary's University, San Antonio, TX, USA.
Michael D LosiewiczDepartment of Chemistry and Biochemistry, St Mary's University, San Antonio, TX, USA.
Kangfeng GeCollege of Public Health, Zhengzhou University, Zhengzhou, China.
Haibin GuoThe Reproductive Medicine Center, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
Xingde DuCollege of Public Health, Zhengzhou University, Zhengzhou, China. duxd2025@zzu.edu.cn.
Huizhen ZhangCollege of Public Health, Zhengzhou University, Zhengzhou, China. huizhenzhang@zzu.edu.cn.ORCID http://orcid.org/0000-0002-0255-1856

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMicrocystin-LR (MC-LR) is a cyanobacterial toxin that can impair male reproductive function. However, epidemiological investigations of human MC-LR exposure have been limited due to the lack of sensitive and reliable biomonitoring methods.

objectiveThis study aimed to develop and validate a sensitive method for urinary biomonitoring of MC-LR and to investigate the association between urinary MC-LR exposure and semen quality in adult men.

methodsA sensitive analytical method was developed and validated for the determination of MC-LR in human urine. The validated method was subsequently applied in a study of 633 men recruited from a reproductive hospital. Associations between urinary MC-LR concentrations and semen quality parameters were evaluated using multivariable linear regression models adjusted for urine creatinine, age, BMI, alcohol consumption, and smoking status.

resultsThe developed method achieved a limit of detection of 0.001 μg/L, which was lower than those reported in previous studies. MC-LR was detected in 447 of 633 urine samples, with a median concentration of 0.03 μg/L. Higher urinary MC-LR concentrations were associated with decreased semen volume, sperm concentration, and total sperm count, and with increased sperm tail abnormalities (all P SIGNIFICANCE: This study developed and validated a highly sensitive method for quantifying urinary MC-LR and successfully applied it in a large human population study. The findings provide novel epidemiological evidence linking environmental MC-LR exposure with impaired semen quality and support urinary MC-LR as a biomarker for human exposure assessment and reproductive risk evaluation. IMPACT STATEMENT: This study addresses a key challenge in human biomonitoring of MC-LR by developing a highly sensitive urinary analytical method with enhanced detection sensitivity. Application of the method in a large population of adult men revealed widespread exposure to MC-LR and significant associations between urinary MC-LR concentrations and reduced semen quality. The study advances exposure assessment of cyanobacterial toxins and provides epidemiological evidence supporting concerns about the reproductive health impacts of environmental MC-LR exposure.

Indexed as

Human exposure assessmentMale reproductive healthMicrocystin-LRSemenqualityUPLC-MS/MSUrinary biomonitoring

Identifiers

What OpenQuestion holds

Textmetadata
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.