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291444

Seminal angiotensin II type 2 receptor (AT2R) as a new biomarker for idiopathic Oligo-asthenozoospermia

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Last updated: 03 Jan 2025

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Abstract

Background: Infertility is defined as failure to achieve pregnancy after 12 months of regular unprotected sexual intercourse. Angiotensin II can bind to two different receptors : angiotensin receptor type 1 (AT1R) and type 2 (AT2R). There is evidence that the components of renin-angiotensin system (RAS) are locally synthesized in the male reproductive tissues as in the epididymis, prostate, testes, seminal fluid, and spermatozoa. Objective: The aim of the present study is to determine the presence of soluble AT2R in human seminal plasma and to evaluate its possible role as a new diagnostic biomarker for cases of idiopathic oligo-asthenozoospermia. Patients and methods: This study was conducted as a case-control study at Mansoura University Hospitals and included 100 subjects. Participants were divided into 50 patients with idiopathic oligo-asthenozoospermia, and 50 healthy volunteers who had achieved conception within one year of continuous unprotected marital relationship with normal semen analysis. All participants were subjected to thorough history taking, complete clinical examination, Doppler US for varicocele and semen analysis. The soluble angiotensin II type 2 receptors (AT2R) were measured in the seminal plasma by angiotesnin II type 2 receptor ELISA kit. Results: Seminal AT2R, α-glucosidase and acrosin activity index were significantly decreased in idiopathic oligo-asthenozoospermia group in comparison with the control group. Seminal AT2R and α-glucosidase were negatively correlated with WBCs. The sperm concentration, grade A motility, grade (A+B) motility, velocity, linear velocity, linearity index, and normal morphology exhibited highly significant positive correlations with seminal plasma AT2R and alpha-glucosidase. Seminal AT2R is highly significant negatively correlated to malondialdehyde. Conclusion: The present study revealed that AT2R is present in human seminal plasma and has a positive correlation with sperm concentration and motility. In addition, AT2R was significantly lower in idiopathic oligo-asthenozoospermia patients compared with healthy controls. The positive correlation of AT2R expression with motility highlights its potential role in idiopathic oligo-asthenozoospermia. These findings point to the possible involvement of AT2R in infertility.    

DOI

10.21608/ejhm.2023.291444

Keywords

Male infertility, Idiopathic oligoasthenozoospermia, Renin angiotensin system, Angiotensin II type 2 receptor in asthenozoospermia

Authors

First Name

Ashraf Hassan Ahmed

Last Name

Hassan

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First Name

AdelAbd El-Kader

Last Name

Zalata

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First Name

Mohamed Khaled Galal

Last Name

Selim

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First Name

Mohamed Ibrahim

Last Name

Abdel-Wahab

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Email

drmohamedsalamah1998@gmail.com

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Volume

90

Article Issue

2

Related Issue

39562

Issue Date

2023-01-01

Receive Date

2023-03-19

Publish Date

2023-01-01

Page Start

3,402

Page End

3,407

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_291444.html

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https://ejhm.journals.ekb.eg/service?article_code=291444

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215

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Seminal angiotensin II type 2 receptor (AT2R) as a new biomarker for idiopathic Oligo-asthenozoospermia

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Article

Created At

24 Dec 2024