BJOG. 2022 Mar 11.
OBJECTIVE: To investigate the association between mitochondrial DNA copy number (mtDNAcn) and semen quality.DESIGN: A cross-sectional study.
SETTING: Hubei Province Human Sperm Bank of China (from April 2017 to July 2018).
POPULATION: A total of 1164 healthy male sperm donors with 5739 specimens.
MAIN OUTCOME MEASURES: Real-time quantitative polymerase chain reaction (RT-PCR) was used to measure sperm mtDNAcn. We also determined semen volume, concentration, and motility parameters (progressive motility, nonprogressive motility, and immotility).
METHODS: Mixed-effect models and general linear models were performed.
RESULTS: After adjusting for relevant confounding factors, mixed-effect models revealed diminished sperm motility (progressive and total), concentration, and total count across the quartiles of mtDNAcn (all p < 0.05). Compared to men in the lowest quartile, men in the highest quartile of mtDNAcn had lower progressive sperm motility, total motility, concentration, and total count of -8.9% (95% CI: -12.7%, -5.0%), -8.0% (95% CI: -11.6%, -4.4%), -42.8% (95% CI: -47.7%, -37.4%), and -44.3% (95% CI: -50.1%, -37.7%), respectively. These inverse dose-response relationships were further confirmed in the cubic spline models, where mtDNAcn was modeled as continuous variables.
CONCLUSIONS: We found that mtDNAcn was inversely associated with semen quality in a dose-dependent manner. Our results provide novel clues that sperm mtDNAcn may serve as a useful predictor of human semen characteristics.
Keywords: Mitochondrial DNA copy number; Semen quality; mitochondrial biomarkers