1.In vitro effects of antidepressants on human sperm function.
Rita António SANTOS ; Ana Paula SOUSA ; Teresa ALMEIDA-SANTOS ; João RAMALHO-SANTOS ; Renata Santos TAVARES
Asian Journal of Andrology 2025;27(1):30-36
Depression currently affects about 280 million people worldwide and its prevalence has been increasing dramatically, especially among the young and people of reproductive age, which consequently leads to an increase in antidepressant consumption. Antidepressants are associated with sexual dysfunction in both men and women; however, their role in male fertility has been scarcely studied. Fluoxetine and sertraline, two serotonin reuptake inhibitors (SSRIs), are among the most prescribed antidepressants worldwide. To determine their possible effects, human sperm cells were exposed to either sertraline or fluoxetine at concentrations previously found in blood and seminal fluid of patients undergoing treatment. Spermatozoa were incubated for up to 24 h at 37°C and 5% CO 2 , and important functional parameters such as sperm motility, viability, mitochondrial membrane potential, cellular reactive oxygen species (ROS) production, chromatin/DNA integrity, acrosome status, and tyrosine phosphorylation were assessed. At low levels, fluoxetine consistently decreased progressive motility throughout time while promoting fluctuations in ROS levels and sperm capacitation. Nevertheless, it did not affect viability, mitochondrial membrane potential, acrosome reaction nor chromatin/DNA integrity. Sertraline, on the other hand, had little to nonsignificant impact at low doses, but affected almost all tested parameters at supratherapeutic concentrations. Altogether, our results suggest that both antidepressants may impair sperm function, possibly through different mechanisms of action, but fluoxetine is the only exhibiting mild negative effects at doses found in vivo .
Humans
;
Male
;
Spermatozoa/drug effects*
;
Fluoxetine/pharmacology*
;
Sperm Motility/drug effects*
;
Sertraline/pharmacology*
;
Reactive Oxygen Species/metabolism*
;
Antidepressive Agents/pharmacology*
;
Membrane Potential, Mitochondrial/drug effects*
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Sperm Capacitation/drug effects*
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Selective Serotonin Reuptake Inhibitors/pharmacology*
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Cell Survival/drug effects*
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Acrosome Reaction/drug effects*
2.Effect of lead chloride on spermatogenesis and sperm parameters in mice.
Antonio GRAÇA ; João RAMALHO-SANTOS ;
Asian Journal of Andrology 2004;6(3):237-241
AIMTo evaluate the effect of acute lead chloride exposure on testis and sperm parameters in mice.
METHODSPbCl2, 74 mg/kg, was daily administered to sexually mature male mice for 3 days and the effects on the testicular histology and ultrastructure as well as the motility and density of spermatozoa in cauda epididymis were observed. An additional group of mice were treated for 1-3 days and were allowed to recover for 32 days to determine the reversibility of lead-induced changes.
RESULTSThe testicular weight, seminiferous tubular diameter and sperm counts were significantly decreased following 3 days of PbCl2 treatment, but were unaffected by shorter-term exposures. The changes caused by lead are mostly reversible.
CONCLUSIONAcute lead chloride exposure injures the fertility parameters of male mice and the effects are partially reversible.
Animals ; Epididymis ; drug effects ; physiology ; Lead ; pharmacology ; Male ; Mice ; Microscopy, Electron ; Sexual Maturation ; Sperm Motility ; drug effects ; Spermatogenesis ; drug effects ; physiology ; Spermatozoa ; cytology ; drug effects ; ultrastructure

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