The therapeutic effect and metabolic mechanism analysis of Guilingji on idiopathic oligo-asthenoteratozoospermia

Bibliographic Details
Title: The therapeutic effect and metabolic mechanism analysis of Guilingji on idiopathic oligo-asthenoteratozoospermia
Authors: Yuming Feng, Shanmeizi Zhao, Rong Ju, Jianbo Li, Chengshuang Pan, Qinglai Tang, Zhichuan Zou, Jun Jing, Yao Xu, Hualong Ding, Jinzhao Ma, Zhou Li, Ting Tang, Yong Shao, Li Chen, Xuefeng Huang, Xiaohong Wang, Bing Yao
Source: Journal of Traditional and Complementary Medicine, Vol 14, Iss 4, Pp 403-413 (2024)
Publisher Information: Elsevier, 2024.
Publication Year: 2024
Collection: LCC:Medicine
Subject Terms: Guilingji, Oligo-asthenoteratozoospermia, Metabolomics, Glucose-6-phosphate, Traditional Chinese medicine, Medicine
More Details: Introduction: Guilingji, a famous traditional Chinese medicine (TCM) formula, has been used to combat aging and male sexual dysfunction in China for centuries. To date, there has been little evidence-based clinical research on the use of Guilingji to treat idiopathic oligo-asthenoteratozoospermia (OAT), and the therapeutic mechanism from a metabolic perspective needs to be investigated further. Methods: This was a multicenter, double-blind, randomized controlled clinical study of 240 patients with idiopathic OAT recruited from four hospitals between January 2020 and January 2022. Patients were randomly assigned in a 1꞉1 ratio to receive oral Guilingji capsules or placebo for 12 weeks. The total progressive motile sperm count (TPMSC) was considered the primary outcome, and the other sperm parameters, seminal plasma parameters and serum hormones were considered the secondary outcome. A nontargeted metabolomics analysis of serum from OAT patients before and after Guilingji administration was performed by HPLC–MS to identify key metabolites. Furthermore, we used a rat model to show spermatogenesis phenotypes to validate the effect of the key metabolites screened from the patients. Results: At weeks 4, 8 and 12, TPMSC and other sperm parameters were significantly improved in the Guilingji group compared with the placebo group (P
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2225-4110
Relation: http://www.sciencedirect.com/science/article/pii/S2225411024000014; https://doaj.org/toc/2225-4110
DOI: 10.1016/j.jtcme.2024.01.001
Access URL: https://doaj.org/article/79540ffb35334cd9a16d230368c1c01f
Accession Number: edsdoj.79540ffb35334cd9a16d230368c1c01f
Database: Directory of Open Access Journals
More Details
ISSN:22254110
DOI:10.1016/j.jtcme.2024.01.001
Published in:Journal of Traditional and Complementary Medicine
Language:English