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Smoking Effects on Male Fertility

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Male Infertility

Abstract

Numerous studies have attempted to assess the effects of smoking on male reproductive physiology, including sperm parameters, male reproductive anatomy, as well as the male hormonal axes. Yet the results have been equivocal and contradictory. Our objective was to compile the current literature regarding how cigarette smoke exposure can contribute to male infertility. Environmental factors make it difficult to unravel the effects of smoking versus other lifestyle elements. However, with the increased efforts to limit smoke exposure, it is important to parse out potential reversible effects of smoking on the human body. It is well established that toxins in cigarette smoke produce radical oxygen species that cause oxidative damage to nearly every organ system. This increased stress has cascading effects stemming from an impaired hormonal axis, down to causing immotile spermatocytes. Disrupting the normal hormonal axis responsible for reproductive signaling; impairing correct, healthy spermatogenesis; and causing direct damage to mature sperm products are but a few of the etiologies of how smoking can contribute to male infertility.

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References

  1. Stillman RJ, Rosenberg MJ, Sachs BP. Smoking and reproduction. Fertil Steril. 1986;46(4):545–66.

    Article  CAS  PubMed  Google Scholar 

  2. Dikshit RK, Buch JG, Mansuri SM. Effect of tobacco consumption on semen quality of a population of hypofertile males. Fertil Steril. 1987;48(2):334–6.

    Article  CAS  PubMed  Google Scholar 

  3. Klaiber EL, et al. Interrelationships of cigarette smoking, testicular varicoceles, and seminal fluid indexes. Fertil Steril. 1987;47(3):481–6.

    Article  CAS  PubMed  Google Scholar 

  4. Osser S, Beckman-Ramirez A, Liedholm P. Semen quality of smoking and non-smoking men in infertile couples in a Swedish population. Acta Obstet Gynecol Scand. 1992;71(3):215–8.

    Article  CAS  PubMed  Google Scholar 

  5. Dunphy BC, Barratt CL, von Tongelen BP, Cooke ID. Male cigarette smoking and fecundity in couples attending an infertility clinic. Andrologia. 1991;23(3):223–5.

    Article  CAS  PubMed  Google Scholar 

  6. Pacifici R, et al. Nicotine, cotinine, and trans-3-hydroxycotinine levels in seminal plasma of smokers: effects on sperm parameters. Ther Drug Monit. 1993;15(5):358–63.

    Article  CAS  PubMed  Google Scholar 

  7. Sofikitis N, et al. Effects of smoking on testicular function, semen quality and sperm fertilizing capacity. J Urol. 1995;154(3):1030–4.

    Article  CAS  PubMed  Google Scholar 

  8. Vine MF, et al. Cigarette smoking and semen quality. Fertil Steril. 1996;65(4):835–42.

    Article  CAS  PubMed  Google Scholar 

  9. Chia SE, Tay SK, Lim ST. What constitutes a normal seminal analysis? Semen parameters of 243 fertile men. Hum Reprod. 1998;13(12):3394–8.

    Article  CAS  PubMed  Google Scholar 

  10. Horak S, Polanska J, Widlak P. Bulky DNA adducts in human sperm: relationship with fertility, semen quality, smoking, and environmental factors. Mutat Res. 2003;537(1):53–65.

    Article  CAS  PubMed  Google Scholar 

  11. Künzle R, Mueller MD, Hänggi W, Birkhäuser MH, Drescher H, Bersinger NA. Semen quality of male smokers and nonsmokers in infertile couples. Fertil Steril. 2003;79(2):287–91.

    Article  PubMed  Google Scholar 

  12. Pasqualotto FF, Sobreiro BP, Hallak J, Pasqualotto EB, Lucon AM. Cigarette smoking is related to a decrease in semen volume in a population of fertile men. BJU Int. 2006;97(2):324–6.

    Article  PubMed  Google Scholar 

  13. Colagar AH, Jorsaraee GA, Marzony ET. Cigarette smoking and the risk of male infertility. Pak J Biol Sci. 2007;10(21):3870–4.

    Article  PubMed  Google Scholar 

  14. Tremellen K. Oxidative stress and male infertility--a clinical perspective. Hum Reprod Update. 2008;14(3):243–58.

    Article  CAS  PubMed  Google Scholar 

  15. Calogero A, et al. Cigarette smoke extract immobilizes human spermatozoa and induces sperm apoptosis. Reprod Biomed Online. 2009;19(4):564–71.

    Article  PubMed  Google Scholar 

  16. Oyeyipo IP, et al. Effects of nicotine on sperm characteristics and fertility profile in adult male rats: a possible role of cessation. J Reprod Infertil. 2011;12(3):201–7.

    CAS  PubMed  PubMed Central  Google Scholar 

  17. Taha EA, et al. Effect of smoking on sperm vitality, DNA integrity, seminal oxidative stress, zinc in fertile men. Urology. 2012;80(4):822–5.

    Article  PubMed  Google Scholar 

  18. Sharma R, et al. Lifestyle factors and reproductive health: taking control of your fertility. Reprod Biol Endocrinol. 2013;11:66.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Zhang ZH, Zhu HB, Li LL, Yu Y, Zhang HG, Liu RZ. Decline of semen quality and increase of leukocytes with cigarette smoking in infertile men. Iran J Reprod Med. 2013;11(7):589–96.

    PubMed  PubMed Central  Google Scholar 

  20. Kumar S, et al. Environmental & lifestyle factors in deterioration of male reproductive health. Indian J Med Res. 2014;140(Suppl):S29–35.

    PubMed  PubMed Central  Google Scholar 

  21. Dai J, et al. Nicotine elevates sperm motility and induces Pfn1 promoter hypomethylation in mouse testis. Andrology. 2015;3(5):967–78.

    Article  CAS  PubMed  Google Scholar 

  22. Harlev A, et al. Smoking and male infertility: an evidence-based review. World J Mens Health. 2015;33(3):143–60.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Cui X, et al. Potential effect of smoking on semen quality through DNA damage and the downregulation of Chk1 in sperm. Mol Med Rep. 2016;14(1):753–61.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Esakky P, Moley KH. Paternal smoking and germ cell death: a mechanistic link to the effects of cigarette smoke on spermatogenesis and possible long-term sequelae in offspring. Mol Cell Endocrinol. 2016;435:85–93.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Jenkins TG, et al. Decreased fecundity and sperm DNA methylation patterns. Fertil Steril. 2016;105(1):51–7.

    Article  CAS  PubMed  Google Scholar 

  26. Sharma R, et al. Cigarette smoking and semen quality: a new meta-analysis examining the effect of the 2010 World Health Organization laboratory methods for the examination of human semen. Eur Urol. 2016;70(4):635–45.

    Article  PubMed  Google Scholar 

  27. Al Khaled Y, et al. Cigarette smoking induces only marginal changes in sperm DNA methylation levels of patients undergoing intracytoplasmic sperm injection treatment. Andrologia. 2018;50(1):e12818.

    Article  CAS  Google Scholar 

  28. Harris KK, Zopey M, Friedman TC. Metabolic effects of smoking cessation. Nat Rev Endocrinol. 2016;12(5):299–308.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Ng M, et al. Smoking prevalence and cigarette consumption in 187 countries, 1980–2012. JAMA. 2014;311(2):183–92.

    Article  CAS  PubMed  Google Scholar 

  30. Xu X, et al. Annual healthcare spending attributable to cigarette smoking: an update. Am J Prev Med. 2015;48(3):326–33.

    Article  PubMed  Google Scholar 

  31. Holford TR, et al. Tobacco control and the reduction in smoking-related premature deaths in the United States, 1964–2012. JAMA. 2014;311(2):164–71.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Rudolph LM, et al. Peripheral and central mechanisms involved in the hormonal control of male and female reproduction. J Neuroendocrinol. 2016;28(7). https://doi.org/10.1111/jne.12405.

  33. Brean A. In process citation. Tidsskr Nor Laegeforen. 2016;136(8):691.

    Article  PubMed  Google Scholar 

  34. Chu DS, Shakes DC. Spermatogenesis. Adv Exp Med Biol. 2013;757:171–203.

    Article  CAS  PubMed  Google Scholar 

  35. Griswold MD. Spermatogenesis: the commitment to meiosis. Physiol Rev. 2016;96(1):1–17.

    Article  CAS  PubMed  Google Scholar 

  36. Dean RC, Lue TF. Physiology of penile erection and pathophysiology of erectile dysfunction. Urol Clin North Am. 2005;32(4):379–95, v.

    Google Scholar 

  37. Brugh VM 3rd, Matschke HM, Lipshultz LI. Male factor infertility. Endocrinol Metab Clin N Am. 2003;32(3):689–707.

    Article  CAS  Google Scholar 

  38. Hirsh A. Male subfertility. BMJ. 2003;327(7416):669–72.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Kupis L, Dobronski PA, Radziszewski P. Varicocele as a source of male infertility – current treatment techniques. Cent Eur J Urol. 2015;68(3):365–70.

    Article  CAS  Google Scholar 

  40. Jarow JP. Effects of varicocele on male fertility. Hum Reprod Update. 2001;7(1):59–64.

    Article  CAS  PubMed  Google Scholar 

  41. Agarwal A, et al. Effect of varicocele on semen characteristics according to the new 2010 World Health Organization criteria: a systematic review and meta-analysis. Asian J Androl. 2016;18(2):163–70.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Mohamad Al-Ali B, Eredics K. Synergistic effects of cigarette smoking and varicocele on semen parameters in 715 patients. Wien Klin Wochenschr. 2017;129(13–14):482–6.

    Article  CAS  PubMed  Google Scholar 

  43. Lanfranco F, et al. Klinefelter’s syndrome. Lancet. 2004;364(9430):273–83.

    Article  CAS  PubMed  Google Scholar 

  44. Stocco DM. StAR protein and the regulation of steroid hormone biosynthesis. Annu Rev Physiol. 2001;63:193–213.

    Article  CAS  PubMed  Google Scholar 

  45. Restrepo B, Cardona-Maya W. Antisperm antibodies and fertility association. Actas Urol Esp. 2013;37(9):571–8.

    Article  CAS  PubMed  Google Scholar 

  46. The health consequences of smoking: a report of the surgeon general. Atlanta; 2004.

    Google Scholar 

  47. Reubi D. Modernisation, smoking and chronic disease: of temporality and spatiality in global health. Health Place. 2016;39:188–95.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Oliva A, Spira A, Multigner L. Contribution of environmental factors to the risk of male infertility. Hum Reprod. 2001;16(8):1768–76.

    Article  CAS  PubMed  Google Scholar 

  49. Thompson J, Bannigan J. Cadmium: toxic effects on the reproductive system and the embryo. Reprod Toxicol. 2008;25(3):304–15.

    Article  CAS  PubMed  Google Scholar 

  50. Isik B, Ceylan A, Isik R. Oxidative stress in smokers and non-smokers. Inhal Toxicol. 2007;19(9):767–9.

    Article  CAS  PubMed  Google Scholar 

  51. Fraczek M, Kurpisz M. Inflammatory mediators exert toxic effects of oxidative stress on human spermatozoa. J Androl. 2007;28(2):325–33.

    Article  CAS  PubMed  Google Scholar 

  52. Polyzos A, et al. Differential sensitivity of male germ cells to mainstream and sidestream tobacco smoke in the mouse. Toxicol Appl Pharmacol. 2009;237(3):298–305.

    Article  CAS  PubMed  Google Scholar 

  53. Pirkle JL, et al. Trends in the exposure of nonsmokers in the U.S. population to secondhand smoke: 1988-2002. Environ Health Perspect. 2006;114(6):853–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  54. Callahan-Lyon P. Electronic cigarettes: human health effects. Tob Control. 2014;23(Suppl 2):ii36–40.

    Article  PubMed  Google Scholar 

  55. Caponnetto P, et al. The emerging phenomenon of electronic cigarettes. Expert Rev Respir Med. 2012;6(1):63–74.

    Article  PubMed  Google Scholar 

  56. Engel S, Schreiner T, Petzoldt R. Lipid peroxidation in human spermatozoa and maintenance of progressive sperm motility. Andrologia. 1999;31(1):17–22.

    Article  CAS  PubMed  Google Scholar 

  57. Vine MF, et al. Cigarette smoking and sperm density: a meta-analysis. Fertil Steril. 1994;61(1):35–43.

    Article  CAS  PubMed  Google Scholar 

  58. Santi D, et al. Impairment of sperm DNA methylation in male infertility: a meta-analytic study. Andrology. 2017;5(4):695–703.

    Article  CAS  PubMed  Google Scholar 

  59. Ji G, et al. Common variants in mismatch repair genes associated with increased risk of sperm DNA damage and male infertility. BMC Med. 2012;10:49.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Sivam SP, Krause JE. Compensatory activation of substance P biosynthesis by L-dihydroxyphenylalanine in striatonigral neurons of neonatal dopaminergic denervated rats. J Pharmacol Exp Ther. 1990;254(2):433–9.

    CAS  PubMed  Google Scholar 

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Correspondence to Jenna Meyer .

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Meyer, J., Harlev, A. (2020). Smoking Effects on Male Fertility. In: Parekattil, S., Esteves, S., Agarwal, A. (eds) Male Infertility. Springer, Cham. https://doi.org/10.1007/978-3-030-32300-4_40

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  • DOI: https://doi.org/10.1007/978-3-030-32300-4_40

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