In vitro effects of antidepressants on human sperm function  

作　　者：Rita António Santos Ana Paula Sousa Teresa Almeida-Santos Joao Ramalho-Santos Renata Santos Tavares 

机构地区：[1]University of Coimbra,Institute for Interdisciplinary Research,Doctoral Programme in Experimental Biology and Biomedicine(PDBEB),Coimbra 3030-789,Portugal [2]Center for Neuroscience and Cell Biology,University of Coimbra(CNC-UC),Coimbra 3000-548,Portugal [3]Centre for Innovative Biomedicine and Biotechnology(CIBB),University of Coimbra,Coimbra 3000-548,Portugal [4]Reproductive Medicine Unit,Coimbra Hospital and University Centre(CHUC),Coimbra 3004-561,Portugal [5]Faculty of Medicine,University of Coimbra,Coimbra 3000-548,Portugal [6]Department of Life Sciences,University of Coimbra,Coimbra 3000-456,Portugal

出　　处：《Asian Journal of Andrology》2025年第1期30-36,共7页亚洲男性学杂志(英文版)

摘　　要：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℃ 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.

关 键 词：FLUOXETINE human sperm male fertility SERTRALINE sperm function SSRIS 

分 类 号：R69[医药卫生—泌尿科学]