Alterations in the protein lactylation landscape of sperm from patients with varicocele-associated asthenozoospermia - Report - MDSpire

Alterations in the protein lactylation landscape of sperm from patients with varicocele-associated asthenozoospermia

  • By

  • Heran Cao

  • Xiaohua Liu

  • Hua Nie

  • Shenghui Zhu

  • Shujuan Liu

  • Yu Zhou

  • Chunjie Ma

  • Huang Liu

  • Weibing Qin

  • June 23, 2026

  • 0 min

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Clinical Report: Changes in the Lactylation Profile of Sperm in Men with Varicocele-Related Asthenozoospermia

Overview

This study investigates the lactylation profile of sperm in men with varicocele-related asthenozoospermia, revealing significant alterations in protein lactylation associated with impaired sperm motility.

Background

Varicocele is a prevalent cause of male infertility, particularly linked to asthenozoospermia, which is characterized by reduced sperm motility. Understanding the molecular mechanisms underlying this condition is crucial.

Data Highlights

ParameterPre-treatmentPost-treatment
Intracellular L-lactateDecreasedNot specified
Seminal plasma L-lactateElevatedNot specified
Number of lactylation sites identified2,699Not specified
Number of differentially lactylated proteins133Not specified

Key Findings

  • Disrupted lactate metabolism was observed in asthenozoospermic sperm.
  • Decreased intracellular L-lactate and elevated seminal plasma L-lactate were noted.
  • A global reduction in protein lactylation was identified, particularly in the sperm midpiece and tail.
  • 133 differentially lactylated proteins were enriched in pathways critical for sperm motility.
  • Key proteins such as TEKT3, AKAP4, and TUBA1A showed significant downregulation in lactylation abundance.

Clinical Implications

The findings indicate alterations in lactylation in men with varicocele-related asthenozoospermia.

Conclusion

This study provides insights into the lactylation landscape of human sperm in the context of varicocele-associated asthenozoospermia.

Related Resources & Content

  1. Frontiers in Endocrinology, 2026 -- Advances in immune-inflammatory interactions within the testicular-penile microenvironment of varicocele patients: molecular mechanisms underlying erectile dysfunction and spermatogenic impairment
  2. Frontiers in Urology, 2026 -- The role of leptin in reproductive dysfunction in patients with varicocele: a systematic review and meta-analysis
  3. Drug Safety -- Impact of Gastric Acid Medications on Total Motile Sperm Count and Concentration: A Case-Control Analysis Among Subfertile Men in the Netherlands
  4. Infection — The Relationship Between Asymptomatic Bacteriospermia and Male Infertility
  5. EAU Pocket on Sexual and Reproductive Health 2025
  6. AUA, ASRM release amendment to male infertility guideline
  7. https://academic.oup.com/humrep/article-pdf/41/3/314/66313705/deaf251.pdf
  8. https://wjmh.org/pdf/10.5534/wjmh.240132
  9. Pathophysiological effects of hypoxia on testis function and spermatogenesis | Nature Reviews Urology
  10. Lactylated Proteomic Analysis Reveals Functional Implications of Lysine Lactylation In Asthenozoospermia - PMC

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