Associations of seminal plasma metal mixtures with sperm quality parameters and exploratory mediation analysis of urinary oxidative stress biomarkers: a cross-sectional study from the RHCC-AC preconception cohort - Report - MDSpire

Associations of seminal plasma metal mixtures with sperm quality parameters and exploratory mediation analysis of urinary oxidative stress biomarkers: a cross-sectional study from the RHCC-AC preconception cohort

  • By

  • Xuemei Wang

  • Caiyun Wu

  • Lin Su

  • Jing Wang

  • Yu Li

  • Feng Ni

  • Hong Jiang

  • July 8, 2026

  • 0 min

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Linkages Between Metal Mixtures in Seminal Plasma and Sperm Quality Metrics

Overview

This study investigates the associations between metal mixtures in seminal plasma and various sperm quality metrics. Aluminum and cobalt were identified as significant contributors to sperm abnormalities and reduced motility.

Background

The decline in semen quality is a growing concern, with male factors contributing to infertility in a substantial number of couples. Environmental exposure to metals has been implicated in impaired sperm quality. This study aims to elucidate the relationships between metal exposure and sperm quality.

Data Highlights

MetalAssociationEffect
Aluminum (Al)Sperm abnormality ratePositive
Cobalt (Co)Total motilityNegative
Arsenic (As), Iron (Fe), Selenium (Se)Sperm concentrationPositive

Key Findings

  • Aluminum was positively associated with sperm abnormality rate.
  • Cobalt and copper were inversely associated with progressive and total motility.
  • Arsenic, iron, and selenium were positively associated with sperm concentration.
  • D,L-ortho-tyrosine mediated the associations of mercury and vanadium with sperm concentration.
  • Aluminum and cobalt were identified as primary contributors to sperm quality metrics.

Clinical Implications

Understanding the impact of environmental metal exposure on sperm quality may inform clinical evaluations of male infertility.

Conclusion

The study highlights significant associations between metal mixtures in seminal plasma and sperm quality.

Related Resources & Content

  1. WHO, Guideline for the prevention, diagnosis and treatment of infertility, 2025 -- WHO Guidelines
  2. Lead exposure is associated with increased lead bioaccumulation and a decline in semen quality: a systematic review and meta-analysis, PubMed, 2025 -- Systematic Review
  3. Evaluating Seminal Reactive Oxygen Species in Infertility and Early Pregnancy Loss Contexts
  4. Frontiers in Immunology — Immunological mechanisms and precision stratification in male infertility: from testicular immune privilege and danger signal amplification to seminal immune biomarkers and mechanism-tailored intervention
  5. Drug Safety — Impact of Gastric Acid Medications on Total Motile Sperm Count and Concentration: A Case-Control Analysis Among Subfertile Men in the Netherlands
  6. Frontiers in Endocrinology — Association of semen leukocytes with sperm DNA fragmentation in a clinical cohort
  7. Evaluating Seminal Reactive Oxygen Species in Infertility and Early Pregnancy Loss Contexts
  8. Immunological mechanisms and precision stratification in male infertility
  9. Impact of Gastric Acid Medications on Total Motile Sperm Count and Concentration
  10. Guideline for the prevention, diagnosis and treatment of infertility
  11. Lead exposure is associated with increased lead bioaccumulation and a decline in semen quality: a systematic review and meta-analysis - PubMed
  12. The role of seminal oxidation-reduction potential in male infertility: systematic review and meta-analysis - ScienceDirect

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