Meta AnalysisID 2464

每日口服600mg N-乙酰半胱氨酸对特发性不育男性精液参数和血清激素影响的作用:一项随机对照试验的系统评价与Meta分析

CRD42020209000

The effect of 600mg N-acetyl-cysteine orally daily on the sperm parameters and serum hormones in idiopathic infertile men from meta-analysis of randomized controlled trials

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Record Fields

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Meta Analysis Id
2464
Evidence Id
11022
Core Evidence Id
11022
Source Meta Analysis Id
2413
Herb2 Meta Analysis Id
HBMA002413
Crd Id
CRD42020209000
Title
The role of 600mg N-acetyl-cysteine orally daily on the sperm parameters and serum hormones in idiopathic infertile men: a systematic review and meta-analysis of randomized controlled trials
Review Question
The effect of 600mg N-acetyl-cysteine orally daily on the sperm parameters and serum hormones in idiopathic infertile men from meta-analysis of randomized controlled trials
Study Type Included
RCT;The following studies were excluded: not RCT, such as abstract, review, or comment; patients with urogenital bacterial infection, smoke, hypogonadism, varicocele, the use of drugs and other comorbidities; other treatment.
Condition Being Studied
Infertility is a disease that it is incapable to become pregnant after at least 1 year of regular unprotected intercourse, and male factors accounting for nearly half of the reported patients are considered to be secondary to testicular dysfunction or reproductive tract occlusion. Oxidative stress and reactive oxygen species (ROS) are highly active oxidants that can be classified as endogenous or exogenous according to their sources, which may lead to spermatogenesis defects and male infertility. Currently, physiological and genetic factors may also be related to sperm function and the occurrence of infertility. In particular, oxidative stress (OS) is considered to be an important factor affecting male fertility and sperm physiological function. Under normal conditions, the active oxygen produced by male sperm is less, which is necessary for normal sperm function (sperm activation, capacitation, acrosome reaction) and natural fertilization. Pathological ROS production results in lipid peroxidation of male spermatozoa, reduces the quality of semen and damages sperm DNA by forming single and/or double. Reducing excess ROS production is very important for sperm to maintain normal function and fertilization ability.
Participant
The sperm parameters of patients with primary infertility were normal. According to the history, physical examination and semen examination results, there were no factors that might affect male infertility. This study only included patients with idiopathic infertility with normal sperm parameters, and there were no previous factors that could affect male fertility, failed attempts at conception and no female factors.
Animal
Human Disease Modelled
Intervention
600mg N-acetyl-cysteine orally daily;
Comparator Control
Non-exposed control group;
Main Outcome
sperm concentration, ejaculate volume, sperm motility, normal morphology, testosterone, luteinizing hormone, follicle stimulating hormone and prolactin. Measures of effect mean difference (MD)
Outcome Measure
Additional Outcome
Not applicable Measures of effect Not applicable
Study Method
Intervention, Meta-analysis, Review of reviews, Systematic review
Keyword
Cysteine; Hormones; Humans; Male; Randomized Controlled Trials as Topic; Sperm Count; Spermatozoa
Contact
Yuanshan Cui [email protected]
Organisational Affiliation
Yantai Yuhuangding Hospital; Beijing Tiantan Hospital;
Funding Source
Beijing Municipal Administration of Hospitals’ Ascent Plan Grant number(s) <span style=font-size: 14px>State the funder, grant or award number and the date of award</span> Code: DFL20190502
Other Selection Criteria
Final Publication
The role of N-acetyl-cysteine (NAC) orally daily on the sperm parameters and serum hormones in idiopathic infertile men: A systematic review and meta-analysis of randomised controlled trials. Zhou Z, Cui Y, Zhang X, Zhang Y. Andrologia. 2021 Mar;53(2):e13953. doi: 10.1111/and.13953. Epub 2021 Jan 6. PMID: 33405232
Same Topic Review
Published Protocol
Review Type
Language
English
Country
China
Review Stage
Review Completed published
First Submission Date
2020-09-12
Registration Date
2020-10-12
Anticipated Start Date
2020-09-30
Anticipated Completion Date
2021-02-28
Title Cn
每日口服600mg N-乙酰半胱氨酸对特发性不育男性精液参数和血清激素影响的作用:一项随机对照试验的系统评价与Meta分析
Title En
The role of 600mg N-acetyl-cysteine orally daily on the sperm parameters and serum hormones in idiopathic infertile men: a systematic review and meta-analysis of randomized controlled trials
Bilingual Status
complete