Seminal but not serum levels of holotranscobalamin are altered in morbid obesity and correlate with semen quality : a pilot single centre study

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Abstract

Vitamin B12 (cobalamin) is an essential cofactor in the one-carbon metabolism. One-carbon metabolism is a set of complex biochemical reactions, through which methyl groups are utilised or generated, and thus plays a vital role to many cellular functions in humans. Low levels of cobalamin have been associated to metabolic/reproductive pathologies. However, cobalamin status has never been investigated in morbid obesity in relation with the reduced semen quality. We analysed the cross-sectional data of 47-morbidly-obese and 21 lean men at Careggi University Hospital and evaluated total cobalamin (CBL) and holotranscobalamin (the active form of B12; holoTC) levels in serum and semen. Both seminal and serum concentrations of holoTC and CBL were lower in morbidly obese compared to lean men, although the difference did not reach any statistical significance for serum holoTC. Seminal CBL and holoTC were significantly higher than serum levels in both groups. Significant positive correlations were observed between seminal holoTC and total sperm motility (r = 0.394, p = 0.012), sperm concentration (r = 0.401, p = 0.009), total sperm number (r = 0.343, p = 0.028), and negative correlation with semen pH (r = −0.535, p = 0.0001). ROC analysis supported seminal holoTC as the best predictor of sperm number (AUC = 0.769 ± 0.08, p = 0.006). Our findings suggest that seminal rather than serum levels of holoTC may represent a good marker of semen quality in morbidly obese subjects.

Item Type: Journal Article
Subjects: Q Science > QP Physiology
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET)
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Vitamin B12, Vitamin B12 -- Physiological aspects, Morbid obesity , Morbid obesity -- Psychological aspects, Body mass index , Spermatozoa, Spermatozoa -- Motility -- Disorders, Seminal protein
Journal or Publication Title: Nutrients
Publisher: M D P I A G
ISSN: 2072-6643
Official Date: 8 July 2019
Dates:
Date
Event
8 July 2019
Published
3 July 2019
Accepted
Volume: 11
Number: 7
Article Number: 1540
DOI: 10.3390/nu11071540
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons open licence)
Date of first compliant deposit: 2 October 2019
Date of first compliant Open Access: 2 October 2019
RIOXX Funder/Project Grant:
Project/Grant ID
RIOXX Funder Name
Funder ID
016-RF-2016.0773–PRIN2015
Fondazione Cassa di Risparmio di Civitavecchia
2015ZTT5KB
Ministero dell’Istruzione, dell’Università e della Ricerca
PhD fellowship
Sir Jules Thorn Charitable Trust
MR/N006232/1
[MRC] Medical Research Council
URI: https://wrap.warwick.ac.uk/126569/

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