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Fertil Steril. 2017 Apr;107(4):848-859. doi: 10.1016/j.fertnstert.2017.02.115.

Obesity, male infertility, and the sperm epigenome.

Author information

1
Division of Urology, Department of Surgery, University of Utah, Salt Lake City, Utah; Center for Men's Health and Reconstructive Surgery, University of Utah, Salt Lake City, Utah.
2
Division of Urology, Department of Surgery, University of Utah, Salt Lake City, Utah.
3
Division of Urology, Department of Surgery, University of Utah, Salt Lake City, Utah; Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, Utah; Department of Human Genetics, University of Utah School of Medicine, Salt Lake City, Utah.
4
Division of Urology, Department of Surgery, University of Utah, Salt Lake City, Utah; Center for Men's Health and Reconstructive Surgery, University of Utah, Salt Lake City, Utah; Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, Utah. Electronic address: jim.hotaling@hsc.utah.edu.

Abstract

Obesity is a growing epidemic and a common problem among reproductive-age men that can both cause and exacerbate male-factor infertility by means of endocrine abnormalities, associated comorbidities, and direct effects on the fidelity and throughput of spermatogenesis. Robust epidemiologic, clinical, genetic, epigenetic, and nonhuman animal data support these findings. Recent works in the burgeoning field of epigenetics has demonstrated that paternal obesity can affect offspring metabolic and reproductive phenotypes by means of epigenetic reprogramming of spermatogonial stem cells. Understanding the impact of this reprogramming is critical to a comprehensive view of the impact of obesity on subsequent generations. Furthermore, and perhaps more importantly, conveying the impact of these lifestyle changes on future progeny can serve as a powerful tool for obese men to modify their behavior. Reproductive urologists and endocrinologists must learn to assimilate these new findings to better counsel men about the importance of paternal preconception health, a topic recently being championed by the Centers for Disease Control and Prevention.

KEYWORDS:

Obesity; male infertility; sperm epigenetics; transgenerational inheritance

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