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Animal reproduction science2007; 105(1-2); 23-51; doi: 10.1016/j.anireprosci.2007.11.029

Role of Sertoli cell number and function on regulation of spermatogenesis.

Abstract: Testicular function is under the control of expression and repression of several genes and gene products, and many of these works through Sertoli cells. The capability of Sertoli cells to regulate spermatogenesis is dependent on Sertoli cell functions and Sertoli cell number. Sertoli cell number has long been thought to be stable in adults with no proliferation of Sertoli cells once adult numbers have been reached. However, adult horses do not have stable Sertoli cell numbers, and new studies indicate that adult Sertoli cells can be made to re-enter mitotic phase under certain experimental conditions. This review discusses roles of Sertoli cells in regulation of spermatogenesis and methods for estimating the number of Sertoli cells, in a testis, that overcome the problems (assumptions) associated with the indented, pear-shaped of Sertoli cell nuclei which make it difficult to estimate the volume of individual nuclei. Using several approaches to overcome the problems associated with any one method, the horse is identified as a species in which Sertoli cell number is not fixed, but it fluctuates with season. In addition to Sertoli cell numbers, the functions of Sertoli cells that are very important in signaling and controlling spermatogenesis are discussed. Recent studies have shown that "post-mitotic terminally differentiated Sertoli cells" from adult animals could, under certain conditions, re-enter the cell division cycle. Can seasonal influences be a natural set of conditions to induce the Sertoli cells of the horse testis to seasonally re-enter the cell division cycle and explain the seasonal differences in Sertoli cell number as summarized in this review? Alternatively, can seasonal differences in Sertoli cell number reflect, in the horse to a greater extent, but in adults of most species, the presence of some mitotic-capable Sertoli cells in adults? In any case, both Sertoli cell number and function are important in regulation of spermatogenesis.
Publication Date: 2007-12-15 PubMed ID: 18242891DOI: 10.1016/j.anireprosci.2007.11.029Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • N.I.H.
  • Extramural
  • Research Support
  • Non-U.S. Gov't
  • Research Support
  • U.S. Gov't
  • Non-P.H.S.
  • Review

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research focuses on the role of Sertoli cells in regulating spermatogenesis, the process of sperm production. It challenges the traditionally accepted belief that the number of Sertoli cells are stable in adult mammals, pointing to evidence that Sertoli cells can reenter the mitotic phase and multiply, particularly in horses where such cell numbers fluctuate seasonally.

The Role of Sertoli Cells in Spermatogenesis

  • The study delves into the crucial role played by Sertoli cells in controlling testicular function. Sertoli cells help regulate the reproduction and expression of several genes and gene products that are vital for testicular function.
  • Dependent largely on their number and functionality, Sertoli cells regulate spermatogenesis, the process in which sperm cells are produced and developed.

Re-assessing Sertoli Cell Numbers

  • The study calls into question the long-held belief that Sertoli cell numbers in adults are stable, not proliferating once mature quantities have been reached.
  • Citing evidence from the study of adult horses, it suggests the possibility that Sertoli cell numbers are not fixed but fluctuate with the seasons. The study indicates that adult Sertoli cells can re-enter the mitotic phase to divide and multiply under specific experimental conditions.
  • This poses potential implications for further research, indicating that such findings may apply not just in horses but in many adult species where previously it was thought that Sertoli cells’ proliferation capability was lost after reaching adulthood.

Estimating Sertoli Cell Numbers

  • The study also touches on the challenges associated with estimating the number of Sertoli cells within a testis. This hurdle arises due to the indented, pear-shaped nature of Sertoli cell nuclei that makes it difficult to accurately estimate the volume of individual nuclei.
  • However, the researchers used several methods to surmount this problem, emphasizing the importance of a multi-faceted approach to accurately evaluate Sertoli cell numbers.

The Function of Sertoli Cells

  • In addition to cell numbers, the research also brings focus to the functions of Sertoli cells that play a crucial role in signaling and controlling spermatogenesis. The study suggests that under certain conditions, even terminally differentiated Sertoli cells from adult animals, previously thought to be post-mitotic, could re-enter the cell division cycle.
  • This revelation has the potential to drastically alter our understanding of cell cycle control and cell differentiation, suggesting that circumstances might exist which could persuade differentiated cells to re-enter the cell division cycle once again.

Cite This Article

APA
Johnson L, Thompson DL, Varner DD. (2007). Role of Sertoli cell number and function on regulation of spermatogenesis. Anim Reprod Sci, 105(1-2), 23-51. https://doi.org/10.1016/j.anireprosci.2007.11.029

Publication

ISSN: 0378-4320
NlmUniqueID: 7807205
Country: Netherlands
Language: English
Volume: 105
Issue: 1-2
Pages: 23-51

Researcher Affiliations

Johnson, Larry
  • Department of Veterinary Integrative Biosciences, College of Veterinary Medicine, Texas A&M University, College Station, TX 77843-4458, USA. ljohnson@cvm.tamu.edu
Thompson, Donald L
    Varner, Dickson D

      MeSH Terms

      • Animals
      • Cell Count
      • Cell Proliferation
      • Humans
      • Male
      • Seasons
      • Seminiferous Tubules / cytology
      • Seminiferous Tubules / ultrastructure
      • Sertoli Cells / cytology
      • Sertoli Cells / physiology
      • Spermatogenesis / physiology
      • Spermatozoa / physiology

      Grant Funding

      • R25 ES 10735 / NIEHS NIH HHS
      • R25 RR022711 / NCRR NIH HHS

      Citations

      This article has been cited 55 times.
      1. Faiad W, Soukkarieh C, Murphy DJ, Hanano A. Effects of dioxins on animal spermatogenesis: A state-of-the-art review. Front Reprod Health 2022;4:1009090.
        doi: 10.3389/frph.2022.1009090pubmed: 36339774google scholar: lookup
      2. Hong X, Shao N, Yin L, Li C, Tao G, Sun Y, Qian K, Yang J, Xiao P, Yu X, Zhou Z. Exposure to zinc oxide nanoparticles affects testicular structure, reproductive development and spermatogenesis in parental and offspring male rats. Ann Transl Med 2022 Jul;10(13):751.
        doi: 10.21037/atm-22-3047pubmed: 35957732google scholar: lookup
      3. Jensen CFS, Wang D, Mamsen LS, Giwercman A, Jørgensen N, Fode M, Ohl D, Dong L, Hildorf SE, Pors SE, Fedder J, Ntemou E, Andersen CY, Sønksen J. Sertoli and Germ Cells Within Atrophic Seminiferous Tubules of Men With Non-Obstructive Azoospermia. Front Endocrinol (Lausanne) 2022;13:825904.
        doi: 10.3389/fendo.2022.825904pubmed: 35721721google scholar: lookup
      4. Wu Y, Duan P, Wen Y, Zhang J, Wang X, Dong J, Zhao Q, Feng S, Lv C, Guo Y, Namekawa SH, Yuan S. UHRF1 establishes crosstalk between somatic and germ cells in male reproduction. Cell Death Dis 2022 Apr 19;13(4):377.
        doi: 10.1038/s41419-022-04837-2pubmed: 35440090google scholar: lookup
      5. Pereira SC, Oliveira PF, Oliveira SR, Pereira ML, Alves MG. Impact of Environmental and Lifestyle Use of Chromium on Male Fertility: Focus on Antioxidant Activity and Oxidative Stress. Antioxidants (Basel) 2021 Aug 27;10(9).
        doi: 10.3390/antiox10091365pubmed: 34572997google scholar: lookup
      6. Bian Q, Chen B, Weng B, Chu D, Tang X, Yan S, Yin Y, Ran M. circBTBD7 Promotes Immature Porcine Sertoli Cell Growth through Modulating miR-24-3p/MAPK7 Axis to Inactivate p38 MAPK Signaling Pathway. Int J Mol Sci 2021 Aug 30;22(17).
        doi: 10.3390/ijms22179385pubmed: 34502294google scholar: lookup
      7. Liu N, Qadri F, Busch H, Huegel S, Sihn G, Chuykin I, Hartmann E, Bader M, Rother F. Kpna6 deficiency causes infertility in male mice by disrupting spermatogenesis. Development 2021 Oct 1;148(19).
        doi: 10.1242/dev.198374pubmed: 34473250google scholar: lookup
      8. Zhu WQ, Yang DC, Jiang Y, Cai NN, Yang R, Zhang XM. Effective isolation of Sertoli cells from New Zealand rabbit testis. J Adv Vet Anim Res 2021 Jun;8(2):218-223.
        doi: 10.5455/javar.2021.h505pubmed: 34395591google scholar: lookup
      9. Liu W, Wang Z, Hu X. Identification of Competing Endogenous RNA and Micro-RNA Profiles and Regulatory Networks in 4-Nonylphenol-induced Impairment of Sertoli Cells. Front Pharmacol 2021;12:644204.
        doi: 10.3389/fphar.2021.644204pubmed: 34084133google scholar: lookup
      10. Roychoudhury S, Chakraborty S, Choudhury AP, Das A, Jha NK, Slama P, Nath M, Massanyi P, Ruokolainen J, Kesari KK. Environmental Factors-Induced Oxidative Stress: Hormonal and Molecular Pathway Disruptions in Hypogonadism and Erectile Dysfunction. Antioxidants (Basel) 2021 May 24;10(6).
        doi: 10.3390/antiox10060837pubmed: 34073826google scholar: lookup
      11. Teves ME, Roldan ERS. Sperm bauplan and function and underlying processes of sperm formation and selection. Physiol Rev 2022 Jan 1;102(1):7-60.
        doi: 10.1152/physrev.00009.2020pubmed: 33880962google scholar: lookup
      12. Zhang PY, Fan Y, Tan T, Yu Y. Generation of Artificial Gamete and Embryo From Stem Cells in Reproductive Medicine. Front Bioeng Biotechnol 2020;8:781.
        doi: 10.3389/fbioe.2020.00781pubmed: 32793569google scholar: lookup
      13. Zhao H, You X, Chen Q, Yang S, Ma Q, He Y, Liu C, Dun Y, Wu J, Zhang C, Yuan D. Icariin Improves Age-Related Testicular Dysfunction by Alleviating Sertoli Cell Injury via Upregulation of the ERα/Nrf2-Signaling Pathway. Front Pharmacol 2020;11:677.
        doi: 10.3389/fphar.2020.00677pubmed: 32528279google scholar: lookup
      14. Xia X, Wang L, Yang X, Hu Y, Liu Q. Acute Damage to the Sperm Quality and Spermatogenesis in Male Mice Exposed to Curcumin-Loaded Nanoparticles. Int J Nanomedicine 2020;15:1853-1862.
        doi: 10.2147/IJN.S237254pubmed: 32256064google scholar: lookup
      15. Zhang DC, Chen R, Cai YH, Wang JJ, Yin C, Zou K. Hyperactive reactive oxygen species impair function of porcine Sertoli cells via suppression of surface protein ITGB1 and connexin-43. Zool Res 2020 Mar 18;41(2):203-207.
      16. Wang JH, Li Y, Deng SL, Liu YX, Lian ZX, Yu K. Recent Research Advances in Mitosis during Mammalian Gametogenesis. Cells 2019 Jun 10;8(6).
        doi: 10.3390/cells8060567pubmed: 31185583google scholar: lookup
      17. Cherif-Feildel M, Kellner K, Goux D, Elie N, Adeline B, Lelong C, Heude Berthelin C. Morphological and molecular criteria allow the identification of putative germ stem cells in a lophotrochozoan, the Pacific oyster Crassostrea gigas. Histochem Cell Biol 2019 May;151(5):419-433.
        doi: 10.1007/s00418-018-1740-3pubmed: 30318560google scholar: lookup
      18. Emokpae MA, Chima HN. Effect of senescence on some apoptosis and oxidative stress markers in infertile normozospermic and oligospermic men: A cross-sectional study. Int J Reprod Biomed 2018 Jul;16(7):435-442.
        pubmed: 30234183
      19. Roy S, Chaki KK, Nag TC, Misra KK. Ultrastructure of ovotestis of young and adult pulmonate mollusk, Macrochlamys indica Benson, 1832. J Microsc Ultrastruct 2016 Oct-Dec;4(4):184-194.
        doi: 10.1016/j.jmau.2016.03.001pubmed: 30023226google scholar: lookup
      20. Zhang L, Gao M, Zhang T, Chong T, Wang Z, Zhai X, Wu Z, Li H. Protective Effects of Genistein against Mono-(2-ethylhexyl) Phthalate-Induced Oxidative Damage in Prepubertal Sertoli Cells. Biomed Res Int 2017;2017:2032697.
        doi: 10.1155/2017/2032697pubmed: 29259978google scholar: lookup
      21. Dong HL, Wu HY, Fu Y, Dai M, Bai XC, Wang H. [Rictor/mTORC2 regulates blood-testis barrier and spermatogenesis in mice]. Nan Fang Yi Ke Da Xue Xue Bao 2017 Oct 20;37(10):1322-1329.
      22. Isoler-Alcaraz J, Fernández-Pérez D, Larriba E, Del Mazo J. Cellular and molecular characterization of gametogenic progression in ex vivo cultured prepuberal mouse testes. Reprod Biol Endocrinol 2017 Oct 18;15(1):85.
        doi: 10.1186/s12958-017-0305-ypubmed: 29047395google scholar: lookup
      23. Ibtisham F, Wu J, Xiao M, An L, Banker Z, Nawab A, Zhao Y, Li G. Progress and future prospect of in vitro spermatogenesis. Oncotarget 2017 Sep 12;8(39):66709-66727.
        doi: 10.18632/oncotarget.19640pubmed: 29029549google scholar: lookup
      24. Chu QJ, Hua R, Luo C, Chen QJ, Wu B, Quan S, Zhu YT. Relationship of genetic causes and inhibin B in non obstructive azoospermia spermatogenic failure. BMC Med Genet 2017 Sep 6;18(1):98.
        doi: 10.1186/s12881-017-0456-xpubmed: 28874128google scholar: lookup
      25. Juma AR, Grommen SVH, O'Bryan MK, O'Connor AE, Merriner DJ, Hall NE, Doyle SR, Damdimopoulou PE, Barriga D, Hart AH, Van de Ven WJM, De Groef B. PLAG1 deficiency impairs spermatogenesis and sperm motility in mice. Sci Rep 2017 Jul 13;7(1):5317.
        doi: 10.1038/s41598-017-05676-4pubmed: 28706261google scholar: lookup
      26. Sheng ZY, Gao N, Wang ZY, Cui XY, Zhou DS, Fan DY, Chen H, Wang PG, An J. Sertoli Cells Are Susceptible to ZIKV Infection in Mouse Testis. Front Cell Infect Microbiol 2017;7:272.
        doi: 10.3389/fcimb.2017.00272pubmed: 28680856google scholar: lookup
      27. Rezaie Agdam H, Razi M, Amniattalab A, Malekinejad H, Molavi M. Co-Administration of Vitamin E and Testosterone Attenuates The Atrazine-Induced Toxic Effects on Sperm Quality and Testes in Rats. Cell J 2017 Jul-Sep;19(2):292-305.
        doi: 10.22074/cellj.2016.490pubmed: 28670522google scholar: lookup
      28. Aparicio IM, Espino J, Bejarano I, Gallardo-Soler A, Campo ML, Salido GM, Pariente JA, Peña FJ, Tapia JA. Autophagy-related proteins are functionally active in human spermatozoa and may be involved in the regulation of cell survival and motility. Sci Rep 2016 Sep 16;6:33647.
        doi: 10.1038/srep33647pubmed: 27633131google scholar: lookup
      29. Ahmed N, Yufei H, Yang P, Muhammad Yasir W, Zhang Q, Liu T, Hong C, Lisi H, Xiaoya C, Chen Q. Cytological study on Sertoli cells and their interactions with germ cells during annual reproductive cycle in turtle. Ecol Evol 2016 Jun;6(12):4050-64.
        doi: 10.1002/ece3.2193pubmed: 27516863google scholar: lookup
      30. França LR, Hess RA, Dufour JM, Hofmann MC, Griswold MD. The Sertoli cell: one hundred fifty years of beauty and plasticity. Andrology 2016 Mar;4(2):189-212.
        doi: 10.1111/andr.12165pubmed: 26846984google scholar: lookup
      31. Rastegar T, Habibi Roudkenar M, Parvari S, Baazm M. The interaction between Sertoli cells and luekemia inhibitory factor on the propagation and differentiation of spermatogonial stem cells in vitro. Iran J Reprod Med 2015 Nov;13(11):679-86.
        pubmed: 26730242
      32. Pintus E, Ros-Santaella JL, Garde JJ. Beyond Testis Size: Links between Spermatogenesis and Sperm Traits in a Seasonal Breeding Mammal. PLoS One 2015;10(10):e0139240.
        doi: 10.1371/journal.pone.0139240pubmed: 26430740google scholar: lookup
      33. Yao PL, Chen L, Hess RA, Müller R, Gonzalez FJ, Peters JM. Peroxisome Proliferator-activated Receptor-D (PPARD) Coordinates Mouse Spermatogenesis by Modulating Extracellular Signal-regulated Kinase (ERK)-dependent Signaling. J Biol Chem 2015 Sep 18;290(38):23416-31.
        doi: 10.1074/jbc.M115.664508pubmed: 26242735google scholar: lookup
      34. Yin J, Sun K, Chen B. Time-dependent toxic effects of N-ethyl-N-nitrosourea on the testes of male C57BL/6J mice: a histological and ultrastructural study. Int J Clin Exp Pathol 2015;8(2):1830-43.
        pubmed: 25973076
      35. Snow-Lisy DC, Samplaski MK, Labhasetwar V, Sabanegh ES Jr. Drug delivery to the testis: current status and potential pathways for the development of novel therapeutics. Drug Deliv Transl Res 2011 Oct;1(5):351-60.
        doi: 10.1007/s13346-011-0039-xpubmed: 25788421google scholar: lookup
      36. Su H, Luo F, Bao J, Wu S, Zhang X, Zhang Y, Duo S, Wu Y. Long-term culture and analysis of cashmere goat Sertoli cells. In Vitro Cell Dev Biol Anim 2014 Dec;50(10):918-25.
        doi: 10.1007/s11626-013-9648-7pubmed: 25164184google scholar: lookup
      37. Dhakal P, Tsunoda N, Nakai R, Nagaoka K, Nambo Y, Sato F, Taniyama H, Taya K. Post-Natal Dynamic Changes in Circulating Follicle-Stimulating Hormone, Luteinizing Hormone, Immunoreactive Inhibin, Progesterone, Testosterone and Estradiol-17β in Thoroughbred Colts until 6 Months of Age. J Equine Sci 2011;22(1):9-15.
        doi: 10.1294/jes.22.9pubmed: 24833982google scholar: lookup
      38. Ramathal C, Durruthy-Durruthy J, Sukhwani M, Arakaki JE, Turek PJ, Orwig KE, Reijo Pera RA. Fate of iPSCs derived from azoospermic and fertile men following xenotransplantation to murine seminiferous tubules. Cell Rep 2014 May 22;7(4):1284-97.
        doi: 10.1016/j.celrep.2014.03.067pubmed: 24794432google scholar: lookup
      39. Xu YP, Liu BX, Zhang XP, Yang CW, Wang CH. A Chinese herbal formula, Wuzi Yanzong pill, improves spermatogenesis by modulating the secretory function of Sertoli cells. Chin J Integr Med 2014 Mar;20(3):194-9.
        doi: 10.1007/s11655-014-1743-4pubmed: 24615212google scholar: lookup
      40. Almeida C, Correia S, Rocha E, Alves A, Ferraz L, Silva J, Sousa M, Barros A. Caspase signalling pathways in human spermatogenesis. J Assist Reprod Genet 2013 Apr;30(4):487-95.
        doi: 10.1007/s10815-013-9938-8pubmed: 23359247google scholar: lookup
      41. Teves ME, Jha KN, Song J, Nagarkatti-Gude DR, Herr JC, Foster JA, Strauss JF 3rd, Zhang Z. Germ cell-specific disruption of the Meig1 gene causes impaired spermiogenesis in mice. Andrology 2013 Jan;1(1):37-46.
      42. Boucheron-Houston C, Canterel-Thouennon L, Lee TL, Baxendale V, Nagrani S, Chan WY, Rennert OM. Long-term vitamin A deficiency induces alteration of adult mouse spermatogenesis and spermatogonial differentiation: direct effect on spermatogonial gene expression and indirect effects via somatic cells. J Nutr Biochem 2013 Jun;24(6):1123-35.
        doi: 10.1016/j.jnutbio.2012.08.013pubmed: 23253600google scholar: lookup
      43. Salinas P, Conei D, Miglino MA, Paz E. Quantitative Postnatal Maturation of the Feline Testis from 6 to 36 Months: A Stereological and DHH Immunomorphological Analysis. Animals (Basel) 2025 Dec 19;16(1).
        doi: 10.3390/ani16010010pubmed: 41514699google scholar: lookup
      44. Akhigbe RE, Oyedokun PA, Adeogun AE, Ogunleye OO, Adegbola CA, Akhigbe TM. The aging male: impact of aging on male reproduction. Biogerontology 2025 Oct 31;26(6):198.
        doi: 10.1007/s10522-025-10343-7pubmed: 41168547google scholar: lookup
      45. Pavlović N, Križanac M, Kumrić M, Vukojević K, Rušić D, Božić J. Obesity in reproduction: Mechanisms from fertilization to post‑uterine development (Review). Int J Mol Med 2025 Dec;56(6).
        doi: 10.3892/ijmm.2025.5645pubmed: 40999954google scholar: lookup
      46. Bansal K, Jhamb D, Yadav U, Meel M, Gupta A, Bala R, Virmani M, Punetha M, Kumar D, Kumar P. Determination of the optimal ejaculate concentration of a buffalo bull for successful semen cryopreservation. Front Vet Sci 2025;12:1594298.
        doi: 10.3389/fvets.2025.1594298pubmed: 40735285google scholar: lookup
      47. Rodriguez AR, Guimarães JPT, Chakroborty A, Babcock RL, Miranda JM, Kaur G, Dufour JM. Isolation of Pig or Rodent Sertoli Cells for Use in Transplantation. Methods Mol Biol 2025;2954:163-182.
        doi: 10.1007/978-1-0716-4698-4_8pubmed: 40601274google scholar: lookup
      48. Han M, Yao D, Song Y, Liu Y, Chen Z, Li J, Li F, Yang X, Dai L, Niu B. Identification of functional SNP associated with sperm quality in porcine ANXA5 that contributes to the growth of immature Sertoli cell. Front Vet Sci 2025;12:1576566.
        doi: 10.3389/fvets.2025.1576566pubmed: 40438404google scholar: lookup
      49. Jiang T, Guo Q, Lyu L, Jing X, Li J, Zuo C, Qi X, Jiang W, Yao J, Wei M. Establishment, identification, and transcriptome analysis of a Sertoli cell line from ovoviviparous black rockfish Sebastes schlegelii. Fish Physiol Biochem 2025 May 9;51(3):95.
        doi: 10.1007/s10695-025-01509-8pubmed: 40343626google scholar: lookup
      50. Rehder P, Packeiser EM, Körber H, Goericke-Pesch S. Chronic asymptomatic orchitis in dogs alters Sertoli cell number and maturation status. Front Vet Sci 2025;12:1519105.
        doi: 10.3389/fvets.2025.1519105pubmed: 39974168google scholar: lookup
      51. Rehder P, Packeiser EM, Körber H, Goericke-Pesch S. Altered Sertoli Cell Function Contributes to Spermatogenic Arrest in Dogs with Chronic Asymptomatic Orchitis. Int J Mol Sci 2025 Jan 27;26(3).
        doi: 10.3390/ijms26031108pubmed: 39940876google scholar: lookup
      52. Li J, Feng H, Song Y, Wang H, Dong Y, Li H, Guo Q, Liu S, Li Y. Zinc lysine and selenium yeast can effectively improve the reproductive performance of Northeast white geese. Poult Sci 2025 Mar;104(3):104867.
        doi: 10.1016/j.psj.2025.104867pubmed: 39904177google scholar: lookup
      53. Fijak M, Hasan H, Meinhardt A. Galectin-1 and galectin-3 in male reproduction - impact in health and disease. Semin Immunopathol 2025 Jan 2;47(1):6.
        doi: 10.1007/s00281-024-01032-7pubmed: 39792160google scholar: lookup
      54. Al-Naqshbandi AA, Nafee Darogha S, Asaaf Maulood K. Genotypic and Allelic Prevalence of the TGF- Β1 +869 C/T SNP and Their Relationship to Seminogram in Infertile Males. Rep Biochem Mol Biol 2023 Jul;12(2):318-331.
        doi: 10.61186/rbmb.12.2.318pubmed: 38317808google scholar: lookup
      55. Kang K, Ma YD, Liu SQ, Huang RW, Chen JJ, An LL, Wu J. SARS-CoV-2 Structural Proteins Modulated Blood-Testis Barrier-Related Proteins through Autophagy in the Primary Sertoli Cells. Viruses 2023 May 29;15(6).
        doi: 10.3390/v15061272pubmed: 37376572google scholar: lookup