BACKGROUND: Male reproductive potential continues to be adversely affected by many environmental, industrial and pharmaceutical toxins. Pre-emptive testing for reproductive toxicological (side-)effects remains limited, or even non-existent. Many products that come into direct contact with spermatozoa lack adequate testing for the absence of adverse effects, and numerous products that are intended for exposure to spermatozoa have only a general assumption of safety based on the absence of evidence of actual harm. Such assumptions can have unfortunate adverse impacts on at-risk individuals (e.g. couples who are trying to conceive), illustrating a clear need for appropriate up-front testing to establish actual 'sperm safety'. METHODS: After compiling a list of general areas within the review's scope, relevant literature and other information was obtained from the authors' personal professional libraries and archives, and supplemented as necessary using PubMed and Google searches. Review by co-authors identified and eliminated errors of omission or bias. RESULTS: This review provides an overview of the broad range of substances, materials and products that can affect male fertility, especially through sperm fertilizing ability, along with a discussion of practical methods and bioassays for their evaluation. It is concluded that products can only be claimed to be 'sperm-safe' after performing objective, properly designed experimental studies; extrapolation from supposed predicate products or other assumptions cannot be trusted. CONCLUSIONS: We call for adopting the precautionary principle, especially when exposure to a product might affect not only a couple's fertility potential but also the health of resulting offspring and perhaps future generations.
BACKGROUND: Male reproductive potential continues to be adversely affected by many environmental, industrial and pharmaceutical toxins. Pre-emptive testing for reproductive toxicological (side-)effects remains limited, or even non-existent. Many products that come into direct contact with spermatozoa lack adequate testing for the absence of adverse effects, and numerous products that are intended for exposure to spermatozoa have only a general assumption of safety based on the absence of evidence of actual harm. Such assumptions can have unfortunate adverse impacts on at-risk individuals (e.g. couples who are trying to conceive), illustrating a clear need for appropriate up-front testing to establish actual 'sperm safety'. METHODS: After compiling a list of general areas within the review's scope, relevant literature and other information was obtained from the authors' personal professional libraries and archives, and supplemented as necessary using PubMed and Google searches. Review by co-authors identified and eliminated errors of omission or bias. RESULTS: This review provides an overview of the broad range of substances, materials and products that can affect male fertility, especially through sperm fertilizing ability, along with a discussion of practical methods and bioassays for their evaluation. It is concluded that products can only be claimed to be 'sperm-safe' after performing objective, properly designed experimental studies; extrapolation from supposed predicate products or other assumptions cannot be trusted. CONCLUSIONS: We call for adopting the precautionary principle, especially when exposure to a product might affect not only a couple's fertility potential but also the health of resulting offspring and perhaps future generations.
Authors: Christian Schiffer; Astrid Müller; Dorte L Egeberg; Luis Alvarez; Christoph Brenker; Anders Rehfeld; Hanne Frederiksen; Benjamin Wäschle; U Benjamin Kaupp; Melanie Balbach; Dagmar Wachten; Niels E Skakkebaek; Kristian Almstrup; Timo Strünker Journal: EMBO Rep Date: 2014-05-12 Impact factor: 8.807
Authors: Sean G Brown; Sarah Costello; Mark C Kelly; Mythili Ramalingam; Ellen Drew; Stephen J Publicover; Christopher L R Barratt; Sarah Martins Da Silva Journal: Hum Reprod Date: 2017-10-01 Impact factor: 6.918
Authors: Steve Tardif; Oladipo A Madamidola; Sean G Brown; Lorna Frame; Linda Lefièvre; Paul G Wyatt; Christopher L R Barratt; Sarah J Martins Da Silva Journal: Hum Reprod Date: 2014-08-14 Impact factor: 6.918
Authors: Anita R Iskandar; Ignacio Gonzalez-Suarez; Shoaib Majeed; Diego Marescotti; Alain Sewer; Yang Xiang; Patrice Leroy; Emmanuel Guedj; Carole Mathis; Jean-Pierre Schaller; Patrick Vanscheeuwijck; Stefan Frentzel; Florian Martin; Nikolai V Ivanov; Manuel C Peitsch; Julia Hoeng Journal: Toxicol Mech Methods Date: 2016-04-26 Impact factor: 2.987