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Cited by 503

The DOI matches its Crossref record; 138 of the 138 references it cites were found in a registry or an index.

The importance of folate, zinc and antioxidants in the pathogenesis and prevention of subfertility

Ebisch, I.M.W., Thomas, C.M.G., Peters, W.H.M., Braat, D.D.M., Steegers-Theunissen, R.P.M.·2007·Human Reproduction Update

Abstract

Current treatments of subfertile couples are usually empiric, as the true cause of subfertility often remains unknown. Therefore, we outline the role of nutritional and biochemical factors in reproduction and subfertility. A literature search was performed using MEDLINE, Science Direct and bibliographies of published work with both positive and negative results. The studies showed that folate has a role in spermatogenesis. In female reproduction, folate is also important for oocyte quality and maturation, implantation, placentation, fetal growth and organ development. Zinc has also been implicated in testicular development, sperm maturation and testosterone synthesis. In females, zinc plays a role in sexual development, ovulation and the menstrual cycle. Both folate and zinc have antioxidant properties that counteract reactive oxygen species (ROS). Thiols, such as glutathione, balance the levels of ROS produced by spermatozoa and influence DNA compaction and the stability and motility of spermatozoa. Oocyte maturation, ovulation, luteolysis and follicle atresia are also affected by ROS. After fertilization, glutathione is important for sperm nucleus decondensation and pronucleus formation. Folate, zinc, ROS and thiols affect apoptosis, which is important for sperm release, regulation of follicle atresia, degeneration of the corpus luteum and endometrial shedding. Therefore, the concentrations of these nutrients may have substantial effects on reproduction. In conclusion, nutritional and biochemical factors affect biological processes in male and female reproduction. Further research should identify pathways that may lead to improvements in care and treatment of subfertility.

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Metadata

Authors
Ebisch, I. M. W., Thomas, C. M. G., Peters, W. H. M., Braat, D. D. M., & Steegers-Theunissen, R. P. M.
Venue
Human Reproduction Update
Published
2006-11-11
Volume
13
Issue
2
Pages
163-174
ISSN
  • 1355-4786 (ISSN-L)
  • 1460-2369
OpenAlex
W2146252822
Cited by
503
References
138
FWCI
12.17
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The importance of folate, zinc and antioxidants in the pathogenesis and prevention of subfertility. https://app.cochat.ai/papers/10.1093/humupd/dml054
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Ebisch, I. M. W., Thomas, C. M. G., Peters, W. H. M., Braat, D. D. M., & Steegers-Theunissen, R. P. M. (2007). The importance of folate, zinc and antioxidants in the pathogenesis and prevention of subfertility. Human Reproduction Update. https://doi.org/10.1093/humupd/dml054

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