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<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell Dev. Biol.</journal-id>
<journal-title>Frontiers in Cell and Developmental Biology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell Dev. Biol.</abbrev-journal-title>
<issn pub-type="epub">2296-634X</issn>
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<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-meta>
<article-id pub-id-type="publisher-id">1520387</article-id>
<article-id pub-id-type="doi">10.3389/fcell.2025.1520387</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cell and Developmental Biology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Identification of hub genes associated with decreased fertility in male mice of advanced paternal age</article-title>
<alt-title alt-title-type="left-running-head">Gao et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fcell.2025.1520387">10.3389/fcell.2025.1520387</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Gao</surname>
<given-names>Yang</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>&#x2020;</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Ting</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
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<xref ref-type="author-notes" rid="fn001">
<sup>&#x2020;</sup>
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<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Yan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<contrib contrib-type="author">
<name>
<surname>Lv</surname>
<given-names>Haitao</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<xref ref-type="aff" rid="aff4">
<sup>4</sup>
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<name>
<surname>Yan</surname>
<given-names>Xiangming</given-names>
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<xref ref-type="aff" rid="aff3">
<sup>3</sup>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Fu</surname>
<given-names>Longlong</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Liu</surname>
<given-names>Ying</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>Institute of Pediatric Research</institution>, <institution>Children&#x2019;s Hospital of Soochow University</institution>, <addr-line>Suzhou</addr-line>, <addr-line>Jiangsu</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Pediatrics</institution>, <institution>The First People&#x2019;s Hospital of Lianyungang</institution>, <institution>Xuzhou Medical University Affiliated Hospital of Lianyungang (Lianyungang Clinical College of Nanjing Medical University)</institution>, <addr-line>Lianyungang</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Department of Urology</institution>, <institution>Children&#x2019;s Hospital of Soochow University</institution>, <addr-line>Suzhou</addr-line>, <addr-line>Jiangsu</addr-line>, <country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Department of Cardiology</institution>, <institution>Children&#x2019;s Hospital of Soochow University</institution>, <addr-line>Suzhou</addr-line>, <addr-line>Jiangsu</addr-line>, <country>China</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Reproductive Health Research Centre/Human Sperm Bank,NHC Key Laboratory of Frontiers and Technologies in Reproductive Health</institution>, <institution>National Research Institute for Family Planning</institution>, <addr-line>Beijing</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1319200/overview">Giorgio Ivan Russo</ext-link>, University of Catania, Italy</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1523156/overview">Osamu Udagawa</ext-link>, National Institute for Environmental Studies (NIES), Japan</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/360166/overview">Filippo Giacone</ext-link>, University of Catania, Italy</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Ying Liu, <email>d201077400@alumni.hust.edu.cn</email>; Longlong Fu, <email>fullpumc@163.com</email>
</corresp>
<fn fn-type="equal" id="fn001">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this work and share first authorship</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>04</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>13</volume>
<elocation-id>1520387</elocation-id>
<history>
<date date-type="received">
<day>31</day>
<month>10</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>25</day>
<month>03</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Gao, Zhang, Wang, Lv, Yan, Fu and Liu.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Gao, Zhang, Wang, Lv, Yan, Fu and Liu</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>Aging and delayed parenthood are major social concerns. Men older than 35 years, which is an advanced paternal age, experience reduced sperm quality and fertility.</p>
</sec>
<sec>
<title>Methods</title>
<p>In this study, 12-month-old mice served as a model for males of advanced paternal age. RNA sequencing (RNA-seq) of epididymides from 2- and 12-month-old mice was performed.</p>
</sec>
<sec>
<title>Results</title>
<p>Spermatogonia and sperm counts were significantly lower in these mice. We identified 449 differentially expressed genes by RNA-seq. Altered pathways were enriched using Gene Ontology and Kyoto Encyclopedia of Genes and Genomes (KEGG) analyses. Moreover, nine hub genes were identified from the DEGs, along with DEGs associated with mitochondria.</p>
</sec>
<sec>
<title>Discussion</title>
<p>These results could enhance understanding of the molecular mechanisms underlying decreased male fertility in men of advanced paternal age and may aid in developing targeted treatment for male infertility related to aging.</p>
</sec>
</abstract>
<kwd-group>
<kwd>hub genes</kwd>
<kwd>decreased fertility</kwd>
<kwd>male</kwd>
<kwd>mice</kwd>
<kwd>advanced paternal age</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Evolutionary Developmental Biology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Aging and delayed parenthood are major societal concerns (<xref ref-type="bibr" rid="B2">Amaral et al., 2013</xref>; <xref ref-type="bibr" rid="B18">Pohl et al., 2021</xref>). Male reproductive function declines with age, and men older than 35 years&#x2014;considered to be of advanced paternal age (<xref ref-type="bibr" rid="B22">So&#x11f;ukp&#x131;nar et al., 2024</xref>)&#x2014;often experience reduced sperm quality and fertility (<xref ref-type="bibr" rid="B9">Harris et al., 2011</xref>).</p>
<p>Sperm quality and male fertility are closely related with spermatogenesis, which begins in the seminiferous tubules of the testes. Spermatogonial stem cells in the basal lamina of the seminiferous tubules differentiate into spermatocytes, which subsequently undergo meiosis to form round spermatids. Sperm develop from these round spermatids through morphological changes and the removal of excess cytoplasm (<xref ref-type="bibr" rid="B31">Zhu et al., 2023a</xref>; <xref ref-type="bibr" rid="B30">Zhu et al., 2023b</xref>; <xref ref-type="bibr" rid="B27">Wei et al., 2020</xref>). Although fully developed in the testes, sperm are not yet mature; they acquire motility and fertilization capacity in the epididymis (<xref ref-type="bibr" rid="B3">Chen et al., 2021</xref>). The epididymis is composed of three regions: the caput, corpus, and cauda. Sperm maturation occurs in the caput and corpus, with functionally mature sperm stored in the cauda (<xref ref-type="bibr" rid="B21">Shum et al., 2009</xref>). Therefore, analyzing sperm in the epididymis is suitable for investigating functional changes associated with advanced paternal age.</p>
<p>Previous studies have used mice aged 21 or 24 months as aging models to investigate the relationship between aging and declining male fertility using RNA sequencing or single-cell RNA sequencing of the epididymal tissue (<xref ref-type="bibr" rid="B32">Zhuang et al., 2023</xref>; <xref ref-type="bibr" rid="B5">Endo et al., 2024</xref>). According to the murine lifespan information provided by the Jackson Laboratory (<ext-link ext-link-type="uri" xlink:href="https://www.jax.org/">https://www.jax.org/</ext-link>), mice aged of this age are roughly equivalent to human males in their 60 s. However, this study focuses on men of advanced paternal age (older than 35 years) who may still desire biological children. Therefore, 12-month-old male mice, corresponding to human males in their 40 s, were used as an advanced paternal age model. RNA was extracted from the whole epididymis, and RNA-seq was performed. The RNA-seq data were analyzed to identify hub genes with altered expression in mice of advanced paternal age.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>2 Materials and methods</title>
<sec id="s2-1">
<title>2.1 Animals</title>
<p>All C57BL/6 strain mice were born and raised in standard experimental cages under controlled conditions (temperature &#x3d; 25&#xb0;C &#xb1; 2&#xb0;C; humidity &#x3d; 50 &#xb1; 5%). All mice were euthanized by CO2 asphyxiation. All animal experiments adhered to the National Institutes of Health Guide for the Care and Use of Laboratory Animals and were approved by the Animal Care and Use Committee of the Soochow University (SUDA20220906A01).</p>
</sec>
<sec id="s2-2">
<title>2.2 Histological examination</title>
<p>Testes were collected from 2- and 12-month-old male mice and fixed in 4% paraformaldehyde (Solarbio Science and Technology, Beijing, China) overnight. The testes were then embedded in paraffin and sectioned at 3-&#x3bc;m thickness for hematoxylin and eosin staining (Solarbio Science and Technology). Sections were scanned using a Pannoramic DESK (3D HISTECH, Budapest, Hungary) and imaged with a Pannoramic Scanner (C.V.2.4, 3D HISTECH).</p>
</sec>
<sec id="s2-3">
<title>2.3 Sperm motility and concentration analysis</title>
<p>The left epididymis of each mouse was dissected to obtain the sperm, following our previous methods (<xref ref-type="bibr" rid="B13">Liu et al., 2023</xref>). After CO2 asphyxiation, the left epididymis was quickly transferred into a tube containing 1 mL of 37&#xb0;C Biggers&#x2013;Whitten&#x2013;Whittingham (BWW) solution and incubated for 15 min. Next, 10 &#x3bc;L of sperm solution was added into 2 mL of 37&#xb0;C BWW solution in a 6-well plate, and six random fields from each sample were recorded using MShot Image Analysis System version 1.2.11.10. The percentage of motile sperm and sperm concentration in the recordings were calculated by professional technicians in a single-blind manner.</p>
</sec>
<sec id="s2-4">
<title>2.4 RNA-seq and bioinformatic analysis</title>
<p>Total RNA was extracted from the right epididymis of each mouse using TRIZOL (Life Science) and a DNA-free kit (Ambion). RNA-seq was conducted as previously described (<xref ref-type="bibr" rid="B12">Li et al., 2022</xref>).</p>
</sec>
<sec id="s2-5">
<title>2.5 Identification of differentially expressed genes (DEGs) and mitochondria-related DEGs (MitoDEGs)</title>
<p>All bioinformatics analyses were conducted in R software (version 4.2.1). Principal component analysis (PCA) was performed, and DEGs between the two groups were identified using the &#x201c;limma&#x201d; package, with &#x7c;logFC&#x7c; &#x3e; 1 and Adjusted p-Value &#x3c;0.05 as thresholds. The results were visualized using the &#x201c;ggplot2&#x201d; package. The MitoCarta3.0 database (<ext-link ext-link-type="uri" xlink:href="https://personal.broadinstitute.org/scalvo/MitoCarta3.0/mouse.mitocarta3.0.html">https://personal.broadinstitute.org/scalvo/MitoCarta3.0/mouse.mitocarta3.0.html</ext-link>) containing 1,140 mouse mitochondria-related genes (MRGs), was used to intersect MRGs with DEGs, yielding MitoDEGs.</p>
</sec>
<sec id="s2-6">
<title>2.6 Functional enrichment analysis of DEGs</title>
<p>Gene Ontology (GO) analysis, encompassing molecular function (MF), biological processes (BP), and cellular components (CC), is a robust strategy for large-scale functional enrichment. The Kyoto Encyclopedia of Genes and Genomes (KEGG) contains extensive information on genomes, diseases, biological pathways, and medicines. To perform GO and KEGG enrichment studies, we used the &#x201c;clusterProfiler&#x201d; package. A statistically significant difference was determined at a threshold of <italic>P</italic> &#x3c; 0.05, and the GO and KEGG results are visually represented.</p>
</sec>
<sec id="s2-7">
<title>2.7 Protein-protein interaction (PPI) network construction and hub gene identification</title>
<p>The PPI network was analyzed using the Search Tool for the Retrieval of Interacting Genes (STRING) database (<ext-link ext-link-type="uri" xlink:href="http://string-db.org/">http://string-db.org/</ext-link>) (version 12.0). To assess the potential PPI associations, genes obtained from previous analyses were mapped onto the STRING database. PPI pairs with a total value higher than 0.4 were selected. The resulting PPI network was visualized using Cytoscape software (version 3.9.1). Degree value of each node was calculated with the &#x201c;Analyze Network&#x201d; function in the software, and nodes with degree value &#x2265;5 were selected for visualization. Hub genes were identified using three different methods&#x2014;maximum clique centrality (MCC), degree, and neighborhood component centrality (MNC)&#x2014;in the cytoHubba plug-in, with the results intersected to obtain the final hub genes.</p>
</sec>
<sec id="s2-8">
<title>2.8 Friendship analysis</title>
<p>Friendship analysis methods assess functional correlations between different genes within a pathway, suggesting that a gene is more likely to express if it interacts with other genes in the same pathway. These methods are widely used to identify core genes. To determine core genes among the hub genes, Symbol gene IDs were first converted to Entrez gene IDs using the &#x201c;org.Mm.eg.db&#x201d; package. GO entry annotation was performed; molecules not annotated to a GO entry were excluded from subsequent analysis. Functional correlations between hub genes were calculated using the &#x201c;GOSemSim&#x201d; package.</p>
</sec>
<sec id="s2-9">
<title>2.9 Statistical analysis</title>
<p>Sperm motility and concentration data were normally distributed, as indicated by the Shapiro&#x2013;Wilk test. These data were analyzed using t-test in SPSS 20. All statistical bioinformatics analyses were performed using R (<ext-link ext-link-type="uri" xlink:href="https://www.r-project.org">https://www.r-project.org</ext-link>/, 4.2.1 version).</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>3 Results</title>
<sec id="s3-1">
<title>3.1 Abnormal structure of seminiferous tubule and decreased sperm concentration in 12-month-old mice</title>
<p>The mice were raised for 12 months to model advanced paternal age, while mice aged 2 months served as the normal control (NC) group. Testes and epididymides were collected for subsequent examinations (<xref ref-type="fig" rid="F1">Figure 1A</xref>). Multiple layers of germ cell types, including spermatogonia, spermatocytes, spermatids, and sperm, were observed in the seminiferous tubules of the testes in the 2-month-old mouse. The number of spermatogonia and sperm in the 12-month-old mice was significantly lower (<xref ref-type="fig" rid="F1">Figure 1B</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Structural abnormalities in seminiferous tubules and reduced sperm concentration in 12-month-old male mice <bold>(A)</bold> Schematic diagram of the study. <bold>(B)</bold> Hematoxylin and eosin staining results of testes. Scale bars are shown in the figures. Black arrows: spermatogonium, Red arrows: spermatocyte, Blue arrows: spermatid, asterisk: sperm. <bold>(C)</bold> The percentage of motile spermatozoa showed no significant difference. <bold>(D)</bold> Sperm concentration was significantly decreased in 12-month-old mice. &#x2a;<italic>P</italic> &#x3c; 0.05. Data were analyzed using Student&#x2019;s t-test and presented as mean &#xb1; SEM.</p>
</caption>
<graphic xlink:href="fcell-13-1520387-g001.tif"/>
</fig>
<p>Then we analyzed sperm parameters from left epididymis. Although the percentage of motile spermatozoa was not significantly altered (<xref ref-type="fig" rid="F1">Figure 1C</xref>), sperm concentration was markedly decreased in the 12-month-old group (<xref ref-type="fig" rid="F1">Figure 1D</xref>).</p>
</sec>
<sec id="s3-2">
<title>3.2 Identification and analysis of DEGs by RNA-seq of right epididymides</title>
<p>RNA sequencing was performed on right epididymides from both the 2- and 12-month-old groups. Principal component analysis was conducted on the RNA-seq data (<xref ref-type="fig" rid="F2">Figure 2A</xref>). Differential gene expression analysis was performed to identify potential genes associated with age-related decline in male fertility. Using an adjusted p-value threshold of 0.05, and &#x7c; logFC &#x7c; &#x3e; 1.0, we identified a 449 DEGs, including 123 upregulated and 326 downregulated genes, presented in a volcano diagram (<xref ref-type="fig" rid="F2">Figure 2B</xref>). GO and KEGG enrichment analyses were conducted to characterize DEGs and understand their biological activities. DEGs were classified into three functional groups: BP, MF, and CC. For BP term, DEGs were enriched in germ cell development, spermatid differentiation, spermatid development, sperm motility, and flagellated sperm motility (<xref ref-type="fig" rid="F2">Figure 2C</xref>). CC terms for DEGs included cornified motile cilia, 9 &#x2b; 2 motile cilia, sperm flagella, acrosomal vesicles, and sperm fibrous sheaths (<xref ref-type="fig" rid="F2">Figure 2D</xref>). MF terms for DEGs were predominantly related to extracellular matrix structural components (<xref ref-type="fig" rid="F2">Figure 2E</xref>). KEGG enrichment analysis showed that DEGs were primarily associated with pathways related to glycerophospholipids, glycolysis/gluconeogenesis, glycerolipids, and butanoate metabolism (<xref ref-type="fig" rid="F2">Figure 2F</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Functional enrichment analysis of the DEGs. <bold>(A)</bold> Principal component analysis of the RNA-seq results. PC1 and PC2 denote the first and second principal components explaining the maximum variance in the dataset (cumulative variance: XX%), visualizing the overall differences among samples. <bold>(B)</bold> A total of 449 DEGs identified, as shown in the volcano diagram. GO analysis including <bold>(C)</bold> BP, <bold>(D)</bold> CC, and <bold>(E)</bold> MF of the DEGs. <bold>(F)</bold> KEGG enrichment analysis of DEGs. Gene ratio represents the proportion of genes associated with a specific functional category among all differentially expressed genes (e.g., 10/100 indicates 10%), reflecting the enrichment level. Adjusted p-values (P adj) were calculated via multiple hypothesis testing correction to control false discovery rate, with P adj &#x3c;0.05 considered significant.</p>
</caption>
<graphic xlink:href="fcell-13-1520387-g002.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>3.3 PPI network construction and hub gene identification</title>
<p>PPI networks were constructed based on 83 proteins, as outlined in the Methods section (<xref ref-type="fig" rid="F3">Figure 3A</xref>). Hub genes were identified using three distinct methods: MCC, degree, and MNC (<xref ref-type="fig" rid="F3">Figures 3B&#x2013;D</xref>). The hub genes calculated by each method were then intersected, and finally nine hub genes were obtained (<xref ref-type="fig" rid="F3">Figure 3E</xref>), which were transition protein 2 (<italic>Tnp2</italic>), family with sequence similarity 71, member F1 (<italic>Fam71f1</italic>), protamine 2 (<italic>Prm2)</italic>, transition protein 1 (<italic>Tnp1</italic>), spermatogenesis associated 19 (<italic>Spata19</italic>), calcium binding protein (<italic>Cabs1</italic>), outer dense fiber of sperm tails 1 <italic>(Odf1</italic>), ornithine decarboxylase antizyme 3 (<italic>Oaz3</italic>), and A kinase anchor protein 4 (<italic>Akap4</italic>) (<xref ref-type="table" rid="T1">Table 1</xref>). A friend analysis of the hub genes showed that eight of these genes were included in the analysis (<xref ref-type="fig" rid="F3">Figure 3F</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Construction of PPI networks. <bold>(A)</bold> The PPI networks of 83 proteins. Hub genes were calculated by <bold>(B)</bold> MCC, <bold>(C)</bold> degree, and <bold>(D)</bold> MNC. <bold>(E)</bold> Nine genes were identified by Venn analysis of the hub genes calculated by MCC, degree, and MNC. <bold>(F)</bold> Friendship analysis of the resulting hub genes. X-axis: Semantic similarity between genes. Y-axis: Genes sorted in descending order by mean similarity. Top genes exhibit the highest similarity and are identified as key genes.</p>
</caption>
<graphic xlink:href="fcell-13-1520387-g003.tif"/>
</fig>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>The information of the hub DEGs<xref ref-type="table-fn" rid="Tfn1">
<sup>a</sup>
</xref>.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Genes</th>
<th align="left">Subcellular location</th>
<th align="left">Function</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Tnp2 and Tnp1</td>
<td align="left">Nucleus</td>
<td align="left">Plays a key role in replacing histones for protamines in the elongating mammalian spermatids</td>
</tr>
<tr>
<td align="left">Prm2</td>
<td align="left">Nucleus</td>
<td align="left">replacing histones for protamines in sperm during spermatogenesis</td>
</tr>
<tr>
<td align="left">Spata19</td>
<td align="left">Mitochondrion</td>
<td align="left">Important for sperm motility and male fertility</td>
</tr>
<tr>
<td align="left">Cabs1</td>
<td align="left">Cytoplasm and Mitochondrion</td>
<td align="left">Essential for maintaining the integrity of sperm flagella structure</td>
</tr>
<tr>
<td align="left">Odf1</td>
<td align="left">Cytoplasm</td>
<td align="left">A component of the outer dense fibers of spermatozoa, and helps the activity of sperm tail</td>
</tr>
<tr>
<td align="left">Oaz3</td>
<td align="left">Nucleus and cytoplasm</td>
<td align="left">Probably regulating the concentration of polyamines in haploid spermatids</td>
</tr>
<tr>
<td align="left">Akap4</td>
<td align="left">Cytoplasm</td>
<td align="left">Major component of sperm fibrous sheath, which is essential for sperm motility</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="Tfn1">
<label>
<sup>a</sup>
</label>
<p>The information was obtained from Uniprot (<ext-link ext-link-type="uri" xlink:href="http://www.uniprot.org">www.uniprot.org</ext-link>). Last visit time was 8 August 2024.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s3-4">
<title>3.4 DEGs associated with mitochondria</title>
<p>As mitochondria are essential organelles in sperm (<xref ref-type="bibr" rid="B7">Fu et al., 2024</xref>), we investigated their potential role in reduced male fertility associated with aging. Nine MitoDEGs (MitoCarta) were obtained from the intersection of the MRGs and DEGs (<xref ref-type="fig" rid="F4">Figure 4A</xref>). These genes included DNA replication helicase/nuclease 2 (<italic>Dna2</italic>), 3-hydroxy-3-methylglutaryl-Coenzyme A synthase 2 (<italic>Hmgcs2</italic>), three-oxoacid CoA transferase 2A (<italic>Oxct2a</italic>), NOL1/NOP2/Sun domain family member 4 (<italic>Nsun4</italic>), mitochondrial genome maintenance exonuclease 1 (<italic>Mgme1</italic>), <italic>Spata19</italic>, 1-acylglycerol-3-phosphate O-acyltransferase 4 (<italic>Agpat4</italic>), spermatogenesis associated 20 (<italic>Spata20</italic>), and mitochondria-localized glutamic acid rich-protein (<italic>Mgarp</italic>).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Functional enrichment analysis of mitochondria-associated DEGs. <bold>(A)</bold> Venn analysis of DEGs and MitoCarta data. GO analysis including <bold>(B)</bold> BP, <bold>(C)</bold> CC, and <bold>(D)</bold> MF of intersected MRGs and DEGs. <bold>(E)</bold> KEGG enrichment analysis of intersected MRGs and DEGs. <bold>(F)</bold> Friendship analysis of the resulting hub genes. X-axis: Semantic similarity between genes. Y-axis: Genes sorted in descending order by mean similarity. Top genes exhibit the highest similarity and are identified as key genes.</p>
</caption>
<graphic xlink:href="fcell-13-1520387-g004.tif"/>
</fig>
<p>GO and KEGG analyses were conducted on MitoDEGs to gain further insight into their biological functions. MitoDEGs were grouped into BP, MF, and CC terms. For BP terms, MitoDEGs were enriched in fatty acid derivative metabolic processes, mitochondrial genome maintenance, mitochondrial DNA metabolic processes, mitochondrial DNA replication, and ketone body metabolic processes (<xref ref-type="fig" rid="F4">Figure 4B</xref>). CC terms for MitoDEGs included the mitochondrial matrix, organelle outer membrane, outer membrane, mitochondrial outer membrane, and mitochondrial protein-containing complexes (<xref ref-type="fig" rid="F4">Figure 4C</xref>). MF terms for MitoDEGs primarily involved acyltransferase activity, catalytic activity acting on DNA, nuclease activity, deoxyribonuclease activity, and 5&#x2032;-3&#x2032; DNA helicase activity (<xref ref-type="fig" rid="F4">Figure 4D</xref>). Signal pathway analysis indicated that DEGs were enriched in pathways related to valine, leucine, and isoleucine degradation; butanoate metabolism; glycerolipid metabolism; DNA replication; and terpenoid backbone biosynthesis (<xref ref-type="fig" rid="F4">Figure 4E</xref>). Friend analysis of MitoDEGs also suggested that <italic>Spata19</italic> is a key hub gene, potentially playing a critical role in mitochondrial function and contributing to reduced male fertility (<xref ref-type="fig" rid="F4">Figure 4F</xref>).</p>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>4 Discussion</title>
<p>This study demonstrated decreased male fertility in 12-month-old mice compared to 2-month-old mice and explored the hub genes associated with this decline in an advanced paternal age mouse model.</p>
<p>Mitochondria are essential organelles in sperm, providing ATP for motility and acrosome reactions, both critical for male fertility (<xref ref-type="bibr" rid="B7">Fu et al., 2024</xref>). Mitochondrial dysfunction can disrupt sperm function (<xref ref-type="bibr" rid="B26">Wang et al., 2024</xref>; <xref ref-type="bibr" rid="B17">Pi et al., 2024</xref>). In this study, <italic>Spata19</italic> was identified as a potential key gene associated with decreased male fertility in advanced paternal age through multiple analyses (<xref ref-type="fig" rid="F3">Figures 3A&#x2013;F</xref>, <xref ref-type="fig" rid="F4">4A,F</xref>). <italic>Spata19</italic> is localized to the mitochondria (<xref ref-type="bibr" rid="B14">Mi et al., 2015</xref>) and regulates the architecture of the sperm midpiece architecture (<xref ref-type="bibr" rid="B4">Chen et al., 2022</xref>), indicating its involvement in spermatogenesis and sperm maturation (<xref ref-type="bibr" rid="B19">Rahimi Kalateh Shah Mohammad et al., 2020</xref>). <italic>Spata19</italic> has also been identified as an antigen in benign prostatic hyperplasia and prostate cancer (<xref ref-type="bibr" rid="B28">Wong et al., 2017</xref>). Previous research has shown that the antispermatogenic activity of nanoliposomes loaded with H. persicum phenolic compounds in BALB/c mice decreased the expression of <italic>Spata19</italic> in testicular tissues (<xref ref-type="bibr" rid="B1">Alami et al., 2023</xref>). Conversely, expression levels of <italic>Spata19</italic> may be useful in assessing the potential fertility of crossbred bulls (<xref ref-type="bibr" rid="B20">Saraf et al., 2022</xref>). These findings, along with the results of the present study, highlight the involvement of <italic>Spata19</italic> in male fertility across various models, further emphasizing its potential role in age-related male infertility.</p>
<p>GO analysis of the DEGs (<xref ref-type="fig" rid="F2">Figure 2C</xref>) indicated alterations in (flagellated) sperm motility, potentially due to structural changes in flagellum and fibrous sheath (<xref ref-type="fig" rid="F2">Figure 2D</xref>) and abnormalities in ATP production via glycolysis (<xref ref-type="fig" rid="F2">Figure 2F</xref>), a major energy source for sperm (<xref ref-type="bibr" rid="B25">Tian et al., 2024</xref>). Additionally, enrichment of extracellular matrix structural components in MF terms (<xref ref-type="fig" rid="F2">Figure 2E</xref>) suggests that the epididymal environment in the 12-month-old group may have changed, impacting sperm maturation and activity. Glycerophospholipids and glycerolipids are essential components of sperm membranes (<xref ref-type="bibr" rid="B6">Farrokhi et al., 2023</xref>; <xref ref-type="bibr" rid="B8">Garcia-Fabiani et al., 2017</xref>), and butanoate may be the target metabolite of damaged sperm DNA (<xref ref-type="bibr" rid="B10">He et al., 2024</xref>). Metabolism alterations (<xref ref-type="fig" rid="F2">Figures 2F</xref>, <xref ref-type="fig" rid="F4">4B,C,E</xref>) may thus contribute to decrease male fertility through biochemical mechanisms.</p>
<p>RNA-seq has been performed on testes and cauda epididymides from 2- and 24-month-old mice (<xref ref-type="bibr" rid="B5">Endo et al., 2024</xref>). In 24-month-old (aged) testicular and epididymal tissues, the top 10 enriched biological process GO terms for upregulated genes were predominantly associated with inflammatory responses (e.g., &#x201c;Inflammatory response&#x201d;, &#x201c;Neutrophil migration&#x201d;) (<xref ref-type="bibr" rid="B5">Endo et al., 2024</xref>). Notably, key marker genes for cellular senescence (such as Cxcr5 and Il1a) spermatogenesis and germ cell development&#x2014;including those governing undifferentiated spermatogonia (e.g., Dmrt1 and Lin28a), spermatogonial differentiation (e.g., Dazl and Sall4), meiosis (e.g., Dmc1 and Sycp1), and spermiogenesis (e.g., Adam2 and Adam3)&#x2014;were not significantly downregulated in 24-month-old tissues. Similarly, marker genes for Sertoli cells (e.g., Ar, Wt1) and Leydig cells (e.g., Cyp17a1, Cyp11a1) showed no age-related downregulation (<xref ref-type="bibr" rid="B5">Endo et al., 2024</xref>). To dissect age-related cellular alterations in the male reproductive tract, single-cell RNA sequencing (scRNA-seq) was performed on the epididymal initial segment (EIS) of 3-month-old and 21-month-old (aged) mice (<xref ref-type="bibr" rid="B32">Zhuang et al., 2023</xref>). This analysis aimed to characterize cell-type composition and transcriptional landscape in the EIS during aging, with a focus on structural degeneration and immune-related changes. In our work, functional enrichment of DEGs in 12-month-old mice did not recapitulate the immune-related pathways that identified in prior studies. This discrepancy likely arises from our younger aging model (12 months vs 21 and 24 months), as immune senescence is age-dependent and progressive. For example, studies on the immune system of turquoise killifish demonstrated dramatic cellular and systemic changes with age, including increased inflammation, reduced antibody diversity, altered gut microbiota, and extensive DNA damage in immune progenitor cell clusters (<xref ref-type="bibr" rid="B15">Morabito et al., 2024</xref>). This findings suggests that, while 21- or 24-month-old mice may serve as a useful aging model, they may be less suitable for studying male fertility or advanced fertility specifically.</p>
<p>While our study identified key hub genes and pathways associated with age-related male fertility decline in mice, it is essential to contextualize these findings within the framework of human genetic and epigenetic heterogeneity. Genetic variability across populations, such as single nucleotide polymorphisms (SNPs) or copy number variations (CNVs) in hub genes, may alter their expression or functional roles in spermatogenesis and sperm maturation.For example, age-related hypermethylation of promoter regions of genes such as Dna2 and TNP2 has been associated with decreased sperm quality in older men (<xref ref-type="bibr" rid="B16">Phillips et al., 2019</xref>; <xref ref-type="bibr" rid="B29">Zheng et al., 2020</xref>).</p>
<p>Importantly, our interpretation of the RNA-seq data must take into account the genetic homogeneity of the C57BL/6 mouse strain used. While this model minimizes the interference of genetic variation, human populations exhibit great genetic and epigenetic diversity. In addition, lifestyle and environmental factors (e.g., diet, stress, toxin exposure) can induce epigenetic changes that interact with genetic predisposition to further complicate translational extrapolation (<xref ref-type="bibr" rid="B23">Soubry et al., 2013</xref>). Future studies combining multi-ethnic human cohorts or genetically diverse mouse models (e.g., collaborative cross-strains) could elucidate how genetic and epigenetic heterogeneity affects the molecular pathways identified herein. These approaches will improve the generalizability of our findings and inform personalized interventions for male infertility associated with aging.</p>
<p>Recent advancements in artificial intelligence (AI) have revolutionized the study of complex biological systems, including aging and reproductive biology. Machine learning (ML) and deep learning (DL) algorithms are increasingly employed to analyze high-throughput omics data, such as RNA sequencing, to identify subtle gene expression patterns and predict functional interactions among genes (<xref ref-type="bibr" rid="B11">Kulmanov and Hoehndorf, 2020</xref>). Furthermore, AI-powered platforms enable the integration of multi-omics data (e.g., genomics, proteomics, metabolomics) to uncover novel pathways linking mitochondrial dysfunction, metabolic alterations, and spermatogenic decline in aging males. Network-based AI models, such as graph neural networks (GNNs), can prioritize candidate genes for therapeutic targeting by analyzing protein-protein interaction (PPI) networks and gene co-expression patterns (<xref ref-type="bibr" rid="B24">Su et al., 2020</xref>). Future studies could leverage AI to predict fertility decline risk in men of advanced paternal age or optimize drug discovery targeting hub genes like Spata19.</p>
<p>In summary, RNA-seq analysis of epididymides from 12-month-old mice identified hub genes associated with decreased male fertility due to advanced paternal age. Bioinformatics methods were used to identify key pathways. Our findings provide insights into the molecular mechanism underlying reduced male fertility in men of advanced paternal age and may support the development of targeted treatment for age-related male infertility.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>The data can be obtained from the corresponding authors upon reasonable request.</p>
</sec>
<sec sec-type="ethics-statement" id="s6">
<title>Ethics statement</title>
<p>The animal study was approved by The Animal Care and Use Committee of Soochow University. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec sec-type="author-contributions" id="s7">
<title>Author contributions</title>
<p>YG: Conceptualization, Data curation, Formal Analysis, Writing &#x2013; original draft, Writing &#x2013; review and editing. TZ: Conceptualization, Methodology, Project administration, Validation, Writing &#x2013; original draft. YW: Investigation, Methodology, Project administration, Software, Writing &#x2013; original draft. HL: Formal Analysis, Funding acquisition, Investigation, Resources, Software, Writing &#x2013; review and editing. XY: Funding acquisition, Methodology, Project administration, Software, Supervision, Writing &#x2013; original draft, Writing &#x2013; review and editing. LF: Data curation, Software, Supervision, Writing &#x2013; original draft, Writing &#x2013; review and editing. YL: Methodology, Project administration, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review and editing.</p>
</sec>
<sec sec-type="funding-information" id="s8">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. This work was funded by Jiangsu Provincial Health Commission Medical Research Projects (H2023051), Non-Profit Central Research Institute Fund of National Research Institute For Family Planning (2022GJZD01, 2022GJZD0101),Lianyungang Maternal and Child Health Research Project (F202318), Rare diseases Research Projects in Children&#x2019;s Hospital of Soochow University (2024YNHJ11) and Suzhou Key Laboratory of Children&#x2019;s Structural Malformations (SZS2022018).</p>
</sec>
<ack>
<p>Thank Prof. Xiuxia Zhou, Prof. Guanghui Qian and Wang Wang from Children&#x2019;s Hospital of Soochow University for feeding the mice.</p>
</ack>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="s10">
<title>Generative AI statement</title>
<p>The authors declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec sec-type="disclaimer" id="s11">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Alami</surname>
<given-names>S. A.</given-names>
</name>
<name>
<surname>Payrovnaziri</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Seghatoleslami</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Faraji</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Bajgiran</surname>
<given-names>F. R.</given-names>
</name>
<name>
<surname>Poorbagher</surname>
<given-names>M. R. M.</given-names>
</name>
<etal/>
</person-group> (<year>2023</year>). <article-title>The anti-spermatogenic activity of nanoliposomes loaded with Heracleum persicum phenolic compounds in Balb/C mice</article-title>. <source>Biotechnol. Appl. Biochem.</source> <volume>70</volume>, <fpage>2088</fpage>&#x2013;<lpage>2096</lpage>. <pub-id pub-id-type="doi">10.1002/bab.2511</pub-id>
</citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Amaral</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Amaral</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Ramalho-Santos</surname>
<given-names>J.</given-names>
</name>
</person-group> (<year>2013</year>). <article-title>Aging and male reproductive function: a mitochondrial perspective</article-title>. <source>Front. Biosci. Sch. Ed.</source> <volume>5</volume>, <fpage>181</fpage>&#x2013;<lpage>197</lpage>. <pub-id pub-id-type="doi">10.2741/s365</pub-id>
</citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Alves</surname>
<given-names>M. B. R.</given-names>
</name>
<name>
<surname>Belleann&#xe9;e</surname>
<given-names>C.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Contribution of epididymal epithelial cell functions to sperm epigenetic changes and the health of progeny</article-title>. <source>Hum. Reprod. Update</source> <volume>28</volume>, <fpage>51</fpage>&#x2013;<lpage>66</lpage>. <pub-id pub-id-type="doi">10.1093/humupd/dmab029</pub-id>
</citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Sha</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Meng</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Shao</surname>
<given-names>T.</given-names>
</name>
<etal/>
</person-group> (<year>2022</year>). <article-title>TBC1D21 is an essential factor for sperm mitochondrial sheath assembly and male fertility</article-title>. <source>Biol. Reprod.</source> <volume>107</volume>, <fpage>619</fpage>&#x2013;<lpage>634</lpage>. <pub-id pub-id-type="doi">10.1093/biolre/ioac069</pub-id>
</citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Endo</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Kobayashi</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Matsumura</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Emori</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Ozawa</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Kawamoto</surname>
<given-names>S.</given-names>
</name>
<etal/>
</person-group> (<year>2024</year>). <article-title>Multiple ageing effects on testicular/epididymal germ cells lead to decreased male fertility in mice</article-title>. <source>Commun. Biol.</source> <volume>7</volume>, <fpage>16</fpage>. <pub-id pub-id-type="doi">10.1038/s42003-023-05685-2</pub-id>
</citation>
</ref>
<ref id="B6">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Farrokhi</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Sharafi</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Hezavehei</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Torabi</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Shahverdi</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Rahimi</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>The effects of glycerophospholipid nanomicelles on the cryotolerance of frozen-thawed rooster sperm</article-title>. <source>Biopreserv Biobank</source> <volume>21</volume>, <fpage>593</fpage>&#x2013;<lpage>598</lpage>. <pub-id pub-id-type="doi">10.1089/bio.2022.0135</pub-id>
</citation>
</ref>
<ref id="B7">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fu</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Fang</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Guo</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Ma</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Gu</surname>
<given-names>Y.</given-names>
</name>
<etal/>
</person-group> (<year>2024</year>). <article-title>Combined analysis of the transcriptome, proteome and metabolome in human cryopreserved sperm</article-title>. <source>World J. Mens. Health</source> <volume>42</volume>, <fpage>610</fpage>&#x2013;<lpage>619</lpage>. <pub-id pub-id-type="doi">10.5534/wjmh.230091</pub-id>
</citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Garcia-Fabiani</surname>
<given-names>M. B.</given-names>
</name>
<name>
<surname>Montanaro</surname>
<given-names>M. A.</given-names>
</name>
<name>
<surname>Stringa</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Lacunza</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Cattaneo</surname>
<given-names>E. R.</given-names>
</name>
<name>
<surname>Santana</surname>
<given-names>M.</given-names>
</name>
<etal/>
</person-group> (<year>2017</year>). <article-title>Glycerol-3-phosphate acyltransferase 2 is essential for normal spermatogenesis</article-title>. <source>Biochem. J.</source> <volume>474</volume>, <fpage>3093</fpage>&#x2013;<lpage>3107</lpage>. <pub-id pub-id-type="doi">10.1042/BCJ20161018</pub-id>
</citation>
</ref>
<ref id="B9">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Harris</surname>
<given-names>I. D.</given-names>
</name>
<name>
<surname>Fronczak</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Roth</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Meacham</surname>
<given-names>R. B.</given-names>
</name>
</person-group> (<year>2011</year>). <article-title>Fertility and the aging male</article-title>. <source>Rev. Urol.</source> <volume>13</volume>, <fpage>e184</fpage>&#x2013;<lpage>e190</lpage>.</citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>He</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Ma</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Xu</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Guo</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>X.</given-names>
</name>
<etal/>
</person-group> (<year>2024</year>). <article-title>Association between semen microbiome disorder and sperm DNA damage</article-title>. <source>Microbiol. Spectr.</source> <volume>12</volume>, <fpage>e0075924</fpage>. <pub-id pub-id-type="doi">10.1128/spectrum.00759-24</pub-id>
</citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kulmanov</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Hoehndorf</surname>
<given-names>R.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>DeepGOPlus: improved protein function prediction from sequence</article-title>. <source>Bioinformatics</source> <volume>36</volume> (<issue>2</issue>), <fpage>422</fpage>&#x2013;<lpage>429</lpage>. <pub-id pub-id-type="doi">10.1093/bioinformatics/btz595</pub-id>
</citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Li</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Xu</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Pan</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>H.</given-names>
</name>
<etal/>
</person-group> (<year>2022</year>). <article-title>Novel variant in BRAT1 with the lethal neonatal rigidity and multifocal seizure syndrome</article-title>. <source>Pediatr. Res.</source> <volume>91</volume>, <fpage>565</fpage>&#x2013;<lpage>571</lpage>. <pub-id pub-id-type="doi">10.1038/s41390-021-01468-9</pub-id>
</citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Fu</surname>
<given-names>L. L.</given-names>
</name>
<name>
<surname>Xu</surname>
<given-names>H. Z.</given-names>
</name>
<name>
<surname>Zheng</surname>
<given-names>Y. M.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>W. X.</given-names>
</name>
<name>
<surname>Qian</surname>
<given-names>G. H.</given-names>
</name>
<etal/>
</person-group> (<year>2023</year>). <article-title>Insufficiency of Mrpl40 disrupts testicular structure and semen parameters in a murine model</article-title>. <source>Asian J. Androl.</source> <volume>25</volume>, <fpage>627</fpage>&#x2013;<lpage>631</lpage>. <pub-id pub-id-type="doi">10.4103/aja2022119</pub-id>
</citation>
</ref>
<ref id="B14">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mi</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Shi</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>J.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Spata19 is critical for sperm mitochondrial function and male fertility</article-title>. <source>Mol. Reprod. Dev.</source> <volume>82</volume>, <fpage>907</fpage>&#x2013;<lpage>913</lpage>. <pub-id pub-id-type="doi">10.1002/mrd.22536</pub-id>
</citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Morabito</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Ryabova</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Valenzano</surname>
<given-names>D. R.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Immune aging in annual killifish</article-title>. <source>Immun. Ageing</source> <volume>21</volume>, <fpage>18</fpage>. <pub-id pub-id-type="doi">10.1186/s12979-024-00418-3</pub-id>
</citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Phillips</surname>
<given-names>B. T.</given-names>
</name>
<name>
<surname>Williams</surname>
<given-names>J. G.</given-names>
</name>
<name>
<surname>Atchley</surname>
<given-names>D. T.</given-names>
</name>
<name>
<surname>Xu</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>J. L.</given-names>
</name>
<name>
<surname>Adams</surname>
<given-names>A. L.</given-names>
</name>
<etal/>
</person-group> (<year>2019</year>). <article-title>Mass spectrometric identification of candidate RNA-binding proteins associated with Transition Nuclear Protein mRNA in the mouse testis</article-title>. <source>Sci. Rep.</source> <volume>9</volume> (<issue>1</issue>), <fpage>13618</fpage>. <pub-id pub-id-type="doi">10.1038/s41598-019-50052-z</pub-id>
</citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pi</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Xu</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Jin</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>S.</given-names>
</name>
<etal/>
</person-group> (<year>2024</year>). <article-title>Increases in computationally predicted deleterious variants of unknown significance and sperm mtDNA copy numbers may be associated with semen quality</article-title>. <source>Andrology</source> <volume>12</volume>, <fpage>585</fpage>&#x2013;<lpage>598</lpage>. <pub-id pub-id-type="doi">10.1111/andr.13521</pub-id>
</citation>
</ref>
<ref id="B18">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pohl</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Gromoll</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Wistuba</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Laurentino</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Healthy ageing and spermatogenesis</article-title>. <source>Reproduction</source> <volume>161</volume>, <fpage>R89</fpage>&#x2013;<lpage>R101</lpage>. <pub-id pub-id-type="doi">10.1530/REP-20-0633</pub-id>
</citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rahimi Kalateh Shah Mohammad</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Karimi</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Oskoueian</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Homayouni-Tabrizi</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Anticancer properties of green-synthesised zinc oxide nanoparticles using Hyssopus officinalis extract on prostate carcinoma cells and its effects on testicular damage and spermatogenesis in Balb/C mice</article-title>. <source>Andrologia</source> <volume>52</volume>, <fpage>e13450</fpage>. <pub-id pub-id-type="doi">10.1111/and.13450</pub-id>
</citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Saraf</surname>
<given-names>K. K.</given-names>
</name>
<name>
<surname>Kumaresan</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Arathi</surname>
<given-names>B. P.</given-names>
</name>
<name>
<surname>Sundaresan</surname>
<given-names>N. R.</given-names>
</name>
<name>
<surname>Datta</surname>
<given-names>T. K.</given-names>
</name>
</person-group> (<year>2022</year>). <article-title>Comparative high-throughput analysis of sperm membrane proteins from crossbred bulls with contrasting fertility</article-title>. <source>Andrologia</source> <volume>54</volume>, <fpage>e14451</fpage>. <pub-id pub-id-type="doi">10.1111/and.14451</pub-id>
</citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shum</surname>
<given-names>W. W.</given-names>
</name>
<name>
<surname>Da Silva</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Brown</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Breton</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2009</year>). <article-title>Regulation of luminal acidification in the male reproductive tract via cell-cell crosstalk</article-title>. <source>J. Exp. Biol.</source> <volume>212</volume>, <fpage>1753</fpage>&#x2013;<lpage>1761</lpage>. <pub-id pub-id-type="doi">10.1242/jeb.027284</pub-id>
</citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>So&#x11f;ukp&#x131;nar</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>G&#xfc;</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Utine</surname>
<given-names>G. E.</given-names>
</name>
<name>
<surname>G&#xf6;n&#xe7;</surname>
<given-names>E. N.</given-names>
</name>
<name>
<surname>&#xd6;z&#xf6;n</surname>
<given-names>Z. A.</given-names>
</name>
<name>
<surname>&#x15e;im&#x15f;ek-Kiper</surname>
<given-names>P. &#xd6;.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Review of patients with achondroplasia: a single-center&#x27;s experience with follow-up and associated morbidities</article-title>. <source>Eur. J. Pediatr.</source> <volume>183</volume>, <fpage>3819</fpage>&#x2013;<lpage>3829</lpage>. <pub-id pub-id-type="doi">10.1007/s00431-024-05643-y</pub-id>
</citation>
</ref>
<ref id="B23">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Soubry</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Schildkraut</surname>
<given-names>J. M.</given-names>
</name>
<name>
<surname>Murtha</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Bernal</surname>
<given-names>A.</given-names>
</name>
<etal/>
</person-group> (<year>2013</year>). <article-title>Paternal obesity is associated with IGF2 hypomethylation in newborns: results from a Newborn Epigenetics Study (NEST) cohort</article-title>. <source>BMC Med.</source> <volume>11</volume>, <fpage>29</fpage>. <pub-id pub-id-type="doi">10.1186/1741-7015-11-29</pub-id>
</citation>
</ref>
<ref id="B24">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Su</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Tong</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Zhu</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Cui</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>F.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Network embedding in biomedical data science</article-title>. <source>Brief. Bioinform</source> <volume>21</volume> (<issue>1</issue>), <fpage>182</fpage>&#x2013;<lpage>197</lpage>. <pub-id pub-id-type="doi">10.1093/bib/bby117</pub-id>
</citation>
</ref>
<ref id="B25">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tian</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Pu</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Liang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Xu</surname>
<given-names>X.</given-names>
</name>
<etal/>
</person-group> (<year>2024</year>). <article-title>Spermatogenic cell-specific type 1 hexokinase (HK1S) is essential for capacitation-associated increase in tyrosine phosphorylation and male fertility in mice</article-title>. <source>PLoS Genet.</source> <volume>20</volume>, <fpage>e1011357</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pgen.1011357</pub-id>
</citation>
</ref>
<ref id="B26">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Miao</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>Y.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Mitochondrial defects triggered by amg-1 mutation elicit UPRmt and phagocytic clearance during spermatogenesis in <italic>C. elegans</italic>
</article-title>. <source>Development</source> <volume>151</volume>, <fpage>dev202165</fpage>. <pub-id pub-id-type="doi">10.1242/dev.202165</pub-id>
</citation>
</ref>
<ref id="B27">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wei</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Khawar</surname>
<given-names>M. B.</given-names>
</name>
<name>
<surname>Tang</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>C.</given-names>
</name>
<etal/>
</person-group> (<year>2020</year>). <article-title>Sirt6 is required for spermatogenesis in mice</article-title>. <source>Aging (Albany NY)</source> <volume>12</volume>, <fpage>17099</fpage>&#x2013;<lpage>17113</lpage>. <pub-id pub-id-type="doi">10.18632/aging.103641</pub-id>
</citation>
</ref>
<ref id="B28">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wong</surname>
<given-names>K. K.</given-names>
</name>
<name>
<surname>Hussain</surname>
<given-names>F. A.</given-names>
</name>
<name>
<surname>Loo</surname>
<given-names>S. K.</given-names>
</name>
<name>
<surname>L&#xf3;pez</surname>
<given-names>J. I.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Cancer/testis antigen SPATA19 is frequently expressed in benign prostatic hyperplasia and prostate cancer</article-title>. <source>APMIS</source> <volume>125</volume>, <fpage>1092</fpage>&#x2013;<lpage>1101</lpage>. <pub-id pub-id-type="doi">10.1111/apm.12775</pub-id>
</citation>
</ref>
<ref id="B29">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zheng</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Meng</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Campbell</surname>
<given-names>J. L.</given-names>
</name>
<name>
<surname>Shen</surname>
<given-names>B.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Multiple roles of DNA2 nuclease/helicase in DNA metabolism, genome stability and human diseases</article-title>. <source>Nucleic Acids Res.</source> <volume>48</volume> (<issue>1</issue>), <fpage>16</fpage>&#x2013;<lpage>35</lpage>. <pub-id pub-id-type="doi">10.1093/nar/gkz1101</pub-id>
</citation>
</ref>
<ref id="B30">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhu</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Cheng</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>J.</given-names>
</name>
<etal/>
</person-group> (<year>2023b</year>). <article-title>Gss deficiency causes age-related fertility impairment via ROS-triggered ferroptosis in the testes of mice</article-title>. <source>Cell Death Dis.</source> <volume>14</volume>, <fpage>845</fpage>. <pub-id pub-id-type="doi">10.1038/s41419-023-06359-x</pub-id>
</citation>
</ref>
<ref id="B31">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhu</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Wen</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Cheng</surname>
<given-names>Y.</given-names>
</name>
<etal/>
</person-group> (<year>2023a</year>). <article-title>RhoGDI&#x3b1; regulates spermatogenesis through Rac1/cofilin/F-actin signaling</article-title>. <source>Commun. Biol.</source> <volume>6</volume>, <fpage>214</fpage>. <pub-id pub-id-type="doi">10.1038/s42003-023-04579-7</pub-id>
</citation>
</ref>
<ref id="B32">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhuang</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Yao</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Sun</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Nie</surname>
<given-names>H.</given-names>
</name>
<etal/>
</person-group> (<year>2023</year>). <article-title>Single-cell RNA sequencing reveals the local cell landscape in mouse epididymal initial segment during aging</article-title>. <source>Immun. Ageing</source> <volume>20</volume>, <fpage>21</fpage>. <pub-id pub-id-type="doi">10.1186/s12979-023-00345-9</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>