Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences
  • Register
  • Login

Urology Journal

  • Home
  • Instant Online
    • Instant 2026
    • Instant 2023
    • Instant 2021
    • Instant 2020
  • Current
  • Archives
  • Announcements
  • Submissions
  • Author Guidelines
  • About
    • About the Journal
    • Editorial Team
    • Privacy Statement
    • Contact
Advanced Search
  1. Home
  2. Archives
  3. Vol. 22 No. 03 (2025): May-June 2025
  4. REVIEW

Vol. 22 No. 03 (2025)

September 2025

Association of Polymorphisms in Estrogen Receptors with non-obstructive Azoospermia and Severe Secretory Oligozoospermia:a Meta-Analysis

  • Aiqiao Zhang
  • Shangren Wang
  • Li Liu
  • Zhexin Zhang
  • Yang Pan
  • Shuai Niu
  • Xiaoqiang Liu

Urology Journal, Vol. 22 No. 03 (2025), 9 September 2025 , Page 123-131
https://doi.org/10.22037/uj.v21i.8118 Published: 2025-09-09

  • View Article
  • Download
  • Cite
  • References
  • Statastics
  • Share

Abstract

Purpose: Estrogen receptor (ER) genes play key roles in male and female reproduction. Non-obstructive azoospermia (NOA) and severe secretory oligozoospermia (SOL) are the most severe and complex conditions impacting male fertility. This meta-analysis aimed to study the association between PvuII ( rs2234693, 397T>C ), XbaI ( rs9340799, 351G>A ), AluI (1730G>A, rs4986938), and RsaI (1082G>A, rs1256049) polymorphisms and spermatogenic failure.

Materials and Methods: The literature in PubMed, Medline, Embase, Web of Science, Cochrane Library, China Science and Technology Journal Database, WanFang data, and China National Knowledge Infrastructure databases were systematically searched, and a meta-analysis was conducted to investigate the association between polymorphism in estrogen receptors and spermatogenic failure. According to a set criterion, 10 studies were included for analyses.

Results: ER α XbaI polymorphism was a decreased risk of NOA. The ER α PvuII polymorphisms does not associate with NOA and SOL. ER β AluI polymorphism increased the risk of NOA in Caucasian population. ER β RsaI polymorphism was a decreased risk of NOA and SOL in Caucasian males.

Conclusion: The ER α XbaI and ER β RsaI polymorphisms are associated with the risk of NOA and SOL.

Keywords:
  • estrogen receptor
  • spermatogenic failure
  • non-obstructive azoospermia
  • severe oligospermia
  • meta-analysis
  • 8118/pdf

How to Cite

Zhang, A., Wang, S., Liu, L., Zhang, Z., Pan, Y., Niu, S., & Liu, X. (2025). Association of Polymorphisms in Estrogen Receptors with non-obstructive Azoospermia and Severe Secretory Oligozoospermia:a Meta-Analysis. Urology Journal, 22(03), 123–131. https://doi.org/10.22037/uj.v21i.8118
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX

References

Li TF, Wu QY, Zhang C et al. Polymorphisms in estrogen receptors predict the risk of male infertility: a meta-analysis. Reprod Biol Endocrinol. 2014;12:79

Chu KY, Patel P, Ramasamy R. Consideration of gender differences in infertility evaluation. Curr Opin Urol. 2019;29(3):267-271

Krausz C. Male infertility: pathogenesis and clinical diagnosis. Best Pract Res Clin Endocrinol Metab. 2011;25(2):271-85

Gupta N, Gupta S, Dama M et al. Strong association of 677 C>T substitution in the MTHFR gene with male infertility--a study on an indian population and a meta-analysis. Plos One. 2011;6(7):e22277

Pathak UI, Gabrielsen JS, Lipshultz LI. Cutting-Edge Evaluation of Male Infertility. Urol Clin North Am. 2020;47(2):129-138

Agarwal A, Mulgund A, Hamada A, Chyatte MR. A unique view on male infertility around the globe. Reprod Biol Endocrinol. 2015;13:37

Hess RA, Cooke PS. Estrogen in the male: a historical perspective. Biol Reprod. 2018;99(1):27-44

Basiri A, Naji M, Houshmand M, et al. CAG repeats and one polymorphism in androgen receptor gene are associated with renal calcium stone disease. Urologia. 2022;89(3):391-6.

Carreau S, Wolczynski S, Galeraud-Denis I. Aromatase, oestrogens and human male reproduction. Philos Trans R Soc Lond B Biol Sci. 2010;365(1546):1571-9

Lazari MF, Lucas TF, Yasuhara F et al. Estrogen receptors and function in the male reproductive system. Arq Bras Endocrinol Metabol. 2009;53(8):923-33

Su MT, Chen CH, Kuo PH et al. Polymorphisms of estrogen-related genes jointly confer susceptibility to human spermatogenic defect. Fertil Steril. 2010;93(1):141-9

Zalata A, Abdalla HA, El-Bayoumy Y, Mostafa T. Oestrogen receptor alpha gene polymorphisms relationship with semen variables in infertile men. Andrologia. 2014;46(6):618-24

Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol. 2010;25(9):603-5

Aschim EL, Giwercman A, Ståhl O et al. The Rsa I Polymorphism in the Estrogen Receptor-β Gene Is Associated with Male Infertility. J Clin Endocr Metab. 2005;90(9):5343-5348

Khattri A, Pandey RK, Gupta NJ et al. CA repeat and Rsa I polymorphisms in ERβ gene are not associated with infertility in Indian men. Int J Androl. 2009;32(1):81-87

Bianco B, Peluso C, Gava MM et al. Polymorphisms of estrogen receptors alpha and beta in idiopathic, infertile Brazilian men: A case-control study. Mol Reprod Dev. 2011;78(9):665-672

Ogata T, Fukami M, Yoshida R et al. Haplotype analysis of ESR2 in Japanese patients with spermatogenic failure. J Hum Genet. 2012;57(7):449-452

Tianfu L. Study on the associations between the FSHR as well as ER gene polymorphisms and male infertility in Han population. Jiangsu university. 2015;2:25-40

Yufei M. Study on the Associations between ESR2 Gene Polymorphisms and Male Infertility Disease in Henan Han Population. Zhengzhou University. 2014;1:15-26

Bordin BM, Moura KKVO. Association between RsaI polymorphism in estrogen receptor β gene and male infertility. Genet Mol Res. 2015;14(3):10954-10960

Vladoiu S. Correlations between Polymorphisms of Estrogen 1, Vitamin D Receptors and Hormonal Profile in Infertile Men. Acta Endocrinol-Buch. 2016;12(2):137-144

Younes AKH, Hamed HB, Mohamed EEM et al. Oestrogen receptors beta genotype in infertile Egyptian men with nonobstructive azoospermia. Andrologia. 2016;48(10):1289-1293

Mobasseri N, Nikzad H, Karimian M. Protective effect of oestrogen receptor α-PvuII transition against idiopathic male infertility: a case-control study and meta-analysis. Reprod Biomed Online. 2019;38(4):588-598

Peña VN, Kohn TP, Herati AS. Genetic mutations contributing to non-obstructive azoospermia. Best Pract Res Clin Endocrinol Metab. 2020;34(6):101479

Krausz C, Cioppi F, Riera-Escamilla A. Testing for genetic contributions to infertility: potential clinical impact. Expert Rev Mol Diagn. 2018;18(4):331-346

O'Donnell L, Robertson KM, Jones ME, Simpson ER. Estrogen and spermatogenesis. Endocr Rev. 2001;22(3):289-318

Ge YZ, Xu LW, Jia RP et al. Association of polymorphisms in estrogen receptors (ESR1 and ESR2) with male infertility: a meta-analysis and systematic review. J Assist Reprod Genet. 2014;31(5):601-11

Cordts EB, Santos AA, Peluso C et al. Risk of premature ovarian failure is associated to the PvuII polymorphism at estrogen receptor gene ESR1. J Assist Reprod Genet. 2012;29(12):1421-5

Saoji R, Desai M, Das RS, Das TK, Khatkhatay MI. Estrogen receptor αand βgene polymorphism in relation to bone mineral density and lipid profile in Northeast Indian women. Gene. 2019;710:202-209

Nogara P, Godoy-Santos AL, Fonseca F et al. Association of estrogen receptor β polymorphisms with posterior tibial tendon dysfunction. Mol Cell Biochem. 2020;471(1-2):63-69

Kukuvitis A, Georgiou I, Bouba I et al. Association of oestrogen receptor alpha polymorphisms and androgen receptor CAG trinucleotide repeats with male infertility: a study in 109 Greek infertile men. Int J Androl. 2002;25(3):149-52

Safarinejad MR, Shafiei N, Safarinejad S. Association of polymorphisms in the estrogen receptors alpha, and beta (ESR1, ESR2) with the occurrence of male infertility and semen parameters. J Steroid Biochem Mol Biol. 2010;122(4):193-203

Mahato D, Goulding EH, Korach KS, Eddy EM. Spermatogenic cells do not require estrogen receptor-alpha for development or function. Endocrinology. 2000;141(3):1273-6

Cai Y, Liu T, Li H, Xiong C. Meta-analysis of the association of oestrogen receptor-beta gene RsaI (G/A) and AluI (A/G) polymorphisms with male infertility. Andrologia. 2015;47(3):257-65

  • Abstract Viewed: 569 times
  • 8118/pdf Downloaded: 132 times

Download Statastics

  • Linkedin
  • Twitter
  • Facebook
  • Google Plus
  • Telegram

Information

  • For Readers
  • For Authors

Developed By

Open Journal Systems
  • Home
  • Archives
  • Submissions
  • About the Journal
  • Editorial Team
  • Contact
Powered by OJSPlus