NMN Enhances Sperm Quality in Diabetic Male Infertility: An Emerging Perspective

By 2045, the International Diabetes Foundation forecasts that approximately 10% of the world population will be affected by type II diabetes. Male diabetics often grapple with challenges like decreased sexual desire, erectile dysfunction, and sperm irregularities, which could lead to infertility. Existing diabetes medications, such as pioglitazone and metformin, offer some hope in improving sperm functionality, but a more potent solution and potentially complementary therapies are required to reclaim fertility in diabetic men.

NMN's Potential Role in Mitigating Diabetic Male Infertility: Recent Findings

In a study published in Acta Biochimica et Biophysica Sinica, Liao and his team from the University of South China revealed that nicotinamide mononucleotide (NMN) treatment could enhance the structure and functionality of the testes and augment the presence of viable sperm in diabetic male mice. They further confirmed that NMN could reinstate the normal size of seminiferous tubules, the site of sperm production, in the testes and increase the levels of key enzymes for glucose metabolism, hence promoting testicular health. These findings suggest that NMN might hold the potential to counteract diabetes-induced male infertility.

NMN: A Promising Solution to Diabetes-Induced Testicular Dysfunction

The researchers used streptozotocin, a chemotherapy drug toxic to pancreatic cells and capable of inducing type II diabetes, on mice for the study. The diabetic mice showcased a significantly diminished sperm count and an increased proportion of abnormal sperm. However, NMN treatment managed to reverse these complications.

The team also explored NMN's capability to repair the structural anomalies in the testes, particularly focusing on the seminiferous tubules where sperm precursor cells (spermatozoa) are produced. The diabetic mice showed noticeable decreases in the area and diameter of seminiferous tubules compared to non-diabetic ones. However, NMN administration ameliorated these alterations. Given that structural integrity implies functional capacity, these findings strengthen the notion that NMN could counter diabetes-induced male infertility.

Since type II diabetes often impairs glucose metabolism for cellular energy, a process known as glycolysis, the team assessed the levels of crucial glycolytic enzymes in the testes. Even though the enzyme levels were markedly reduced in diabetic mice, NMN supplementation reversed this trend. These observations suggest that NMN could enhance glucose metabolism in the testes of diabetic mice, potentially supplying the energy required for sperm production and hence, counteracting infertility.

Toward Overcoming Diabetes-Induced Male Infertility

Existing diabetes treatments like pioglitazone and metformin improve glycolysis in the testes, potentially reinstating fertility in male diabetics. The findings from Liao and his team suggest NMN as a potential alternative to ameliorate male fertility. Further research should focus on the comparative efficacy of pioglitazone, metformin, and NMN in restoring fertility in diabetic males. Lifestyle modifications such as adopting a healthier diet and regular physical activity can also help mitigate the impact of diabetes and potentially restore male fertility. Ultimately, the potential of NMN in reclaiming diabetic male fertility offers a promising outlook for diabetic patients desiring to have children.

Study Details

  • Model: C57BL/6J mice
  • Dosage: 500 mg/kg/day orally in saline

Conclusion

NMN shows promising potential to ameliorate diabetes-induced male infertility, offering a ray of hope for diabetic males. By improving testicular structure, augmenting sperm count, and optimizing glucose metabolism in the testes, NMN might become a significant player in future diabetic male fertility treatments. However, more research is required to validate these findings and to further understand NMN's role and effectiveness.

References

Ma D, Hu L, Wang J, Luo M, Liang A, Lei X, Liao B, Li M, Xie M, Li H, Gong Y, Zi D, Li X, Chen X, Liao X. Nicotinamide mononucleotide improves spermatogenic function in streptozotocin-induced diabetic mice via modulating the glycolysis pathway. Acta Biochim Biophys Sin (Shanghai). 2022 Jul 25. doi: 10.3724/abbs.2022099. Epub ahead of print. PMID: 35929593.