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A systematic review of retinoic acid in the journey of spermatogonium to spermatozoa: From basic to clinical application.

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Affiliations

  • 1. Department of Anatomy, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
      Authors
    • Margiana R 1, 2
    • Margiana R 1, 2
    • Margiana R 1, 2
    (3 authors)
  • 2. Andrology Study Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
      Authors
    • Margiana R 1, 2
    • Margiana R 1, 2
    • Margiana R 1, 2
    • Pakpahan C 2
    (4 authors)
  • 3. Education Program in Reproduction and Development (EPRD), Department of Obstetrics and Gynaecology, Monash Clinical School, Monash University, Clayton, Australia.
      Authors
    • Pangestu M 3
    (1 author)

ORCIDs linked to this article

F1000research, 20 May 2022, 11:552
https://doi.org/10.12688/f1000research.110510.2 PMID: 35967975 PMCID: PMC9345263

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Abstract 

Background: Retinoic acid plays an essential role in testicular development and functions, especially spermatogenesis. We have reviewed the role of retinoic acid from basic (molecular) to clinical application. Methods: A search was conducted in the online database including PubMed, Google Scholar, and Scopus for English studies published in the last eight years about this issue. We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines in assessing the studies we are going to investigate. Results: Studies indicated that retinoic acid plays an essential role during pluripotent stem cell migration and lineage commitment, cell differentiation, apoptosis, stem cell number regulation, and maturation arrest in spermatogenic cells. Retinoic acid can also affect related protein expression and signaling pathways at different stages of spermatogenesis. Four studies have applied retinoic acid to humans, all of them in the single-arm observational study. The results look promising but need further research with more controlled study methods, randomization, and large samples. Conclusions: This current systematic review emphasizes a novel retinoic acid mechanism that has not been well described in the literature previously on its functions during the first seven days of spermatogenesis, leading to new directions or explanations of male infertility cause and treatments as a part of reproductive health care.

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Hibah Publikasi Terindeks Internasional (PUTI) RA 2022 Universitas Indonesia