Background
Antioxidant genes, such as superoxide dismutase (
SOD
), catalase (
CAT
), and nitric oxide synthase (
NOS
), play critical roles in spermatogenesis and sperm functions. Polymorphisms of antioxidant genes have been shown to be strongly associated with sperm quality which affects male fertility.
Methods
To investigate the association of antioxidant gene polymorphisms to male infertility in Vietnamese men, in this case–control study, using Sanger sequencing, we genotyped four variants
SOD1:
7958G>A,
SOD2:
c.47T>C,
CAT
:‐262C>T, and
NOS3:
‐786C>T.
Results and Conclusions
We identified
SOD1:
7958GA genotype and
NOS3:
‐786CT genotype in the infertility group were significantly higher than in the control with OR = 2.191 (95% CI: 1.226–3.915,
p
= 0.004) and OR = 3.135 (95% CI: 1.591–6.180,
p
< 0.001), respectively. We also detected that the frequency of the
SOD2:
c.47TC genotype was significantly higher in the male infertility group than in fertile men (OR = 1.941, 95% CI: 1.063–3.595,
p
= 0.029). Gene–gene interactions between the SNPs of
SOD1
,
SOD2
, and
CAT
might increase the risk of male infertility patients. In particular, patients carrying the
SOD1
:GA+AA,
SOD2
:TC+CC, and
CAT
:CT/TT genotype pattern have an increased risk of male infertility (OR = 7.614,
p
= 0.007). To our knowledge, this is the first study to evaluate the association between the
SOD1
:7958G>A polymorphism and male infertility. Further studies with larger sample sizes and more genes are needed to better assess the association between variants of antioxidant genes and male infertility.