“…The piRNA expression studies on exosomes isolated from seminal plasma of asthenozoospermic patients reported downregulated piRNAs (piR-1207, piR-2107, piR-5937 and piR-5939) as the molecular biomarkers for male infertility [ 147 ]. Another study on seminal plasma of asthenozoospemic and normal healthy males identified 114 upregulated and 169 downregulated piRNAs, The top 10 upregulated piRNAs included piR-26,591, piR-32,694, piR-18,725, piR-16,782, piR-25,491, piR-5952, piR-18,611, piR-18,586, piR-15,811, piR-17,725 and top 10 downregulated piRNAs included piR-15,551, piR-29,529, piR-25,106, piR-2645, piR-9170, piR-2912, piR-23,203, piR-6148, piR-32,713, piR-29,155 [ 148 ].…”