“…Previous studies showed that these pathways were involved in the regulation of testicular growth and development ( Chambard et al, 2007 ), specifically playing important roles in proliferation, mitosis, and meiosis of germ cells ( Godet et al, 2008 ; Nicol and Guiguen, 2011 ; Jiang et al, 2013 ; Kerr et al, 2014 ) and proliferation and lactate production of Sertoli cells ( Riera et al, 2003 ; Lucas et al, 2012; Galardo et al, 2013 ; Yao et al, 2015 ; Ni et al, 2019 ) during both early and late spermatogenesis. When the above pathways were disturbed, the proliferation ability of SSCs ( Lee et al, 2007 ; Yao et al, 2020 ) and Sertoli cell ( Niu et al, 2015 ; Wang et al, 2015 ; Wang et al, 2017 ) would be inhibited. In addition, a study on asthenozoospermia population indicated that differentially expressed miRNAs in seminal plasma samples between patients with asthenospermia and healthy men were significantly associated with PI3K-Akt signaling pathway, MAPK signaling pathway and HIF-1 signaling pathway ( Liang et al, 2022 ), which were consistent with our findings.…”