Exploring the Potential Relationship Between Oxidative Stress in Fertile Individuals and Secondary Infertility: A Comparative Analysis of Proteomic Profiles in Seminal Plasma

Oxidative stress is increasingly implicated in male secondary infertility, where the seminal plasma altered proteome composition plays a critical role. This study aims to explore proteomic changes in the seminal plasma of fertile individuals with oxidative stress and secondary infertility patients, hypothesizing oxidative stress as a key factor in secondary infertility. Pooled semen samples from both groups underwent quantitative proteomics analysis using advanced mass spectrometry, with subsequent bioinformatic analysis using tools like DAVID, STRING, and IPA for identifying differentially expressed proteins (DEPs). The study identified 377 DEPs in the secondary infertile group and 523 DEPs in healthy controls, revealing seven mutual pathways including acute phase response signaling and free radical scavenging. Significant alterations were noted in proteins like C3 and SERPINA3, associated with sperm function and fertility. The findings suggest that oxidative stress-induced proteomic alterations in seminal plasma are linked to secondary infertility, highlighting potential biomarkers and therapeutic targets. This research underscores the importance of understanding the interplay between oxidative stress and seminal plasma proteins, potentially guiding personalized treatment strategies to improve fertility outcomes in affected individuals.