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Papers by Kathy Robert

Research paper thumbnail of Sperm DNA Fragmentation: A New Guideline for Clinicians

The World Journal of Men's Health, 2020

Research paper thumbnail of A scientometric analysis of research publications on male infertility and assisted reproductive technology

Andrologia, Nov 24, 2020

Assisted reproductive technologies (ART) are considered as one of the primary mana gement options... more Assisted reproductive technologies (ART) are considered as one of the primary mana gement options to address severe male factor infertility. The purpose of this study was to identify the research trends in the field of male infertility and ART over the past 20 years (2000-2019) by analysing scientometric data (the number of publications per year, authors, author affiliations, journals, countries, type of documents, subject area and number of citations) retrieved using the Scopus database. We used VOS viewer software to generate a network map on international collaborations as well as a heat map of the top scientists in this field. Our results revealed a total of 2,148 publications during this period with Cleveland Clinic Foundation contributing the most (n = 69). The current scientometric analysis showed that the research trend on ART has been stable over the past two decades. Further in-depth analysis revealed that density gradient centrifugation (46%) and intracytoplasmic sperm injection (59.2%) are the most reported techniques for sperm separation and ART, respectively. Additionally, azoospermia was the most studied clinical scenario (60.6%), with majority of articles reporting pregnancy rate (47.25%) as the primary reproductive outcome for ART. This study provides insight into the current focus of research in the area of male infertility and ART as well as the areas that require further research in future.

Research paper thumbnail of MOESM2 of Tracking research trends and hotspots in sperm DNA fragmentation testing for the evaluation of male infertility: a scientometric analysis

Additional file 2: Figure S2. Number of SDF publications associated with semen abnormality condit... more Additional file 2: Figure S2. Number of SDF publications associated with semen abnormality conditions.

Research paper thumbnail of MOESM3 of Tracking research trends and hotspots in sperm DNA fragmentation testing for the evaluation of male infertility: a scientometric analysis

Additional file 3: Table S1. Keywords used for each step in the Stepwise Model.

Research paper thumbnail of MOESM1 of Tracking research trends and hotspots in sperm DNA fragmentation testing for the evaluation of male infertility: a scientometric analysis

Additional file 1: Figure S1. Number of publications in various clinical scenarios/risk factors a... more Additional file 1: Figure S1. Number of publications in various clinical scenarios/risk factors associated with SDF in the past 20 years.

Research paper thumbnail of Oxidative Stress Testing: Indirect Tests

Manual of Sperm Function Testing in Human Assisted Reproduction, 2021

Research paper thumbnail of An update on the techniques used to measure oxidative stress in seminal plasma

Andrologia, 2020

Reactive oxygen species (ROS) are produced in significant amounts by spermatozoa and leucocytes. ... more Reactive oxygen species (ROS) are produced in significant amounts by spermatozoa and leucocytes. They are necessary to carry out various physiological functions such as sperm capacitation, hyperactivation, acrosome reaction, sperm‐zona binding and cellular signalling pathways. Oxidative stress (OS) results when the ROS levels overwhelm the available antioxidant reserve. A number of direct and indirect tests have been developed to assess oxidative stress. In this manuscript, we discuss these common direct and indirect tests as well as their advantages and disadvantages. Tests measuring sperm dysfunction secondary to oxidative stress such as lipid peroxidation, DNA fragmentation and protein alterations are also described.

Research paper thumbnail of A scientometric analysis of research publications on male infertility and assisted reproductive technology

Assisted reproductive technologies (ART) are considered as one of the primary management options ... more Assisted reproductive technologies (ART) are considered as one of the primary management options to address severe male factor infertility. The purpose of this study was to identify the research trends in the field of male infertility and ART over the past 20 years (2000‐2019) by analysing scientometric data (the number of publications per year, authors, author affiliations, journals, countries, type of documents, subject area and number of citations) retrieved using the Scopus database. We used VOS viewer software to generate a network map on international collaborations as well as a heat map of the top scientists in this field. Our results revealed a total of 2,148 publications during this period with Cleveland Clinic Foundation contributing the most (n = 69). The current scientometric analysis showed that the research trend on ART has been stable over the past two decades. Further in‐depth analysis revealed that density gradient centrifugation (46%) and intracytoplasmic sperm inj...

Research paper thumbnail of The effect of oxidative and reductive stress on semen parameters and functions of physiologically normal human spermatozoa

Both oxidative stress (OS) and reductive stress (RS) are the two extreme facets of redox imbalanc... more Both oxidative stress (OS) and reductive stress (RS) are the two extreme facets of redox imbalances that can have deleterious effects on sperm function. However, there is a lack of information on the physiological range of oxidation-reduction potential (ORP). The aim of this study was to investigate effect of OS and RS on sperm functions and associated molecular changes in normal spermatozoa in order to establish physiological range of ORP. In current study, total and progressive motility remained unchanged in spermatozoa exposed to ORP values 0.33 and 0.72 mV/106 sperm/mL. However, a significant (P < 0.05) declines in total and progressive motility were observed at ORP values 1.48, 2.75, -11.24, -9.76 and -9.35 mV/106 sperm/mL. Sperm vitality also decreased significantly (P < 0.0001) at 2.75, -11.24 and -9.76 mV/106 sperm/mL. Spermatozoa exposed to ORP levels 2.75 and -11.24 mV/106 sperm/mL showed significant (P < 0.01) decrease in mitochondrial membrane potential. Intrace...

Research paper thumbnail of Tracking research trends and hotspots in sperm DNA fragmentation testing for the evaluation of male infertility: a scientometric analysis

BackgroundThis article describes the research trends in sperm DNA fragmentation (SDF) over the pa... more BackgroundThis article describes the research trends in sperm DNA fragmentation (SDF) over the past 20 years (1999–2018) using a scientometric approach.MethodsA stepwise approach was adopted to retrieve scientometric data (articles per year, authors, affiliations, journals, countries) from Scopus and analyze the publication pattern of SDF with reference to key areas of research in the field of Andrology.ResultsA total of 2121 articles were retrieved related to SDF. Our data revealed an increasing research trend in SDF (n = 33 to n = 173) over the past 20 years (R2 = 0.894). Most productive country in publications was the USA (n = 450), while Agarwal A. (n = 129) being the most productive author. Most of the articles in SDF were primarily focused on lifestyle (n = 157), asthenozoospermia (n = 135) and varicocele (130). Mechanistic studies on SDF were published twice as much as prognostic/diagnostic studies, with significant emphasis on oxidative stress. Terminal deoxynucleotidyl tran...

Research paper thumbnail of Sperm DNA Fragmentation: A New Guideline for Clinicians

The World Journal of Men's Health, 2020

Sperm DNA integrity is crucial for fertilization and development of healthy offspring. The sperma... more Sperm DNA integrity is crucial for fertilization and development of healthy offspring. The spermatozoon undergoes extensive molecular remodeling of its nucleus during later phases of spermatogenesis, which imparts compaction and protects the genetic content. Testicular (defective maturation and abortive apoptosis) and post-testicular (oxidative stress) mechanisms are implicated in the etiology of sperm DNA fragmentation (SDF), which affects both natural and assisted reproduction. Several clinical and environmental factors are known to negatively impact sperm DNA integrity. An increasing number of reports emphasizes the direct relationship between sperm DNA damage and male infertility. Currently, several assays are available to assess sperm DNA damage, however, routine assessment of SDF in clinical practice is not recommended by professional organizations. This article provides an overview of SDF types, origin and comparative analysis of various SDF assays while primarily focusing on...

Research paper thumbnail of Highly Cited Articles in the Field of Male Infertility and Antioxidants: A Scientometric Analysis

The World Journal of Men's Health

The objective of this scientometric analysis was to recognize the top 100 cited articles on 'Male... more The objective of this scientometric analysis was to recognize the top 100 cited articles on 'Male infertility and Antioxidants' and analyze its publication characteristics. Materials and Methods: Materials and Methods: The Scopus database was used to retrieve related articles and the top 100 identified based on citation rate. Results: Results: The articles were published in 56 journals between 1995 and 2019 with a median (interquartile range) citation score of 17 (5-62). Among the top 100 articles, 69 were clinical studies, which included controlled and blinded (33.33%), prospective (27.54%), randomized-controlled trials (26.09%), uncontrolled (11.59%), and retrospective (1.45%) studies. In addition to conventional semen parameters, advanced sperm function tests such as oxidative stress (51%) and sperm DNA damage (23%) were reported. Pregnancy rate (33%) was found to be the most reported reproductive outcome. Antioxidant therapy was mostly investigated in male cohorts with sperm abnormalities such as asthenozoospermia (28%) and clinical conditions such as idiopathic male infertility (20%), varicocele/varicocelectomy (17%) and general male infertility (16%). Conclusions: Conclusions: The most influential publications on antioxidants and male infertility were identified for the first time in the literature. This will serve as a reliable source of information for researchers and clinicians alike.

Research paper thumbnail of Seminal oxidation–reduction potential levels are not influenced by the presence of leucocytospermia

Andrologia

Oxidative stress (OS) is characterised by an excessive amount of reactive oxygen species (ROS) wh... more Oxidative stress (OS) is characterised by an excessive amount of reactive oxygen species (ROS) which negatively affect sperm functions. In this study, the influence of leucocytes on seminal oxidation–reduction potential (ORP) and sperm DNA fragmentation (SDF) was investigated in 1,068 men. Seminal leucocyte concentration did not correlate with SDF, unadjusted ORP, ORP normalised for sperm concentration (sORP), ORP normalised for total motile sperm concentration (motORP) or total motile sperm count (TMSC‐ORP). Although receiver operator characteristic (ROC) curve analyses show that leucocytospermia does not predict high sORP values (>1.34 mV/106 spermatozoa/ml), the motORP (AUC: 0.666) and TMSC‐ORP (AUC: 0.683) predict the rate of leucocytospermia significantly (p = .0195 and p = .0085 respectively). Moreover, SDF can significantly predict leucocytospermia (AUC: 0.679; p = .011) and vice versa (AUC: 0.657, p = .0298). Our data confirm the association between OS and SDF. In conclusion, motORP and TMSC‐ORP may be better predictive factors of leucocytospermia, probably because sperm motility, included in motORP and TMSC‐ORP calculation, is the first seminal parameter to be affected by OS. Although all these parameters are indicative of OS, ORP values, SDF and leucocytospermia should be considered independently for the evaluation of redox seminal status, as they probe distinct seminal features.

Research paper thumbnail of Scientific landscape of oxidative stress in male reproductive research: A scientometric study

Free Radical Biology and Medicine

Research paper thumbnail of Sperm DNA Fragmentation: A New Guideline for Clinicians

The World Journal of Men's Health, 2020

Research paper thumbnail of A scientometric analysis of research publications on male infertility and assisted reproductive technology

Andrologia, Nov 24, 2020

Assisted reproductive technologies (ART) are considered as one of the primary mana gement options... more Assisted reproductive technologies (ART) are considered as one of the primary mana gement options to address severe male factor infertility. The purpose of this study was to identify the research trends in the field of male infertility and ART over the past 20 years (2000-2019) by analysing scientometric data (the number of publications per year, authors, author affiliations, journals, countries, type of documents, subject area and number of citations) retrieved using the Scopus database. We used VOS viewer software to generate a network map on international collaborations as well as a heat map of the top scientists in this field. Our results revealed a total of 2,148 publications during this period with Cleveland Clinic Foundation contributing the most (n = 69). The current scientometric analysis showed that the research trend on ART has been stable over the past two decades. Further in-depth analysis revealed that density gradient centrifugation (46%) and intracytoplasmic sperm injection (59.2%) are the most reported techniques for sperm separation and ART, respectively. Additionally, azoospermia was the most studied clinical scenario (60.6%), with majority of articles reporting pregnancy rate (47.25%) as the primary reproductive outcome for ART. This study provides insight into the current focus of research in the area of male infertility and ART as well as the areas that require further research in future.

Research paper thumbnail of MOESM2 of Tracking research trends and hotspots in sperm DNA fragmentation testing for the evaluation of male infertility: a scientometric analysis

Additional file 2: Figure S2. Number of SDF publications associated with semen abnormality condit... more Additional file 2: Figure S2. Number of SDF publications associated with semen abnormality conditions.

Research paper thumbnail of MOESM3 of Tracking research trends and hotspots in sperm DNA fragmentation testing for the evaluation of male infertility: a scientometric analysis

Additional file 3: Table S1. Keywords used for each step in the Stepwise Model.

Research paper thumbnail of MOESM1 of Tracking research trends and hotspots in sperm DNA fragmentation testing for the evaluation of male infertility: a scientometric analysis

Additional file 1: Figure S1. Number of publications in various clinical scenarios/risk factors a... more Additional file 1: Figure S1. Number of publications in various clinical scenarios/risk factors associated with SDF in the past 20 years.

Research paper thumbnail of Oxidative Stress Testing: Indirect Tests

Manual of Sperm Function Testing in Human Assisted Reproduction, 2021

Research paper thumbnail of An update on the techniques used to measure oxidative stress in seminal plasma

Andrologia, 2020

Reactive oxygen species (ROS) are produced in significant amounts by spermatozoa and leucocytes. ... more Reactive oxygen species (ROS) are produced in significant amounts by spermatozoa and leucocytes. They are necessary to carry out various physiological functions such as sperm capacitation, hyperactivation, acrosome reaction, sperm‐zona binding and cellular signalling pathways. Oxidative stress (OS) results when the ROS levels overwhelm the available antioxidant reserve. A number of direct and indirect tests have been developed to assess oxidative stress. In this manuscript, we discuss these common direct and indirect tests as well as their advantages and disadvantages. Tests measuring sperm dysfunction secondary to oxidative stress such as lipid peroxidation, DNA fragmentation and protein alterations are also described.

Research paper thumbnail of A scientometric analysis of research publications on male infertility and assisted reproductive technology

Assisted reproductive technologies (ART) are considered as one of the primary management options ... more Assisted reproductive technologies (ART) are considered as one of the primary management options to address severe male factor infertility. The purpose of this study was to identify the research trends in the field of male infertility and ART over the past 20 years (2000‐2019) by analysing scientometric data (the number of publications per year, authors, author affiliations, journals, countries, type of documents, subject area and number of citations) retrieved using the Scopus database. We used VOS viewer software to generate a network map on international collaborations as well as a heat map of the top scientists in this field. Our results revealed a total of 2,148 publications during this period with Cleveland Clinic Foundation contributing the most (n = 69). The current scientometric analysis showed that the research trend on ART has been stable over the past two decades. Further in‐depth analysis revealed that density gradient centrifugation (46%) and intracytoplasmic sperm inj...

Research paper thumbnail of The effect of oxidative and reductive stress on semen parameters and functions of physiologically normal human spermatozoa

Both oxidative stress (OS) and reductive stress (RS) are the two extreme facets of redox imbalanc... more Both oxidative stress (OS) and reductive stress (RS) are the two extreme facets of redox imbalances that can have deleterious effects on sperm function. However, there is a lack of information on the physiological range of oxidation-reduction potential (ORP). The aim of this study was to investigate effect of OS and RS on sperm functions and associated molecular changes in normal spermatozoa in order to establish physiological range of ORP. In current study, total and progressive motility remained unchanged in spermatozoa exposed to ORP values 0.33 and 0.72 mV/106 sperm/mL. However, a significant (P < 0.05) declines in total and progressive motility were observed at ORP values 1.48, 2.75, -11.24, -9.76 and -9.35 mV/106 sperm/mL. Sperm vitality also decreased significantly (P < 0.0001) at 2.75, -11.24 and -9.76 mV/106 sperm/mL. Spermatozoa exposed to ORP levels 2.75 and -11.24 mV/106 sperm/mL showed significant (P < 0.01) decrease in mitochondrial membrane potential. Intrace...

Research paper thumbnail of Tracking research trends and hotspots in sperm DNA fragmentation testing for the evaluation of male infertility: a scientometric analysis

BackgroundThis article describes the research trends in sperm DNA fragmentation (SDF) over the pa... more BackgroundThis article describes the research trends in sperm DNA fragmentation (SDF) over the past 20 years (1999–2018) using a scientometric approach.MethodsA stepwise approach was adopted to retrieve scientometric data (articles per year, authors, affiliations, journals, countries) from Scopus and analyze the publication pattern of SDF with reference to key areas of research in the field of Andrology.ResultsA total of 2121 articles were retrieved related to SDF. Our data revealed an increasing research trend in SDF (n = 33 to n = 173) over the past 20 years (R2 = 0.894). Most productive country in publications was the USA (n = 450), while Agarwal A. (n = 129) being the most productive author. Most of the articles in SDF were primarily focused on lifestyle (n = 157), asthenozoospermia (n = 135) and varicocele (130). Mechanistic studies on SDF were published twice as much as prognostic/diagnostic studies, with significant emphasis on oxidative stress. Terminal deoxynucleotidyl tran...

Research paper thumbnail of Sperm DNA Fragmentation: A New Guideline for Clinicians

The World Journal of Men's Health, 2020

Sperm DNA integrity is crucial for fertilization and development of healthy offspring. The sperma... more Sperm DNA integrity is crucial for fertilization and development of healthy offspring. The spermatozoon undergoes extensive molecular remodeling of its nucleus during later phases of spermatogenesis, which imparts compaction and protects the genetic content. Testicular (defective maturation and abortive apoptosis) and post-testicular (oxidative stress) mechanisms are implicated in the etiology of sperm DNA fragmentation (SDF), which affects both natural and assisted reproduction. Several clinical and environmental factors are known to negatively impact sperm DNA integrity. An increasing number of reports emphasizes the direct relationship between sperm DNA damage and male infertility. Currently, several assays are available to assess sperm DNA damage, however, routine assessment of SDF in clinical practice is not recommended by professional organizations. This article provides an overview of SDF types, origin and comparative analysis of various SDF assays while primarily focusing on...

Research paper thumbnail of Highly Cited Articles in the Field of Male Infertility and Antioxidants: A Scientometric Analysis

The World Journal of Men's Health

The objective of this scientometric analysis was to recognize the top 100 cited articles on 'Male... more The objective of this scientometric analysis was to recognize the top 100 cited articles on 'Male infertility and Antioxidants' and analyze its publication characteristics. Materials and Methods: Materials and Methods: The Scopus database was used to retrieve related articles and the top 100 identified based on citation rate. Results: Results: The articles were published in 56 journals between 1995 and 2019 with a median (interquartile range) citation score of 17 (5-62). Among the top 100 articles, 69 were clinical studies, which included controlled and blinded (33.33%), prospective (27.54%), randomized-controlled trials (26.09%), uncontrolled (11.59%), and retrospective (1.45%) studies. In addition to conventional semen parameters, advanced sperm function tests such as oxidative stress (51%) and sperm DNA damage (23%) were reported. Pregnancy rate (33%) was found to be the most reported reproductive outcome. Antioxidant therapy was mostly investigated in male cohorts with sperm abnormalities such as asthenozoospermia (28%) and clinical conditions such as idiopathic male infertility (20%), varicocele/varicocelectomy (17%) and general male infertility (16%). Conclusions: Conclusions: The most influential publications on antioxidants and male infertility were identified for the first time in the literature. This will serve as a reliable source of information for researchers and clinicians alike.

Research paper thumbnail of Seminal oxidation–reduction potential levels are not influenced by the presence of leucocytospermia

Andrologia

Oxidative stress (OS) is characterised by an excessive amount of reactive oxygen species (ROS) wh... more Oxidative stress (OS) is characterised by an excessive amount of reactive oxygen species (ROS) which negatively affect sperm functions. In this study, the influence of leucocytes on seminal oxidation–reduction potential (ORP) and sperm DNA fragmentation (SDF) was investigated in 1,068 men. Seminal leucocyte concentration did not correlate with SDF, unadjusted ORP, ORP normalised for sperm concentration (sORP), ORP normalised for total motile sperm concentration (motORP) or total motile sperm count (TMSC‐ORP). Although receiver operator characteristic (ROC) curve analyses show that leucocytospermia does not predict high sORP values (>1.34 mV/106 spermatozoa/ml), the motORP (AUC: 0.666) and TMSC‐ORP (AUC: 0.683) predict the rate of leucocytospermia significantly (p = .0195 and p = .0085 respectively). Moreover, SDF can significantly predict leucocytospermia (AUC: 0.679; p = .011) and vice versa (AUC: 0.657, p = .0298). Our data confirm the association between OS and SDF. In conclusion, motORP and TMSC‐ORP may be better predictive factors of leucocytospermia, probably because sperm motility, included in motORP and TMSC‐ORP calculation, is the first seminal parameter to be affected by OS. Although all these parameters are indicative of OS, ORP values, SDF and leucocytospermia should be considered independently for the evaluation of redox seminal status, as they probe distinct seminal features.

Research paper thumbnail of Scientific landscape of oxidative stress in male reproductive research: A scientometric study

Free Radical Biology and Medicine