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Mutagenic effect of chemotherapy on sperm DNA and implications for family planning

Some chemotherapeutic agents can induce distinct mutational signatures in healthy cells in patients with cancer. The effect of such mutational signatures on spermatogenesis is not fully understood but is of great clinical importance for counselling patients diagnosed with cancer planning to start a family after treatment.

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References

  1. López Andreu, J. A. et al. Persistent altered spermatogenesis in long-term childhood cancer survivors. Pediatr. Hematol. Oncol. 17, 21–30 (2000).

    Article  Google Scholar 

  2. Schlegel, P. N. et al. Diagnosis and treatment of infertility in men: AUA/ASRM guideline part II. J. Urol. 205, 44–51 (2021).

    Article  Google Scholar 

  3. Meistrich, M. L. Effects of chemotherapy and radiotherapy on spermatogenesis in humans. Fertil. Steril. 100, 1180–1186 (2013).

    Article  CAS  Google Scholar 

  4. Pich, O. et al. The mutational footprints of cancer therapies. Nat. Genet. 51, 1732–1740 (2019).

    Article  CAS  Google Scholar 

  5. Szikriszt, B. et al. A comprehensive survey of the mutagenic impact of common cancer cytotoxics. Genome Biol. 17, 99 (2016).

    Article  Google Scholar 

  6. Boot, A. et al. In-depth characterization of the cisplatin mutational signature in human cell lines and in esophageal and liver tumors. Genome Res. 28, 654–665 (2018).

    Article  CAS  Google Scholar 

  7. Meistrich, M. L. Risks of genetic damage in offspring conceived using spermatozoa produced during chemotherapy or radiotherapy. Andrology 8, 545–558 (2020).

    Article  Google Scholar 

  8. Signorello, L. B. et al. Congenital anomalies in the children of cancer survivors: a report from the childhood cancer survivor study. J. Clin. Oncol. 30, 239–245 (2012).

    Article  Google Scholar 

  9. Kryukov, G. V. et al. Genetic effect of chemotherapy exposure in children of testicular cancer survivors. Clin. Cancer Res. 22, 2183–2189 (2016).

    Article  CAS  Google Scholar 

  10. Martinez, G. et al. Impact of Hodgkin or non-Hodgkin lymphoma and their treatments on sperm aneuploidy: a prospective study by the French CECOS network. Fertil. Steril. 107, 341–350 (2017).

    Article  Google Scholar 

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Correspondence to Ranjith Ramasamy.

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Bernstein, A.P., Loloi, J., Reddy, R. et al. Mutagenic effect of chemotherapy on sperm DNA and implications for family planning. Nat Rev Urol 19, 511–512 (2022). https://doi.org/10.1038/s41585-022-00625-x

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