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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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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DOI: https://doi.org/10.1038/s41585-022-00625-x