Impact of Covid 19 Vaccine on Male and Female Fertility

COVID-19 Vaccine and Reproductive Health

Authors

  • Asfand Yar Mujahid Institute of Molecular Biology and Biotechnology (IMBB),CRiMM, The University of Lahore, Lahore Pakistan. Author
  • Wasi Haider Institute of Molecular Biology and Biotechnology (IMBB),CRiMM, The University of Lahore, Lahore Pakistan. Author
  • Arooj Khan Institute of Molecular Biology and Biotechnology (IMBB),CRiMM, The University of Lahore, Lahore Pakistan. Author
  • Tayyaba Yaseen Institute of Molecular Biology and Biotechnology (IMBB),CRiMM, The University of Lahore, Lahore Pakistan. Author
  • Maryam Sajjad Institute of Molecular Biology and Biotechnology (IMBB),CRiMM, The University of Lahore, Lahore Pakistan. Author
  • Ayesha Anwar Institute of Molecular Biology and Biotechnology (IMBB),CRiMM, The University of Lahore, Lahore Pakistan. Author
  • Syed Zeeshan Haider Naqvi Institute of Molecular Biology and Biotechnology (IMBB),CRiMM, The University of Lahore, Lahore Pakistan. Author
  • Faryal Gohar Institute of Molecular Biology and Biotechnology (IMBB),CRiMM, The University of Lahore, Lahore Pakistan. Author
  • Fahad Amin Institute of Molecular Biology and Biotechnology (IMBB),CRiMM, The University of Lahore, Lahore Pakistan. Author
  • Naveera Rehman Thumbay labs, Gulf Medical University, United Arab Emirates (UAE). Author

DOI:

https://doi.org/10.69750/dmls.01.04.043

Keywords:

SARS-CoV-2, COVID-19 pandemic, fertility, spike protein, ACE2 receptor, syncytin-1, COVID-19 vaccines, Pfizer-BioNTech, mRNA vaccines, reproductive health

Abstract

Background:
The COVID-19 outbreak has emerged as one of the most difficult global medical crises in a decade. SARS-CoV-2, the pathogen responsible for the disease, has contaminated more than 110 million individuals and resulted in over 2.30 million deaths worldwide within the first year of its emergence. The global scientific community has been working tirelessly to understand the virus, develop vaccines, and comprehend natural immunity.

Objective:
This review aims to explore the impact of COVID-19 on male and female fertility, with a primary focus on the mechanisms and effects of different COVID-19 vaccines on fertility.

Methodology:
We reviewed existing literature on the effects of SARS-CoV-2 on fertility and the various COVID-19 vaccines authorized for emergency use. Special emphasis was placed on the Pfizer-BioNTech, Moderna, and Johnson & Johnson–Janssen vaccines, which received emergency use approval from the U.S. Food and Drug Administration at the end of 2020 and the beginning of 2022.

Results:
The study will provide insights into the direct effects of the virus on male and female fertility and how different vaccines might influence these effects. Each vaccine has a unique mechanism of action, which may have varying implications for fertility.

Conclusion:
This review highlights the importance of understanding the interaction between COVID-19 vaccines and fertility, as this knowledge is crucial for informed decision-making regarding vaccination, particularly among individuals concerned about reproductive health. Further research is necessary to fully elucidate the long-term impacts of these vaccines on male and female fertility.

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References

Anand P, Stahel VP. The safety of Covid-19 mRNA vaccines: a review. Patient safety in surgery. 2021;15(1):20.doi: 10.1186/s13037-021-00291-9

Girardi G, Bremer AA. Scientific evidence supporting coronavirus disease 2019 (COVID-19) vaccine efficacy and safety in people planning to conceive or who are pregnant or lactating. Obstetrics & Gynecology. 2022;139(1):3-8.doi: 10.1097/AOG.0000000 000004636

Markert UR, Szekeres-Bartho J, Schleußner E. Adverse effects on female fertility from vaccination against COVID-19 unlikely. Journal of reproductive immunology. 2021;148:103428. doi:10.1016/j.jri.2021.103428

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The lancet. 2020;395(10223):497-506.doi:org/10.1016/S0140-6736(20)30183-5

Kadali RA, Janagama R, Peruru S, Malayala SV. Side effects of BNT162b2 mRNA COVID-19 vaccine: A randomized, cross-sectional study with detailed self-reported symptoms from healthcare workers. International Journal of Infectious Diseases. 2021;106:376-81.doi: 10.1016/j.ijid.2021.04.047

Lifshitz D, Haas J, Lebovitz O, Raviv G, Orvieto R, Aizer A. Does mRNA SARS-CoV-2 vaccine detrimentally affect male fertility, as reflected by semen analysis? Reproductive biomedicine online. 2022;44(1):145-9.doi: 10.1016/j.rbmo.2021.09.021

Joseph NT, Rasmussen SA, Jamieson DJ. The effects of COVID-19 on pregnancy and implications for reproductive medicine. Fertility and sterility. 2021;115(4):824-30.doi: org/10.1016/j.fertnstert.2020.12.032

Schaler L, Wingfield M. COVID-19 vaccine—can it affect fertility? Irish Journal of Medical Science (1971-). 2022;191(5):2185-7.doi: org/10.1007/s11845-021-02807-9

Fehr AR, Perlman S. Coronaviruses: an overview of their replication and pathogenesis. Coronaviruses: methods and protocols. 2015:1-23.doi: 10.1007/978-1-4939-2438-7_1

Chen P, Nirula A, Heller B, Gottlieb RL, Boscia J, Morris J, et al. SARS-CoV-2 neutralizing antibody LY-CoV555 in outpatients with Covid-19. New England Journal of Medicine. 2021;384(3):229-37.doi: 10.1056/NEJMoa2029849

Lo NC, Bezerra FSM, Colley DG, Fleming FM, Homeida M, Kabatereine N, et al. Review of 2022 WHO guidelines on the control and elimination of schistosomiasis. The Lancet Infectious Diseases. 2022;22(11):e327-e35.doi: 10.1016/S1473-3099(22)00221-3

Hoffmann M, Kleine-Weber H, Schroeder S, Krüger N, Herrler T, Erichsen S, et al. SARS-CoV-2 cell entry depends on ACE2 and TMPRSS2 and is blocked by a clinically proven protease inhibitor. cell. 2020;181(2):271-80. e8.doi: 10.1016/j.cell.2020.02.052

Hanson SW, Abbafati C, Aerts JG, Al-Aly Z, Ashbaugh C, Ballouz T, et al. Estimated global proportions of individuals with persistent fatigue, cognitive, and respiratory symptom clusters following symptomatic COVID-19 in 2020 and 2021. Jama. 2022;328(16):1604-15.doi: 10.1001/jama.2022.18931.

Hoffmann M, Krüger N, Schulz S, Cossmann A, Rocha C, Kempf A, et al. The Omicron variant is highly resistant against antibody-mediated neutralization: Implications for control of the COVID-19 pandemic. Cell. 2022;185(3):447-56. e11.doi: 10.1016/j.cell.2021.12.032

Lo P-S, Dwivedi YK, Tan GW-H, Ooi K-B, Aw EC-X, Metri B. Why do consumers buy impulsively during live streaming? A deep learning-based dual-stage SEM-ANN analysis. Journal of Business Research. 2022;147:325-37.doi: org/10.1016/j.jbusres.2022.04.013

Dalpiaz P, Lamas A, Caliman I, Ribeiro Jr R, Abreu G, Moyses M, et al. Sex hormones promote opposite effects on ACE and ACE2 activity, hypertrophy and cardiac contractility in spontaneously hypertensive rats. PloS one. 2015;10(5):e0127515.doi: org/10.1371/journal.pone.0127515

Gao T, Yao H, Song J, Liu C, Zhu Y, Ma X, et al. Identification of medicinal plants in the family Fabaceae using a potential DNA barcode ITS2. Journal of ethnopharmacology. 2010;130 (1):116-21.doi:10.1016/j.jep.2010.04.026

Lo K-W, Lo YD, Leung S-F, Tsang Y-S, Chan LY, Johnson PJ, et al. Analysis of cell-free Epstein-Barr virus-associated RNA in the plasma of patients with nasopharyngeal carcinoma. Clinical chemistry. 1999;45(8): 1292-4.doi: org/10.1093/clinchem/45.8.1292

Lu R, Zhao X, Li J, Niu P, Yang B, Wu H, et al. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. The lancet. 2020;395(10224):565-74.doi: org/10.1016/S0140-6736(20)30251-8

Magon H, Smith J, Besson J, Hau E, Taylor S, Ruben J, et al. Adapting to change: exploring perceptions and demands of the coronavirus (COVID-19) workforce changes–an Australian multi-institutional radiation oncology survey. Australian Health Review. 2024.

doi: 10.1071/AH23183.

Anderson EJ, Rouphael NG, Widge AT, Jackson LA, Roberts PC, Makhene M, et al. Safety and immunogenicity of SARS-CoV-2 mRNA-1273 vaccine in older adults. New England Journal of Medicine. 2020;383(25):2427-38.

doi: 10.1056/NEJMoa2028436

Abuin P, Anderson A, Ferramosca A, Hernandez-Vargas EA, Gonzalez AH. Characterization of SARS-CoV-2 dynamics in the host. Annual reviews in control. 2020;50:457-68.doi: org/10.1016/j.arcontrol.2020.09.008

Folegatti PM, Ewer KJ, Aley PK, Angus B, Becker S, Belij-Rammerstorfer S, et al. Safety and immunogenicity of the ChAdOx1 nCoV-19 vaccine against SARS-CoV-2: a preliminary report of a phase 1/2, single-blind, randomised controlled trial. The Lancet. 2020;396(10249):467-78.doi: 10.1016/S0140-6736(20)31604-4.

Orvieto R, Noach-Hirsh M, Segev-Zahav A, Haas J, Nahum R, Aizer A. Does mRNA SARS-CoV-2 vaccine influence patients' performance during IVF-ET cycle? Reproductive Biology and Endocrinology. 2021;19(1):69.doi: org/10.1186/s12958-021-00757-6

Madhi SA, Polack FP, Piedra PA, Munoz FM, Trenholme AA, Simões EA, et al. Respiratory syncytial virus vaccination during pregnancy and effects in infants. New England Journal of Medicine. 2020;383(5):426-39.doi: 10.1056/NEJMoa1908380.

Baden LR, El Sahly HM, Essink B, Kotloff K, Frey S, Novak R, et al. Efficacy and safety of the mRNA-1273 SARS-CoV-2 vaccine. New England journal of medicine. 2021;384(5):403-16.doi: 10.1056/NEJMoa2035389

Rubin EJ, Longo DL, Baden LR. Interleukin-6 receptor inhibition in Covid-19—cooling the inflammatory soup. Mass Medical Soc; 2021. p. 1564-5.doi: 10.1056/NEJMe2103108

Wang P, Casner RG, Nair MS, Wang M, Yu J, Cerutti G, et al. Increased resistance of SARS-CoV-2 variant P. 1 to antibody neutralization. Cell host & microbe. 2021;29(5):747-51. e4.doi: 10.1016/j.chom.2021.04.007

Girardi G, Bremer AA. Climate and environmental changes exacerbate health disparities in pregnant people and their offspring. How can we protect women and their babies? Birth Defects Research. 2024;116(2):e2313.doi: 10.1002/bdr2.2313

Golan Y, Prahl M, Cassidy AG, Gay C, Wu AH, Jigmeddagva U, et al. COVID-19 mRNA vaccination in lactation: assessment of adverse events and vaccine related antibodies in mother-infant dyads. Frontiers in immunology. 2021;12:777103.doi: 10.3389/fimmu.2021.777103

Wang Z, Muecksch F, Schaefer-Babajew D, Finkin S, Viant C, Gaebler C, et al. Naturally enhanced neutralizing breadth against SARS-CoV-2 one year after infection. Nature. 2021;595(7867):426-31.doi: doi.org/10.1038/s41586-021-03696-9

Bertrand K, Honerkamp-Smith G, Chambers CD. Maternal and child outcomes reported by breastfeeding women following messenger RNA COVID-19 vaccination. Breastfeeding Medicine. 2021;16(9):697-701.doi: 10.1089/bfm.2021.0169

Ella R, Reddy S, Blackwelder W, Potdar V, Yadav P, Sarangi V, et al. Efficacy, safety, and lot-to-lot immunogenicity of an inactivated SARS-CoV-2 vaccine (BBV152): interim results of a randomised, double-blind, controlled, phase 3 trial. The Lancet. 2021;398(10317):2173-84.doi: org/10.1016/S0140-6736(21)02000-6

Walsh EE, Frenck Jr RW, Falsey AR, Kitchin N, Absalon J, Gurtman A, et al. Safety and immunogenicity of two RNA-based Covid-19 vaccine candidates. New England Journal of Medicine. 2020;383(25):2439-50.

doi: 10.1056/NEJMoa2027906

Kim L, Garg S, O’Halloran A, Whitaker M, Pham H, Anderson EJ, et al. Risk factors for intensive care unit admission and in-hospital mortality among hospitalized adults identified through the US coronavirus disease 2019 (COVID-19)-associated hospitalization surveillance network (COVID-NET). Clinical infectious diseases. 2021;72(9):e206-e14.doi: 10.1093/cid/ciaa1012

Huang C, Huang L, Wang Y, Li X, Ren L, Gu X, et al. RETRACTED: 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study. The lancet. 2021;397 (10270):220-32.doi:10.1016/S0140-6736(20)32656-8

Chen RE, Zhang X, Case JB, Winkler ES, Liu Y, VanBlargan LA, et al. Resistance of SARS-CoV-2 variants to neutralization by monoclonal and serum-derived polyclonal antibodies. Nature medicine. 2021;27(4):717-26.

doi: 10.1038/s41591-021-01294-w

Abdel-Moneim A. COVID-19 pandemic and male fertility: clinical manifestations and pathogenic mechanisms. Biochemistry (Moscow). 2021;86(4):389-96.doi: 10.1134/S00 06297921040015

Chaturvedi R, Lui B, Aaronson JA, White RS, Samuels JD. COVID-19 complications in males and females: recent developments. Journal of Comparative Effectiveness Research. 2022;11(9):689-98.doi: org/10.2217/cer-2022-0027

Ma L, Xie W, Li D, Shi L, Ye G, Mao Y, et al. Evaluation of sex‐related hormones and semen characteristics in reproductive‐aged male COVID‐19 patients. Journal of medical virology. 2021;93(1):456-62.doi: 10.1002/jmv.26259

Nguyen NT, Chinn J, De Ferrante M, Kirby KA, Hohmann SF, Amin A. Male gender is a predictor of higher mortality in hospitalized adults with COVID-19. PloS one. 2021;16(7):e0254066.doi:10.1371/journal .pone 0254066

Girardi G, Bremer AA. The intersection of maternal metabolic syndrome, adverse pregnancy outcomes, and future metabolic health for the mother and offspring. Metabolic syndrome and related disorders. 2022;20(5): 251-4.doi: org/10.1089/met.2021.0124

Nazir M, Asghar S, Rathore MA, Shahzad A, Shahid A, Khan AA, et al. Menstrual abnormalities after COVID-19 vaccines: A systematic review. Vacunas. 2022;23:S77-S87.doi: 10.1016/j.vacun.2022.07.001

Hale VL, Dennis PM, McBride DS, Nolting JM, Madden C, Huey D, et al. SARS-CoV-2 infection in free-ranging white-tailed deer. Nature. 2022;602(7897):481-6.doi: org/10.1038/s41586-021-04353-x

Bentov Y, Beharier O, Moav-Zafrir A, Kabessa M, Godin M, Greenfield CS, et al. Ovarian follicular function is not altered by SARS–CoV-2 infection or BNT162b2 mRNA COVID-19 vaccination. Human Reproduction. 2021;36(9):2506-13.doi: 10.1093/humrep/deab182

Saad-Roy CM, Morris SE, Metcalf CJE, Mina MJ, Baker RE, Farrar J, et al. Epidemiological and evolutionary considerations of SARS-CoV-2 vaccine dosing regimes. Science. 2021;372 (6540):363-70.doi: 10.1126/science.abg8663

Moyo-Gwete T, Madzivhandila M, Makhado Z, Ayres F, Mhlanga D, Oosthuysen B, et al. Cross-reactive neutralizing antibody responses elicited by SARS-CoV-2 501Y. V2 (B. 1.351). New England Journal of Medicine.2021;384(22): 216 1-3.doi: 10.1056/NEJMc2104192

Chen SL-S, Jen GH-H, Hsu C-Y, Yen AM-F, Lai C-C, Yeh Y-P, et al. A new approach to modeling pre-symptomatic incidence and transmission time of imported COVID-19 cases evolving with SARS-CoV-2 variants. Stochastic Environmental Research and Risk Assessment. 2023;37(1):441-52.doi:10.1007/s00477-022-02305-z

Huang H-Y, Lin Y-C-D, Li J, Huang K-Y, Shrestha S, Hong H-C, et al. miRTarBase 2020: updates to the experimentally validated microRNA–target interaction database. Nucleic acids research. 2020;48(D1):D148-D54.doi: 10.1093/nar/gkz896.

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Published

16-08-2024

How to Cite

Mujahid, A. Y. ., Haider, W. ., Khan, A., Yaseen, T. ., Sajjad, M. ., Anwar, A., Naqvi, S. Z. H., Gohar, F. ., Amin, F., & Rehman, N. (2024). Impact of Covid 19 Vaccine on Male and Female Fertility: COVID-19 Vaccine and Reproductive Health. DEVELOPMENTAL MEDICO-LIFE-SCIENCES, 1(4), 4-26. https://doi.org/10.69750/dmls.01.04.043

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