{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T07:25:26Z","timestamp":1767165926389,"version":"build-2238731810"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,2,22]],"date-time":"2022-02-22T00:00:00Z","timestamp":1645488000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Project of Yancheng Science and Technology Bureau of Jiangsu Province","award":["YK2015039"],"award-info":[{"award-number":["YK2015039"]}]},{"name":"Jiangsu Province Double Creation Doctoral Project","award":["YK2015039"],"award-info":[{"award-number":["YK2015039"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Computational and Mathematical Methods in Medicine"],"published-print":{"date-parts":[[2022,2,22]]},"abstract":"<jats:p>The testicles and sperm are extremely susceptible to inflammation and oxidative stress. Although Zhibai Dihuang Pill (ZDP) has been reported to treat various infertilities including male infertility induced by Ureaplasma urealyticum (UU) infection, its mechanism is still poorly understood. This study is aimed at clarifying the underlying mechanism of ZDP to protect against UU-infected male infertility. We found that UU-infected infertile rats exhibited weight loss, reduced food intake, and decreased sperm count and vitality. The administration of ZDP improved the general state and sperm motility of rats. In addition, UU infection led to spermatogenesis disorders, impaired secretory function and blood-testis barrier (BTB) of Sertoli cells, and elevated inflammation and oxidative stress. As expected, ZDP suppressed inflammation and oxidative stress to alleviate spermatogenesis disorders. Our research showed that ZDP could improve spermatogenesis disorders and testicular function primarily through the mitogen-activated protein kinase (MAPK) signaling pathway. ZDP exerts its anti-inflammatory and antioxidant effects via the MAPK signaling pathway, thus playing an important role in ameliorating spermatogenesis failure and testicular dysfunction.<\/jats:p>","DOI":"10.1155\/2022\/7174399","type":"journal-article","created":{"date-parts":[[2022,2,22]],"date-time":"2022-02-22T20:23:07Z","timestamp":1645561387000},"page":"1-12","source":"Crossref","is-referenced-by-count":2,"title":["Zhibai Dihuang Pill Alleviates Ureaplasma urealyticum-Induced Spermatogenic Failure and Testicular Dysfunction via MAPK Signaling Pathway"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6732-454X","authenticated-orcid":true,"given":"Kai","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Clinical Laboratory, The Affiliated Huai\u2019an Hospital of Xuzhou Medical University and the Second People\u2019s Hospital of Huai\u2019an, No. 62, Huaihai Road (S.), Huaian, 223002 Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junhua","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Andrology, Yancheng Traditional Chinese Medicine Hospital, Yancheng, Jiangsu Province 226001, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Andrology, Yancheng Traditional Chinese Medicine Hospital, Yancheng, Jiangsu Province 226001, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3260-8670","authenticated-orcid":true,"given":"Rui","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Quality Control, Jiangsu Provincial Blood Center, No. 179, Longpan Road, Xuanwu District, Nanjing, Jiangsu Province 210000, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmx021"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmv016"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2018.07.002"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1530\/rep-15-0261"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/4.6.891"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1111\/andr.12078"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmii.2017.05.004"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1258\/ijsa.2008.008334"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jep.2013.11.031"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jep.2018.05.001"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jep.2012.05.031"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1089\/ars.2006.8.1775"},{"key":"13","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1002\/j.1939-4640.2001.tb02196.x","article-title":"Dual energy metabolism-dependent effect of Ureaplasma urealyticum infection on sperm activity","volume":"22","author":"M. 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