Cross SectionalHumann = 982026China

The dual role of inflammatory microenvironment in modulating the effect of red blood cell folic acid on sperm DNA integrity: A retrospective study.

Journal: Scientific reportsPublished: 2026DOI: 10.1038/s41598-026-46238-x

Plain-language summary

This study set out to understand how folic acid affects sperm health, especially in the context of inflammation in the reproductive tract. It looked at 98 men, measuring their red blood cell folic acid levels, signs of inflammation in semen, and sperm quality markers like DNA damage and movement. The study found that folic acid had different effects depending on the sperm parameter: it showed a U-shaped relationship with sperm DNA damage (meaning both too low and too high levels were linked to more damage), and this effect was stronger when inflammation was present. At the same time, higher folic acid levels were linked to better sperm movement, regardless of inflammation.

Key findings

  • Red blood cell folic acid had a U-shaped relationship with sperm DNA fragmentation (both low and high levels were worse).
  • Inflammation in the reproductive tract made the U-shaped link between folic acid and sperm DNA damage stronger.
  • Folic acid had a steady positive link with sperm forward motility (better movement with higher levels).
  • Age also played a role in how folic acid affected sperm movement.

How to analyze the study yourself

Study type
Cross-sectional studies are good at spotting links at one point in time but cannot show cause and effect or track changes over time.
Population
The study included 98 men, but their specific health status or fertility history was not detailed.
Funding
Not reported
Watch for
This study found that folic acid levels had a U-shaped link with sperm DNA damage (both low and high levels were worse), especially when inflammation was present, while higher levels consistently helped sperm movement. If you are concerned about sperm health, it may be worth discussing folic acid intake and inflammation markers with your doctor.