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Table 1 Characteristics, taxonomy, clinical presentation, and effects on male reproductive health of the viruses in semen

From: Human seminal virome: a panel based on recent literature

Virus

Family

Genus

Genome

Clinical presentation

Sexual transmission reported (Y/N/NA)

Effect on male reproductive health

References

HIV

Retroviridae

Lentivirus

ssRNA (RT)

Acquired Immunodeficiency Syndrome (AIDS)

Y

Orchitis, “Sertoli Cell only” syndrome, hypogonadism, abnormal sperm parameters and infertility

Teixeira et al., 2021 [7]; Dulioust et al., 2002 [13]; Nicopoullos et al., 2004 [14]; Bujan et al., 2007 [15]; Wong, Levy and Stephenson, 2017 [16]; Pudney and Anderson, 1991 [17]; Poretsky, Can and Zumoff, 1995 [18]; Shevchuk et al., 1999 [19].

ZIKV

Flaviviridae

Flavivirus

ssRNA (+)

Zika fever and congenital Zika leading to microcephaly and other central nervous system disorders

Y

Abnormal sperm parameters, orchitis, epididymo-orchitis, and infertility in mouse models

Teixeira et al., 2021 [7]; Govero et al., 2016 [20]; Vanegas et al., 2021 [21]; Huits et al., 2017 [22]; Joguet et al., 2017 [23]; Ma et al., 2016 [24]; Le Tortorec et al., 2020 [25].

EBOV

Filoviridae

Ebolavirus

ssRNA (-)

Ebola virus disease (EVD)

Y

Testis as an anatomic reservoir for persistence, erectile dysfunction and decreased libido

Teixeira et al., 2021 [7]; Guetiya et al., 2017 [26]; de St Maurice et al., 2018 [27]; Thorson et al., 2021 [28].

HPV

Papillomaviridae

α-, β-, γ- Papillomavirus

dsDNA

Warts and preneoplastic lesions associated to genital, anal and oropharyngeal cancers

Y

Anti-sperm antibody, abnormal sperm parameters, subfertility and infertility

Liu et al., 2018 [6]; Teixeira et al., 2021 [7]; Bezold et al., 2007 [29]; Garolla et al., 2013 [30]; Foresta et al., 2010 [31]; Connelly et al., 2001 [32]; Moghimi et al., 2019 [33]; Piroozmand et al., 2020 [34]; Moreno-Sepulveda and Rajmil, 2021 [35].

HCMV

Herpesviridae

Cytomegalovirus

dsDNA

CMV congenital infection and opportunistic infections

Y

Chronic inflammatory urogenital diseases, direct gametotoxic effect, can contribute to male infertility and have the potential to be transferred to the embryo after fertilization. Abnormal sperm parameters have also been reported

Gimenes et al., 2014 [5];Jahromi et al., 2020 [36]; Naumenko et al., 2011 [37]; Naumenko et al., 2014 [38]; Le Tortorec et al., 2020 [25].

HSV-1/2

Herpesviridae

Simplexvirus

dsDNA

Herpes labialis and genital herpes

Y

Prostatitis, epididymitis,urethritis, abnormal sperm parameters

Gimenes et al., 2014 [5]; Teixeira et al., 2021 [7]; Klimova et al., 2010 [39]; Wu et al., 2007 [40]; Kurscheidt et al., 2018 [41]; Monavari et al., 2013 [42]; Kapranos et al., 2003 [43]; Bradshaw et al., 2006 [44].

EBV

Herpesviridae

Lymphocryptovirus

dsDNA

Infectious mononucleosis, Burkitt lymphoma, nasopharyngeal carcinoma, and posttransplant lymphoproliferative disease

Y

Leukocytospermia

Neofytou et al., 2009 [45]; Le Tortorec et al., 2020 [25]; Bezold et al., 2001 [46].

HHV-6

Herpesviridae

Roseolovirus

dsDNA

Congenital infection, common childhood disease, exanthema subitum and acute febrile diseases

NA

Chronic inflammatory urogenital diseases and abnormal sperm parameters have also been reported

Naumenko et al., 2014 [38]; Salam and Horby, 2017 [8]; Le Tortorec et al., 2020 [25].

HBV

Hepadnaviridae

Orthohepadnavirus

dsDNA (RT)

Hepatitis, cirrhosis, and hepatocellular carcinoma

Y

Abnormal sperm parameters and infertility

Garolla et al ., 2013 [30]; Vicari et al ., 2006 [47]; Lee et al ., 2010 [48]; Lorusso et al ., 2010 [49]; Zhou et al ., 2011 [50]; Oger et al., 2011 [51].

SARS-CoV-2

Coronaviridae

Betacoronavirus

ssRNA (+)

Severe acute respiratory syndromeSevere acute respiratory syndrome

NA

Orchitis, hypogonadism and abnormal sperm parameters

Teixeira et al., 2021 [7]; Guo et al., 2021 [52]; Sengupta, Leisegang and Agarwal, 2021 [53].

LASV

Arenaviridae

Mammarenavirus

ssRNA (-) ambisense, segmentedssRNA (-) ambisense, segmented

Lassa fever

NA

Single case report of epididymitis

Salam and Horby, 2017 [8]; Le Tortorec et al., 2020 [25]; McElroy et al., 2017 [54]; Prescott et al., 2017 [55].

HHV-8

Herpesviridae

Rhadinovirus

dsDNA

Kaposi sarcoma, primary effusion lymphoma, multicentric Castleman’s disease and inflammatory cytokine syndrome

Y

Prostate cancer

Salam and Horby, 2017 [8]; Henning et al., 2017 [56]; Henning et al., 2017 [57]; Bellocchi, Svicher and Ceccherini-Silberstein, 2020 [58]; Bagasra et al., 2005 [59].

VZV

Herpesviridae

Varicellovirus

dsDNA

Chickenpox (varicella) and herpes zoster

NA

Abnormal sperm parameters was reported

Salam and Horby, 2017 [8]; Neofytou et al., 2009 [45]; Tavakolian et al., 2021 [60]; Ouwendijk et al., 2020 [61].

HEV

Hepeviridae

Orthohepevirus A

ssRNA (+)

Hepatitis and extrahepatic manifestations

NA

Abnormal sperm parameters was reported

Horvatits et al., 2021 [62]; Huang et al., 2018 [63]; Kamar et al., 2017 [64].

HHV-7

Herpesviridae

Roseolovirus

dsDNA

Exanthema subitum and status epilepticus with fever

NA

Unknown

Kaspersen et al., 2012 [65]; Bezold et al., 2001 [46]; Ljungman et al., 2008 [66].

AVs

Anelloviridae

14 genera have been identified

ssDNA

Unknown

NA

Unknown

Varsani et al., 2021 [67]; Li et al., 2020 [68]; Kaczorowska and Van Der Hoek, 2020 [69]; Martínez et al., 2000 [70].

SFTSV

Phenuiviridae

Banyangvirus

ssRNA (-)

Severe fever with thrombocytopenia syndrome

NA

Unknown

Kwak et al., 2019 [71]; Lee et al., 2019 [72]; Koga et al. 2019 [73].

NiV

Paramyxoviridae

Henipavirus

ssRNA (-)

Acute respiratory illness and fatal encephalitis

NA

Unknown

Aditi and Shariff, 2019 [74]; Arunkumar et al., 2018 [75].

WNV

Flaviviridae

Flavivirus

ssRNA (+)

Encephalitis and meningoencephalitis

NA

Single case report of orchitis

Le Tortorec et al., 2020 [25]; Gorchakov et al., 2019 [76]; Suthar, Diamond and Gale, 2013 [77]; Smith et al., 2004 [78].

AAV

Parvoviridae

Dependoparvovirus

ssDNA

Not known to cause disease. Used in virus-vectored gene-therapy trials

NA

Abnormal sperm parameters was reported

Behboudi et al., 2019 [79]; Rohde et al., 1999 [80]; Erles et al., 2001 [81]; Schlehofer et al., 2012 [82]; Le Tortorec et al., 2020 [25].

ANDV

Hantaviridae

Orthohantavirus

ssRNA (-)

Hantavirus cardiopulmonary syndrome, hantavirus pulmonary syndrome

NA

Unknown

Le Tortorec et al., 2020 [25]; Kuenzli et al. et al., 2018 [83].

DENV

Flaviviridae

Flavivirus

ssRNA (+)

Dengue fever, dengue haemorrhagic fever and dengue shock syndrome

NA

Unknown

Lalle et al., 2018 [84]; Whitehead et al., 2007 [85].

YFV

Flaviviridae

Flavivirus

ssRNA (+)

Yellow fever

NA

Autopsy revealed orchitis in some individuals

Duarte-Neto et al., 2019 [86]; Barbosa et al., 2018 [87]; Couto-Lima et al., 2017 [88].

JCPyV

Polyomaviridae

Betapolyomavirus

dsDNA

Almost exclusively in immunosuppressed individuals: progressive multifocal leukoencephalopathy

NA

Abnormal sperm parameters was reported

Rotondo et al., 2017 [89]; Comar et al., 2012 [90]; Le Tortorec et al., 2020 [25].

CHIKV

Togaviridae

Alphavirus

ssRNA (+)

CHIKV disease, arthralgia, myalgia

NA

Unknown

Le Tortorec et al., 2020 [25]; Bandeira et al. 2016 [91].

RVFV

Bunyaviridae

Phlebovirus

ssRNA (-), ambisense, segmented

Febrile disease, hemorrhagic fever, maculo-retinitis, encephalitis, miscarriage, hepatic and renal failure

NA

Unknown

Salam and Horby, 2017 [8]; Gregor et al., 2021 [92]; Haneche et al., 2016 [93].

HCV

Flaviviridae

Hepacivirus

ssRNA (+)

Hepatitis, cirrhosis, and hepatocellular carcinoma

Y

Abnormal sperm parameters, infertility and DNA damages.

Teixeira et al., 2021 [7]; Lorusso et al., 2010 [49]; Karamolahi et al., 2019 [94]; La Vignera et al., 2012 [95]; Hofny et al., 2011 [96]; Safarinejad, Kolahi and Iravani, 2010 [97]; Durazzo et al., 2006 [98].

  1. Abbreviations: HIV Human immunodeficiency virus, ZIKV Zika virus, EBOV Ebola virus, HPV Human papillomavirus, HCMV Human cytomegalovirus, HSV 1/2 Herpes simplex virus type 1 and 2, EBV Epstein-Barr virus, HVV-6 Human herpesvirus-6, HBV Hepatitis B virus, SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2, LASV Lassa virus, HHV-8 Human herpesvirus-8, VZV Varicella zoster virus, HEV Hepatitis E virus, HHV-7 Human herpesvirus-7, AVs Anelloviruses, SFTSV Severe fever with thrombocytopenia syndrome virus, NiV Nipah virus, WNV West Nile virus, AAV Adeno-associated virus, ANDV Andes virus, DENV Dengue virus, YFV Yellow Fever Virus, JCPyV JC polyomavirus, CHIKV Chikungunya virus, RVFV Rift Valley fever virus, HCV Hepatitis C virus, ssRNA (RT) single-stranded RNA reverse-transcribing viruses, ssRNA (+) positive-sense single-stranded RNA viruses, ssRNA (-) negative-sense single-stranded RNA viruses, dsDNA double - stranded DNA viruses, dsDNA (RT) double-stranded DNA reverse-transcribing viruses. Y: Yes, N No, NA Not available