Potential relationship of the gut microbiome with testosterone level in men: a systematic review

The gut microbiome influences the metabolism and health of several organs beyond the gut and has recently gained considerable attention. The gut plays a central role in food digestion, absorption, nutrition, and general health. Hence, the gut microbiome has become a research subject for almost all h...

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Main Authors: Cennikon Pakpahan, Geraldo Laurus, Markus Christian Hartanto, Rajender Singh, Ankur Saharan, Darmadi Darmadi, Andri Rezano, Gito Wasian
Format: Article
Language:English
Published: PeerJ Inc. 2025-04-01
Series:PeerJ
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Online Access:https://peerj.com/articles/19289.pdf
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author Cennikon Pakpahan
Geraldo Laurus
Markus Christian Hartanto
Rajender Singh
Ankur Saharan
Darmadi Darmadi
Andri Rezano
Gito Wasian
author_facet Cennikon Pakpahan
Geraldo Laurus
Markus Christian Hartanto
Rajender Singh
Ankur Saharan
Darmadi Darmadi
Andri Rezano
Gito Wasian
author_sort Cennikon Pakpahan
collection DOAJ
description The gut microbiome influences the metabolism and health of several organs beyond the gut and has recently gained considerable attention. The gut plays a central role in food digestion, absorption, nutrition, and general health. Hence, the gut microbiome has become a research subject for almost all health conditions. Imbalance or dysbiosis in the gut microbiome can cause different health issues in men, including reproductive and sexual health issues associated with testosterone levels. Several studies have investigated the relationship between the gut microbiome and testosterone levels. In this systematic review, we aimed to examine the relationship between the gut microbiome and testosterone levels in men. Literature searches were conducted by scanning PubMed, ProQuest, EBSCO, Taylor & Francis Online, Wiley Online, Springer Link, Web of Science, Google Scholar, and Science Direct databases for relevant keywords following the preferred reporting items for the systematic review guidelines. This review included cross-sectional, case-control, retrospective, and prospective cohort studies. Quality assessment was conducted using the Newcastle-Ottawa Scale. We found a significant positive correlation between the gut microbiome and testosterone levels in men. Several microbes play substantial roles in testosterone production. Mechanisms have been proposed as factors that contribute to testosterone levels, namely the hypothalamus-pituitary-gonad axis modulation, androgen metabolism, and intestinal homeostasis, by balancing the bone morphogenic protein (BMP) and the Wnt diverse microbiome. Ruminococcus showed a stronger correlation with testosterone levels than other microorganisms. The gut microbiome has complex correlations with testosterone metabolism. However, the microbiome with the most significant influence on testosterone levels cannot be easily identified and requires further research.
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spelling doaj-art-d773b3b9ea4942c3b96f8a52b9ed05f52025-08-20T03:18:52ZengPeerJ Inc.PeerJ2167-83592025-04-0113e1928910.7717/peerj.19289Potential relationship of the gut microbiome with testosterone level in men: a systematic reviewCennikon Pakpahan0Geraldo Laurus1Markus Christian Hartanto2Rajender Singh3Ankur Saharan4Darmadi Darmadi5Andri Rezano6Gito Wasian7Andrology Study Program, Department of Biomedical Sciences, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, IndonesiaAndrology Study Program, Department of Biomedical Sciences, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, IndonesiaAndrology Study Program, Department of Biomedical Sciences, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, IndonesiaDivision of Endocrinology, Central Drug Research Institute India, Lucknow, Uttar Pradesh, IndiaFaculty of Medicine, Amity University India, Noida, Uttar Pradesh, IndiaDepartment of Internal Medicine, Faculty of Medicine, Universitas Sumatera Utara, Medan, North Sumatera, IndonesiaDepartment of Biomedical Sciences, Faculty of Medicine, Universitas Padjadjaran, Sumedang, West Java, IndonesiaDepartment of Medical Biology, Faculty of Medicine, Universitas Indonesia, Jakarta, IndonesiaThe gut microbiome influences the metabolism and health of several organs beyond the gut and has recently gained considerable attention. The gut plays a central role in food digestion, absorption, nutrition, and general health. Hence, the gut microbiome has become a research subject for almost all health conditions. Imbalance or dysbiosis in the gut microbiome can cause different health issues in men, including reproductive and sexual health issues associated with testosterone levels. Several studies have investigated the relationship between the gut microbiome and testosterone levels. In this systematic review, we aimed to examine the relationship between the gut microbiome and testosterone levels in men. Literature searches were conducted by scanning PubMed, ProQuest, EBSCO, Taylor & Francis Online, Wiley Online, Springer Link, Web of Science, Google Scholar, and Science Direct databases for relevant keywords following the preferred reporting items for the systematic review guidelines. This review included cross-sectional, case-control, retrospective, and prospective cohort studies. Quality assessment was conducted using the Newcastle-Ottawa Scale. We found a significant positive correlation between the gut microbiome and testosterone levels in men. Several microbes play substantial roles in testosterone production. Mechanisms have been proposed as factors that contribute to testosterone levels, namely the hypothalamus-pituitary-gonad axis modulation, androgen metabolism, and intestinal homeostasis, by balancing the bone morphogenic protein (BMP) and the Wnt diverse microbiome. Ruminococcus showed a stronger correlation with testosterone levels than other microorganisms. The gut microbiome has complex correlations with testosterone metabolism. However, the microbiome with the most significant influence on testosterone levels cannot be easily identified and requires further research.https://peerj.com/articles/19289.pdfGut microbiomeReproductive healthSexual healthTestosterone
spellingShingle Cennikon Pakpahan
Geraldo Laurus
Markus Christian Hartanto
Rajender Singh
Ankur Saharan
Darmadi Darmadi
Andri Rezano
Gito Wasian
Potential relationship of the gut microbiome with testosterone level in men: a systematic review
PeerJ
Gut microbiome
Reproductive health
Sexual health
Testosterone
title Potential relationship of the gut microbiome with testosterone level in men: a systematic review
title_full Potential relationship of the gut microbiome with testosterone level in men: a systematic review
title_fullStr Potential relationship of the gut microbiome with testosterone level in men: a systematic review
title_full_unstemmed Potential relationship of the gut microbiome with testosterone level in men: a systematic review
title_short Potential relationship of the gut microbiome with testosterone level in men: a systematic review
title_sort potential relationship of the gut microbiome with testosterone level in men a systematic review
topic Gut microbiome
Reproductive health
Sexual health
Testosterone
url https://peerj.com/articles/19289.pdf
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