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Becker-Schiebe M, Mengs U, Schaefer M, Bulitta M, Hoffmann W

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The catabolic transsulfuration pathway converts homocysteine to cysteine via two vitamin B 6 -dependent enzymes: cystathionine synthase catalyzes the condensation of homocysteine with serine to form cystathionine, and cystathionine lyase converts cystathionine to cysteine, -ketobutyrate, and ammonia

Such alterations in the shape and structure of the sperm are further exacerbated by ROS damage to the mitochondria, crucial for sperm function and energy production [37]