Supplementary Material Table 1. Age, smoking status, and semen parameters of subjects in the test set. Control Asthenozoosper Oligoasthenozoo Casesa (n=194) mia (n=115) spermia (n=90) (n=205) b Age(yrs) 34.5 ± 5.1 34.2 ± 5.7 35.1 ± 5.3 34.6 ± 5.5 Nonsmoker (%)c 42.3 52.3 44.0 49.2 Heavy smoker(%)c 19.0 7.5 25.3 14.9 Smoking indexc 78 58 93 72 Concentration(106/mL) b 91.12 ± 50.99 46.65 ± 30.04 11.79 ± 5.19 31.35 ± 28.58 Progressive Motility (%)b 67 ± 8 20 ± 7 18 ± 7 19 ± 7 Immotility (%)b 25 ± 7 76 ± 8 78 ± 7 77 ± 7 Vitality (%)b 90 ± 4 68 ± 14 67 ± 16 68 ± 15 a: All asthenozoospermic and oligoasthenozoospermic patients. b: Data was presented as mean value ± standard derivation. c: Information of smoking dose and years smoked was acquired from patients. Smoking index was calculated by multiplying smoking dose (cigarettes per day) and duration (years smoked). Patients with smoking index ≥200 are heavy smokers. 1 Table 2. Age, smoking status, and semen parameters of subjects in the validation set. Control Asthenozoosper Oligoasthenozoo Casesa (n=101) mia (n=81) spermia (n=50) (n=131) b Age(yrs) 33.3 ± 4.3 37.3 ± 7.1 34.0 ± 5.8 36.0 ± 6.9 Nonsmoker (%)c 25.7 21.0 36.0 26.7 Heavy smoker(%)c 12.9 13.6 8.0 11.5 Smoking indexc 88 114 55 91 Concentration(106/mL) b 78.16 ± 49.24 56.45 ± 44.74 11.39 ± 5.04 39.25 ± 41.55 Progressive Motility (%)b 64 ± 7 24 ± 10 19 ± 7 22 ± 107 Immotility (%)b 29 ± 7 69 ± 12 74 ± 10 71 ± 12 Vitality (%)b 89 ± 5 73 ± 16 70 ± 17 72 ± 17 a: All asthenozoospermic and oligoasthenozoospermic patients. b: Data was presented as mean value ± standard derivation. c: Information of smoking dose and years smoked was acquired from patients. Smoking index was calculated by multiplying smoking dose (cigarettes per day) and duration (years smoked). Patients with smoking index ≥200 are heavy smokers. 2 Table 3. Genotypes and allele frequencies of the Nrf2 promoters of subjects in the test set. Genotypea -617 G/G T/T G/T G T Control (n=194)b 109(56.19%) 12(6.19%) 73(37.63%) 291(75.00%) 97(25.00%) Asthenozoospermia (n=115)b 63(54.78%) 9(7.83%) 43(37.39%) 169(73.48%) 61(26.52%) Oligoasthenozoosper mia (n=90) b 43(47.78%) 13(14.44%) 34(37.78%) 120(66.67%) 60(33.33%) Cases (n=205) b,c 106(51.71%) 22(10.73%) 77(37.56%) 289(70.49%) 121(29.51%) -651 C/C T/T C/T C T 180(92.78%) 0(0.00%) 14(7.22%) 374(96.39%) 14(3.61%) 106(92.17%) 0(0.00%) 9(7.83%) 221(96.09%) 9(3.91%) 79(87.78%) 1(1.11%) 10(11.11%) 168(93.33%) 12(6.67%) 185(90.24%) 1(0.49%) 19(9.27%) 389(94.88%) 21(5.12%) -653 T/T C/C T/C T C 43(22.16%) 61(31.44%) 90(46.39%) 176(45.36%) 212(54.64%) 27(23.48%) 32(27.83%) 56(48.70%) 110(47.83%) 120(52.17%) 31(34.44%) 16(17.78%) 43(47.78%) 105(58.33%) 75(41.67%) 58(28.29%) 48(23.41%) 99(48.29%) 215(52.44%) 195(47.56%) a: -617: Nrf2 SNP rs6721961; -651:Nrf2 SNP rs6706649; -653: Nrf2 SNP rs35652124. Data was presented as case number (% of total number). c: All asthenozoospermic and oligoasthenozoospermic patients. b: 3 Table 4. Genotypes and allele frequencies of the Nrf2 promoters of subjects in the validation set. Genotypea -617 G/G T/T G/T G T Control (n=101)b 59(58.42%) 5(4.95%) 37(36.63%) 155(76.73%) 47(23.27%) Asthenozoospermia (n=81)b 42(51.85%) 7(8.64%) 32(39.51%) 116(71.60%) 46(28.40%) Oligoasthenozoosper mia (n=50) b 17(34.00%) 6(12.00%) 27(54.00%) 61(61.00%) 39(39.00%) Cases (n=131) b,c 59(45.04%) 13(9.92%) 59(45.04%) 177(67.56%) 85(32.44%) -651 C/C T/T C/T C T 87(86.14%) 0(0.00%) 14(13.86%) 188(93.07%) 14(6.93%) 78(96.30%) 0(0.00%) 3(3.70%) 159(98.15%) 3(1.85%) 47(94.00%) 0(0.00%) 3(6.00%) 97(97.00%) 3 (3.00%) 125(95.42%) 0(0.00%) 6(4.58%) 256(97.71%) 6(2.29%) -653 T/T C/C T/C T C 15(14.85%) 22(21.78%) 64(63.37%) 94(46.53%) 108(53.47%) 18(22.22%) 22(27.16%) 41(50.62%) 77(47.53%) 85(52.47%) 16(32.00%) 8(16.00%) 26(52.00%) 58(58.00%) 42(42.00%) 34(25.95%) 30(22.90%) 67(51.15%) 135(51.53%) 127(48.47%) a: -617: Nrf2 SNP rs6721961; -651:Nrf2 SNP rs6706649; -653: Nrf2 SNP rs35652124. Data was presented as case number (% of total number). c: All asthenozoospermic and oligoasthenozoospermic patients. b: 4 Table 5. Haplotypes of the Nrf2 promoters of subjects in the test set. Haplotypea Control (n=194)b GCT 9(4.64%) 60(30.93%) 12(6.19%) 0(0.00%) 113(58.25%) GCC TCT GTT Hetero a Asthenozoospermia (n=115)b a Oligoasthenozoosper mia (n=90)b a 3(2.61%) 32(27.83%) 9(7.83%) 0(0.00%) 71(61.74%) 5(5.56%) 16(17.78%) 12(13.33%) 1(1.11%) 56(62.22%) a Cases (n=205)b,c a 8(3.90%) 48(23.41%) 21(10.24%) 1(0.49%) 127(61.95%) : Three alleles at position -617 (rs6721961), -651 (rs6706649) and -653 (rs35652124) of the Nrf2 promoter. b : Data was presented as case number (% of total number). c : All asthenozoospermic and oligoasthenozoospermic patients. 5 Table 6. Haplotypes of the Nrf2 promoters of subjects in the validation set. Haplotypea Control (n=101)b GCT 2(1.98%) 21(20.79%) 5(4.95%) 0(0.00%) 73(72.28%) GCC TCT GTT Hetero a Asthenozoospermia (n=81)b a Oligoasthenozoospermi a (n=50)b a 3(3.70%) 22(27.16%) 7(8.64%) 0(0.00%) 49(60.49%) 0(0.00%) 8(16.00%) 6(12.00%) 0(0.00%) 36(72.00%) a Cases(n=131)b,c a 3(2.29%) 30(22.90%) 13(9.92%) 0(0.00%) 85(64.89) : Three alleles at position -617 (rs6721961), -651 (rs6706649) and -653 (rs35652124) of Nrf2 promoter. b : Data was presented as case number (% of total number). c : All asthenozoospermic and oligoasthenozoospermic patients. 6 Table 7. Seminal SOD activities analyzed by individual genotypes in the test set. Genotypea Group SOD activity (U/mg)b All Control Asthenozoospermia Oligoasthenozoospermia 3.07 ± 1.11 2.68 ± 1.13 2.43 ± 0.90 617TT Control Asthenozoospermia Oligoasthenozoospermia 2.85 ± 1.38 2.71 ± 1.46 2.61 ± 1.24 617GG Control Asthenozoospermia Oligoasthenozoospermia 3.24 ± 1.10 2.75 ± 1.20 2.30 ± 0.74 653TT Control Asthenozoospermia Oligoasthenozoospermia 2.97 ± 1.17 2.56 ± 1.14 2.35 ± 0.97 653CC Control 3.14 ± 0.91 Asthenozoospermia 2.60 ± 0.79 Oligoasthenozoospermia 2.35 ± 0.85 a: All: all controls and patients; 617TT: controls or patients with the Nrf2 -617TT genotype; 617GG: controls or patients with the Nrf2 -617GG genotype; 653TT: controls or patients with the Nrf2 -653 TT genotype; 653CC: controls or patients with the Nrf2 -653CC genotype. b: Data was presented as mean value ± standard derivation. 7 Table 8. Seminal SOD activities analyzed by individual genotypes in the validation set. Genotypea Group SOD activity (U/mg)b All Control Asthenozoospermia Oligoasthenozoospermia 2.84 ± 1.03 2.52 ± 1.09 2.46 ± 0.95 617TT Control Asthenozoospermia Oligoasthenozoospermia 2.24 ± 0.60 2.39 ± 0.89 2.22 ± 0.50 617GG Control Asthenozoospermia Oligoasthenozoospermia 3.08 ± 1.54 2.37 ± 1.08 2.35 ± 0.92 653TT Control Asthenozoospermia Oligoasthenozoospermia 2.60 ± 0.76 2.40 ± 0.75 2.30 ± 0.58 653CC Control 2.85 ± 1.23 Asthenozoospermia 2.44 ± 1.07 Oligoasthenozoospermia 2.34 ± 0.97 a: All: all controls and patients; 617TT: controls or patients with the Nrf2 -617TT genotype; 617GG: controls or patients with the Nrf2 -617GG genotype; 653TT: controls or patients with the Nrf2 -653 TT genotype; 653CC: controls or patients with the Nrf2 -653CC genotype. b : Data was presented as mean value ± standard derivation. 8