1
|
Grande G, Pompa G, Astorri AL, Pontecorvi A, Milardi D. Association of Probiotic Treatment With Antibiotics in Male Accessory Gland Infections. Am J Mens Health 2022; 16:15579883221119064. [PMID: 36255039 PMCID: PMC9583205 DOI: 10.1177/15579883221119064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Male accessory gland infection (MAGI) represents a frequent disease, commonly treated with antibiotics alone. However, in approximately 40% to 50% of patients, persistent infection is detected. Intestinal dysbiosis is involved in the pathogenesis of prostatitis. We aimed to evaluate the efficacy of antibiotic treatment in association with a specific probiotic supplementation. A total of 104 infertile patients, with microbiological analysis on semen and/or prostatic secretions positive for Gram-negative bacteria, have been enrolled. All patients received antibiotic treatment with fluoroquinolones. In total, 84 patients received a commercial association of Enterococcus faecium and Saccharomyces boulardii during antibiotic treatment, followed by treatment with Lactobacilli. After the treatment, a complete microbiological analysis was repeated. Polymicrobial infections have been observed in 11% of patients, while infections due to a single germ were reported in 89% of the patients. After the treatment was performed, a complete eradication with negative semen culture and microbiological analysis on prostatic secretion was observed in 64 of 84 patients (76.2%), while only 10 of 20 patients receiving antibiotics alone (50%; p < .05) reported negative microbiological analysis. Persistent infections have been observed only in patients with infections due to Enterococcus faecalis and Escherichia coli. This study represents the first approach demonstrating the efficacy of a specific probiotic treatment in reducing the rate of persistent infections in patients with MAGI.
Collapse
Affiliation(s)
- Giuseppe Grande
- International Scientific Institute
“Paul VI,” Rome, Italy,Fondazione Policlinico Universitario A.
Gemelli IRCCS, Rome, Italy,Unit of Andrology and Reproductive
Medicine, University of Padova, Padova, Italy,Giuseppe Grande, Unit of Andrology and
Reproductive Medicine, Department of Medicine, University of Padova, Via Gustavo
Modena 9, 35128 Padova, Italy.
| | - Giuseppina Pompa
- International Scientific Institute
“Paul VI,” Rome, Italy,Fondazione Policlinico Universitario A.
Gemelli IRCCS, Rome, Italy
| | - Anna Laura Astorri
- International Scientific Institute
“Paul VI,” Rome, Italy,Fondazione Policlinico Universitario A.
Gemelli IRCCS, Rome, Italy
| | - Alfredo Pontecorvi
- International Scientific Institute
“Paul VI,” Rome, Italy,Fondazione Policlinico Universitario A.
Gemelli IRCCS, Rome, Italy
| | - Domenico Milardi
- International Scientific Institute
“Paul VI,” Rome, Italy,Fondazione Policlinico Universitario A.
Gemelli IRCCS, Rome, Italy
| |
Collapse
|
2
|
Therapeutic Effects of Xianlu Oral Solution on Rats with Oligoasthenozoospermia through Alleviating Apoptosis and Oxidative Stress. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2022; 2022:1269530. [PMID: 35761898 PMCID: PMC9233599 DOI: 10.1155/2022/1269530] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 06/02/2022] [Indexed: 11/17/2022]
Abstract
Idiopathic oligoasthenozoospermia (iOAZS) is one of the major causes of male infertility, and the ideal therapies for iOAZS have not been established yet. Traditional Chinese medicine (TCM), including Xianlu oral solution (XL), has been widely used as an adjunct treatment for male infertility in the clinic. However, the underlying mechanisms of XL treatment on iOAZS are still not known. Here, we found that XL treatment has therapeutic effects on ornidazole (ORN)-induced OAZS model rats through the amelioration of testis tissues spermatogenesis and the improvement of sperm concentration and motility. Moreover, XL treatment ameliorated the serum hormone levels, mitochondrial membrane potential, apoptosis status, and oxidative stress status in the testis tissues of iOAZS model rats. These findings identify a potential mechanism underlying the therapeutic effects of Xianlu oral solution on iOAZS, and Xianlu oral solution may be used as a traditional Chinese medicine (TCM) therapy for male infertility caused by iOAZS in clinical practice.
Collapse
|
3
|
Oxidative Stress, Testicular Inflammatory Pathways, and Male Reproduction. Int J Mol Sci 2021; 22:ijms221810043. [PMID: 34576205 PMCID: PMC8471715 DOI: 10.3390/ijms221810043] [Citation(s) in RCA: 81] [Impact Index Per Article: 27.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2021] [Revised: 09/11/2021] [Accepted: 09/15/2021] [Indexed: 12/16/2022] Open
Abstract
Inflammation is among the core causatives of male infertility. Despite male infertility being a serious global issue, "bits and pieces" of its complex etiopathology still remain missing. During inflammation, levels of proinflammatory mediators in the male reproductive tract are greater than usual. According to epidemiological research, in numerous cases of male infertility, patients suffer from acute or chronic inflammation of the genitourinary tract which typically occurs without symptoms. Inflammatory responses in the male genital system are inextricably linked to oxidative stress (OS). OS is detrimental to male fertility parameters as it causes oxidative damage to reproductive cells and intracellular components. Multifarious male infertility causative factors pave the way for impairing male reproductive functions via the common mechanisms of OS and inflammation, both of which are interlinked pathophysiological processes, and the occurrence of any one of them induces the other. Both processes may be simultaneously found in the pathogenesis of male infertility. Thus, the present article aims to explain the role of inflammation and OS in male infertility in detail, as well as to show the mechanistic pathways that link causative factors of male reproductive tract inflammation, OS induction, and oxidant-sensitive cellular cascades leading to male infertility.
Collapse
|
4
|
Chen Q, Feng J, Liu Z, An D, Li Y, Zhou S, Weng Z. Research trends of prostatitis over past 20 years: A bibliometric analysis. Andrologia 2021; 53:e14206. [PMID: 34365673 DOI: 10.1111/and.14206] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Revised: 07/16/2021] [Accepted: 07/20/2021] [Indexed: 11/26/2022] Open
Abstract
In the past two decades, thousands of documents in the field of prostatitis have been published. This bibliometric analysis aimed to assess the characteristics, hotspots and frontiers trend of global scientific output on prostatitis. With the trend of moderate growth, altogether 2,423 papers were reviewed. The leading role of the United States in global prostatitis research was obvious, while China had developed rapidly in recent years. Queen's University and JOURNAL OF UROLOGY were the most prolific affiliation and journal respectively. Nickel, J. C made the greatest contribution to the field of prostatitis. Five hotspots have been confirmed: (a) male infertility associated with prostatitis and the molecular mechanisms; (b) diagnosis and treatment of prostatitis; (c) inflammation, pain and bladder irritation symptoms; (d) relationship between chronic prostatitis/chronic pelvic pain syndrome, benign prostatic hyperplasia and prostate cancer; (e) epidemiology, complications of prostatitis and improvement of acupuncture. This bibliometric analysis reveals that the international cooperation was becoming more and more close. Hotspot analysis shows that the molecular mechanism of prostatitis will be a hotspot in the future, mainly focussing on inflammatory immunity and oxidative stress.
Collapse
Affiliation(s)
- Qi Chen
- The First Clinical Medical School, Guangzhou University of Chinese Medicine, Guangzhou, China.,Lingnan Medical Research Center, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Jiaming Feng
- The First Clinical Medical School, Guangzhou University of Chinese Medicine, Guangzhou, China.,Lingnan Medical Research Center, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Zhidan Liu
- The First Clinical Medical School, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Dongyang An
- The First Clinical Medical School, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Yadan Li
- The First Clinical Medical School, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Shaohu Zhou
- The First Clinical Medical School, Guangzhou University of Chinese Medicine, Guangzhou, China.,The First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Zhiwei Weng
- The First Clinical Medical School, Guangzhou University of Chinese Medicine, Guangzhou, China.,The First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China
| |
Collapse
|
5
|
Bratchikov OI, Tyuzikov IA, Dubonos PA. Nutritional supplementation of the pharmacotherapy of prostate diseases. RESEARCH RESULTS IN PHARMACOLOGY 2021. [DOI: 10.3897/rrpharmacology.7.67465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Introduction: Nutritional supplementation is an integral part of modern pharmacotherapeutic strategies for prostate diseases with different levels of evidence for specific nutrients.
Provitamin A (beta-carotene), vitamin A (retinol) and prostate diseases. Their effects have not been sufficiently studied, and the available data are conflicting to recommend them as a nutritional supplement.
Vitamin E (tocopherol) and prostate diseases. Its effects have not been sufficiently studied, and the available data are conflicting to recommend it as a nutritional supplement.
Vitamin C (ascorbic acid) and prostate diseases. Its effects have not been sufficiently studied, and the available data are conflicted to recommend it as a nutritional supplement.
Vitamin K and prostate diseases. Its effects have not been sufficiently studied, and the available data are conflicted to recommend it as a nutritional supplement.
Vitamin D and prostate diseases. The evidence base of the vitamin D prostatotropic effects has been accumulated, which allows us to consider its deficiency replacement as an effective nutritional supplement in prostate diseases.
Omega-3 PUFAs and prostate diseases. They have universal physiological effects; however, the evidence base for their recommendation as a nutritional supplement for prostate diseases is still insufficient.
Zinc and prostate diseases. Positive effects of zinc on the prostate gland are known for a fact and allow us to recommend it as a nutritional supplement for prostate diseases.
Selenium and prostate diseases. The reliably proven positive effects of selenium on the prostate gland allow us to recommend it as a nutritional supplement for prostate diseases.
Magnesium and prostate diseases. Its effects have not been sufficiently studied, and the available data are conflicting to recommend it as a nutritional supplement.
Collapse
|
6
|
Campos SC, Elkins JM, Sheele JM. Descriptive analysis of prostatitis in the emergency department. Am J Emerg Med 2021; 44:143-147. [PMID: 33618038 DOI: 10.1016/j.ajem.2021.01.054] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 01/18/2021] [Accepted: 01/20/2021] [Indexed: 10/22/2022] Open
Abstract
INTRODUCTION Prostatitis is one of the most common urologic diseases in ambulatory patients. However, prostatitis data are limited from the emergency department (ED) setting. METHODS A data set was examined of patients age 18 years or older who received urinalysis and urine culture or were tested for gonorrhea, chlamydia, or trichomonas in the ED from a health care system in northeast Ohio. RESULTS Of 19,308 ED encounters of male patients, 77 encounters (0.4%) involved the diagnosis of prostatitis. Men with prostatitis were younger (52.4 vs 66.3 years), were less likely to be hospitalized (27.3% vs 43.1%), had shorter clinical encounters (1336.5 vs 3019.3 min), and were less likely to arrive by emergency medical services or police (6.5% vs 45.5%) than men diagnosed with urinary tract infection (UTI) without prostatitis (n = 2527) (P ≤ .007 for all). Of the men with urinalysis, those with prostatitis had less bacteria (0.9+ vs 1.8+), blood (0.9+ vs 1.5+), glucose (4.0% vs 13.0%), leukocyte esterase (0.9+ vs 2.3+), nitrite positive (8.0% vs 21.4%), protein (0.5+ vs 1.2+), squamous epithelial cells (0.6 vs 1.7 per high-power field [HPF]), red blood cells (18.3/HPF vs 29.5/HPF), and white blood cells (31.6/HPF vs 57.6/HPF) than men diagnosed with UTI and no prostatitis (P ≤ .005 for all). Escherichia coli was the most common bacterium growing in the urine (58.8%; n = 10) and the blood (100.0%; n = 2) of men with prostatitis; however 73.0% (n = 17) of urine cultures and 90.9% (n = 22) of blood cultures had no bacterial growth. Of 77 patient encounters with prostatitis, 16 (20.8%) underwent testing for Neisseria gonorrhoeae and Chlamydia trachomatis and 3 (3.9%) for Trichomonas vaginalis. Of those tested, only 1 person was infected, with C trachomatis. CONCLUSION Prostatitis was uncommonly diagnosed in men undergoing urinalysis and urine culture or testing for sexually transmitted infections in the ED.
Collapse
Affiliation(s)
| | - Justin M Elkins
- Department of Emergency Medicine, Mayo Clinic, Jacksonville, FL, USA
| | | |
Collapse
|
7
|
Tezerjani MD, Kalantar SM. Unraveling the dark matter, long non-coding RNAs, in male reproductive diseases: A narrative review. Int J Reprod Biomed 2020; 18:921-934. [PMID: 33349800 PMCID: PMC7749978 DOI: 10.18502/ijrm.v13i11.7959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Revised: 05/10/2020] [Accepted: 06/28/2020] [Indexed: 12/09/2022] Open
Abstract
Recent advances in human transcriptome have revealed the fundamental and functional roles of long non-coding RNA in the susceptibility to diverse diseases and pathological conditions. They participate in wide range of biological processes such as the modulating of chromatin structure, transcription, translation, and post-translation modification. In addition, based on their unique expression profiles and their association with clinical abnormalities such as those of related to male reproductive diseases, they can be used to develop therapeutic methods and biomarkers for screening of the diseases. In this study, we will review the identified lncRNAs and their molecular functions in the pathogenesis of male reproductive diseases such as prostate cancer, benign prostatic hyperplasia, prostatitis, testicular cancer, varicocele, and sperm abnormalities.
Collapse
Affiliation(s)
- Masoud Dehghan Tezerjani
- Abortion Research Centre, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Science, Yazd, Iran
| | - Seyed Mehdi Kalantar
- Abortion Research Centre, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Science, Yazd, Iran.,Department of Genetics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| |
Collapse
|
8
|
Farsimadan M, Motamedifar M. Bacterial infection of the male reproductive system causing infertility. J Reprod Immunol 2020; 142:103183. [PMID: 32853846 DOI: 10.1016/j.jri.2020.103183] [Citation(s) in RCA: 36] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2019] [Revised: 06/03/2020] [Accepted: 07/29/2020] [Indexed: 12/13/2022]
Abstract
Bacterial infections play a disruptive and hidden role in male reproductive failure. Different kinds of bacteria are often able to interfere with reproductive function in both sexes and lead to infertility. In this study, to further evaluate the role of bacterial infections in male reproduction we provided an extensive overview of so far researches investigating the effects of bacterial infections on male fertility. We searched Medline, PubMed, Scopus and Google scholar databases to identify the potentially relevant studies on bacterial infections and their implications in male infertility. All the bacteria included in this article have negative effects on the male reproductive function; however, there is ample evidence to blame bacteria such as Escherichia coli, Chlamydia trachomatis, Ureaplasma, Mycoplasma and Staphylococcus aureus for reduced fertility and deterioration of sperm parameters. More studies are needed to clarify the molecular mechanisms by which different bacteria exert their detrimental effects on male reproductive system. Getting more insight into probable mechanisms, would significantly facilitate the production of new, advanced, and effective remedies in the future. In view of all evidence, we strongly suggest increasing awareness among people and considering screening programs for patients seeking fertility both to avoid transmission and to improve fertility outcomes among them.
Collapse
Affiliation(s)
- Marziye Farsimadan
- Department of Biology, Faculty of Sciences, University of Guilan, Rasht, Iran.
| | - Mohammad Motamedifar
- Department of Bacteriology and Virology, Shiraz Medical School, Shiraz University of Medical Sciences, Shiraz, Iran.
| |
Collapse
|
9
|
Henkel R, Offor U, Fisher D. The role of infections and leukocytes in male infertility. Andrologia 2020; 53:e13743. [PMID: 32693434 DOI: 10.1111/and.13743] [Citation(s) in RCA: 32] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Revised: 06/05/2020] [Accepted: 06/05/2020] [Indexed: 12/16/2022] Open
Abstract
Declining birth rates are one of the problems facing society today. Male counterparts are responsible for about half of the infertility cases, and genitourinary tract infections may play a contributing role in approximately 15% of male infertility cases. Leukocytospermia is an established indicator of infection in the male urogenital tract, although other microorganisms such as bacteria and virus may also be contributors to the etiology of male infertility. The pathophysiology of these infectious agents may be initiated by a local inflammatory reaction resulting in an increase in reactive oxygen species (ROS). This results in testicular injury, thereby affecting sperm morphology, sperm motility, sperm viability and elevation of the seminal leukocyte as a result of the genital tract infection. The infectious and inflammatory changes can result in male infertility. It is proposed that high concentrations of seminal leukocyte and infectious agents may affect sperm function resulting in clumping of motile spermatozoa, decreasing acrosomal functionality and also causing alterations in sperm morphology. However, the literature has poorly clarified the role of infection in male infertility, provoking further debate and research on this topic.
Collapse
Affiliation(s)
- Ralf Henkel
- Department of Medical Bioscience, Faculty of Natural Science, University of Western Cape, Bellville, South Africa.,American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH, USA
| | - Ugochukwu Offor
- Department of Pre-Clinical Sciences, Faculty of Health Sciences, University of Limpopo, Polokwane, South Africa
| | - David Fisher
- Department of Medical Bioscience, Faculty of Natural Science, University of Western Cape, Bellville, South Africa
| |
Collapse
|
10
|
Le Tortorec A, Matusali G, Mahé D, Aubry F, Mazaud-Guittot S, Houzet L, Dejucq-Rainsford N. From Ancient to Emerging Infections: The Odyssey of Viruses in the Male Genital Tract. Physiol Rev 2020; 100:1349-1414. [PMID: 32031468 DOI: 10.1152/physrev.00021.2019] [Citation(s) in RCA: 56] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
The male genital tract (MGT) is the target of a number of viral infections that can have deleterious consequences at the individual, offspring, and population levels. These consequences include infertility, cancers of male organs, transmission to the embryo/fetal development abnormalities, and sexual dissemination of major viral pathogens such as human immunodeficiency virus (HIV) and hepatitis B virus. Lately, two emerging viruses, Zika and Ebola, have additionally revealed that the human MGT can constitute a reservoir for viruses cleared from peripheral circulation by the immune system, leading to their sexual transmission by cured men. This represents a concern for future epidemics and further underlines the need for a better understanding of the interplay between viruses and the MGT. We review here how viruses, from ancient viruses that integrated the germline during evolution through old viruses (e.g., papillomaviruses originating from Neanderthals) and more modern sexually transmitted infections (e.g., simian zoonotic HIV) to emerging viruses (e.g., Ebola and Zika) take advantage of genital tract colonization for horizontal dissemination, viral persistence, vertical transmission, and endogenization. The MGT immune responses to viruses and the impact of these infections are discussed. We summarize the latest data regarding the sources of viruses in semen and the complex role of this body fluid in sexual transmission. Finally, we introduce key animal findings that are relevant for our understanding of viral infection and persistence in the human MGT and suggest future research directions.
Collapse
Affiliation(s)
- Anna Le Tortorec
- University of Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail)-UMR_S1085, Rennes, France
| | - Giulia Matusali
- University of Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail)-UMR_S1085, Rennes, France
| | - Dominique Mahé
- University of Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail)-UMR_S1085, Rennes, France
| | - Florence Aubry
- University of Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail)-UMR_S1085, Rennes, France
| | - Séverine Mazaud-Guittot
- University of Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail)-UMR_S1085, Rennes, France
| | - Laurent Houzet
- University of Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail)-UMR_S1085, Rennes, France
| | - Nathalie Dejucq-Rainsford
- University of Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail)-UMR_S1085, Rennes, France
| |
Collapse
|
11
|
Catalase as a Molecular Target for Male Infertility Diagnosis and Monitoring: An Overview. Antioxidants (Basel) 2020; 9:antiox9010078. [PMID: 31963256 PMCID: PMC7022443 DOI: 10.3390/antiox9010078] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2019] [Revised: 01/12/2020] [Accepted: 01/13/2020] [Indexed: 01/24/2023] Open
Abstract
Catalase (CAT) stands out as one of the most efficient natural enzymes when catalysing the split of H2O2 into H2O and O2; H2O2 is one of the reactive oxygen species (ROS) involved in oxidative stress, a process closely related to aging and several health disorders or diseases like male infertility. Some studies have correlated H2O2 with male infertility and catalase with fertility restoration. However, the number of studies conducted with human beings remains scarce. Considering the use of CAT as a molecular target for biochemical analysis, this review summarises the current knowledge on how CAT influences human beings’ male fertility. Thus, three different databases were consulted—Scopus, PubMed and WOS—using single keywords and combinations thereof. A total of 40,823 articles were identified. Adopting inclusion and exclusion criteria, a final database of 197 articles served to conduct this work. It follows from this analysis that CAT could play an important role in male fertility and could become a good target for male infertility diagnosis and monitoring. However, that potential role of CAT as a tool in diagnosis must be confirmed by clinical trials. Finally, guidelines are suggested to reinforce the use of CAT in daily clinical tests for male fertility diagnosis and monitoring.
Collapse
|
12
|
Grande G, Vincenzoni F, Mancini F, Barrachina F, Giampietro A, Castagnola M, Urbani A, Oliva R, Milardi D, Pontecorvi A. Quantitative Analysis of the Seminal Plasma Proteome in Secondary Hypogonadism. J Clin Med 2019; 8:E2128. [PMID: 31816910 PMCID: PMC6947469 DOI: 10.3390/jcm8122128] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2019] [Revised: 11/04/2019] [Accepted: 11/12/2019] [Indexed: 12/19/2022] Open
Abstract
In the grey zone of testosterone levels between 8 and 12 nmol/L, the usefulness of therapy is controversial; as such, markers of tissue action of androgens may be helpful in adjusting clinical decisions. To better understand the effect of the hypothalamic-pituitary-testicular axis on male accessory secretion, we performed a proteomic quantitative analysis of seminal plasma in patients with secondary hypogonadism, before and after testosterone replacement therapy (TRT). Ten male patients with postsurgical hypogonadotrophic hypogonadism were enrolled in this study, and five of these patients were evaluated after testosterone treatment. Ten men with proven fertility were selected as a control group. An aliquot of seminal plasma from each individual was subjected to an in-solution digestion protocol and analyzed using an Ultimate 3000 RSLC-nano HPLC apparatus coupled to a LTQ Orbitrap Elite mass spectrometer. The label-free quantitative analysis was performed via Precursor Ions Area Detector Node. Eleven proteins were identified as decreased in hypogonadic patients versus controls, which are primarily included in hydrolase activity and protein binding activity. The comparison of the proteome before and after TRT comes about within the discovery of six increased proteins. This is the primary application of quantitative proteomics pointed to uncover a cluster of proteins reflecting an impairment not only of spermatogenesis but of the epididymal and prostate epithelial cell secretory function in male hypogonadism. The identified proteins might represent putative clinical markers valuable within the follow-up of patients with distinctive grades of male hypogonadism.
Collapse
Affiliation(s)
- Giuseppe Grande
- International Scientific Institute “Paul VI”, 100168 Rome, Italy; (G.G.); (F.M.); (A.P.)
- Divisione di Endocrinologia, Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy;
| | - Federica Vincenzoni
- Istituto di Biochimica e Biochimica Clinica, Università Cattolica del Sacro Cuore, 100168 Rome, Italy; (F.V.); (A.U.)
- Dipartimento di Scienze di laboratorio e infettivologiche, Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy
| | - Francesca Mancini
- International Scientific Institute “Paul VI”, 100168 Rome, Italy; (G.G.); (F.M.); (A.P.)
| | - Ferran Barrachina
- Molecular Biology of Reproduction and Development Research Group, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, University of Barcelona, 08036 Barcelona, Spain (R.O.)
- Biochemistry and Molecular Genetics Service, Hospital Clínic, 08036 Barcelona, Spain
| | - Antonella Giampietro
- Divisione di Endocrinologia, Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy;
| | - Massimo Castagnola
- Laboratorio di Proteomica e Metabolomica, IRCCS Fondazione Santa Lucia, 100168 Rome, Italy;
| | - Andrea Urbani
- Istituto di Biochimica e Biochimica Clinica, Università Cattolica del Sacro Cuore, 100168 Rome, Italy; (F.V.); (A.U.)
- Dipartimento di Scienze di laboratorio e infettivologiche, Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy
| | - Rafael Oliva
- Molecular Biology of Reproduction and Development Research Group, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, University of Barcelona, 08036 Barcelona, Spain (R.O.)
- Biochemistry and Molecular Genetics Service, Hospital Clínic, 08036 Barcelona, Spain
| | - Domenico Milardi
- International Scientific Institute “Paul VI”, 100168 Rome, Italy; (G.G.); (F.M.); (A.P.)
- Divisione di Endocrinologia, Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy;
| | - Alfredo Pontecorvi
- International Scientific Institute “Paul VI”, 100168 Rome, Italy; (G.G.); (F.M.); (A.P.)
- Divisione di Endocrinologia, Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy;
| |
Collapse
|
13
|
Schilit SLP. Recent advances and future opportunities to diagnose male infertility. CURRENT SEXUAL HEALTH REPORTS 2019; 11:331-341. [PMID: 31853232 PMCID: PMC6919557 DOI: 10.1007/s11930-019-00225-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
PURPOSE OF REVIEW Infertility affects 10-15% of couples, making it one of the most frequent health disorders for individuals of reproductive age. The state of childlessness and efforts to restore fertility cause substantial emotional, social, and financial stress on couples. Male factors contribute to about half of all infertility cases, and yet are understudied relative to female factors. The result is that the majority of men with infertility lack specific causal diagnoses, which serves as a missed opportunity to inform therapies for these couples. RECENT FINDINGS In this review, we describe current standards for diagnosing male infertility and the various interventions offered to men in response to differential diagnoses. We then discuss recent advances in the field of genetics to identify novel etiologies for formerly unexplained infertility. SUMMARY With a specific genetic diagnosis, male factors can be addressed with appropriate reproductive counseling and with potential access to assisted reproductive technologies to improve chances of a healthy pregnancy.
Collapse
Affiliation(s)
- Samantha L. P. Schilit
- Biological and Biomedical Sciences Program, Graduate School
of Arts and Sciences, Harvard University, Cambridge, MA, USA
- Program in Genetics and Genomics, Department of Genetics,
Harvard Medical School, Boston, MA, USA
- Leder Human Biology and Translational Medicine Program,
Division of Medical Sciences, Harvard Medical School, Boston, MA, USA
- Harvard Medical School Genetics Training Program, Harvard
Medical School, Boston, MA, USA
| |
Collapse
|
14
|
Agarwal A, Rana M, Qiu E, AlBunni H, Bui AD, Henkel R. Role of oxidative stress, infection and inflammation in male infertility. Andrologia 2018; 50:e13126. [DOI: 10.1111/and.13126] [Citation(s) in RCA: 144] [Impact Index Per Article: 24.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2018] [Revised: 06/08/2018] [Accepted: 07/18/2018] [Indexed: 02/06/2023] Open
Affiliation(s)
- Ashok Agarwal
- American Center for Reproductive Medicine; Cleveland Clinic; Cleveland Ohio
| | - Mohit Rana
- American Center for Reproductive Medicine; Cleveland Clinic; Cleveland Ohio
| | - Emily Qiu
- American Center for Reproductive Medicine; Cleveland Clinic; Cleveland Ohio
| | - Hashem AlBunni
- American Center for Reproductive Medicine; Cleveland Clinic; Cleveland Ohio
| | - Albert D. Bui
- American Center for Reproductive Medicine; Cleveland Clinic; Cleveland Ohio
- Ohio University Heritage College of Osteopathic Medicine; Athens Ohio
| | - Ralf Henkel
- American Center for Reproductive Medicine; Cleveland Clinic; Cleveland Ohio
- Department of Medical Biosciences; University of the Western Cape; Bellville South Africa
| |
Collapse
|
15
|
Motrich RD, Salazar FC, Breser ML, Mackern-Oberti JP, Godoy GJ, Olivera C, Paira DA, Rivero VE. Implications of prostate inflammation on male fertility. Andrologia 2018; 50:e13093. [DOI: 10.1111/and.13093] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2018] [Revised: 05/30/2018] [Accepted: 06/13/2018] [Indexed: 02/06/2023] Open
Affiliation(s)
- Ruben D. Motrich
- Departamento de Bioquímica Clínica, Facultad de Ciencias Químicas, Centro de Investigaciones en Bioquímica Clínica e Inmunología, CIBICI-CONICET; Universidad Nacional de Córdoba; Córdoba Argentina
| | - Florencia C. Salazar
- Departamento de Bioquímica Clínica, Facultad de Ciencias Químicas, Centro de Investigaciones en Bioquímica Clínica e Inmunología, CIBICI-CONICET; Universidad Nacional de Córdoba; Córdoba Argentina
| | - Maria L. Breser
- Instituto A.P. de Ciencias Básicas y Aplicadas; Universidad Nacional de Villa María, Ciudad Universitaria; Villa María, Cordoba Argentina
| | - Juan P. Mackern-Oberti
- Instituto de Medicina y Biología Experimental de Cuyo, IMBECU-CONICET; Mendoza Argentina
- Facultad de Ciencias Médicas, Instituto de Fisiología; Universidad Nacional de Cuyo; Mendoza Argentina
| | - Gloria J. Godoy
- Departamento de Bioquímica Clínica, Facultad de Ciencias Químicas, Centro de Investigaciones en Bioquímica Clínica e Inmunología, CIBICI-CONICET; Universidad Nacional de Córdoba; Córdoba Argentina
| | - Carolina Olivera
- Departamento de Bioquímica Clínica, Facultad de Ciencias Químicas, Centro de Investigaciones en Bioquímica Clínica e Inmunología, CIBICI-CONICET; Universidad Nacional de Córdoba; Córdoba Argentina
| | - Daniela A. Paira
- Departamento de Bioquímica Clínica, Facultad de Ciencias Químicas, Centro de Investigaciones en Bioquímica Clínica e Inmunología, CIBICI-CONICET; Universidad Nacional de Córdoba; Córdoba Argentina
| | - Virginia E. Rivero
- Departamento de Bioquímica Clínica, Facultad de Ciencias Químicas, Centro de Investigaciones en Bioquímica Clínica e Inmunología, CIBICI-CONICET; Universidad Nacional de Córdoba; Córdoba Argentina
| |
Collapse
|
16
|
Paulis G. Inflammatory mechanisms and oxidative stress in prostatitis: the possible role of antioxidant therapy. Res Rep Urol 2018; 10:75-87. [PMID: 30271757 PMCID: PMC6149977 DOI: 10.2147/rru.s170400] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
This article focuses on the role that oxidative stress plays in chronic prostatitis, not only with respect to the known impact on symptoms and fertility but also especially in relation to possible prostate cancer development. Prostatitis is the most common urologic disease in adult males younger than 50 years and the third most common urologic diagnosis in males older than 50 years. If the germ-causing acute prostatitis is not eliminated, the inflammatory process becomes chronic. Persistent inflammation causes ongoing production of large quantities of pro-inflammatory cytokines and both oxygen and nitrogen reactive species, with consequent activation of transcription factor nuclear factor-kappa B (NF-κB) and genes encoding for further production of pro-inflammatory cytokines, chemotactic factors, and growth factors. Confirming the role of oxidative stress in chronic prostatitis, several studies have demonstrated the presence of oxidative stress markers in the genital secretions of patients suffering from the disease. Antioxidants can therefore play an essential role in the treatment of chronic bacterial and non-bacterial prostatitis; in the case of bacterial inflammation, they can be associated with antibiotic therapy. Moreover, due to their anti-inflammatory properties, antioxidants hinder the progression of inflammation and the possible development of prostate cancer.
Collapse
Affiliation(s)
- Gianni Paulis
- Andrology Center, Villa Benedetta Clinic, Rome, Italy,
- Department of Uro-Andrology, Castelfidardo Medical Team, Rome, Italy,
| |
Collapse
|
17
|
Naseer Z, Ahmad E, Şahiner HS, Epikmen ET, Fiaz M, Yousuf MR, Khan SA, Serin İ, Ceylan A, Aksoy M. Dietary quercetin maintains the semen quality in rabbits under summer heat stress. Theriogenology 2018; 122:88-93. [PMID: 30243139 DOI: 10.1016/j.theriogenology.2018.09.009] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2018] [Revised: 09/11/2018] [Accepted: 09/11/2018] [Indexed: 02/03/2023]
Abstract
This study focused to determine beneficial impact of feeding quercetin supplemented diet on semen quality in summer heat imposed rabbits. Twelve heat stressed (HS) adult rabbits bucks were either fed with basal diet (HS; n = 06) or quercetin supplemented diet (QU-HS; n = 06) for a period of 56 days. Semen samples were collected and evaluated for volume, osmolality, morphology, concentration, motility, motion kinetics, viability, acrosome integrity, mitochondrial potential, and seminal plasma MDA level. Semen volume, concentration, motility and sperm kinetics parameters were affected by diet supplementation. Diet affected the sperm mitochondrial potential and day of treatment affected the viable sperm percentage. There was an effect of diet, day of treatment and diet by day interaction on acrosome reaction rate. Sperm head abnormalities were influenced by diet provision, sperm mid-piece abnormalities were affected by diet and day of treatment, whereas, the effect of diet and diet by day of treatment interaction were observed for total sperm abnormalities. There was an effect of diet and diet by day interaction for seminal plasma MDA level. In conclusions, quercetin reduces the damaging effects of HS and maintains the semen quality by lowering the oxidative stress in rabbits.
Collapse
Affiliation(s)
- Zahid Naseer
- Department of Reproduction and Artificial Insemination, Adnan Menderes University, Aydin, Turkey; Faculty of Veterinary and Animal Sciences, Pir Mehr Ali Shah Arid Agriculture University, Rawalpindi, Pakistan.
| | - Ejaz Ahmad
- Department of Clinical Sciences, Faculty of Veterinary Sciences, Bahauddin Zakariya University, Multan, Pakistan
| | - Hande Sultan Şahiner
- Department of Pharmacology and Toxicology, Adnan Menderes University, Aydin, Turkey
| | - Erkmen Tuğrul Epikmen
- Department of Pathology, Faculty of Veterinary Medicine, Adnan Menderes University, Aydin, Turkey
| | - Muhammad Fiaz
- Faculty of Veterinary and Animal Sciences, Pir Mehr Ali Shah Arid Agriculture University, Rawalpindi, Pakistan
| | - Muhamad Rizwan Yousuf
- Department of Theriogenology, University of Veterinary and Animal Sciences, Lahore, Pakistan
| | - Shahzad Akbar Khan
- Faculty of Veterinary and Animal Sciences, The University of Poonch, Rawalakot, Azad Kashmir, Pakistan
| | - İlker Serin
- Department of Reproduction and Artificial Insemination, Adnan Menderes University, Aydin, Turkey
| | - Ahmet Ceylan
- Department of Reproduction and Artificial Insemination, Adnan Menderes University, Aydin, Turkey
| | - Melih Aksoy
- Department of Reproduction and Artificial Insemination, Adnan Menderes University, Aydin, Turkey
| |
Collapse
|
18
|
Grande G, Milardi D, Baroni S, Luca G, Pontecorvi A. Identification of seminal markers of male accessory gland inflammation: From molecules to proteome. Am J Reprod Immunol 2018; 80:e12992. [DOI: 10.1111/aji.12992] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2018] [Accepted: 05/16/2018] [Indexed: 12/11/2022] Open
Affiliation(s)
- Giuseppe Grande
- International Scientific Institute “Paul VI”; Rome Italy
- Division of Endocrinology and Metabolic Diseases; Fondazione Policlinico Universitario “A. Gemelli”; Rome Italy
| | - Domenico Milardi
- International Scientific Institute “Paul VI”; Rome Italy
- Division of Endocrinology and Metabolic Diseases; Fondazione Policlinico Universitario “A. Gemelli”; Rome Italy
| | - Silvia Baroni
- Institute of Biochemistry and Clinical Biochemistry; Catholic University; Rome Italy
| | - Giovanni Luca
- Department of Experimental Medicine; University of Perugia; Perugia Italy
| | - Alfredo Pontecorvi
- Division of Endocrinology and Metabolic Diseases; Fondazione Policlinico Universitario “A. Gemelli”; Rome Italy
| |
Collapse
|
19
|
Kenny LC, Kell DB. Immunological Tolerance, Pregnancy, and Preeclampsia: The Roles of Semen Microbes and the Father. Front Med (Lausanne) 2018; 4:239. [PMID: 29354635 PMCID: PMC5758600 DOI: 10.3389/fmed.2017.00239] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2017] [Accepted: 12/12/2017] [Indexed: 12/18/2022] Open
Abstract
Although it is widely considered, in many cases, to involve two separable stages (poor placentation followed by oxidative stress/inflammation), the precise originating causes of preeclampsia (PE) remain elusive. We have previously brought together some of the considerable evidence that a (dormant) microbial component is commonly a significant part of its etiology. However, apart from recognizing, consistent with this view, that the many inflammatory markers of PE are also increased in infection, we had little to say about immunity, whether innate or adaptive. In addition, we focused on the gut, oral and female urinary tract microbiomes as the main sources of the infection. We here marshall further evidence for an infectious component in PE, focusing on the immunological tolerance characteristic of pregnancy, and the well-established fact that increased exposure to the father's semen assists this immunological tolerance. As well as these benefits, however, semen is not sterile, microbial tolerance mechanisms may exist, and we also review the evidence that semen may be responsible for inoculating the developing conceptus (and maybe the placenta) with microbes, not all of which are benign. It is suggested that when they are not, this may be a significant cause of PE. A variety of epidemiological and other evidence is entirely consistent with this, not least correlations between semen infection, infertility and PE. Our view also leads to a series of other, testable predictions. Overall, we argue for a significant paternal role in the development of PE through microbial infection of the mother via insemination.
Collapse
Affiliation(s)
- Louise C. Kenny
- The Irish Centre for Fetal and Neonatal Translational Research (INFANT), University College Cork, Cork, Ireland
- Department of Obstetrics and Gynecology, University College Cork, Cork, Ireland
- Faculty of Health and Life Sciences, University of Liverpool, Liverpool, United Kingdom
| | - Douglas B. Kell
- School of Chemistry, The University of Manchester, Manchester, United Kingdom
- The Manchester Institute of Biotechnology, The University of Manchester, Manchester, United Kingdom
| |
Collapse
|
20
|
Yousefi S, Ahmadi-hamedani M, Narenji Sani R, Moslemi HR, Ghafari Khaligh S, Darvishi MM. Pentoxifylline mitigates detrimental impact of chronic nonbacterial prostatitis on sperm characteristics, reproductive hormones and histopathology in rats. Andrologia 2017; 50. [DOI: 10.1111/and.12932] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/03/2017] [Indexed: 01/25/2023] Open
Affiliation(s)
- S. Yousefi
- Semnan University of Veterinary Medicine; Semnan Iran
| | - M. Ahmadi-hamedani
- Department of Clinical Sciences; Faculty of Veterinary Medicine; Semnan University; Semnan Iran
| | - R. Narenji Sani
- Department of Clinical Sciences; Faculty of Veterinary Medicine; Semnan University; Semnan Iran
| | - H. R. Moslemi
- Department of Clinical Sciences; Faculty of Veterinary Medicine; Semnan University; Semnan Iran
| | - S. Ghafari Khaligh
- Department of Pathobiology; Faculty of Veterinary Medicine; Semnan University; Semnan Iran
| | - M. M. Darvishi
- Department of Pathobiology; Faculty of Veterinary Medicine; Semnan University; Semnan Iran
| |
Collapse
|
21
|
Wang W, Chen R, Wang J. Procyanidin B2 ameliorates carrageenan-induced chronic nonbacterial prostatitis in rats via anti-inflammatory and activation of the Nrf2 pathway. Biochem Biophys Res Commun 2017; 493:794-799. [DOI: 10.1016/j.bbrc.2017.08.089] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2017] [Accepted: 08/23/2017] [Indexed: 12/20/2022]
|
22
|
Evaluation of the protective effect of pentoxifylline on carrageenan-induced chronic non-bacterial prostatitis in rats. Inflammopharmacology 2017; 25:343-350. [DOI: 10.1007/s10787-017-0335-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2016] [Accepted: 02/27/2017] [Indexed: 12/11/2022]
|
23
|
Tomasiuk R, Faundez R, Cacko M, Mikaszewska-Sokolewicz M, Cacko A, Rabijewski M. NT-proCNP as a new indicator of asthenozoospermia. Adv Med Sci 2017; 62:74-77. [PMID: 28189122 DOI: 10.1016/j.advms.2016.04.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2015] [Revised: 03/07/2016] [Accepted: 04/15/2016] [Indexed: 11/17/2022]
Abstract
PURPOSE C-type natriuretic peptide (CNP) is a proinflammatory peptide. The highest concentration of CNP is found in male reproductive organs. This study aims to analyze the role of N-terminal C-type natriuretic propeptide (NT-proCNP) as a new indicator of asthenozoospermia. MATERIAL/METHODS Semen was collected after 3-5 days of sexual abstinence from 86 men. The participants were between 25 and 38 years old, 51 of which had asthenozoospermia and 35 of which had normal sperm motility. Semen was analyzed for the concentrations of NT-proCNP, spermatozoa, percentages of live sperm, and sperm exhibiting a specific type of movement. The laboratory tests and analyses were performed using accepted methods and under appropriate conditions. RESULTS A significant difference in the concentration and motility of spermatozoa was observed between the focus and control groups. The concentration of spermatozoa in the focus group was significantly lower than in the control group (median: 38.5 vs. 69.8mln/ml [p=0.016] respectively). The progressive motility of spermatozoa demonstrated a significantly lower performance in the focus group than in the control group (median: 10.4% vs. 45% respectively). The concentration of NT-proCNP was significantly higher in the focus group (median: 29.1 vs. 17.9pmol/l; p<0.001). The Area under the Receiver Operating Characteristic (AUROC) curve for the concentration of NT-proCNP - as an indicator of asthenozoospermia - was 0.733. Participants with a concentration of NT-proCNP higher than 28.8pmol/l had asthenozoospermia with 52.9% sensitivity and 94.3% specificity. CONCLUSIONS NT-proCNP - an indicator of inflammatory reaction - should be evaluated as an indicator of asthenozoospermia.
Collapse
Affiliation(s)
- Ryszard Tomasiuk
- Department of Laboratory Diagnostics, Mazovian Bródno Hospital in Warsaw, Warsaw, Poland
| | - Ricardo Faundez
- European Centre of Motherhood - InviMed Warsaw, Warsaw, Poland
| | - Marek Cacko
- Department of Nuclear Medicine, Mazovian Bródno Hospital in Warsaw, Warsaw, Poland.
| | | | - Andrzej Cacko
- I Department of Cardiology, Medical University of Warsaw, Warsaw, Poland; Department of Medical Informatics and Telemedicine, Medical University of Warsaw, Warsaw, Poland
| | - Michał Rabijewski
- Department of Internal Medicine, Diabetology and Endocrinology, Medical University of Warsaw, Warsaw, Poland
| |
Collapse
|
24
|
Cools P. The role of Escherichia coli in reproductive health: state of the art. Res Microbiol 2017; 168:892-901. [PMID: 28242352 DOI: 10.1016/j.resmic.2017.02.002] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2016] [Revised: 02/09/2017] [Accepted: 02/13/2017] [Indexed: 01/27/2023]
Abstract
Escherichia coli is a well-known commensal of the normal intestinal microbiome that can also colonize the vaginal microbiome, usually without symptoms. However, E. coli can also be a highly virulent and frequently deadly pathogen. In this review, I will discuss the role E. coli has in reproductive health and disease.
Collapse
Affiliation(s)
- Piet Cools
- Laboratory Bacteriology Research, Department of Clinical Chemistry, Microbiology and Immunology, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 9000, Ghent, Belgium.
| |
Collapse
|
25
|
Milardi D, Luca G, Grande G, Ghezzi M, Caretta N, Brusco G, De Filpo G, Marana R, Pontecorvi A, Calafiore R, Foresta C, Garolla A. Prednisone treatment in infertile patients with oligozoospermia and accessory gland inflammatory alterations. Andrology 2017; 5:268-273. [DOI: 10.1111/andr.12300] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2016] [Revised: 09/02/2016] [Accepted: 09/26/2016] [Indexed: 02/02/2023]
Affiliation(s)
- D. Milardi
- International Scientific Institute ‘Paul VI’; Catholic University; Rome Italy
| | - G. Luca
- Department of Experimental Medicine; University of Perugia; Perugia Italy
| | - G. Grande
- International Scientific Institute ‘Paul VI’; Catholic University; Rome Italy
| | - M. Ghezzi
- Department of Medicine, Andrology and Reproductive Unit; University of Padova; Padova Italy
| | - N. Caretta
- Department of Medicine, Andrology and Reproductive Unit; University of Padova; Padova Italy
| | - G. Brusco
- Unit of Diagnosis and Treatment of Human Reproduction University of Perugia; Perugia Italy
| | - G. De Filpo
- Department of Experimental Medicine; University of Perugia; Perugia Italy
| | - R. Marana
- International Scientific Institute ‘Paul VI’; Catholic University; Rome Italy
| | - A. Pontecorvi
- Division of Endocrinology; Catholic University; Rome Italy
| | - R. Calafiore
- Department of Medicine; University of Perugia; Perugia Italy
| | - C. Foresta
- Department of Medicine, Andrology and Reproductive Unit; University of Padova; Padova Italy
| | - A. Garolla
- Department of Medicine, Andrology and Reproductive Unit; University of Padova; Padova Italy
| |
Collapse
|
26
|
Belanger GV, VerLee GT. Diagnosis and Surgical Management of Male Pelvic, Inguinal, and Testicular Pain. Surg Clin North Am 2016; 96:593-613. [PMID: 27261797 DOI: 10.1016/j.suc.2016.02.014] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Pain occurs in the male genitourinary organs as for any organ system in response to traumatic, infectious, or irritative stimuli. A knowledge and understanding of chronic genitourinary pain can be of great utility to practicing nonurologists. This article provides insight into the medical and surgical management of subacute and chronic pelvic, inguinal, and scrotal pain. The pathophysiology, diagnosis, and medical and surgical treatment options of each are discussed.
Collapse
Affiliation(s)
- Gabriel V Belanger
- Division of Urology, Maine Medical Center, 22 Bramhall Street, Portland, ME 04102, USA
| | - Graham T VerLee
- Maine Medical Partners Urology, 100 Brickhill Avenue, South Portland, ME 04106, USA.
| |
Collapse
|
27
|
Chung SD, Hung SH, Lin HC, Tsai MC, Kao LT. Obstructive sleep apnea and urological comorbidities in males: a population-based study. Sleep Breath 2016; 20:1203-1208. [DOI: 10.1007/s11325-016-1336-x] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2015] [Revised: 01/18/2016] [Accepted: 03/21/2016] [Indexed: 12/28/2022]
|
28
|
Autilio C, Morelli R, Milardi D, Grande G, Marana R, Pontecorvi A, Zuppi C, Baroni S. Soluble urokinase-type plasminogen activator receptor as a putative marker of male accessory gland inflammation. Andrology 2015; 3:1054-61. [DOI: 10.1111/andr.12084] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2014] [Revised: 05/06/2015] [Accepted: 06/23/2015] [Indexed: 01/12/2023]
Affiliation(s)
- C. Autilio
- Department of Diagnostic and Laboratory Medicine; School of Medicine; “A. Gemelli” Hospital; Catholic University; Rome Italy
| | - R. Morelli
- Department of Diagnostic and Laboratory Medicine; School of Medicine; “A. Gemelli” Hospital; Catholic University; Rome Italy
| | - D. Milardi
- International Scientific Institute “Paul VI” of Research on Human Fertility and Infertility; School of Medicine; “A. Gemelli” Hospital; Catholic University; Rome Italy
| | - G. Grande
- International Scientific Institute “Paul VI” of Research on Human Fertility and Infertility; School of Medicine; “A. Gemelli” Hospital; Catholic University; Rome Italy
| | - R. Marana
- International Scientific Institute “Paul VI” of Research on Human Fertility and Infertility; School of Medicine; “A. Gemelli” Hospital; Catholic University; Rome Italy
| | - A. Pontecorvi
- Department of Endocrinology; School of Medicine; “A. Gemelli” Hospital; Catholic University; Rome Italy
| | - C. Zuppi
- Department of Diagnostic and Laboratory Medicine; School of Medicine; “A. Gemelli” Hospital; Catholic University; Rome Italy
| | - S. Baroni
- Department of Diagnostic and Laboratory Medicine; School of Medicine; “A. Gemelli” Hospital; Catholic University; Rome Italy
| |
Collapse
|
29
|
Sperm quality and selected biochemical parameters of seminal fluid in dogs with benign prostatic hyperplasia. Anim Reprod Sci 2015; 160:120-5. [DOI: 10.1016/j.anireprosci.2015.07.014] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2015] [Revised: 07/27/2015] [Accepted: 07/31/2015] [Indexed: 11/24/2022]
|
30
|
Ricci G, Granzotto M, Luppi S, Giolo E, Martinelli M, Zito G, Borelli M. Effect of seminal leukocytes on in vitro fertilization and intracytoplasmic sperm injection outcomes. Fertil Steril 2015; 104:87-93. [DOI: 10.1016/j.fertnstert.2015.04.007] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2015] [Revised: 03/29/2015] [Accepted: 04/08/2015] [Indexed: 12/01/2022]
|
31
|
Landegren N, Sharon D, Shum AK, Khan IS, Fasano KJ, Hallgren Å, Kampf C, Freyhult E, Ardesjö-Lundgren B, Alimohammadi M, Rathsman S, Ludvigsson JF, Lundh D, Motrich R, Rivero V, Fong L, Giwercman A, Gustafsson J, Perheentupa J, Husebye ES, Anderson MS, Snyder M, Kämpe O. Transglutaminase 4 as a prostate autoantigen in male subfertility. Sci Transl Med 2015; 7:292ra101. [PMID: 26084804 DOI: 10.1126/scitranslmed.aaa9186] [Citation(s) in RCA: 48] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Autoimmune polyendocrine syndrome type 1 (APS1), a monogenic disorder caused by AIRE gene mutations, features multiple autoimmune disease components. Infertility is common in both males and females with APS1. Although female infertility can be explained by autoimmune ovarian failure, the mechanisms underlying male infertility have remained poorly understood. We performed a proteome-wide autoantibody screen in APS1 patient sera to assess the autoimmune response against the male reproductive organs. By screening human protein arrays with male and female patient sera and by selecting for gender-imbalanced autoantibody signals, we identified transglutaminase 4 (TGM4) as a male-specific autoantigen. Notably, TGM4 is a prostatic secretory molecule with critical role in male reproduction. TGM4 autoantibodies were detected in most of the adult male APS1 patients but were absent in all the young males. Consecutive serum samples further revealed that TGM4 autoantibodies first presented during pubertal age and subsequent to prostate maturation. We assessed the animal model for APS1, the Aire-deficient mouse, and found spontaneous development of TGM4 autoantibodies specifically in males. Aire-deficient mice failed to present TGM4 in the thymus, consistent with a defect in central tolerance for TGM4. In the mouse, we further link TGM4 immunity with a destructive prostatitis and compromised secretion of TGM4. Collectively, our findings in APS1 patients and Aire-deficient mice reveal prostate autoimmunity as a major manifestation of APS1 with potential role in male subfertility.
Collapse
Affiliation(s)
- Nils Landegren
- Department of Medicine (Solna), Karolinska University Hospital, Karolinska Institutet, Stockholm SE 171 76, Sweden. Department of Medical Sciences, Science for Life Laboratory, Uppsala University, Uppsala SE 751 85, Sweden.
| | - Donald Sharon
- Department of Genetics, Stanford University, Stanford 94305, CA, USA. Department of Molecular, Cellular, and Developmental Biology, Yale University, New Haven, CT 06511, USA
| | - Anthony K Shum
- Division of Pulmonary and Critical Care, Department of Medicine, University of California San Francisco, San Francisco, CA 94143, USA
| | - Imran S Khan
- Diabetes Center, University of California San Francisco, San Francisco, CA 94143, USA
| | - Kayla J Fasano
- Diabetes Center, University of California San Francisco, San Francisco, CA 94143, USA
| | - Åsa Hallgren
- Department of Medicine (Solna), Karolinska University Hospital, Karolinska Institutet, Stockholm SE 171 76, Sweden. Department of Medical Sciences, Science for Life Laboratory, Uppsala University, Uppsala SE 751 85, Sweden
| | - Caroline Kampf
- Department of Immunology, Genetics, and Pathology, Uppsala University, Uppsala SE 751 85, Sweden
| | - Eva Freyhult
- Cancer Pharmacology and Computational Medicine, Department of Medical Sciences, Bioinformatics Infrastructure for Life Sciences, Science for Life Laboratory, Uppsala University, Uppsala SE 751 85, Sweden
| | - Brita Ardesjö-Lundgren
- Department of Animal Breeding and Genetics, Swedish University of Agricultural Sciences, Uppsala SE 750 07, Sweden
| | - Mohammad Alimohammadi
- Department of Medicine (Solna), Karolinska University Hospital, Karolinska Institutet, Stockholm SE 171 76, Sweden. Department of Medical Sciences, Science for Life Laboratory, Uppsala University, Uppsala SE 751 85, Sweden. Department of Medical Sciences, Uppsala University, Uppsala SE 751 85, Sweden
| | - Sandra Rathsman
- Department of Laboratory Medicine/Microbiology, Örebro University Hospital, Örebro SE 701 85, Sweden
| | - Jonas F Ludvigsson
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm SE 171 76, Sweden
| | - Dan Lundh
- School of Bioscience, University of Skövde, Skövde SE 541 28, Sweden
| | - Ruben Motrich
- Centro de Investigaciones en Bioquímica Clínica e Inmunología, Departamento de Bioquímica Clínica, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Córdoba 5000, Argentina
| | - Virginia Rivero
- Centro de Investigaciones en Bioquímica Clínica e Inmunología, Departamento de Bioquímica Clínica, Facultad de Ciencias Químicas, Universidad Nacional de Córdoba, Córdoba 5000, Argentina
| | - Lawrence Fong
- University of California San Francisco Helen Diller Family Comprehensive Cancer Center, San Francisco, CA 94115, USA
| | - Aleksander Giwercman
- Molecular Reproduction Research, Department of Clinical Sciences Malmö, Lund University, Malmö SE 205 02, Sweden
| | - Jan Gustafsson
- Department of Women's and Children's Health, Uppsala University, Uppsala SE 751 85, Sweden
| | - Jaakko Perheentupa
- The Hospital for Children and Adolescents, University of Helsinki, Helsinki 00029, Finland
| | - Eystein S Husebye
- Department of Clinical Science, University of Bergen, and Department of Medicine, Haukeland University Hospital, Bergen 5020, Norway
| | - Mark S Anderson
- Diabetes Center, University of California San Francisco, San Francisco, CA 94143, USA
| | - Michael Snyder
- Department of Genetics, Stanford University, Stanford 94305, CA, USA
| | - Olle Kämpe
- Department of Medicine (Solna), Karolinska University Hospital, Karolinska Institutet, Stockholm SE 171 76, Sweden. Department of Medical Sciences, Science for Life Laboratory, Uppsala University, Uppsala SE 751 85, Sweden
| |
Collapse
|
32
|
De Giorgi A, Volpi R, Tiseo R, Pala M, Manfredini R, Fabbian F. Seasonal variation of human semen parameters: A retrospective study in Italy. Chronobiol Int 2015; 32:711-6. [DOI: 10.3109/07420528.2015.1024315] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
|