Evaluation of Transforming Growth Factor Beta-1 in the vein wall of males with varicocele

OBJECTIVE

This study aims to investigate potential differences in the presence of Transforming Growth Factor-Beta 1 (TGF-β1) between the vein walls of patients with varicocele and those of healthy individuals.

PATIENTS AND METHODS

The study comprised a total of 40 participants, divided into two groups. The control group (Group 1) consisted of 20 patients who underwent coronary bypass surgery, while the varicocele group (Group 2) included 20 patients scheduled for varicocelectomy. The cytoplasmic and nuclear staining patterns of TGF-β1 immunohistochemistry were assessed in tissue samples under light microscopy, identifying any differences in TGF-β1 presence between varicocele patient vein walls and normal (saphenous) veins.

RESULTS

The varicocele group demonstrated lower nuclear and cytoplasmic TGF-β1 staining rates compared to the control group. After controlling for the independent factor of age, significantly lower nuclear and cytoplasmic staining was still observed in the varicocele group.

CONCLUSIONS

This study is the first of its kind to compare TGF-β1 staining in the vein walls of varicocele patients and healthy individuals. Previous studies focusing on varicose veins reported elevated TGF-β1 expression. Contrarily, our study observed lower TGF-β1 expression in varicocele patient veins, marking a unique contribution to the field.

Evaluation of sex hormones and sperm parameters in male epileptic patients

OBJECTIVES

The aim of this study was to investigate the effect of carbamazepine (CBZ) and sodium valproate (VPA) monotherapy on sexual functions, sex hormones, and semen analysis and quality in male patients with epilepsy.

METHODS

A total of 59 male patients with epilepsy, of which 30 were on VPA monotherapy and 29 were on CBZ monotherapy, were included in the study between January 2015 and March 2016. A control group was established with 30 healthy males. Luteinizing hormone (LH), follicle-stimulating hormone (FSH), prolactin (PRL), free testosterone (fT), estradiol (E2), sex hormone-binding globulin (SHBG) levels and bioactive testosterone (BAT)/bioactive estradiol (BAE), and BAT/LH ratio were studied in groups. All groups received semen analysis and International Index of Erectile Function Scale (IIEF-5) test for erectile dysfunction.

RESULTS

E2 and DHEAS levels were higher in VPA and CBZ groups compared to control group (P < .001, P = .014). The decrease in fT levels in the VPA group was statistically significant (P = .038). No significant difference was detected in levels of SHBG, LH, and FSH (P > .05). BAT/BAE ratios were low both in VPA and CBZ groups (P < .001; P < .001), while BAT/LH ratios were low only in CBZ group (P = .033). In semen analysis, semen volume and number of normal sperms were found to be significantly lower in patients receiving antiepileptic drugs compared to control group (P < .05). There were no differences between the groups in rates of abnormal sperm morphology. IIEF-5 scores were found to be significantly lower in VPA and CBZ groups (P < .001).

CONCLUSION

VPA or CBZ therapy may lead to dysregulation of sex hormones, sexual dysfunction, and alterations in semen analysis in male patients with epilepsy. This must be considered for the selection of antiepileptic drugs in young male patients.

Measurements of SO2, NO X and SPM in an industrial area at the Aegean coast of Turkey

Data from continuous measurements of SO2 NO x , suspended particulate matter (SPM) and meteorological parameters at seven sites around a highly industrialized region in the Aegean coast of Turkey, between July 15, 1991 to July 31, 1992 were used to evaluate spatial and temporal variations of air quality parameters. Low annual averages and insignificant differences between day and night concentrations were observed at stations far from sources. At stations close to sources, annual average concentrations were high and diurnal patterns were significant. Annual average SO2 and SPM concentrations in all stations used the 'Krigging' technique to assess the impact of industries on air quality in the surrounding airshed. Results have demonstrated that Turkish air quality standards for SO2 were exceeded in a circle with a radius of 4 km and which was centered on the petrochemical complex and refinery. Similarly, standards for SPM were exceeded in a circle with a radius of 1.2 km and which was centered on the ironwork plants. Both SO2 and SPM showed well defined diurnal variations, particularly in stations close to sources. The SO2 concentrations showed a maximum during day-time, while SPM concentrations peaked after midnight. Although annual average SO2 and SPM concentrations were highly variable depending on distances between stations and sources, background concentrations of the same pollutants, calculated by stripping episodes from data, did not change significantly from one station to another. Long range transport and resuspension of local soil were suggested as sources of background SO2 and SPM, respectively. The difference between observed and background concentrations of SO2 and SPM in each station was related to the impact of industries on air quality at that particular site.