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NADPH oxidase: recent evidence for its role in erectile dysfunction.

Asian Journal of Andrology.2008;10(1):6-13.

Important roles for reactive oxygen species (ROS) in physiology and pathophysiology have been increasingly recognized. Under normal conditions, ROS serve as signaling molecules in the regulation of cellular functions. However, enhanced ROS production as a result of the activation of nicotinamide adenine dinucleotide phosphate (NADPH) oxidase contributes significantly to the pathogeneses of vascular diseases. Although it has become evident that increased ROS is associated with erectile dysfunction (ED), the sources of ROS in the penis remain largely unknown. In recent years, emergent evidence suggests the possible role of NADPH oxidase in inducing ED. In this review, we examine the relationship between ROS and ED in different disease models and discuss the current evidence basis for NADPH oxidase-derived ROS in ED.
Aging ; Animals ; Diabetes Mellitus ; Erectile Dysfunction ; enzymology ; etiology ; Humans ; Hyperhomocysteinemia ; Hyperlipidemias ; Hypertension ; Male ; NADPH Oxidases ; physiology ; Reactive Oxygen Species

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Men's health is evolving.

Run WANG ; Wayne J G HELLSTROM

Asian Journal of Andrology.2008;10(1):3-5.

Erectile Dysfunction ; Humans ; Male ; Men's Health ; Penile Diseases ; Prostatic Neoplasms ; Urologic Diseases

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Inguinal recurrence of malignant mesothelioma of the tunica vaginalis: one case report with delayed recurrence and review of the literature.

Giovanni LIGUORI ; Giulio GARAFFA ; Carlo TROMBETTA ; Rossana BUSSANI ; Stefano BUCCI ; Emanuele BELGRANO

Asian Journal of Andrology.2007;9(6):859-860.

Aged ; Epididymis ; pathology ; surgery ; Humans ; Inguinal Canal ; Male ; Mesothelioma ; diagnosis ; pathology ; surgery ; Neoplasm Recurrence, Local ; diagnosis ; pathology ; surgery ; Orchiectomy ; Testicular Neoplasms ; diagnosis ; pathology ; surgery ; Testis ; pathology ; surgery ; Time Factors

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Post-coital gross hematuria: an unusual presentation of benign prostatic hyperplasia.

Yi-Hong CHEN ; Pei-Yu LIN ; Yu-Sheng CHENG ; Johnny Shinn-Nan LIN ; Yung-Ming LIN

Asian Journal of Andrology.2007;9(6):856-858.

AIMTo describe an unusual symptom of benign prostatic hyperplasia (BPH).

METHODSA patient presented to our urology clinic having experienced post-coital gross hematuria for 2 years. He had not experienced lower urinary tract symptoms (LUTS). A series of examinations were performed to determine the source of bleeding.

RESULTSThe prostate was defined as the active bleeding source responsible for the patient's post-coital hematuria. Endoscopic fulguration did not alleviate the symptom. The use of dutasteride, a dual inhibitor of 5alpha-reductase, solved the problem.

CONCLUSIONThis study reports for the first time that post-coital gross hematuria is one of the clinical presentations of BPH, which can be successfully treated with 5alpha-reductase inhibitor.

5-alpha Reductase Inhibitors ; Azasteroids ; therapeutic use ; Coitus ; physiology ; Dutasteride ; Enzyme Inhibitors ; therapeutic use ; Hematuria ; drug therapy ; etiology ; physiopathology ; Humans ; Male ; Middle Aged ; Prostatic Hyperplasia ; complications ; diagnosis ; physiopathology ; Urinary Tract

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Effects of Boesenbergia rotunda (L.) Mansf. on sexual behaviour of male rats.

Paiwan SUDWAN ; Kanokporn SAENPHET ; Salika ARITAJAT ; Narit SITASUWAN

Asian Journal of Andrology.2007;9(6):849-855.

AIMTo study the effects of Boesenbergia rotunda (Krachai) on sexual behaviour in male albino rats.

METHODSThirty-two male Wistar rats were equally divided into four groups: experimental groups were gavaged with the ethanolic extract of the rhizome of B. rotunda at doses of 60, 120 and 240 mg/kg and a control group received distilled water, for 60 days. Sexual behaviour, reproductive organs, diameter of seminiferous tubule, epididymal sperm density, and androgenic hormones were evaluated.

RESULTSWithin 30-min observation, there was no significant difference of courtship behaviour, mount frequency (MF), intromission frequency (IF), mount latency (ML), intromission latency (IL), copulatory efficiency or intercopulatory interval in male rats. In three 10-min intervals over a 30-min period, courtship behaviour and MF during the first 10-min were significantly higher than those in the second and third 10-min observation in all groups, whereas IF had no significant difference. All doses of B. rotunda extract significantly increased the relative testicular weight and the diameter of the seminiferous tubules. The dose of 60 mg/kg also significantly increased the relative weight of the seminal vesicle. Nevertheless, the sperm density, serum testosterone and androstenedione levels were not affected by the B. rotunda extract.

CONCLUSIONB. rotunda does not affect sexual behaviour nor serum androgenic levels.

Androstenedione ; blood ; Animals ; Dose-Response Relationship, Drug ; Female ; Male ; Plant Extracts ; pharmacology ; Rats ; Rats, Wistar ; Seminiferous Tubules ; drug effects ; pathology ; Sexual Behavior, Animal ; drug effects ; Sperm Count ; Testis ; drug effects ; pathology ; Testosterone ; blood ; Zingiberaceae

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Changes in aortic endothelium ultrastructure in male rats following castration, replacement with testosterone and administration of 5alpha-reductase inhibitor.

Ying-Li LU ; Lin KUANG ; Hui ZHU ; Hui WU ; Xue-Fang WANG ; Yu-Ping PANG ; Ning-Jian WANG ; Dan-Lu YU

Asian Journal of Andrology.2007;9(6):843-847.

AIMTo investigate the relationship between low androgen level and ultrastructure of vascular endothelium.

METHODSForty-eight male Sprague-Dawley rats were randomly divided into four groups: group A, normal rats with sham castration; group B, castrated rats; group C, castrated rats given testosterone (T) undecanoate; and group D, intact rats treated with 5alpha-reductase inhibitor. After 10 weeks of treatment or castration, rats in different groups were killed and serum T, free T (FT) and dihydrotestosterone (DHT) were measured. The aortic endothelia were scanned under electron microcopy and the Vascular Endothelium Structure Score (VESS) was computed.

RESULTSSerum T and FT concentrations of rats in group B were significantly lower than those of the other three groups (P < 0.01); DHT concentrations of group D rats were significantly decreased (P < 0.01) when compared with those of groups A and C. Rats in groups B and D rats (with low androgen levels) had obvious damage to their endothelial surfaces, which appeared crimpled, rough, adhesive and ruptured, and had high destruction of VESS.

CONCLUSIONThese results suggest that low concentrations of T and DHT are associated with ultrastructural damage of the aortic endothelia in male rats.

5-alpha Reductase Inhibitors ; Animals ; Aorta ; drug effects ; ultrastructure ; Dihydrotestosterone ; blood ; Endothelium, Vascular ; drug effects ; ultrastructure ; Enzyme Inhibitors ; pharmacology ; Male ; Orchiectomy ; Rats ; Rats, Sprague-Dawley ; Testosterone ; blood ; pharmacology

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Reconstruction of the urethral defects with autologous fascial tube graft in a rabbit model.

Cagri SADE ; Kemal UGURLU ; Derya OZCELIK ; Ilkay HUTHUT ; Kursat OZER ; Nil USTUNDAG ; Ibrahim SAGLAM ; Lutfu BAS

Asian Journal of Andrology.2007;9(6):835-842.

AIMTo investigate the feasibility of the autologous fascia graft in urethra defect reconstruction.

METHODSIn 24 adult male rabbits, a standardized defect (17 mm) was created within the midportion of each urethra. Two-cm long fascial tube grafts were interposed between the cut ends of the urethra. Twenty-four rabbits were divided into 12 groups. At 0, 3, 10, 15, 21, 30, 45, 60, 90, 120, 150, and 180 days postoperatively, one group was killed. In the first four groups, rabbits were killed and specimens were obtained for histological examination. After 21 postoperative days, in the subsequent eight groups, retrograde urethrograms were carried out to evaluate urethral patency and caliber, then rabbits were killed and specimens were obtained.

RESULTSIn the histological study, advancement of the urethral transitional epithelium along scaffold provided by the fascial graft was determined. At the 30th day, the new urethra was completely covered with the transitional epithelium. Fistula formation was observed in two of 24 rabbits. In urethrograms, narrowing was determined in three of 16 rabbits.

CONCLUSIONFor segmental urethral reconstruction, fascial graft is a good urethral substitute because of its rapid epithelization capacity, low contraction degree and thinness. We therefore propose the use of fascial grafts for reconstruction of male-urethra defects in humans.

Animals ; Disease Models, Animal ; Fascia ; diagnostic imaging ; pathology ; transplantation ; Male ; Pilot Projects ; Rabbits ; Radiography ; Urethra ; diagnostic imaging ; pathology ; surgery ; Urethral Diseases ; pathology ; surgery ; Urologic Surgical Procedures, Male ; methods

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Do reproductive hormones explain the association between body mass index and semen quality?

Dan-Dan QIN ; Wei YUAN ; Wei-Jin ZHOU ; Yuan-Qi CUI ; Jun-Qing WU ; Er-Sheng GAO

Asian Journal of Andrology.2007;9(6):827-834.

AIMTo examine whether reproductive hormones play a role in the association between body mass index (BMI) and semen quality.

METHODSSemen quality and testosterone (T), luteinizing hormone (LH), follicle-stimulating hormone (FSH) and estradiol (E(2)) were evaluated in 990 fertile males with age 38.9 +/- 9.7 (mean +/- SD) years recruited from the Chinese general population in 2001 and 2002.

RESULTSSemen quality was reduced among underweight (BMI < 18.5) compared with normal (BMI 18.5-24.9) and overweight (BMI 25.0-29.9), but the associations were independent of reproductive hormones. After adjustment for the potential confounders, underweight men had reductions in sperm concentration (22.4 X 10(6)/mL), total sperm count (52.9 X 10(6)) and percentage of normal sperm forms (6.9%) compared with men with normal BMI. Being underweight may be a risk factor for low sperm concentration (OR: 4.68, 95% confidence intervals [CI]: 2.01-10.91). Otherwise, being overweight may be a protected factor for low sperm concentration (OR: 0.25; 95% CI: 0.08-0.83) and low total sperm count (OR: 0.37, 95% CI: 0.15-0.87).

CONCLUSIONLow BMI was associated with reduced semen quality. The associations between BMI and semen quality were found statistically significant even after adjustment for reproductive hormones. Reproductive hormones cannot explain the association between BMI and semen quality.

Adult ; Body Mass Index ; Body Weight ; physiology ; China ; Estradiol ; blood ; Fertility ; physiology ; Follicle Stimulating Hormone ; blood ; Humans ; Luteinizing Hormone ; blood ; Male ; Middle Aged ; Semen ; physiology ; Sperm Count ; Testosterone ; blood

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Prostate cancer antigen-1 as a potential novel marker for prostate cancer.

Bing-Qian LIU ; Yu-Dong WU ; Pei-Huan LI ; Jin-Xing WEI ; Tong ZHANG ; Ran-Lu LIU

Asian Journal of Andrology.2007;9(6):821-826.

AIMTo examine the expression of prostate cancer antigen-1 (PCA-1) in prostate cancer (PCa) and to validate it as a potential marker for diagnosis of PCa.

METHODSIn situ hybridization analysis of PCA-1 mRNA expression was performed on 40 benign prostate hyperplasia (BPH), 16 high-grade prostatic intraepithelial neoplasm (HG-PIN), 74 PCa and 34 other malignant carcinoma specimens. The level of PCA-1 expression was semiquantitatively scored by assessing both the percentage and intensity of PCA-1 positive staining cells in the specimens. We then compared the PCA-1 expression between BPH, HG-PIN and PCa and evaluated the correlation of PCA-1 expression level with clinical parameters of PCa.

RESULTSPCA-1 mRNA was expressed in the majority of both PCa and HG-PIN specimens but not in BPH and other malignant carcinoma. The expression level of PCA-1 increased along with a high Gleason score (P < 0.05), and was unrelated to other clinical parameters of PCa (all P > 0.05).

CONCLUSIONThe data suggest that PCA-1 might be a novel diagnostic marker for PCa, and that increased PCA-1 expression might denote more aggressive variants of PCa.

Aged ; Antigens, Neoplasm ; metabolism ; Biomarkers, Tumor ; metabolism ; Biopsy ; DNA, Complementary ; metabolism ; Diagnosis, Differential ; Humans ; Male ; Middle Aged ; Prognosis ; Prostate ; metabolism ; pathology ; Prostatic Hyperplasia ; diagnosis ; metabolism ; pathology ; Prostatic Intraepithelial Neoplasia ; diagnosis ; metabolism ; pathology ; Prostatic Neoplasms ; diagnosis ; metabolism ; pathology ; RNA, Messenger ; metabolism

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Routine screening for classical azoospermia factor deletions of the Y chromosome in azoospermic patients with Klinefelter syndrome.

Jin Ho CHOE ; Jong Woo KIM ; Joong Shik LEE ; Ju Tae SEO

Asian Journal of Andrology.2007;9(6):815-820.

AIMTo evaluate the occurrence of classical azoospermia factor (AZF) deletions of the Y chromosome as a routine examination in azoospermic subjects with Klinefelter syndrome (KS).

METHODSBlood samples were collected from 95 azoospermic subjects with KS (91 subjects had a 47,XXY karyotype and four subjects had a mosaic 47,XXY/46,XY karyotype) and a control group of 93 fertile men. The values of testosterone, follicle stimulating hormone (FSH) and luteinizing hormone (LH) were measured. To determine the presence of Y chromosome microdeletions, polymerase chain reaction (PCR) of five sequence-tagged site primers (sY84, sY129, sY134, sY254, sY255) spanning the AZF region, was performed on isolated genomic DNA.

RESULTSY chromosome microdeletions were not found in any of the 95 azoospermic subjects with KS. In addition, using similar conditions of PCR, no microdeletions were observed in the 93 fertile men evaluated. The level of FSH in KS subjects was higher than that in fertile men (38.2 +/- 10.3 mIU/mL vs. 5.4 +/- 2.9 mIU/mL, P < 0.001) and the testosterone level was lower than that in the control group (1.7 +/- 0.3 ng/mL vs. 4.3 +/- 1.3 ng/mL, P < 0.001).

CONCLUSIONOur data and review of the published literature suggest that classical AZF deletions might not play a role in predisposing genetic background for the phenotype of azoospermic KS subjects with a 47,XXY karyotype. In addition, routine screening for the classical AZF deletions might not be required for these subjects. Further studies including partial AZFc deletions (e.g. gr/gr or b2/b3) are necessary to establish other mechanism underlying severe spermatogenesis impairment in KS.

Adult ; Azoospermia ; blood ; etiology ; genetics ; Case-Control Studies ; Chromosomes, Human, Y ; genetics ; Gene Deletion ; Genetic Loci ; Genetic Testing ; methods ; Humans ; Karyotyping ; Klinefelter Syndrome ; blood ; complications ; genetics ; Male ; Seminal Plasma Proteins ; genetics ; metabolism ; Testis ; metabolism ; Testosterone ; blood

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