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NADPH oxidase and male erectile dysfunction.

National Journal of Andrology.2009;15(5):455-458.

Erectile dysfunction (ED) is a common disease in men. Oxidative stress is indicated to be one of the important mechanisms of ED. NADPH oxidase expresses and plays significant psychological functions in many human organs, including the penis. In a variety of pathophysiological conditions, NADPH oxidase causes excessive oxidative stress through overproducing reactive oxygen species in the penis, and consequently induces erectile dysfunction. This paper reviews the composition, homologues, activation and physiological functions of NADPH oxidase, its role in ED, and its application in the treatment of ED.
Erectile Dysfunction ; enzymology ; therapy ; Humans ; Male ; NADPH Oxidases ; metabolism ; Oxidative Stress ; Reactive Oxygen Species

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B-cell lymphoma/leukemia-2 and benign prostatic hyperplasia.

Min-Dao ZHANG ; Yong-Ning ZHAO ; Li-Wen AN

National Journal of Andrology.2009;15(5):452-454.

The B-cell lymphoma/leukemia-2 (Bcl-2) gene is an important member of the Bcl-2 family, a type of protein that plays an important role in the process of cell apoptosis. Bcl-2 does not change the rate of cell proliferation, but prolongs the life and increases the number of cells by counteracting a series of apoptosis. In the recent years, more and more evidence has shown a close correlation of the Bcl-2 gene with the development and progression of benign prostatic hyperplasia (BPH), a disease whose mechanism is not yet fully understood but is drawing more and more attention towards the role of cell apoptosis.
Animals ; Apoptosis ; Humans ; Male ; Mice ; Prostatic Hyperplasia ; genetics ; metabolism ; Proto-Oncogene Proteins c-bcl-2 ; genetics ; Rats

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Transurethral prostatectomy with the bipolar plasmakinetic technique for benign prostate hyperplasia: a report of 712 cases.

Xiang-Yu CHE ; Xi-Shuang SONG ; Dong-Jun WU ; Fa-Peng WANG ; Qi-Fei WANG ; Jian-Bo WANG

National Journal of Andrology.2009;15(5):449-451.

OBJECTIVETo evaluate the effect and safety of transurethral prostatectomy with the bipolar plasmakinetic technique (PKRP) in the treatment of benign prostate hyperplasia (BPH).

METHODSA total of 712 BPH patients underwent transurethral prostatectomy with the bipolar plasmakinetic technique. The patients averaged 70.6 years of age and 52 g (range 35-102 g) in estimated prostate weight preoperatively. Comparative analyses were made on the maximum urine flow rate (Qmax), residual urine volume and scores on IPSS and QOL obtained pre- and post-operatively.

RESULTSThe operations lasted 20-120 minutes (mean 51 min), the resected tissues weighed 15-96 g (mean 46 g), and no transurethral resection syndrome (TURS) occurred. The catheters were removed 4 -5 days after surgery. The patients were followed up for 1 -52 months (mean 27.6 mo). Obvious reduction was observed in the average Qmax from 4.7 ml/s preoperatively to 19. 1 ml/s postoperatively, in the mean IPSS score from 26.6 to 5. 8, and in the mean QOL score from 5.4 to 1.7, all with significant differences (P < 0.01).

CONCLUSIONTransurethral prostatectomy with the bipolar plasmakinetic technique is a safe and effective means for the treatment of BPH.

Aged ; Aged, 80 and over ; Humans ; Male ; Middle Aged ; Prostatic Hyperplasia ; surgery ; Transurethral Resection of Prostate ; methods ; Treatment Outcome

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Testis necrosis following repeated misdiagnosis of testicular torsion: a case report and literature review.

Ji-Qing ZHANG ; Xiao-Peng HU ; Xiu-Zhen KONG ; Ming-Liang HUANG ; Ju-Min GOU ; Jia-Hui LIU ; Xiao-Dong ZHANG

National Journal of Andrology.2009;15(5):445-448.

OBJECTIVETo improve clinicians' ability of diagnosing testicular torsion.

METHODSWe reviewed the data of a case of testicular torsion that resulted in necrosis because of delayed presentation and repeated misdiagnosis, and analyzed its anatomic features, clinical manifestations, ultrasound results, the causes of misdiagnosis and relevant literature.

RESULTSThe patient presented 5 hours after the onset of symptoms, complaining of severe paroxysmal pain in the lower left abdomen, accompanied with nausea and vomiting, and was twice misdiagnosed as having enterospasm or ureteral calculus at two different hospitals. Fifteen hours later, surgical exploration revealed an about 900-degree testicular torsion in the spermatic cord, which necessitated orchiectomy for non viability of the testis. Postoperative pathological examination confirmed testicular necrosis and diffused hemorrhage in the testis and epididymis.

CONCLUSIONTimely presentation, correct diagnosis and proper treatment are keys to saving the affected testis. Color Doppler ultrasound is an ideal option for the definite diagnosis of acute scrotal diseases, and it offers a valuable guidance for related surgery as well.

Adult ; Diagnostic Errors ; Humans ; Male ; Necrosis ; Spermatic Cord Torsion ; diagnosis ; Testis ; pathology

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Amlodipine combined with terazosin reduces postvoid residual and the risk of acute urinary retention.

Chun YANG ; You-Long LI ; Jian FANG ; Xiao ZHANG ; Hai-Peng LIU ; Xian-Hui QIN ; Xi-Ping XU

National Journal of Andrology.2009;15(5):441-444.

OBJECTIVEThis prospective randomized double-blinded clinical trial was designed to explore the effects of amlodipine and the combination of amlodipine with terazosin in improving postvoid residual (PVR) in patients with lower urinary tract symptoms (LUTS) and concomitant hypertension.

METHODSWe randomly divided 360 LUTS patients with concomitant hypertension into a 5 mg amlodipine group, a 2 mg terazosin group and a 5 mg amlodipine plus 2 mg terazosin group, and measured PVR at the baseline and 4 weeks after the treatment.

RESULTSFor male patients with LUTS associate with hypertension, all of amlodipine (APVR = 6.8) , terazosin (APVR = 7. 6), and combination group (APVR = 8.8) can significant reduced the PVR (P < . 0.1), but no significant difference was found among three groups.

CONCLUSIONAmlodipine alone or combined with terazosin can improve the PVR of the LUTS patient effectively, but had no significant difference compared with terazosin.

Adrenergic alpha-Antagonists ; therapeutic use ; Aged ; Amlodipine ; therapeutic use ; Antihypertensive Agents ; therapeutic use ; Double-Blind Method ; Drug Therapy, Combination ; Humans ; Hypertension ; complications ; drug therapy ; Male ; Middle Aged ; Prazosin ; analogs & derivatives ; therapeutic use ; Prospective Studies ; Prostatic Hyperplasia ; complications ; drug therapy ; Treatment Outcome ; Urinary Retention ; complications ; drug therapy ; Urodynamics ; drug effects

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Diagnostic value of lesion-directed prostate biopsy under TRUS in early detection of prostate cancer.

Jiang ZHU ; Xue-Ming LIU ; Chuan-Jun DU ; Zhe-Wei ZHANG ; Yi-Qing QIU ; Yu GONG ; Jing-Rui LIU ; Yu-Rong HONG ; Zhi-Yan LUO ; Yong ZHANG

National Journal of Andrology.2009;15(5):437-440.

OBJECTIVETo evaluate lesion-directed biopsy in improving the detection rate of early prostate cancer (PCa) and in differentiating PCa from other prostate pathological changes.

METHODSWe performed TRUS-guided prostate biopsy for 95 patients suspected of PCa, each subjected to extended random biopsy plus lesion-directed biopsy, and analyzed the sonographic characteristics and pathological findings.

RESULTSPCa was detected in 35 of the patients (36.8%), including 16 hypoechoic (45.7%), 4 hyperechoic (11.4%), 10 isoechoic (28.6%) and 5 mixed hetero-echoic lesions (14.3%). Of the 35 PCa cases, 17 (46.2%) were within T2b, 70.6% (12/17) of which were detected by lesion-directed biopsy and 29.4% (5/17) by sextant biopsy, the former obviously higher than the latter (P < 0.05).

CONCLUSIONLesion-directed prostate biopsy under TRUS can significantly improve the early diagnosis of prostate cancer, increase convenience and reduce patients' pain, but is not sufficient to replace traditional sextant biopsy.

Adult ; Aged ; Aged, 80 and over ; Biopsy ; methods ; Humans ; Male ; Middle Aged ; Prostate ; diagnostic imaging ; pathology ; Prostatic Neoplasms ; diagnosis ; diagnostic imaging ; pathology ; Ultrasonography, Interventional

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Value of 3D 1H-MRS with body coil at 3T in the differential diagnosis of the prostate cancer.

Fei WANG ; Yu-Ping DAI ; Xiang-Zhou SUN ; Yan GUO ; Ya-Qing CHEN ; Li-Juan MAO ; Dao-Hu WANG ; Chun-Hua DENG

National Journal of Andrology.2009;15(5):431-436.

OBJECTIVETo assess the value of three dimensional proton magnetic resonance spectroscopy (3D 1H-MRS) with body coil at 3T in the differential diagnosis of prostate cancer.

METHODSForty patients suspected of prostate cancer underwent MRI and MRS examinations, and then transrectal ultrasound guided prostate biopsy for pathological diagnosis. The MRI and MRS features of benign prostate hyperplasia, prostate cancer and prostatic intraepithelial neoplasia (PIN) were analyzed in comparison with the pathological reports, and the receiver operating characteristic curve was drawn for the diagnosis of cancer from peripheral zones.

RESULTSThe examinations were accomplished for all the patients. The mean ratios of (Cho + Cre)/Cit in the interstitial and glandular hyperplasia tissues, the cancer tissue of the central and peripheral glands, the healthy peripheral gland and PIN were 0.75 +/- 0.23, 0.59 +/- 0.14, 1.79 +/- 0.90, 1.18 +/- 0.95, 0.46 +/- 0.18, and 0.97 +/- 0.10, respectively, with statistically significant differences between the cancer and normal prostate tissues (P < 0.01). The optimum threshold for the diagnosis of prostate cancer in the peripheral zone was 0.68 with a sensitivity of 88.6% and a specificity of 88.7%.

CONCLUSIONThe 3D 1H-MRS with body coil at 3T has a high sensitivity and specificity in the differential diagnosis of prostate cancer, and can provide valuable information for the diagnosis of PIN.

Aged ; Aged, 80 and over ; Diagnosis, Differential ; Humans ; Imaging, Three-Dimensional ; Magnetic Resonance Spectroscopy ; methods ; Male ; Middle Aged ; Prostatic Neoplasms ; diagnosis ; Sensitivity and Specificity

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Differentiation of rat adipose-derived stem cells into smooth-muscle-like cells in vitro.

Rui-Bao CHEN ; Ji-Hong LIU ; Ke RAO ; Yun-Gao PAN ; Tao WANG ; Shao-Gang WANG ; Zhang-Qun YE

National Journal of Andrology.2009;15(5):425-430.

OBJECTIVETo study the feasibility of inducing the differentiation of rat adipose-derived stem cells (ADSCs) into smooth-muscle-like cells in monolayer culture in vitro.

METHODSADSCs were obtained from the adipose of the inguinal region of the SD rat. A growth curve of the ADSCs was drawn. The fourth passage ADSCs were induced to differentiate into adipocytes with adipogenic inducing fluid and determined by Oil Red O staining, into osteoblasts with osteogenic inducing fluid and determined by Von Kossa staining, as well as into smooth-muscle-like cells with inducing fluid containing beta-mercaptoethanol, and the expression of alpha-smooth muscle actin (alpha-SMA) was detected by the immunohistochemical method.

RESULTSThe ADSCs presented spindle and polygon shapes and proliferated rapidly in vitro. The growth curve showed the ADSCs in the logarithmic growth phase two days after subculture. The fourth passage ADSCs exhibited red stained lipid droplets characteristic of adipocytes in the cytoplasm on Oil Red O staining after induction with adipogenic inducing fluid, and calcium nodes on Von Kossa staining after induction with osteogenic inducing fluid. The immunohistochemical results of the ADSCs induced into smooth-muscle-like cells showed that the positive rate of alpha-SMA in the beta-mercaptoethanol induced cells was (29.80 +/- 6.89)%, significantly higher than in the uninduced ones ([2.89 +/- 1.24]%, P < 0.01).

CONCLUSIONADSCs displayed obvious characteristics of smooth muscle cells after induction, and could be a new source of cells in the tissue engineering studies of smooth muscle related diseases.

Adipocytes ; cytology ; Animals ; Cell Culture Techniques ; Cell Differentiation ; Male ; Myocytes, Smooth Muscle ; cytology ; Rats ; Rats, Sprague-Dawley

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Effects of different proportions of cryoprotectant to seminal plasma on the motility of post-thaw human sperm.

Jing-Mei HU ; Cheng-Yan XU ; Yuan LI ; Ling GENG ; Gang MA ; Li WANG ; Zi-Jiang CHEN

National Journal of Andrology.2009;15(5):422-424.

OBJECTIVETo investigate the effects of different proportions of cryoprotectant to seminal plasma on the motility of post-thaw human sperm.

METHODSDifferent proportions of cryoprotectant to seminal plasma (1:1 and 1:3) were used for freezing sperm, and the forward movement and total motility rates of the frozen-thawed sperm were compared.

RESULTSThe forward movement and total motility rates were (58.60 +/- 5.57)% and (66.17 +/- 5.24)% before cryopreservation. The 1:1 proportion achieved post-thaw forward movement and total motility rates of (40.53 +/- 8.97)% and (51.23 +/- 9. 30)%, while the 1:3 (44.7 +/- 8.67)% and (51.50 +/- 7.40)%, respectively. Significantly decreased sperm motility was observed after cryopreservation (P < 0.05). Statistically significant differences were found in the forward movement but not in the total motility of the frozen-thawed sperm between the two proportions.

CONCLUSIONCryopreservation causes obvious damage to human sperm. Higher proportion of cryoprotectant to seminal plasma (1:3) can improve the forward movement of post-thaw sperm as compared with the lower one (1:1).

Adult ; Cryoprotective Agents ; adverse effects ; pharmacology ; Freezing ; Humans ; Male ; Semen ; drug effects ; Sperm Motility ; drug effects

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Establishment of a method for quantifying tuberous sclerosis complex 2 mRNA in mouse single oocyte and preimplantation embryo.

Ning-Yuan ZHANG ; Ya-Li HU ; Hai-Xiang SUN ; Zhi-Peng XU

National Journal of Andrology.2009;15(5):417-421.

OBJECTIVETo develop a method for quantifying gene expressions in the mouse single oocyte and preimplantation embryo.

METHODSWe quantified the message RNA (mRNA) expression of the TSC2 gene in the single oocyte and preimplantation embryo by capillary electrophoresis using the exogenic mutation TSC2 gene as the reference and amplification by competition polymerase chain reaction (PCR).

RESULTSWe successfully established the method for quantifying the mRNA expression of the TSC2 gene, with good linear relations between the mRNA level of the TSC2 gene and the dilution degree of the reference gene (r = -0.987).

CONCLUSIONThe level of the mouse TSC2 gene expression can be effectively quantified by competition PCR and capillary electrophoresis, which has provided a molecular base for evaluating the quality of human oocytes and preimplantation embryos.

Animals ; Blastocyst ; metabolism ; Female ; Gene Expression ; Male ; Mice ; Mice, Inbred ICR ; Oocytes ; metabolism ; Polymerase Chain Reaction ; methods ; RNA, Messenger ; genetics ; Tumor Suppressor Proteins ; genetics

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