Biochemical and molecular study in diabetic infertile males
Keywords:
Diabetic infertile, biochemical, semen analysis, FSH, LH, FBS, Prolactin, Testosterone, MTHFRAbstract
As per the statement by World Health Organization, Infertility is presence of a medical condition of the couple with inability in getting conceived for 1 year or more without usage of any contraception. In the present situation, the incidence of Infertility has increased and it is viewed as a major concern with affecting about 15% to 20% of the couples. A detailed systematic examination of history, investigative protocol is necessary for proper management of infertility. The patients were also advised for blood hormonal analysis tests such as Follicle Stimulation Hormone (FSH), Testosterone, Luteinizing Hormone (LH), Prolactin. Methylene tetrahydrofolate reductase (MTHFR) and methionine synthase reductase (MTRR) are the key enzymes in folate metabolism. The enzyme activities of MTHFR and MTRR are influenced by gene polymorphisms. So the polymorphisms of MTHFR and MTRR may be a potential risk factor for male infertility. The present study was done in 100 males, 50 diabetic infertile and 50 non-diabetic fertile men. Semen samples were obtained and analyzed as per the instructions given in the WHO manual for semen analysis [10]. A blood sample was collected and analyzed for the levels of FBS, FSH, LH, Prolactin and Testosterone.
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A ZC, Yang Y, Zhang SZ, Li N, Zhang W. Single nucleotide polymorphism C677T in the methylenetetrahydrofolate reductase gene might be a genetic risk factor for infertility for Chinese men with azoospermia or severe oligozoospermia. Asian J Androl. 2007;9(1): 57–62. doi:10.1111/j.1745-7262.2007.00225.x.
Al-Hakeim HK, Jebur IM, Alkhafaji RS. Serum anti-zona pellucida antibodies level is correlated with estradiol level in women with in vitro fertilization failure. Int J Pharm Pharm Sci 2016;8(5):41-4.
Bezold G, Lange M, Peter RU. Homozygous methylenetetrahydrofolate reductase C677T mutation and male infertility. N Engl J Med. 2001;344(15):1172–3. doi:10.1056/NEJM200104123441517.
Botto LD, Yang Q. 5,10-Methylenetetrahydrofolate reductase gene variants and congenital anomalies: a HuGE review. Am J Epidemiol. 2000;151(9):862–77. doi:10.1093/oxfordjournals.aje.a010290.
Boxmeer JC, Smit M, Utomo E, Romijn JC, Eijkemans MJ, Lindemans J, et al. Low folate in seminal plasma is associated with increased sperm DNA damage. Fertil Steril. 2009;92(2):548–56. doi: 10.1016/j.fertnstert.2008.06.010.
Brugh VM, Lipshultz LI. Male factor infertility: Evaluation and management. Med Clin North Am 2004;88:367–85.
Chen Z, Karaplis AC, Ackerman SL, Pogribny IP, Melnyk S, Lussier-Cacan S, et al. Mice deficient in methylenetetrahydrofolate reductase exhibit hyperhomocysteinemia and decreased methylation capacity, with neuropathology and aortic lipid deposition. Hum Mol Genet. 2001;10(5):433–43. doi:10.1093/hmg/10.5.433.
Damayanti, I. A. M., Indrayoni, P., Antari, N. W. S., & Padmiswari, A. A. I. M. (2021). Effectiveness of Averrhoa bilimbi leaf extract on spermatogenic cells of mice (Mus Musculus L.) hyperglycemia. International Journal of Health & Medical Sciences, 4(2), 273-279. https://doi.org/10.21744/ijhms.v4n2.1747
De Kretser DM. Elevated levels of serum FSH and LH with increasing severity of seminiferous epithelial damage. Clin Obstet Gynaecol 1974;1:409-27.
Dhillon VS, Shahid M, Husain SA. Associations of MTHFR DNMT3b 4977 bp deletion in mtDNA and GSTM1 deletion, and aberrant CpG island hypermethylation of GSTM1 in non-obstructive infertility in Indian men.Mol Hum Reprod. 2007;13(4):213–22. doi:10.1093/molehr/gal118.
Du B, Tian H, Tian D, et al. Genetic polymorphisms of key enzymes in folate metabolism affect the efficacy of folate therapy in patients with hyperhomocysteinaemia. Br J Nutr 2018;119:887–95.
Ebisch IM, van HeerdeWL, Thomas CM, van der Put N,Wong WY, Steegers-Theunissen RP. C677T methylenetetrahydrofolate reductase polymorphism interferes with the effects of folic acid and zinc sulfate on sperm concentration. Fertil Steril. 2003;80(5):1190–4. doi: 10.1016/S0015-0282(03)02157-5.
Eloualid A, Abidi O, Charif M, El Houate B, Benrahma H, Louanjli N, et al. Association of the MTHFR A1298C variant with unexplained severe male infertility. PLoS One. 2012;7(3):e34111. doi: 10.1371/journal.pone.0034111.
Finnell RH, Shaw GM, Lammer EJ, Volcik KA. Does prenatal screening for 5,10-methylenetetrahydrofolate reductase (MTHFR) mutations in high-risk neural tube defect pregnancies make sense? Genet Test. 2002;6(1):47–52. doi:10.1089/ 109065702760093915.
Forges T, Pellanda H, Diligent C, Monnier P, Gueant JL. Do folates have an impact on fertility? GynecolObstet Fertil. 2008;36(9):930–9. doi:10.1016/j.gyobfe.2008.07.004
Frosst P, Blom HJ, Milos R, Goyette P, et al. (1995). A candidate genetic risk factor for vascular disease: a common mutation in methylenetetrahydrofolate reductase. Nat. Genet. 10: 111-113.
Gava MM, Chagas Ede O, Bianco B, et al. Methylenetetrahydrofolate reductase polymorphisms are related to male infertility in Brazilian men. Genet Test Mol Biomarkers 2011;15:153–7.
Gupta N, Gupta S, Dama M, David A, Khanna G, Khanna A, et al. Strong association of 677 C>T substitution in the MTHFR gene with male infertility—a study on an indian population and ameta-analysis.
Gupta N, Sarkar S, David A, Gangwar PK, Gupta R, Khanna G, et al. Significant impact of the MTHFR polymorphisms and haplotypes on male infertility risk. PLoS One. 2013;8(7):e69180. doi:10.1371/journal.pone.0069180.
Hirsh A. Male subfertility. BMJ 2003;327:669–72.
Hopkinson CR, Mauses J, Schenk B, Flitze E, Hauser CH. Some interrelationship between plasma levels of LH, FSH, oestradiol-17B, androgens and semen analysis data in male infertility patients. Andrologia 1977;9:216.
https://www.beckmancoulter.com/download/file/phxA18496AR-EN_US/A18496AR? type=pdf
https://www.beckmancoulter.com/download/file/phxA33261U-EN_US/A33261U? type=pdf
https://www.beckmancoulter.com/download/file/phxA83734N-EN_US/A83734N? type=pdf
https://www.beckmancoulter.com/download/file/phxA83753M-EN_US/A83753M? type=pdf
https://www.beckmancoulter.com/download/file/phxA83772L-EN_US/A83772L? type=pdf
K. Ranjith Babu, Dr. Manibalan Vijayaraman, Dr. Deepti Shastri, Dr. E. Manivannan. Association of MTFHR polymorphism and male infertility – A review on meta analysis. IJMACR Nov-Dec 2021; 4(6): 135-141.
Kelly TL, Neaga OR, Schwahn BC, et al. Infertility in 5, 10-methylenetetrahyd-rofolate reductase (MTHFR)-deficient male mice is partially alleviated by lifetime dietary betaine supplementation. Biol Reprod 2005;72:667–77.
Lee HC, Jeong YM, Lee SH, Cha KY, Song SH, Kim NK, et al. Association study of four polymorphisms in three folate-related enzyme genes with non-obstructive male infertility. Hum Reprod. 2006;21(12):3162–70. doi:10.1093/humrep/del280.
Lee HD, Lee HS, Park SH, et al. Causes and classification of male infertility in Korea. Clin Exp Reprod Med 2012;39:172–5.
Li SS, Li J, Xiao Z, Ren AG, Jin L. Prospective study of MTHFR genetic polymorphisms as a possible etiology of male infertility. Genet Mol Res GMR. 2014;13(3):6367–74. doi:10.4238/2014. March.24.26.
Mfady DS, Sadiq MF, Khabour OF, Fararjeh AS, Abu-Awad A, Khader Y. Associations of variants in MTHFR and MTRR genes with male infertility in the Jordanian population. Gene. 2014;536(1):40–4. doi:10.1016/j.gene.2013.12.001.
Miharja, M. ., Setiawati, S. ., & Lubis, A. L. P. . (2020). How dangerous the Indonesian recession due to COVID-19 pandemic: review policy and strategy to recovery. International Journal of Social Sciences and Humanities, 4(3), 121–129. https://doi.org/10.29332/ijssh.v4n3.470
Naqvi H, Hussain SR, AhmadMK,Mahdi F, Jaiswar SP, Shankhwar SN, et al. Role of 677C–>T polymorphism a single substitution in methylenetetrahydrofolate reductase (MTHFR) gene in North Indian infertilemen.Mol Biol Rep. 2014;41(2):573–9. doi:10.1007/s11033-013-2894-7.
Oliva A, Spira A, Multigner L. Contribution of environmental factors to the risk of male infertility. Hum Reprod 2001;16:1768–76.
Paracchini V, Garte S, Taioli E. MTHFR C677T polymorphism, GSTM1 deletion and male infertility: a possible suggestion of a gene-gene interaction? Biomark Biochem Indic Expo Response Susceptibility Chem. 2006;11(1):53–60. doi:10.1080/ 13547500500442050.
Park JH, Lee HC, Jeong YM, Chung TG, Kim HJ, Kim NK, et al. MTHFR C677T polymorphism associates with unexplained infertile male factors. J Assist Reprod Genet. 2005;22(9–10):361–8. doi:10. 1007/s10815-005-6795-0.
Ravel C, Chantot-Bastaraud S, Chalmey C, et al. Lack of association between genetic polymorphisms in enzymes associated with folate metabolism and unexplained reduced sperm counts. PLoS One 2009;4:e6540.1-8.
Sardjono RK, Pradipta V, Musthapa I. The effect of Indonesian velvet bean extract on the fertility of albino male mice. Int J Pharm Pharm Sci 2016;8(8):103-6.
Singh K, Singh SK, Raman R.MTHFR A1298C polymorphism and idiopathic male infertility. J Postgrad Med. 2010;56(4):267–9. doi: 10.4103/0022-3859.70935.
Singh K, Singh SK, Sah R, Singh I, Raman R.Mutation C677T in the methylenetetrahydrofolate reductase gene is associated with male infertility in an Indian population. Int J Androl. 2005;28(2):115–9. doi:10.1111/j.1365-2605.2004.00513.x.
Stangler Herodez S, Zagradisnik B, Erjavec Skerget A, Zagorac A, Takac I, Vlaisavljevic V, et al. MTHFR C677T and A1298C genotypes and haplotypes in Slovenian couples with unexplained infertility problems and in embryonic tissues from spontaneous abortions. Balk J Med Genet BJMG. 2013;16(1):31–40. doi:10.2478/bjmg- 2013-0015.
Stuppia L, Gatta V, Scarciolla O, Colosimo A, Guanciali-Franchi P, Calabrese G, et al. The methylenetethrahydrofolate reductase (MTHFR) C677T polymorphism and male infertility in Italy. J Endocrinol Investig. 2003;26(7):620–2. doi:10.1111/j.1365-2605. 2011.01147.x.
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Health and treatment of diabetes mellitus. International Journal of Health Sciences, 5(1), i-v. https://doi.org/10.53730/ijhs.v5n1.2864
Van der Put NM, Gabreels F, Stevens EM, Smeitink JA, et al. (1998). A second common mutation in the methylenetetrahydrofolate reductase gene: an additional risk factor for neural-tube defects? Am. J. Hum. Genet. 62:1044-1051.
Wei B, Xu Z, Ruan J, ZhuM, Jin K, Zhou D, et al.MTHFR 677C>T and 1298A> polymorphisms and male infertility risk: a meta-analysis. Mol Biol Rep. 2012;39(2):1997–2002. doi:10.1007/s11033-011-0946-4.
WHO laboratory manual for the examination and processing of human semen, Sixth edition. WHO 2021. Available at: https://www.who.int/publications/i/item/ 9789240030787. Accessed October 2021.
Wilcken B, Bamforth F, Li Z, Zhu H, Ritvanen A, Renlund M, et al. Geographical and ethnic variation of the 677C>Tallele of 5,10methylenetetrahydrofolate reductase (MTHFR): findings from over 7000 newborns from 16 areas world wide. J Med Genet. 2003;40(8):619–25. doi:10.1136/jmg.40.8.619.
Zabul J, Mierzejewski W, Rogoza A. Usefulness of examining gonadotropin hormones and testosterone in men with abnormal semen. Ginekol Pol 1994;65(2):71-4.
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