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From the * Division of Endocrinology, the
Institute of Biochemistry and Clinical
Biochemistry, and the
Epidemiology and
Biostatistics Unit—Institute of Hygiene, Catholic University of the
Sacred Heart, Rome, Italy.
| Correspondence to: Dr Antonio Mancini, Largo G. Vidari 7, 00135 Rome, Italy (e-mail: mancini.giac{at}mclink.it). |
Infertility is associated with oxidative stress, normally counterbalanced
by different antioxidant systems. In order to explore the hormonal control of
seminal plasma total antioxidant capacity (TAC) we evaluated TAC and hormone
patterns in a group of unselected infertile patients and control subjects. One
hundred and ten infertile patients (divided into 3 groups: inflammation,
varicocele, and other etiologies) and 31 fertile men were examined, evaluating
blood serum gonadotropins, testosterone, estradiol, free tri-iodothyronine,
free tetraiodothyronine (FT4), thyrotropin, prolactin (PRL), seminal
parameters, and TAC. TAC was measured using the
H2O2-metmyoglobin system, which generates the
spectroscopically detectable radical cation of the chromogenous compound
2,2I-azinobis (3-ethylbenzothiazoline-6-sulfonate). The "lag
time" of its appearance is proportional to the antioxidant activity. Lag
phase was significantly higher in varicocele vs controls, whereas it was lower
in patients with inflammation vs varicocele or other kinds of infertility. The
correlation analysis between hormones and seminal parameters showed an inverse
correlation between PRL and sperm motility, and a direct correlation of TAC
with PRL and FT4, but not with gonadotropins or gonadal steroids. Our data
suggest that systemic hormones may play a role in regulating seminal
antioxidant capacity. This is interesting also because some hormones, such as
thyroid and pituitary hormones, are not usually tested in the first-level
evaluation of male patients with fertility problems.
Key words: Male infertility, thyroid hormones, prolactin, antioxidant capacity, oxidative stress
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