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      • KCI등재

        Advanced Paternal Age and Sperm DNA Fragmentation: A Systematic Review

        Gonzalez Daniel C.,Ory Jesse,Blachman-Braun Ruben,Nackeeran Sirpi,Best Jordan C.,Ramasamy Ranjith 대한남성과학회 2022 The World Journal of Men's Health Vol.40 No.1

        Purpose: Male ageing is often associated with defective sperm DNA remodeling mechanisms that result in poorly packaged chromatin and a decreased ability to repair DNA strand breaks. However, the impact of advanced paternal age on DNA fragmentation remains inconclusive. The aim of the present systematic review was to investigate the impact of advancing paternal age (APA) on DNA fragmentation. Materials and Methods: We conducted a thorough search of listed publications in Scopus, PubMed, and EMBASE, in accordance with the PRISMA guidelines. Results: We identified 3,120 articles, of which nineteen were selected for qualitative analysis, resulting in a sample of 40,668 men. Of the 19 articles evaluating the impact of APA on DFI% (DNA fragmentation Index) included, 4 were on Normozoospermic and subfertile men, 3 on normozoospermic, Oligoasthenoteratozoospermic and Teratozoospermic, 6 on fertile and infertile men, 4 on just infertile men, and 2 evaluated a general population. Seventeen of the ninrnteen studies demonstrated APA’s effect and impact on DFI%. Conclusions: Although there was no universal definition for APA, the present review suggests that older age is associated with increased DFI. In elderly men with normal semen parameters, further studies should be performed to assess the clinical implications of DFI, as a conventional semen analysis can often fail to detect an etiology for infertility.

      • KCI등재

        Clinical Update on Home Testing for Male Fertility

        Gonzalez Daniel,Narasimman Manish,Best Jordan C.,Ory Jesse,Ramasamy Ranjith 대한남성과학회 2021 The World Journal of Men's Health Vol.39 No.4

        Male factor infertility accounts for about 50% of the incidence of infertility in couples. In current practice, the men must attend a clinic or hospital facility to provide a semen analysis, which is key to the diagnosis of the male reproductive potential. However, many men are often embarrassed with the process and conventional semen analysis requires complex, labor intensive inspection with a microscope. To mitigate these problems, one of the solutions can be at-home semen analysis. In this review we examine the literature of currently available at home semen analysis test kits, describe their limitations, and compare them to the conventional lab-based methods.

      • SCOPUS

        A combined theoretical and experimental study on the oxidation of fulvic acid by the sulfate radical anion

        Gara, Pedro M. David,Bosio, Gabriela N.,Gonzalez, Monica C.,Russo, Nino,Michelini, Maria del Carmen,Diez, Reinaldo Pis,Martire, Daniel O. Korean Society of Photoscience 2009 Photochemical & photobiological sciences Vol.8 No.7

        The kinetics of the reaction of sulfate radicals with the IHSS Waskish peat fulvic acid in water was investigated in the temperature range from 289.2 to 305.2 K. The proposed mechanism considers the reversible binding of the sulfate radicals by the fulvic acid. The kinetic analysis of the data allows the determination of the thermodynamic parameters ${\Delta}G^{\circ}$ = -10.2 kcal $mol^{-1}$, ${\Delta}H^{\circ}$ = -16 kcal $mol^{-1}$ and ${\Delta}S^{\circ}$ = -20.3 cal $K^{-1}mol^{-1}$ for the reversible association at 298.2 K. Theoretical (DFT) calculations performed with the Buffle model of the fulvic acids support the formation of H-bonded adducts between the inorganic radicals and the humic substances. The experimental enthalpy change compares well with the theoretical values found for some of the investigated adducts.

      • KCI등재

        Artificial Intelligence Based Machine Learning Models Predict Sperm Parameter Upgrading after Varicocele Repair: A Multi-Institutional Analysis

        Ory Jesse,Tradewell Michael B.,Blankstein Udi,Lima Thiago F.,Nackeeran Sirpi,Gonzalez Daniel C.,Nwefo Elie,Moryousef Joseph,Madhusoodanan Vinayak,Lau Susan,Jarvi Keith,Ramasamy Ranjith 대한남성과학회 2022 The World Journal of Men's Health Vol.40 No.4

        Purpose: Varicocele repair is recommended in the presence of a clinical varicocele together with at least one abnormal semen parameter, and male infertility. Unfortunately, up to 50% of men who meet criteria for repair will not see meaningful benefit in outcomes despite successful treatment. We developed an artificial intelligence (AI) model to predict which men with varicocele will benefit from treatment. Materials and Methods: We identified men with infertility, clinical varicocele, and at least one abnormal semen parameter from two large urology centers in North America (Miami and Toronto) between 2006 and 2020. We collected pre and postoperative clinical and hormonal data following treatment. Clinical upgrading was defined as an increase in sperm concentration that would allow a couple to access previously unavailable reproductive options. The tiers used for upgrading were: 1–5 million/mL (ICSI/IVF), 5–15 million/mL (IUI) and >15 million/mL (natural conception). Thus moving from ICSI/IVF to IUI, or from IUI to natural conception, would be considered an upgrade. AI models were trained and tested using R to predict which patients were likely to upgrade after surgery. The model sorted men into categories that defined how likely they were to upgrade after surgery (likely, equivocal, and unlikely). Results: Data from 240 men were included from both centers. A total of 45.6% of men experienced an upgrade in sperm concentration following surgery, 48.1% did not change, and 6.3% downgraded. The data from Miami were used to create a random forest model for predicting upgrade in sperm concentration. On external validation using Toronto data, the model accurately predicted upgrade in 87% of men deemed likely to improve, and in 49% and 36% of men who were equivocal and unlikely to improve, respectively. Overall, the personalized prediction for patients in the validation cohort was accurate (AUC 0.72). Conclusions: A machine learning model performed well in predicting clinically meaningful post-varicocelectomy sperm parameters using pre-operative hormonal, clinical, and semen analysis data. To our knowledge, this is the first prediction model to show the utility of hormonal data, as well as the first to use machine learning models to predict clinically meaningful upgrading. This model will be published online as a clinical calculator that can be used in the preoperative counseling of patients.

      • SCOPUS

        Reactivity of hydroxyl radicals with neonicotinoid insecticides: mechanism and changes in toxicity

        Dell'Arciprete, Maria L.,Santos-Juanes, Lucas,Sanz, Antonio Arques,Vicente, Rafael,Amat, Ana M.,Furlong, Jorge P.,Martirea, Daniel O.,Gonzalez, Monica C. Korean Society of Photoscience 2009 Photochemical & photobiological sciences Vol.8 No.7

        The reactivity of hydroxyl radicals ($HO^{\cdot}$) towards three neonicotonoid insecticides, namely imidacloprid, thiacloprid and acetamiprid was investigated. These radicals were generated by photolysis of $H_2O_2$ solutions. Flash photolysis experiments were used to determine the rate constants of $5.5{\times}10^{10}M^{-1}s{-1}$, $6{\times}10^{10}M^{-1}s^{-1}$, and $7.5{\times}10^{10}M^{-1}s^{-1}$, for the reactions of $HO^{\cdot}$ with acetamiprid, imidacloprid, and thiacloprid, respectively. Continuous irradiation experiments in the absence and presence of $H_2O_2$ allowed the identification and toxicity evaluation of the primary photo- and oxidation products of the insecticides. In all cases, the less toxic 6-chloronicotinic acid was found to be the major product at higher degrees of oxidation. The results reported here indicate that the half life of the insecticides due to their reaction with $HO^{\cdot}$ radicals in natural aquatic reservoirs may vary between 5 h and 19 days, and therefore the hydroxyl radical-mediated oxidation may be a significant abiotic elimination route. However, elimination of the insecticide under such conditions might not improve the quality of the contaminated water, as the primary products of degradation still show considerable toxicity to Vibrio fischeri assays.

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