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      • KCI등재후보
      • KCI등재

        Ritalinic Acid Stimulates Human Sperm Motility and Maintains Vitality In Vitro

        Avi Harlev,Ralf Henkel,Luna Samanta,Ashok Agarwal 대한남성과학회 2020 The World Journal of Men's Health Vol.38 No.1

        Purpose: To evaluate the in vitro impact of ritalinic acid (RA), a major metabolite of methylphenidate (drug to treat attention-deficit hyperactivity disorder), on sperm motility, vitality and oxidative stress.Materials and Methods: Semen samples (n=13) were collected from healthy donors and a semen analysis was performed according to World Health Organization. Density gradient centrifugation was performed to isolate motile sperm. Samples were incubated with different concentrations (0, 1, 10, 100, and 1,000 ng/mL) of RA. The non-exposed group (0 ng/mL) was defined as the control group. Samples were analyzed for motility at different time points (0, 60, 150, 240, and 300 minutes) and for vitality and oxidation reduction potential (ORP) (at 0, 240, and 300 minutes). Sperm motility was assessed manually and motion kinetic parameters were recorded by computer aided semen analysis. Results: RA at any tested concentration significantly increased sperm motility compared to the control in a time-dependent manner with a maximum increase after 240 minutes. Motion kinetic parameters were not comparable. For sperm vitality, supplementation with RA significantly maintained survival at higher levels, while non-treated sperm gradually died. These higher levels of vitality were maintained with rising RA concentrations of up to 1,000 ng/mL. A non-significant trend of increased ORP was observed in all study groups.Conclusions: RA increases sperm motility and maintains vitality at any concentration tested. Therefore, RA might be utilized to improve sperm quality in asthenozoospermic specimens. However, further investigation is ongoing to evaluate the effect of RA on other sperm parameters.

      • KCI등재

        Utility of Antioxidants in the Treatment of Male Infertility: Clinical Guidelines Based on a Systematic Review and Analysis of Evidence

        Agarwal Ashok,Leisegang Kristian,Majzoub Ahmad,Henkel Ralf,Finelli Renata,Panner Selvam Manesh Kumar,Tadros Nicholas,Parekh Neel,Ko Edmund Y.,Cho Chak-Lam,Arafa Mohamed,Alves Marco G.,Oliveira Pedro F 대한남성과학회 2021 The World Journal of Men's Health Vol.39 No.2

        It is widely accepted that oxidative stress plays an important role in the pathophysiology of male infertility and that antioxidants could have a significant role in the treatment of male infertility. The main objectives of this study are: 1) to systematically review the current evidence for the utility of antioxidants in the treatment of male infertility; and 2) propose evidence-based clinical guidelines for the use of antioxidants in the treatment of male infertility. A systematic review of the available clinical evidence was performed, with articles published on Scopus being manually screened. Data extracted included the type of antioxidant used, the clinical conditions under investigation, the evaluation of semen parameters and reproductive outcomes. The adherence to the Cambridge Quality Checklist, Cochrane Risk of Bias for randomized controlled trials (RCTs), CONSORT guidelines and JADAD score were analyzed for each included study. Further, we provided a Strength Weakness Opportunity Threat (SWOT) analysis to analyze the current and future value of antioxidants in male infertility. Of the 1,978 articles identified, 97 articles were included in the study. Of these, 52 (53.6%) were uncontrolled (open label), 12 (12.4%) unblinded RCTs, and 33 (34.0%) blinded RCTs, whereas 44 (45.4%) articles tested individual antioxidants, 31 (32.0%) a combination of several products in variable dosages, and 22 (22.6%) registered antioxidant products. Based on the published evidence, we 1) critically examined the necessity of additional double-blind, randomized, placebo-controlled trials, and 2) proposed updated evidence-based clinical guidelines for antioxidant therapy in male infertility. The current systematic review on antioxidants and male infertility clearly shows that antioxidant supplementation improves semen parameters. In addition, it provides the indications for antioxidant treatment in specific clinical conditions, including varicocele, unexplained and idiopathic male infertility, as well as in cases of altered semen quality.

      • KCI등재

        Microtubular Dysfunction and Male Infertility

        Sezgin Gunes,Pallav Sengupta,Ralf Henkel,Aabed Alguraigar,Mariana Marques Sinigaglia,Malik Kayal,Ahmad Joumah,Ashok Agarwal 대한남성과학회 2020 The World Journal of Men's Health Vol.38 No.1

        Microtubules are the prime component of the cytoskeleton along with microfilaments. Being vital for organelle transport and cellular divisions during spermatogenesis and sperm motility process, microtubules ascertain functional capacity of sperm. Also, microtubule based structures such as axoneme and manchette are crucial for sperm head and tail formation. This review (a) presents a concise, yet detailed structural overview of the microtubules, (b) analyses the role of microtubule structures in various male reproductive functions, and (c) presents the association of microtubular dysfunctions with male infertility. Considering the immense importance of microtubule structures in the formation and maintenance of physiological functions of sperm cells, this review serves as a scientific trigger in stimulating further male infertility research in this direction.

      • KCI등재

        A Schematic Overview of the Current Status of Male Infertility Practice

        Ashok Agarwal,Ahmad Majzoub,Neel Parekh,Ralf Henkel 대한남성과학회 2020 The World Journal of Men's Health Vol.38 No.3

        The practice of male infertility has dramatically evolved over the past few decades. This has been achieved after the realization of the important contribution the male counterpart holds in the couple’s infertility. It is also supported by a number of breakthroughs in the diagnosis and treatment of this medical condition. Several tests to investigate sperm quality and function were introduced along with refinements and/or institution of novel surgical techniques that can correct several causes of infertility. This manuscript is aimed at highlighting the current state of male infertility practice in a robust, schematic method addressing a broader audience involved in the treatment of male infertility.

      • SCOPUSKCI등재

        Protective effects of saffron against zearalenone-induced alterations in reproductive hormones in female mice (Mus musculus)

        Ahmad, Bashir,Shrivastava, Vinoy K.,Saleh, Ramadan,Henkel, Ralf,Agarwal, Ashok The Korean Society for Reproductive Medicine 2018 Clinical and Experimental Reproductive Medicine Vol.45 No.4

        Objective: Zearalenone (ZEA) is a mycotoxin with potent estrogenic effects. Saffron is an herbal product that has antioxidant activities. The objective of this study was to investigate the protective role of saffron against reproductive toxicity induced by ZEA in female mice. Methods: Ninety 8-week-old female mice were randomly allocated into three treatment groups. The first group received an intraperitoneal injection of ZEA (2.5 mg/kg) on alternate days. The second group received ZEA (2.5 mg/kg) on alternate days plus oral saffron daily (50 mg/kg). The third group was treated with a vehicle of 1% dimethyl sulfoxide (DMSO) on alternate days, as a control. Ten mice were euthanized from each group at 30, 60, and 90 days of treatment. Serum levels of luteinizing hormone (LH), follicle-stimulating hormone (FSH), estradiol ($E_2$), and progesterone (P) were assessed. The uterus and ovaries were examined for changes in size or morphology. Results: Serum levels of LH, FSH, $E_2$, and P in the female mice treated with ZEA plus saffron were significantly higher than in those treated with ZEA alone, and were not significantly different from those treated with 1% DMSO. The female mice treated with ZEA alone showed a reduction in size of the uterus and abnormal architecture of the ovaries. Conclusion: The administration of saffron to female mice resulted in a significant reduction in ZEA-induced alterations in reproductive hormone levels, the size of the uterus, and the morphology of the ovaries.

      • SCISCIESCOPUS
      • KCI등재

        A Novel Approach to Improving the Reliability of Manual Semen Analysis: A Paradigm Shift in the Workup of Infertile Men

        Douglas Christopher,Parekh Neel,Kahn Linda G.,Henkel Ralf,Agarwal Ashok 대한남성과학회 2021 The World Journal of Men's Health Vol.39 No.2

        Conventional semen analysis (SA) is an essential component of the male infertility workup, but requires laboratories to rigorously train and monitor technicians as well as regularly perform quality assurance assessments. Without such measures there is room for error and, consequently, unreliable results. Furthermore, clinicians often rely heavily on SA results when making diagnostic and treatment decisions, however conventional SA is only a surrogate marker of male fecundity and does not guarantee fertility. Considering these challenges, the last several decades have seen the development of many advances in SA methodology, including tests for sperm DNA fragmentation, acrosome reaction, and capacitation. While these new diagnostic tests have improved the scope of information available to clinicians, they are expensive, time-consuming, and require specialized training. The latest advance in laboratory diagnostics is the measurement of seminal oxidation-reduction potential (ORP). The measurement of ORP in an easy, reproducible manner using a new tool called the Male Infertility Oxidative Stress System (MiOXSYS) has demonstrated ORP’s potential as a feasible adjunct test to conventional SA. Additionally, the measurement of ORP by this device has been shown to be predictive of both poor semen quality and male infertility. Assessing ORP is a novel approach to both validating manual SA results and identifying patients who may benefit from treatment of male oxidative stress infertility.

      • Kinetics of the long-range spherical model

        Baumann, Florian,Dutta, Sreedhar B,Henkel, Malte The Institute of Physics 2007 JOURNAL OF PHYSICS A-MATHEMATICAL AND THEORETICAL Vol.40 No.27

        <P>The kinetic spherical model with long-range interactions is studied after a quench to <I>T</I> < <I>T<SUB>c</SUB></I> or to <I>T</I> = <I>T<SUB>c</SUB></I>. For the two-time response and correlation functions of the order parameter as well as for composite fields such as the energy density, the ageing exponents and the corresponding scaling functions are derived. The results are compared to the predictions which follow from local scale invariance.</P>

      • SCISCIESCOPUS

        High-mass Starless Clumps in the Inner Galactic Plane: The Sample and Dust Properties

        Yuan, Jinghua,Wu, Yuefang,Ellingsen, Simon P.,II, Neal J. Evans,Henkel, Christian,Wang, Ke,Liu, Hong-Li,Liu, Tie,Li, Jin-Zeng,Zavagno, Annie American Astronomical Society 2017 The Astrophysical journal Supplement series Vol.231 No.1

        <P>We report a sample of 463 high-mass starless clump (HMSC) candidates within -60 degrees < l < 60 degrees and -1 degrees < b < 1 degrees. This sample has been singled out from 10,861 ATLASGAL clumps. None of these sources are associated with any known star-forming activities collected in SIMBAD and young stellar objects identified using color-based criteria. We also make sure that the HMSC candidates have neither point sources at 24 and 70 mu m. nor strong extended emission at 24 mu m. Most of the identified HMSCs are infrared dark, and some are even dark at 70 mu m. Their distribution shows crowding in Galactic spiral arms and toward the Galactic center and some wellknown star-forming complexes. Many HMSCs are associated with large-scale filaments. Some basic parameters were attained from column density and dust temperature maps constructed via fitting far-infrared and submillimeter continuum data to modified blackbodies. The HMSC candidates have sizes, masses, and densities similar to clumps associated with Class II methanol masers and H. II. regions, suggesting that they will evolve into star-forming clumps. More than 90% of the HMSC candidates have densities above some proposed thresholds for forming high-mass stars. With dust temperatures and luminosity-to-mass ratios significantly lower than that for star-forming sources, the HMSC candidates are externally heated and genuinely at very early stages of high-mass star formation. Twenty sources with equivalent radii r(eq) < 0.15 pc and mass surface densities Sigma > 0.08 g cm(-2) could be possible high-mass starless cores. Further investigations toward these HMSCs would undoubtedly shed light on comprehensively understanding the birth of high-mass stars.</P>

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