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Item Relationship between testosterone, oxidative stress biomarkers and antioxidant levels in male auto-mechanics in Ibadan, Nigeria(Biomedical Communications Group, Ibadan, 2016) Balogun, A. M.; Charles-Davies, M. A.; Chikezie, I. C.; Okoli, S. U.Hypogonadism attributable to males with metabolic syndrome was observed in automechanics occupationally exposed to mixed chemicals accompanied by oxidative stress (OS). We evaluated association between testosterone, OS biomarkers, enzymatic and non-enzymatic antioxidants in normal weight automechanics in Ibadan. This was a prospective cross sectional study involving 100 normal weight males aged 18 – 60 years. They were 50 automechanics in Ibadan, age and anthropometry matched with 50 eugonadic males from University College Hospital and environs (controls). Demographic, anthropometry, social habits and dietary history were obtained by standard methods. Blood (10mL) was collected and serum/plasma was used for biochemical analyses. Enzymatic antioxidants (catalase, glutathione peroxidase, superoxide dismutase (SOD) and glutathione -S- transferase (GST); non-enzymatic antioxidants (reduced glutathione (GSH), selenium and zinc), OS biomarkers (hydrogen peroxide (H2O2), malondialdehyde (MDA), total antioxidant capacity (TAC), total plasma peroxides (TPP) and oxidative Stress index (OSI) were estimated spectrophotometrically. Testosterone was assayed by enzyme immunoassay method (Dialab, Austria). Student’s t-test, Chi-square test and multiple regression were used for comparisons, associations and relationships respectively, which were significant at P<0.05. Testosterone, TPP, OSI, GST, MDA, H2O2, selenium and zinc concentrations were significantly higher while catalase and SOD concentrations were lower in automechanics than controls (P<0.05). However, testosterone levels in both groups were within the normal reference interval. TAC, OSI and GSH had significantly negative relationship while TPP had positive relationship with years at occupation in automechanics only (P<0.05). Automechanics may have OS but not hypogonadism probably due to increased antioxidant intake.Item Hypogonadism in males exposed to mixed chemicals in a mechanic village in Bodija, Ibadan(2015) Okoli, S. U.; Charles-Davies, M. A.; Onifade, A. A.; Adekola, S.Africa has great intensity of chemical exposure and high level of infertility. Functional disorders of the male germ cell and endocrinopathies have been attributed to exposure to mixed chemicals. Data on the mixed chemical exposure on reproductive hormones are sparse in Nigeria. This study was designed to evaluate male reproductive hormones and determinants of occupational exposure to mixed chemicals in a mechanic village in Ibadan. Forty-three males, auto mechanics aged 18-60 years occupationally exposed to mixed chemicals (MCG) at their work place in Bodija mechanic village with mean±SEM duration of 21.2±1.9 years were age matched with 40 unexposed males (controls) from the University College Hospital, Ibadan and environs. Demography, anthropometry, blood pressure and sexual history were obtained by standard methods. Blood (10 ml) was obtained from each participant for estimation of reproductive hormones by enzyme linked immunosorbent assay while total antioxidant capacity (TAC) was determined spectrophotometrically. Testosterone/oestradiol ratio (TE ratio) was calculated. The MCG were classified based on their reproductive hormone levels into 4 subgroups as eugonadic, hypogonadotrophic hypogonadism, sub-optimal hypogonadism and compensated hypogonadism. P<0.05 was regarded as significant. There were significantly raised oestradiol levels, diastolic blood pressure, waist circumference and waist to hip ratio and significantly lower TAC and TE ratio in the MCG than the controls (P<0.01). Exposed hypogonadic males exhibited significantly lower LH, FSH, testosterone, prolactin, TAC levels and TE ratio than exposed eugonadic males (P<0.05). Hypogonadism in the males exposed to mixed chemicals may be associated with reduced TE ratio resulting from increased adipose mass as well as oxidative stress associated with the mixed chemical exposure.Item Female reproductive hormones and biomarkers of oxidative stress in genital chlamydia infection in tubal factor infertility(Avicenna Research Institute, 2015) Nsonwu-Anyanwu, A. C.; Charles-Davies, M. A.; Taiwo, V. O.; Bin, L.; Oni, A. A.; Bello, F. A.Background: Genital Chlamydia infection (GCI) and the associated pathologies have been implicated in tubal infertility. Though the actual pathologic mechanisms are still uncertain, oxidative stress and other factors have been implicated. The purpose of the study was to determine the possible contribution of female reproductive hormones and biomarkers of oxidative stress in genital Chlamydial infection to tubal occlusion. Methods: This prospective case control study was carried out by recruiting 150 age matched women grouped into infertile Chlamydia positive women (n=50), fertile Chlamydia positive women (n=50) and fertile Chlamydia negative women as controls (n=50). High vaginal swabs and endocervical swabs were collected for screening Neisseria gonorrhoeae, Chlamydia trachomatis, Trichomonas vaginalis, Treponema pallidum, Staphylococcus aureus, and Candida albicans. Sera were collected for estimation of Chlamydia trachomatis antibody, female reproductive hormones [Follicle Stimulating Hormone (FSH), Luteinizing Hormone (LH), Oestradiol (E2), Progesterone (P4), Prolactin (PRL)] and biomarkers of oxidative stress [Total Antioxidant Capacity (TAC) and 8-hydroxyl-2-deoxyguanosine (8-OHdG)] by enzyme immunoassay (EIA). Data were analyzed using chi square, analysis of variance and LSD Post hoc to determine mean differences at p=0.05. Results: Among women with GCI, higher levels of LH and 8-OHdG were observed in infertile Chlamydia positive women compared to fertile Chlamydia positive women (p<0.05). Higher levels of LH and 8-OHdG and lower TAC levels were observed in infertile Chlamydia positive women compared to fertile Chlamydia negative controls (p<0.05). Conclusion: Mechanisms including oxidative DNA damage and reduced antioxidant capacity may be involved in the pathology of Chlamydia induced tubal damage.Item Impact of dietary intervention on selected biochemical indices of inflammation and oxidative stress in Nigerians with metabolic syndrome: a pilot study(2014) Rahamon, S. K.; Charles-Davies, M. A.; Akinlade, K. S.; Olaniyi, J. A.; Fasanmade, A. A.; Oyewole, O. E.; Owolabi, M. O.; Adebusuyi, J. R.; Hassan, O. O.; Ajobo, B. M.; Ebesunun, M. O.; Adigun, K.; Fabian, U. A.; Popoola, O. O.; Okunbolade, W.; Arinola, O. G.; Agbedana, E. O.Aim: This study assessed the impact of dietary modification on cardiometabolic, inflammatory and oxidative stress indices in Nigerians with metabolic syndrome (MS). Subjects and Methods: Sixty participants with MS were selected using the International Diabetes Federation criteria from a cohort participating in “Risk Assessment of Type 2 diabetes mellitus and Dementia in Nigerians with Metabolic Syndrome” study. The subjects were seen by a Dietitian and the approximate percentages of total calories from total protein, total fat, polyunsaturated fat, and carbohydrate were calculated from dietary history and pegged at 20%, 30%, 14% and 50% respectively. To ensure compliance, each participant was seen monthly (for 6 months) by the Dietitian. Glucose and lipid profile were determined using enzymatic methods. Serum activities of superoxide dismutase (SOD), catalase (CAT), Myeloperoxidase (MPO) and levels of nitric oxide (NO), malondialdehyde (MDA), hydrogen peroxide (H2O2), total protein and albumin were determined using spectrophotometric methods while high sensitivity C-reactive protein (hsCRP) and tumuor necrosis factor-alpha (TNF-α) were determined using ELISA. Student’s t-test (paired) and Wilcoxon signed-rank test were used for statistical analysis as appropriate. P-value <0.05 was considered significant. Results: The mean blood pressure (BP), body mass index (BMI), waist circumference(WC), hip circumference (HC), body fat, NO, hsCRP, H2O2, total protein and globulin were significantly reduced while the mean HDL, MDA, albumin and activities of CAT and MPO were significantly increased post-dietary modification compared with baseline. Conclusion: Short-term dietary intervention improved cardiovascular risk, inflammation and oxidative stress indices in Nigerians with MS.Item Progesterone, selected heavy metals and micronutrients in pregnant Nigerian women with a history of recurrent spontaneous abortion(Makerere University, Medical School, 2012-06) Ajayi, O. O.; Charles-Davies, M. A.; Arinola, O. G.Background: Environmental and endocrine factors have been implicated in the aetiology of recurrent abortion, with poorly understood roles. Luteal phase insufficiency marked with insufficient progesterone secretion has been reported. Objective: To define the involvement of progesterone, trace metals, and Vitamin E in pregnant women with history of recurrent spontaneous abortion. Methods: Convenience sampling method was used to recruit 69 pregnant women aged 21-41 years with gestational age of 0-20 weeks in this case-control study. Thirty five (cases) and thirty four (controls) had previous and no history of recurrent spontaneous abortion respectively. Demographic characteristics and 10mls of blood samples were obtained from each subject. Serum obtained was used for the determination of progesterone, zinc, copper, selenium, iron, magnesium, manganese, chromium, lead, cadmium, and serum vitamin E by standard methods. Results: Results showed statistically significant decreases (p<0.05) in the serum zinc, copper, and vitamin E and a significant elevation (p<0.05) in the serum selenium, lead, and cadmium in cases compared with controls. Insignificant decrease (p=0.07) was observed in the serum progesterone when cases were compared with controls. Conclusion: Results suggest that elevated serum heavy metals (cadmium and lead) and reduction of essential micronutrients (zinc, copper and vitamin E) may contribute to recurrent spontaneous abortion.Item Chlamydial infection, plasma peroxidation and obesity in tubal infertility(2011-12) Nsonwu-Anyanwu, A. C.; Charles-Davies, M. A.; Oni, A. A.; Taiwo, V. O.; Bello, F. A.Background: Genital tract infections and obesity are both sources of oxidative stress. Alterations in immune and antioxidant parameters may arise from this or from an indeterminate autoimmune mechanism. Objective: This study aimed to investigate the association of Chlamydial infection, obesity and oxidative response with tubal infertility in Nigerian women. Methods: It was a case-control study of 40 women with tubal infertility and 32 fertile women, respectively, recruited from the Infertility and Family Planning Clinics respectively, of the University College Hospital, Ibadan, Nigeria. Anthropometric indices were measured in each subject and endocervical swabs were taken to screen for current genital tract infection. Antioxidant, hormonal and immunologic analysis were performed on serum. Results: None of the subjects had current genital tract infections. Chlamydia trachomatis IgG positivity was significantly higher in infertile than in fertile subjects [OR 4.33; 95%CI (0.078-0.681)]. No significant variations were observed in the anthropometric indices, antioxidant parameters and hormones between infertile and the fertile women. Body mass index correlated positively with oxidative stress in infertile subjects. Waist and hip circumferences correlated negatively with oestradiol in women with tubal infertility. Conclusion: Chlamydial infection is associated with tubal factor infertility, however, obesity seems to increase oxidative stress and reduce fertility potential in women with tubal factor infertility.