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  1. Article ; Online: Obesity and male infertility

    Gargi Ray Chaudhuri / Arnab Das / Swaraj Bandhu Kesh / Koushik Bhattacharya / Sulagna Dutta / Pallav Sengupta / Alak Kumar Syamal

    Middle East Fertility Society Journal, Vol 27, Iss 1, Pp 1-

    multifaceted reproductive disruption

    2022  Volume 12

    Abstract: Abstract Background The global prevalence of obesity has soared to a concerning height in the past few decades. Interestingly, the global decline in semen quality is a parallel occurrence that urges researchers to evaluate if obesity is among the most ... ...

    Abstract Abstract Background The global prevalence of obesity has soared to a concerning height in the past few decades. Interestingly, the global decline in semen quality is a parallel occurrence that urges researchers to evaluate if obesity is among the most essential causatives of male infertility or subfertility. Main body Obesity may alter the synchronized working of the reproductive-endocrine milieu, mainly the hypothalamic-pituitary-gonadal (HPG) axis along with its crosstalks with other reproductive hormones. Obesity-mediated impairment in semen parameters may include several intermediate factors, which include physical factors, essentially increased scrotal temperature due to heavy adipose tissue deposits, and systemic inflammation and oxidative stress (OS) initiated by various adipose tissue-derived pro-inflammatory mediators. Obesity, via its multifaceted mechanisms, may modulate sperm genetic and epigenetic conformation, which severely disrupt sperm functions. Paternal obesity reportedly has significant adverse effects upon the outcome of assisted reproductive techniques (ARTs) and the overall health of offspring. Given the complexity of the underlying mechanisms and rapid emergence of new evidence-based hypotheses, the concept of obesity-mediated male infertility needs timely updates and pristine understanding. Conclusions The present review comprehensively explains the possible obesity-mediated mechanisms, especially via physical factors, OS induction, endocrine modulation, immune alterations, and genetic and epigenetic changes, which may culminate in perturbed spermatogenesis, disrupted sperm DNA integrity, compromised sperm functions, and diminished semen quality, leading to impaired male reproductive functions.
    Keywords Male infertility ; Hormones ; Obesity ; Inflammation ; Oxidative stress ; Medicine (General) ; R5-920 ; Reproduction ; QH471-489
    Subject code 796
    Language English
    Publishing date 2022-04-01T00:00:00Z
    Publisher SpringerOpen
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Inflammatory perspectives of polycystic ovary syndrome

    Rajen Dey / Koushik Bhattacharya / Asim Kumar Basak / Nimisha Paul / Raktima Bandyopadhyay / Gargi Ray Chaudhuri / Mahuya Patra Purkait / Aniruddha Bhattacharjee / Chaitali Bose / Nandini Shukla / Rama Bhaduri / Soumya Sinha Roy / Alak Kumar Syamal

    Middle East Fertility Society Journal, Vol 28, Iss 1, Pp 1-

    role of specific mediators and markers

    2023  Volume 12

    Abstract: Abstract Polycystic ovary syndrome (PCOS) is indeed one of the most common gynecological endocrine disorders, affecting a significant number of females in their reproductive age. While the exact cause of PCOS is not fully understood, several factors are ... ...

    Abstract Abstract Polycystic ovary syndrome (PCOS) is indeed one of the most common gynecological endocrine disorders, affecting a significant number of females in their reproductive age. While the exact cause of PCOS is not fully understood, several factors are believed to contribute to its onset. The relationship between polycystic ovary syndrome (PCOS) and low-grade chronic inflammation is complex and not fully understood. While there is evidence to suggest an association between PCOS and inflammation, the exact cause and causal nature of this relationship are still under investigation. Several inflammatory markers, including IL-6 (interleukin-6), TNF-α (tumor necrosis factor-alpha), IL-17 (interleukin-17), CRP (C-reactive protein), NLR (neutrophil-to-lymphocyte ratio), and PLR (platelet-to-lymphocyte ratio), have been studied about PCOS. These markers are substances produced by the immune system in response to inflammation. Increased levels of IL-17, IL-1, and IL-8 were correlated with PCO. CRP to albumin ratio can be employed as a precise bio-marker for PCOS. The neutrophil-to-lymphocyte ratio (NLR) indicates poor cardiovascular health and metabolic syndrome (MS) and can be considered a negative regulator for FSH which indirectly stimulates testosterone production. Platelet/lymphocyte ratio (PLR) and mean platelet volume (MPV) are also recently found to be associated with PCOS. The literature explaining the underlying mechanisms with specific inflammatory markers and how inflammation relates to PCOS will be highlighted in this review article. It will also discuss the roles of inflammation and the association of different inflammatory markers in the pathogenesis of PCOS, which may usher in a new era in the treatment approach for PCOS.
    Keywords PCOS ; Inflammation ; Metabolic syndrome ; Hyperandrogenism ; Inflammatory markers ; Medicine (General) ; R5-920 ; Reproduction ; QH471-489
    Subject code 610
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher SpringerOpen
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Role of anti-Mullerian hormone in polycystic ovary syndrome

    Koushik Bhattacharya / Ishita Saha / Debanjana Sen / Chaitali Bose / Gargi Ray Chaudhuri / Sulagna Dutta / Pallav Sengupta / Soumita Bhattacharya / Sharit Shekhar Barman / Alak Kumar Syamal

    Middle East Fertility Society Journal, Vol 27, Iss 1, Pp 1-

    2022  Volume 10

    Abstract: Abstract Polycystic ovary syndrome (PCOS) is the most common gynecological endocrine disorders affecting up to 10% of all females in their reproductive age, and its cause of onset is still elusive. A spectrum of recent research reflected diverse ... ...

    Abstract Abstract Polycystic ovary syndrome (PCOS) is the most common gynecological endocrine disorders affecting up to 10% of all females in their reproductive age, and its cause of onset is still elusive. A spectrum of recent research reflected diverse associations between increased plasma level of anti-Mullerian hormone (AMH) and different clinical features of PCOS. Since AMH levels reflect the pool of growing follicles that potentially can ovulate, it can be stated that serum AMH levels can be used to assess the “functional ovarian reserve,” rather mentioning it as the “ovarian reserve.” AMH also appears to be a premier endocrine parameter for the assessment of atrophied ovarian follicular pool in response to age of individuals. AMH hinders the follicular development as well as the follicular recruitment and ultimately resulting in follicular arrest which is the key pathophysiologic condition for the onset of PCOS. Furthermore, FSH-induced aromatase activity remains inhibited by AMH that aids emergence of other associated clinical signs of PCOS, such as excess androgen, followed by insulin resistance among the PCOS individuals. Given the versatile association of AMH with PCOS and scarcity in literature explaining the underling mechanisms how AMH relates with PCOS, this review article will discuss the roles of AMH in the pathogenesis of PCOS which may introduce a new era in treatment approach of PCOS.
    Keywords Anti-Mullerian hormone ; Folliculogenesis ; Gonadotropins ; Ovarian reserve ; Polycystic ovary syndrome ; Insulin resistance ; Medicine (General) ; R5-920 ; Reproduction ; QH471-489
    Language English
    Publishing date 2022-10-01T00:00:00Z
    Publisher SpringerOpen
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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