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1.
J Clin Invest ; 90(4): 1386-95, 1992 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-1401073

RESUMEN

Primary human muscle cell cultures were established and the regulation of glucose transport was investigated. Primary cultures were allowed to proceed to the stage of myotubes through fusion of myoblasts or were used for clonal selection based on fusion potential. In clonally selected cultures, hexose (2-deoxy-glucose) uptake into myotubes was linear within the time of study and inhibitable by cytochalasin B (IC50 = 400 nM). Cytochalasin B photolabeled a protein(s) of 45,000-50,000 D in a D-glucose-protectable manner, suggesting identity with the glucose transporters. In the myotube stage, the cells expressed both the GLUT1 and GLUT4 glucose transporter protein isoforms at an average molar ratio of 7:1. Preincubation in media of increasing glucose concentrations (range 5-25 mM) progressively decreased the rate of 2-deoxyglucose uptake. Insulin elevated 2-deoxyglucose uptake in a dose-dependent manner, with half maximal stimulation achieved at 3.5 nM. Insulin also stimulated the transport of the nonmetabolizable hexose 3-O-methylglucose, as well as the activity of glycogen synthase, responsible for nonoxidative glucose metabolism. The oral antihyperglycemic drug metformin stimulated the cytochalasin B-sensitive component of both 2-deoxyglucose and 3-O-methylglucose uptake. Maximal stimulation was observed at 8 h of exposure to 50 microM metformin, and this effect was not prevented by incubation with the protein-synthesis inhibitor cycloheximide. The relative effect of metformin was higher in cells incubated in 25 mM glucose than in 5 mM glucose, consistent with its selective action in hyperglycemic conditions in vivo. Metformin (50 microM for 24 h) was more effective than insulin (1 microM for 1 h) in stimulating hexose uptake and the hormone was effective on top of the stimulation caused by the biguanide, suggesting independent mechanisms of action.


Asunto(s)
Glucosa/metabolismo , Insulina/farmacología , Metformina/farmacología , Músculos/metabolismo , Transporte Biológico/efectos de los fármacos , Células Cultivadas , Humanos , Proteínas de Transporte de Monosacáridos/análisis
2.
Biochim Biophys Acta ; 1326(2): 295-306, 1997 Jun 12.
Artículo en Inglés | MEDLINE | ID: mdl-9218560

RESUMEN

Dimeric Band 3 purified in n-dodecyl octaethyleneglycol (C12E8) underwent an irreversible, temperature-dependent association, resulting in a complex with a Stokes radius slightly larger than a native tetramer, before forming a higher molecular weight aggregate. Self-association occurred with a half-time of about 1 h at 37 degrees C but did not occur at 0 degrees C after several days. No change in the secondary structure of Band 3, as observed by circular dichroism, occurred during the association process. However, self-association of Band 3 was accompanied by loss of the stilbene disulfonate inhibitor binding site. No association or loss of inhibitor binding occurred with the dimeric membrane domain under similar incubation conditions. The membrane domain dimer was also stable over a wide range of pH (5.5-9.5) and buffer conditions, while Band 3 aggregated below pH 6.5. Inhibitors of anion transport, which stabilize the membrane domain, slowed the association. Band 3, depleted of phospholipids by extensive washing of resin-bound protein with detergent or, incubated with excess detergent, was more prone to aggregation. The membrane domain also showed some aggregation when depleted of lipids. Preparations could be stabilized by adding dimyristoylphosphatidylcholine (DMPC) prior to the 37 degrees C incubation. The effect of inhibitors and DMPC was additive, with a combination of 1 mM 4,4'-dinitrostilbene-2,2'-disulfonate (DNDS) and 1:1 (wt/wt) DMPC:Band 3 stabilizing 90% of the protein to a 24-h incubation at 37 degrees C. The results suggest that self-association of Band 3 dimers is promoted by the cytoplasmic domain but results in alterations to the membrane domain involving the loss of essential phospholipids. Addition of phospholipid or inhibitors to Band 3 results in a stable preparation of the intact protein that may be suitable for crystallization studies.


Asunto(s)
Proteína 1 de Intercambio de Anión de Eritrocito/química , Membrana Eritrocítica/química , Proteína 1 de Intercambio de Anión de Eritrocito/efectos de los fármacos , Proteína 1 de Intercambio de Anión de Eritrocito/metabolismo , Cromatografía en Gel , Cromatografía Líquida de Alta Presión , Detergentes , Dimerización , Dimiristoilfosfatidilcolina/farmacología , Humanos , Concentración de Iones de Hidrógeno , Estructura Secundaria de Proteína , Estilbenos/metabolismo , Estilbenos/farmacología , Temperatura , Factores de Tiempo
3.
Biochem Biophys Res Commun ; 165(3): 1130-7, 1989 Dec 29.
Artículo en Inglés | MEDLINE | ID: mdl-2532882

RESUMEN

Human muscle cells were grown in culture and clonally selected for fusion potential. The concentration of cytoplasmic ionized calcium, [Ca2+]i, was measured in monolayers of fused myotubes using the Ca2+ indicator indo-1. The contributions of independent routes of Ca2+ influx and efflux to/from the cytoplasm on [Ca2+]i were investigated. The resting [Ca2+]i was 170-190 nM in different cell clones. Acetylcholine increased [Ca2+]i by about 2-fold in the presence of absence of extracellular Ca2+. Cell depolarization by K+ elevated [Ca2+]i about 3-fold, and this increase was largely dependent on extracellular Ca2+. Replacing Na+ by N-methylglucammonium+ raised [Ca2+]i greater than 5-fold, and 50% of this increase was dependent on extracellular Ca2+. All these increases in [Ca2+]i were transient, returning to basal [Ca2+]i within 2 min. It is concluded that cells in culture [Ca2+]i can be elevated transiently by acetylcholine through Ca2+ release from intracellular stores, and by K through Ca2+ influx. The return to basal [Ca2+]i is due to Na+/Ca2+ exchange and Ca2+-ATPase activity.


Asunto(s)
Calcio/metabolismo , Citosol/metabolismo , Músculos/metabolismo , Distrofias Musculares/metabolismo , Acetilcolina/farmacología , Transporte Biológico , ATPasas Transportadoras de Calcio/metabolismo , Células Cultivadas , Células Clonales/metabolismo , Humanos , Músculos/efectos de los fármacos , Potasio/farmacología , Sodio/metabolismo
4.
Biochem Cell Biol ; 68(2): 536-42, 1990 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-2188683

RESUMEN

Human muscle cells were grown in culture from satellite cells present in muscle biopsies and fusion-competent clones were identified. Hexose uptake was studied in fused myotubes of human muscle cells in culture and compared with hexose uptake in myotubes of the rat L6 and mouse C2C12 muscle cell lines. Uptake of 2-deoxyglucose was saturable and showed an apparent Km of about 1.5 mM in myotubes of all three cell types. The Vmax of uptake was about 6000 pmol/(min.mg protein) in human cells, 4000 pmol/(min.mg protein) in mouse C2C12 muscle cells, and 500 pmol/(min.mg protein) in L6 cells. Hexose uptake was inhibited approximately 90% by cytochalasin B in human, rat, and mouse muscle cell cultures. Insulin stimulated 2-deoxyglucose uptake in all three cultures. The hormone also stimulated transport of 3-O-methylglucose. The sensitivity to insulin was higher in human and C2C12 mouse myotubes (half-maximal stimulation observed at 3.5 X 10(-9) M) than in rat L6 myotubes (half-maximal stimulation observed at 2.5 X 10(-8) M). However, insulin (10(-6) M) stimulated hexose uptake to a larger extent (2.37-fold) in L6 than in either human (1.58-fold) or mouse (1.39-fold) myotubes. It is concluded that human muscle cells grown in culture display carrier-mediated glucose uptake, with qualitatively similar characteristics to those of other muscle cells, and that insulin stimulates hexose uptake in human cells. These cultures will be instrumental in the study of human insulin resistance and in investigations on the mechanism of action of antidiabetic drugs.


Asunto(s)
Glucosa/metabolismo , Músculos/metabolismo , 3-O-Metilglucosa , Animales , Transporte Biológico Activo/efectos de los fármacos , Línea Celular , Células Clonales/efectos de los fármacos , Células Clonales/metabolismo , Desoxiglucosa/metabolismo , Humanos , Insulina/farmacología , Cinética , Metilglucósidos/metabolismo , Músculos/efectos de los fármacos
5.
Biochem Biophys Res Commun ; 157(3): 1329-35, 1988 Dec 30.
Artículo en Inglés | MEDLINE | ID: mdl-2974698

RESUMEN

Plasma membranes and light microsomes were isolated from fused L6 muscle cells. Pre-treatment of cells with insulin did not affect marker enzyme or protein distribution in isolated membranes. The number of glucose transporters in the isolated membranes was calculated from the D-glucose-protectable binding of [3H]cytochalasin B. Glucose transporter number was higher in plasma membranes and lower in intracellular membranes derived from insulin-treated cells than in the corresponding fractions from untreated cells. The net increase in glucose transporters in plasma membranes was identical to the net decrease in glucose transporters in light microsomes (2 pmol/1.23 x 10(8) cells). The fold increase in glucose transporter number/mg protein in plasma membranes (2-fold) was similar to the fold increase in glucose transport caused by insulin. This suggests that recruitment of glucose transporters from intracellular membranes to the plasma membrane is the major mechanism of stimulation of hexose transport in L6 muscle cells. This is the first report of isolation of the two insulin-sensitive membrane elements from a cell line, and the results indicate that, in contrast to rat adipocytes, there is not change in the intrinsic activity of the transporters in response to insulin.


Asunto(s)
Glucosa/metabolismo , Insulina/farmacología , Proteínas de Transporte de Monosacáridos/metabolismo , Músculos/metabolismo , Transporte Biológico/efectos de los fármacos , ATPasa de Ca(2+) y Mg(2+)/metabolismo , Línea Celular , Membrana Celular/metabolismo , Centrifugación por Gradiente de Densidad , Citocalasina B/metabolismo , Desoxiglucosa/metabolismo , Cinética , Microsomas/metabolismo , Músculos/ultraestructura
6.
Tob Control ; 10(4): 364-7, 2001 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-11740029

RESUMEN

Although internet use continues to increase and e-commerce sales are expected to exceed US$1 trillion by the end of 2001, there have been few assessments in the literature regarding the implications of this medium for tobacco control efforts. This commentary explores the challenges that the internet may pose to the key components of a comprehensive tobacco control strategy, and pinpoints potential approaches for addressing these challenges. Four key challenges that the internet presents for tobacco control are identified: unrestricted sales to minors; cheaper cigarettes through tax avoidance and smuggling; unfettered advertising, marketing and promotion; and continued normalisation of the tobacco industry and its products. Potential strategies for addressing these challenges include international tobacco control agreements, national and state regulation, and legal remedies.


Asunto(s)
Comercio/economía , Comercio/legislación & jurisprudencia , Internet/estadística & datos numéricos , Nicotiana , Prevención del Hábito de Fumar , Fumar/economía , Publicidad , Humanos , Cooperación Internacional , Industria del Tabaco
7.
J Biol Chem ; 268(14): 10676-80, 1993 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-8486716

RESUMEN

Southeast Asian ovalocytosis (SAO) is a hereditary form of elliptocytosis resulting in rigid, oval-shaped erythrocytes resistant to invasion by malaria parasites. The molecular defect is due to deletion of codons 400-408, encoding a 9-amino-acid sequence located at the boundary between the cytosol and the first transmembrane segment in Band 3, the erythrocyte anion transport protein. We have carried out an extensive characterization of Band 3 isolated from SAO erythrocytes which contain about 50% mutant Band 3. A slightly higher proportion of Band 3 in SAO erythrocytes was left associated with the cytoskeleton after extraction of ghost membranes with non-ionic detergents. Size exclusion high performance liquid chromatography analysis showed that SAO Band 3 contained a higher proportion of tetramers relative to dimers (50% tetramer) than normal Band 3 (33% tetramer). The circular dichroism spectrum of Band 3 from SAO erythrocytes was very similar to the spectrum for normal Band 3. Enzymatic deglycosylation and tomato lectin binding showed that SAO Band 3 lacked the polylactosaminyl oligosaccharide found on normal Band 3. SAO Band 3 was unable to bind the anion transport inhibitor 4-benzamido-4'-aminostilbene-2,2'-disulfonate, suggesting a dramatic alteration in the inhibitor binding site. In conclusion, deletion of 9 amino acids from Band 3 on the cytosolic side of the membrane affects the properties (glycosylation and inhibitor binding) of Band 3 on the opposite side of the membrane without dramatic changes in the secondary and quaternary structure of the protein.


Asunto(s)
Proteína 1 de Intercambio de Anión de Eritrocito/química , Eliptocitosis Hereditaria/sangre , Proteína 1 de Intercambio de Anión de Eritrocito/genética , Proteína 1 de Intercambio de Anión de Eritrocito/metabolismo , Asia Sudoriental , Cromatografía Líquida de Alta Presión , Dicroismo Circular , Codón , Citoesqueleto/química , Electroforesis en Gel de Poliacrilamida , Eliptocitosis Hereditaria/genética , Membrana Eritrocítica/química , Colorantes Fluorescentes , Humanos , Conformación Proteica , Valores de Referencia , Eliminación de Secuencia , Espectrofotometría Ultravioleta , Estilbenos/metabolismo
8.
Exp Cell Res ; 174(2): 461-71, 1988 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-2892689

RESUMEN

We have used monoclonal antibodies to statin (S-44) and a cyclin-like protein (S-132) to examine the distribution of these two antigens in proliferating and in nonproliferating populations of cells. We have found that this cyclin-like protein is present in proliferating fibroblasts, whereas statin is absent from these same cell populations; in contrast, in senescent populations of fibroblasts the cyclin-like antigen disappears and statin labeling of nuclei appears. During myogenesis in rat muscle cell cultures, S-132 labeling is present in proliferating myoblasts and disappears after cells fuse and differentiate as multinucleated myotubes. In contrast, statin is absent from proliferating myoblasts, but appears when these cells become postmitotic and begin to differentiate. Similar results were seen during chick myogenesis. We have also found similar results during serum-starvation-induced differentiation in neuroblastoma cells. These results indicate that the cyclin-like protein disappears and statin appears upon commitment to differentiation in vitro, and the presence or the absence of these proteins appears to provide cellular markers for the transition from the proliferative to the nonproliferative state during differentiation.


Asunto(s)
Autoantígenos/análisis , Músculos/citología , Proteínas Nucleares/análisis , Proteínas/análisis , Animales , Anticuerpos Monoclonales , Proteínas de Ciclo Celular , Diferenciación Celular , Supervivencia Celular , Células Cultivadas , Embrión de Pollo , Fibroblastos , Técnica del Anticuerpo Fluorescente , Humanos , Mitosis , Músculos/análisis , Músculos/embriología , Factor 1 de Elongación Peptídica , Antígeno Nuclear de Célula en Proliferación , Ratas
9.
Anal Biochem ; 199(1): 68-74, 1991 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-1807163

RESUMEN

A high-performance liquid chromatography (HPLC) method with pulsed-amperometric detection (PAD) was developed for the compositional analysis of the acidic, neutral, and basic monosaccharides recovered from the acid hydrolysis of bacterial cell wall polysaccharides. This HPLC-PAD method involved the chromatography of the acid hydrolysis products on a CarboPac PA-1 anion-exchange column of pellicular resin, with PAD detection following postcolumn addition of alkali. Complete resolution of a mixture of 19 monosaccharides, comprising 9 neutral, 3 basic, and 7 acidic sugars, frequently found in bacterial polysaccharides was achieved within 60 min by the system. The presence of amino acids in the mixture was shown not to affect the analysis. This protocol was applied to the compositional analysis of 2 extracellular polysaccharides produced by Escherichia coli, colanic acid, and K30 antigen, which share constituent monosaccharides. The overproduction of extracellular polysaccharide in E. coli CWG56 was shown to be a consequence of deregulation of K30 biosynthesis and not of coexpression of an additional polymer.


Asunto(s)
Lipopolisacáridos/química , Monosacáridos/aislamiento & purificación , Polisacáridos Bacterianos/química , Cromatografía Líquida de Alta Presión/métodos , Cromatografía por Intercambio Iónico/métodos , Electroquímica/métodos , Escherichia coli/química , Hexosaminas/aislamiento & purificación , Hidrólisis , Lipopolisacáridos/aislamiento & purificación , Polisacáridos Bacterianos/aislamiento & purificación
10.
EMBO J ; 13(14): 3230-5, 1994 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-8045253

RESUMEN

The electroneutral exchange of chloride and bicarbonate across the human erythrocyte membrane is facilitated by Band 3, a 911 amino acid glycoprotein consisting of a 43 kDa N-terminal cytosolic domain that binds the cytoskeleton, haemoglobin and glycolytic enzymes and a 52 kDa C-terminal membrane domain that mediates anion transport. Electron microscopy and three-dimensional image reconstruction of negatively stained two-dimensional crystals of the dimeric membrane domain revealed a U-shaped structure with dimensions of 60 x 110 A, and a thickness of 80 A. The structure is open on the top and at the sides, with the monomers in close contact at the base. The basal domain is 40 A thick and probably spans the lipid bilayer. The upper part of the dimer consists of two elongated protrusions measuring 25 x 80 A in projection, with a thickness of 40 A. The protrusions form the sides of a canyon, enclosing a wide space that narrows down and converges into a depression at the centre of the dimer on the top of the basal domain. This depression may represent the opening to a transport channel located at the dimer interface. Based on the available protein-chemical data, the two protrusions face the cytosolic side of the membrane and they appear to be dynamic.


Asunto(s)
Proteína 1 de Intercambio de Anión de Eritrocito/ultraestructura , Eritrocitos/ultraestructura , Secuencia de Aminoácidos , Aniones/metabolismo , Transporte Biológico , Cristalografía , Humanos , Procesamiento de Imagen Asistido por Computador , Microscopía Electrónica , Modelos Estructurales , Datos de Secuencia Molecular , Coloración Negativa , Conformación Proteica
11.
EMBO J ; 12(6): 2233-9, 1993 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-8508760

RESUMEN

The membrane domain of human erythrocyte Band 3 protein (M(r) 52,000) was reconstituted with lipids into two-dimensional crystals in the form of sheets or tubes. Crystalline sheets were monolayers with six-fold symmetry (layer group p6, a = b = 170 A, gamma = 60 degrees), whereas the symmetry of the tubular crystals was p2 (a = 104 A, b = 63 A, gamma = 104 degrees). Electron image analysis of negatively stained specimens yielded projection maps of the protein at 20 A resolution. Maps derived from both crystal forms show that the membrane domain is a dimer of two monomers related by two-fold symmetry, with each monomer consisting of three subdomains. In the dimer, two subdomains of each monomer form a roughly rectangular core (40 x 50 A in projection), surrounding a central depression. The third subdomain of the monomer measures approximately 15 x 25 A in projection and appears to be connected to the other two by a flexible link. We propose that the central depression may represent the channel for anion transport while the third subdomain appears not to be directly involved in channel formation.


Asunto(s)
Proteína 1 de Intercambio de Anión de Eritrocito/química , Membrana Eritrocítica/química , Proteína 1 de Intercambio de Anión de Eritrocito/metabolismo , Proteína 1 de Intercambio de Anión de Eritrocito/ultraestructura , Transporte Biológico , Cristalización , Humanos , Microscopía Electrónica , Conformación Proteica
12.
J Biol Chem ; 265(3): 1516-23, 1990 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-2404015

RESUMEN

Chronic (24 h) insulin treatment and/or glucose deprivation of differentiated rat L6 skeletal muscle cells resulted in an increase in glucose transport activity and a 2-3-fold increase in the number of plasma membrane-associated cytochalasin B binding sites and immunoreactive glucose transporters. In contrast to the acute effect of insulin, chronic treatment did not decrease the number of cytochalasin B binding sites or immunoreactive glucose transporter proteins present in intracellular low density microsomes. Although acute insulin stimulation of glucose transport activity was not affected by cycloheximide, chronic insulin stimulation of glucose transport activity and glucose transporter protein were decreased. In contrast, the stimulation of glucose transport activity by both acute and chronic glucose deprivation were cycloheximide-insensitive. Previously we have reported that chronic insulin treatment transiently induces the rat brain/HepG2 glucose transporter subtype (GLUT-1) mRNA, whereas glucose deprivation induces a substained increase (Walker, P. S., Ramlal, T., Donovan, J. A., Doering, T. P., Sandra, A., Klip, A., and Pessin, J. E. (1989) J. Biol. Chem. 264, 6587-6595). Consistent with these data, nuclear run-on analysis demonstrated a transient 3-fold increase in the rate of GLUT-1 glucose transporter mRNA transcription induced by either chronic insulin treatment or glucose deprivation. The combination of chronic insulin treatment with glucose deprivation resulted in a more persistent 3-4-fold increase in transcription rate than either treatment alone. These data demonstrate that prolonged insulin- and glucose-dependent regulation of glucose transporter function occurs by a complex mechanism which includes enhanced GLUT-1 mRNA transcription and glucose transporter synthesis, as well as changes in the subcellular distribution of glucose transporter proteins.


Asunto(s)
Glucosa/metabolismo , Proteínas de Transporte de Monosacáridos/metabolismo , Músculos/metabolismo , Animales , Western Blotting , Compartimento Celular/efectos de los fármacos , Línea Celular , Membrana Celular/metabolismo , Cicloheximida/farmacología , Regulación de la Expresión Génica/efectos de los fármacos , Insulina/farmacología , Membranas Intracelulares/metabolismo , Proteínas de Transporte de Monosacáridos/genética , ARN Mensajero/genética , Ratas , Transcripción Genética , Xilosa/metabolismo
13.
Rev. chil. tecnol. méd ; 32(1): 1678-1682, jul. 2012. tab
Artículo en Español | LILACS | ID: lil-680423

RESUMEN

En Chile, 10 a 15 por ciento de las parejas son consideradas como infértiles y el factor masculino es responsable en un 50 por ciento de los casos. El espermiograma, es un examen fundamental para el diagnóstico inicial de parejas infértiles. Objetivo: Determinar cambios en cuatro parámetros del espermiograma de mayor valor diagnóstico, según edad, estableciendo el parámetro alterado de mayor frecuencia. Métodos: Se realizo un estudio descriptivo retrospectivo de una muestra de 100 pacientes atendidos por problemas de fertilidad entre los años 2004 y 2009, clasificándolos en cuatro grupos etarios. Resultados: Al evaluar la concentración espermática, el 33 por ciento presenta: 5 baja concentración. El 86 por ciento de los pacientes presento astenozoospermia. El 81 por ciento de los pacientes presento anormalidad en la morfología espermática. La viabilidad espermática fue anormal en el 8 por ciento de los pacientes, siendo significativamente más alto en el grupo etario de mayor edad. Conclusiones: Los parámetros estudiados muestran un alto porcentaje de anormalidad en la población en estudio. Al comparar entre grupos, el grupo de mayor edad (sobre los 47 &los) presenta un aumento significativo del- porcentaje de alteraciones en morfología, motilidad y viabilidad respecto a los otros grupos etarios, estableciéndose la edad como un factor negativo en la calidad espermática. La movilidad corresponde al parámetro mas frecuentemente alterado seguido por la morfología espermática a medida que el varón consultante envejece.


In Chile, 10 to 15 percent of the couples are considered as infertile. Since the male factor is responsible of 50 percent of the cases, spermogram is an essential test for initial diagnosis of the infertile couple. Objective: To analyze the frequency of change in four spermogram parameters -according to age- to determine their diagnostic value. Method: A descriptive retrospective study of spermogram data from 100 patients -subdivided in four age groups- analyzed in our Unit for fertility problems between 2004 and 2009 was performed. Results: In sperm count, 33 percenr showed an abnormally low concentration. An 86 percent of the patients has astenozoospermia. 81 percent of the patients showed abnormal sperm morphology. Sperm viability was subnormal in 8 percent of the patients, being significantly higher in the oldest group. Conclusions: The seminal parameters analyzed revealed a high percentage of anomalies in the studied population. The oldest group had significant percentages of anomalies in sperm motility, morphology and viability, thus corroborating that age is a negative factor that affects semen quality. Sperm motility was the most frequently altered parameter followed by sperm morphology in the population under study.


Asunto(s)
Humanos , Masculino , Adolescente , Adulto Joven , Persona de Mediana Edad , Infertilidad Masculina/diagnóstico , Infertilidad Masculina/epidemiología , Recuento de Espermatozoides , Factores de Edad , Astenozoospermia/diagnóstico , Astenozoospermia/epidemiología , Azoospermia/diagnóstico , Azoospermia/epidemiología , Chile , Oligospermia/diagnóstico , Oligospermia/epidemiología , Estudios Retrospectivos
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