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1.
Genomics ; 116(5): 110890, 2024 Sep.
Article in English | MEDLINE | ID: mdl-38909906

ABSTRACT

Previous studies have presented evidence suggesting that altitude exerts detrimental effects on reproductive processes, yet the underlying mechanism remains elusive. Our study employed two distinct goat breeds inhabiting low and high altitudes, and conducted a comparative analysis of mRNA profiles in testis tissues and the composition of gut microbiota. The results revealed a reduced testis size in high-altitude goats. RNA-seq analysis identified the presence of 214 differentially expressed genes (DEGs) in the testis. These DEGs resulted in a weakened immunosuppressive effect, ultimately impairing spermatogenesis in high-altitude goats. Additionally, 16S rDNA amplicon sequencing recognized statistically significant variations in the abundance of the genera Treponema, unidentified_Oscillospiraceae, Desulfovibrio, Butyricicoccus, Dorea, Parabacteroides between the two groups. The collective evidence demonstrated the gut and testis played a synergistic role in causing decreased fertility at high altitudes. Our research provides a theoretical basis for future investigations into the reproductive fitness of male goats.


Subject(s)
Altitude , Gastrointestinal Microbiome , Goats , Testis , Animals , Goats/microbiology , Goats/genetics , Male , Testis/metabolism , Testis/microbiology , Transcriptome , RNA, Ribosomal, 16S/genetics , Spermatogenesis/genetics
2.
BMC Infect Dis ; 24(1): 614, 2024 Jun 21.
Article in English | MEDLINE | ID: mdl-38907186

ABSTRACT

BACKGROUND: Nocardia is an ubiquitous soil organism. As an opportunistic pathogen, inhalation and skin inoculation are the most common routes of infection. Lungs and skin are the most frequent sites of nocardiosis. Testis is a highly unusual location for nocardiosis. CASE PRESENTATION: We report the case of an immunocompromised 75-year-old-man admitted for fever of unknown origin. He presented with skin lesions after gardening and was first suspected of Mediterranean spotted fever, but he did not respond to doxycycline. Then, physical examination revealed new left scrotal swelling that was compatible with a diagnosis of epididymo-orchitis. The patient's condition did not improve despite empirical antibiotic treatment with the onset of necrotic scrotal abscesses requiring surgery. Nocardia brasiliensis yielded from the removed testis culture. High-dose trimethoprim-sulfamethoxazole and ceftriaxone were started. Multiple micro-abscesses were found in the brain and spinal cord on imaging studies. After 6 weeks of dual antibiotic therapy for disseminated nocardiosis, slight regression of the brain abscesses was observed. The patient was discharged after a 6-month course of antibiotics and remained relapse-free at that time of writing these lines. Trimethoprim-sulfamethoxazole alone is meant to be pursued for 6 months thereafter. We undertook a literature review on previously reported cases of genitourinary and urological nocardiosis; to date, only 36 cases have been published with predominately involvement of kidney, prostate and testis. CONCLUSIONS: To the best of our knowledge, this is the first case of Nocardia brasiliensis simultaneously infecting skin, testis, brain and spinal cord in an immunocompromised patient. Knowledge on uncommon forms of nocardiosis remains scarce. This case report highlights the difficulty of diagnosing atypical nocardiosis and the importance of prompt bacteriological sampling in case of empirical antibiotics failure.


Subject(s)
Anti-Bacterial Agents , Fever of Unknown Origin , Nocardia Infections , Nocardia , Humans , Male , Nocardia Infections/diagnosis , Nocardia Infections/drug therapy , Nocardia Infections/microbiology , Aged , Anti-Bacterial Agents/therapeutic use , Nocardia/isolation & purification , Fever of Unknown Origin/etiology , Fever of Unknown Origin/microbiology , Immunocompromised Host , Trimethoprim, Sulfamethoxazole Drug Combination/therapeutic use , Testis/microbiology , Testis/pathology , Orchitis/microbiology , Orchitis/drug therapy , Orchitis/diagnosis
3.
Reprod Domest Anim ; 59(8): e14704, 2024 Aug.
Article in English | MEDLINE | ID: mdl-39126408

ABSTRACT

Ruminants are one of the world's economically important species, and their reproductive health is critical to the economic development of the livestock industry. In recent years, research on the relationship between microbiota and reproductive health has received much attention. Microbiota disruption affects the developmental health of the testes and epididymis, the male reproductive organs of the host, which in turn is related to sperm quality. Maintaining a stable microbiota protects the host from pathogens and increases breeding performance, which in turn promotes the economic development of animal husbandry. In addition, the effects and mechanisms of microbiota on reproduction were further explored. These findings support new approaches to improving and managing reproductive health in ruminants through the microbiota and facilitate further systematic exploration of microbiota-mediated reproductive impacts.


Subject(s)
Microbiota , Testis , Animals , Male , Testis/microbiology , Reproductive Health , Ruminants/microbiology , Reproduction/physiology , Epididymis/microbiology , Spermatozoa/physiology , Spermatozoa/microbiology
4.
PLoS Pathog ; 15(9): e1008050, 2019 09.
Article in English | MEDLINE | ID: mdl-31557262

ABSTRACT

Crimean-Congo hemorrhagic fever (CCHF) is the most medically important tick-borne viral disease of humans and tuberculosis is the leading cause of death worldwide by a bacterial pathogen. These two diseases overlap geographically, however, concurrent infection of CCHF virus (CCHFV) with mycobacterial infection has not been assessed nor has the ability of virus to persist and cause long-term sequela in a primate model. In this study, we compared the disease progression of two diverse strains of CCHFV in the recently described cynomolgus macaque model. All animals demonstrated signs of clinical illness, viremia, significant changes in clinical chemistry and hematology values, and serum cytokine profiles consistent with CCHF in humans. The European and Asian CCHFV strains caused very similar disease profiles in monkeys, which demonstrates that medical countermeasures can be evaluated in this animal model against multiple CCHFV strains. We identified evidence of CCHFV persistence in the testes of three male monkeys that survived infection. Furthermore, the histopathology unexpectedly revealed that six additional animals had evidence of a latent mycobacterial infection with granulomatous lesions. Interestingly, CCHFV persisted within the granulomas of two animals. This study is the first to demonstrate the persistence of CCHFV in the testes and within the granulomas of non-human primates with concurrent latent tuberculosis. Our results have important public health implications in overlapping endemic regions for these emerging pathogens.


Subject(s)
Hemorrhagic Fever, Crimean/complications , Latent Tuberculosis/complications , Testis/pathology , Animals , Antibodies, Viral/blood , Communicable Diseases, Emerging/complications , Communicable Diseases, Emerging/pathology , Communicable Diseases, Emerging/virology , Cytokines/blood , Disease Models, Animal , Disease Progression , Granuloma/microbiology , Granuloma/pathology , Granuloma/virology , Hemorrhagic Fever Virus, Crimean-Congo/genetics , Hemorrhagic Fever Virus, Crimean-Congo/immunology , Hemorrhagic Fever Virus, Crimean-Congo/pathogenicity , Hemorrhagic Fever, Crimean/pathology , Hemorrhagic Fever, Crimean/virology , Host Microbial Interactions/immunology , Humans , Latent Tuberculosis/microbiology , Latent Tuberculosis/pathology , Macaca fascicularis , Male , Testis/microbiology , Testis/virology
5.
Reprod Biomed Online ; 43(3): 523-531, 2021 Sep.
Article in English | MEDLINE | ID: mdl-34344601

ABSTRACT

RESEARCH QUESTION: The semen harbours a diverse range of microorganisms. The origin of the seminal microbes, however, has not yet been established. Do testicular spermatozoa harbour microbes and could they potentially contribute to the seminal microbiome composition? DESIGN: The study included 24 samples, comprising a total of 307 testicular maturing spermatozoa. A high-throughput sequencing method targeting V3 and V4 regions of 16S rRNA gene was applied. A series of negative controls together with stringent in-silico decontamination methods were analysed. RESULTS: Between 50 and 70% of all the detected bacterial reads accounted for contamination in the testicular sperm samples. After stringent decontamination, Blautia (P = 0.04), Cellulosibacter (P = 0.02), Clostridium XIVa (P = 0.01), Clostridium XIVb (P = 0.04), Clostridium XVIII (P = 0.02), Collinsella (P = 0.005), Prevotella (P = 0.04), Prolixibacter (P = 0.02), Robinsoniella (P = 0.04), and Wandonia (P = 0.04) genera demonstrated statistically significant abundance among immature spermatozoa. CONCLUSIONS: Our results indicate that the human testicle harbours potential bacterial signature, though in a low-biomass, and could contribute to the seminal microbiome composition. Further, applying stringent decontamination methods is crucial for analysing microbiome in low-biomass site.


Subject(s)
Microbiota/genetics , Spermatozoa/microbiology , Adult , Aged , Case-Control Studies , DNA Fragmentation , High-Throughput Nucleotide Sequencing , Humans , Infertility, Male/microbiology , Infertility, Male/pathology , Male , Middle Aged , RNA, Ribosomal, 16S/analysis , RNA, Ribosomal, 16S/genetics , Semen Analysis/methods , Sequence Analysis, DNA/methods , Spermatozoa/chemistry , Spermatozoa/pathology , Testis/chemistry , Testis/microbiology , Testis/pathology
6.
Biol Reprod ; 102(4): 888-901, 2020 04 15.
Article in English | MEDLINE | ID: mdl-31965142

ABSTRACT

With approximately 131 million new genital tract infections occurring each year, Chlamydia is the most common sexually transmitted bacterial pathogen worldwide. Male and female infections occur at similar rates and both cause serious pathological sequelae. Despite this, the impact of chlamydial infection on male fertility has long been debated, and the effects of paternal chlamydial infection on offspring development are unknown. Using a male mouse chronic infection model, we show that chlamydial infection persists in the testes, adversely affecting the testicular environment. Infection increased leukocyte infiltration, disrupted the blood:testis barrier and reduced spermiogenic cell numbers and seminiferous tubule volume. Sperm from infected mice had decreased motility, increased abnormal morphology, decreased zona-binding capacity, and increased DNA damage. Serum anti-sperm antibodies were also increased. When both acutely and chronically infected male mice were bred with healthy female mice, 16.7% of pups displayed developmental abnormalities. Female offspring of chronically infected sires had smaller reproductive tracts than offspring of noninfected sires. The male pups of infected sires displayed delayed testicular development, with abnormalities in sperm vitality, motility, and sperm-oocyte binding evident at sexual maturity. These data suggest that chronic testicular Chlamydia infection can contribute to male infertility, which may have an intergenerational impact on sperm quality.


Subject(s)
Chlamydia Infections/microbiology , Chlamydia muridarum , Fertility/physiology , Infertility, Male/microbiology , Prenatal Exposure Delayed Effects/microbiology , Testis/microbiology , Animals , Female , Male , Mice , Pregnancy , Sperm Motility/physiology
7.
J Biochem Mol Toxicol ; 34(6): e22481, 2020 Jun.
Article in English | MEDLINE | ID: mdl-32134168

ABSTRACT

The present work was aimed to evaluate the protective effects of alpha-tocopherol (α-toco) and/or Lactobacillus plantarum (LCB) against testicular atrophy induced by mercuric chloride (MCH). Rats were injected with 5 mg/kg MCH for 5 days consecutively, then treated with 100 mg/kg α-toco and 6 × 1010 CFU 1.8701/kg LCB alone or together for 3 weeks. The MCH elevated serum TNF-α, IL- 6, caspase-3, and testicular malondialdehyde. However, serum testosterone, dehydroepiandrosterone, testicular messenger RNA of a steroidogenic acute regulatory protein, 17-ß-hydroxysteroid dehydrogenase, 3ß-hydroxysteroid dehydrogenase, glutathione level, and superoxide dismutase activity were decreased. Protein expression of Nrf2 was downregulated whereas that of Bax and DNA fragmentation was upregulated in the testicular tissues. Treatment with α-toco and LCB ameliorated the deviated biochemical parameters and improved tissue injury. It was concluded that the combination of LCB and α-toco achieved promising results in the amelioration of MCH-induced testicular atrophy. Nrf2, Bax expressions, and DNA fragmentation are involved in the testicular atrophy induced by MCH.


Subject(s)
Lactobacillus plantarum/metabolism , Mercuric Chloride/adverse effects , Testis/drug effects , Testis/pathology , alpha-Tocopherol/administration & dosage , Animals , Atrophy/blood , Atrophy/chemically induced , Atrophy/drug therapy , DNA Fragmentation/drug effects , Down-Regulation/drug effects , Male , Models, Animal , NF-E2-Related Factor 2/metabolism , Rats , Rats, Wistar , Signal Transduction/drug effects , Testis/metabolism , Testis/microbiology , Treatment Outcome , Up-Regulation/drug effects , bcl-2-Associated X Protein/metabolism
8.
BMC Genomics ; 20(1): 608, 2019 Jul 24.
Article in English | MEDLINE | ID: mdl-31340757

ABSTRACT

BACKGROUND: Cytoplasmic incompatibility (CI) is the most common phenotype induced by endosymbiont Wolbachia and results in embryonic lethality when Wolbachia-modified sperm fertilize eggs without Wolbachia. However, eggs carrying the same strain of Wolbachia can rescue this embryonic death, thus producing viable Wolbachia-infected offspring. Hence Wolbachia can be transmitted mainly by hosts' eggs. One of the models explaining CI is "titration-restitution", which hypothesized that Wolbachia titrated-out some factors from the sperm and the Wolbachia in the egg would restitute the factors after fertilization. However, how infected eggs rescue CI and how hosts' eggs ensure the proliferation and transmission of Wolbachia are not well understood. RESULTS: By RNA-seq analyses, we first compared the transcription profiles of Drosophila melanogaster adult ovaries with and without the wMel Wolbachia and identified 149 differentially expressed genes (DEGs), of which 116 genes were upregulated and 33 were downregulated by Wolbachia infection. To confirm the results obtained from RNA-seq and to screen genes potentially associated with reproduction, 15 DEGs were selected for quantitative RT-PCR (qRT-PCR). Thirteen genes showed the same changing trend as RNA-seq analyses. To test whether these genes are associated with CI, we also detected their expression levels in testes. Nine of them exhibited different changing trends in testes from those in ovaries. To investigate how these DEGs were regulated, sRNA sequencing was performed and identified seven microRNAs (miRNAs) that were all upregulated in fly ovaries by Wolbachia infection. Matching of miRNA and mRNA data showed that these seven miRNAs regulated 15 DEGs. Wolbachia-responsive genes in fly ovaries were involved in biological processes including metabolism, transportation, oxidation-reduction, immunity, and development. CONCLUSIONS: Comparisons of mRNA and miRNA data from fly ovaries revealed 149 mRNAs and seven miRNAs that exhibit significant changes in expression due to Wolbachia infection. Notably, most of the DEGs showed variation in opposite directions in ovaries versus testes in the presence of Wolbachia, which generally supports the "titration-restitution" model for CI. Furthermore, genes related to metabolism were upregulated, which may benefit maximum proliferation and transmission of Wolbachia. This provides new insights into the molecular mechanisms of Wolbachia-induced CI and Wolbachia dependence on host ovaries.


Subject(s)
Drosophila melanogaster/microbiology , Ovary/microbiology , Wolbachia/physiology , Animals , Cytosol , Female , Gene Expression Regulation, Developmental , Genes, Insect , Male , MicroRNAs/genetics , RNA, Messenger/genetics , RNA-Seq , Testis/microbiology , Transcriptome , Up-Regulation
9.
Biol Reprod ; 101(4): 748-759, 2019 10 25.
Article in English | MEDLINE | ID: mdl-31373361

ABSTRACT

The incidence of Chlamydia infection, in both females and males, is increasing worldwide. Male infections have been associated clinically with urethritis, epididymitis, and orchitis, believed to be caused by ascending infection, although the impact of infection on male fertility remains controversial. Using a mouse model of male chlamydial infection, we show that all the major testicular cell populations, germ cells, Sertoli cells, Leydig cells, and testicular macrophages can be productively infected. Furthermore, sperm isolated from vas deferens of infected mice also had increased levels of DNA damage as early as 4 weeks post-infection. Bilateral vasectomy, prior to infection, did not affect the chlamydial load recovered from testes at 2, 4, and 8 weeks post-infection, and Chlamydia-infected macrophages were detectable in blood and the testes as soon as 3 days post-infection. Partial depletion of macrophages with clodronate liposomes significantly reduced the testicular chlamydial burden, consistent with a hematogenous route of infection, with Chlamydia transported to the testes in infected macrophages. These data suggest that macrophages serve as Trojan horses, transporting Chlamydia from the penile urethra to the testes within 3 days of infection, bypassing the entire male reproductive tract. In the testes, infected macrophages likely transfer infection to Leydig, Sertoli, and germ cells, causing sperm DNA damage and impaired spermatogenesis.


Subject(s)
Chlamydia Infections/complications , Chlamydia muridarum/physiology , Infertility, Male , Macrophages/microbiology , Testis/microbiology , Urethra/microbiology , Animals , Cells, Cultured , Chlamydia Infections/genetics , Chlamydia Infections/microbiology , Chlamydia Infections/pathology , Chlamydia muridarum/genetics , DNA Damage , Infertility, Male/genetics , Infertility, Male/microbiology , Infertility, Male/pathology , Macrophages/pathology , Male , Mice, Inbred C57BL , Orchitis/complications , Orchitis/microbiology , Orchitis/pathology , Organisms, Genetically Modified , Spermatozoa/metabolism , Spermatozoa/microbiology , Testis/pathology , Urethra/pathology
10.
Hum Reprod ; 34(10): 1891-1898, 2019 10 02.
Article in English | MEDLINE | ID: mdl-31586185

ABSTRACT

STUDY QUESTION: Can Chlamydia be found in the testes of infertile men? SUMMARY ANSWER: Chlamydia can be found in 16.7% of fresh testicular biopsies and 45.3% of fixed testicular biopsies taken from a selection of infertile men. WHAT IS KNOWN ALREADY: Male chlamydial infection has been understudied despite male and female infections occurring at similar rates. This is particularly true of asymptomatic infections, which occur in 50% of cases. Chlamydial infection has also been associated with increased sperm DNA damage and reduced male fertility. STUDY DESIGN, SIZE, DURATION: We collected diagnostic (fixed, n = 100) and therapeutic (fresh, n = 18) human testicular biopsies during sperm recovery procedures from moderately to severely infertile men in a cross-sectional approach to sampling. PARTICIPANTS/MATERIALS, SETTING, METHODS: The diagnostic and therapeutic biopsies were tested for Chlamydia-specific DNA and protein, using real-time PCR and immunohistochemical approaches, respectively. Serum samples matched to the fresh biopsies were also assayed for the presence of Chlamydia-specific antibodies using immunoblotting techniques. MAIN RESULTS AND THE ROLE OF CHANCE: Chlamydial major outer membrane protein was detected in fixed biopsies at a rate of 45.3%. This was confirmed by detection of chlamydial DNA and TC0500 protein (replication marker). C. trachomatis DNA was detected in fresh biopsies at a rate of 16.7%, and the sera from each of these three positive patients contained C. trachomatis-specific antibodies. Overall, C. trachomatis-specific antibodies were detected in 72.2% of the serum samples from the patients providing fresh biopsies, although none of the patients were symptomatic nor had they reported a previous sexually transmitted infection diagnosis including Chlamydia. LIMITATIONS, REASONS FOR CAUTION: No reproductively healthy male testicular biopsies were tested for the presence of Chlamydia DNA or proteins or Chlamydia-specific antibodies due to the unavailability of these samples. WIDER IMPLICATIONS FOR THE FINDINGS: Application of Chlamydia-specific PCR and immunohistochemistry in this human male infertility context of testicular biopsies reveals evidence of a high prevalence of previously unrecognised infection, which may potentially have a pathogenic role in spermatogenic failure. STUDY FUNDING/COMPETING INTEREST(S): Funding for this project was provided by the Australian NHMRC under project grant number APP1062198. We also acknowledge assistance from the Monash IVF Group and Queensland Fertility Group in the collection of fresh biopsies, and the Monash Health and co-author McLachlan (declared equity interest) in retrieval and sectioning of fixed biopsies. E.M. declares an equity interest in the study due to financing of fixed biopsy sectioning. All other authors declare no conflicts of interest. TRIAL REGISTRATION NUMBER: N/A.


Subject(s)
Azoospermia/microbiology , Chlamydia Infections/diagnosis , Chlamydia trachomatis/isolation & purification , Testis/microbiology , Asymptomatic Infections , Azoospermia/diagnosis , Azoospermia/pathology , Azoospermia/therapy , Chlamydia Infections/complications , Chlamydia Infections/microbiology , Chlamydia Infections/pathology , Chlamydia trachomatis/genetics , Cross-Sectional Studies , DNA, Bacterial/isolation & purification , Humans , Male , Sperm Retrieval , Testis/pathology
11.
Microb Pathog ; 136: 103670, 2019 Nov.
Article in English | MEDLINE | ID: mdl-31430526

ABSTRACT

Francisella noatunensis subsp. orientalis (Fno) has been reported as an important bacterial pathogen causing significant mortality (30-95%) in farmed tilapia in broad geographic areas. However, we found that there was a proportion of broodfish in our laboratory that appeared to be healthy but which tested positive for Fno. We therefore hypothesized that Fno might be able to be transmitted from subclinically infected tilapia mouthbrooders to their offspring through the current practice of fry production in tilapia hatcheries. To prove this, experimentally infected hybrid red tilapia broodstock were mated and their offspring were examined for the presence of Fno. In this study, three pairs of infected broodfish were mated for natural spawning and fertilized eggs from each couple were then collected from the female mouths for artificial incubation. The newly hatched larvae were cultured for 30 days and sample collection was performed at different developmental stages i.e. yolk-sac larvae, 5 and 30-day old fry. The results showed that the ovary and testis of all 3 pairs of the broodstock, as well as their fertilized eggs and offspring were Fno positive by Fno-specific PCR and in situ DNA hybridization. In summary, this study revealed that with the current practice in tilapia hatcheries, Fno might be able to transmit from subclinically infected tilapia mouthbrooders to their offspring. Therefore, using Fno-free broodfish in tilapia hatcheries should be considered in order to produce Fno-free tilapia fry.


Subject(s)
Fish Diseases/transmission , Francisella/isolation & purification , Gram-Negative Bacterial Infections/transmission , Infectious Disease Transmission, Vertical , Tilapia/microbiology , Animals , Female , Francisella/classification , Francisella/genetics , Larva/microbiology , Male , Ovary/microbiology , Testis/microbiology , Zygote/microbiology
12.
Gen Comp Endocrinol ; 284: 113268, 2019 12 01.
Article in English | MEDLINE | ID: mdl-31491376

ABSTRACT

CPFX is a highly effective antibiotic, but it has been reported to significantly impair both testicular function and structure in rats. In this study, we assessed reversal of CPFX-induced variation in mice testicular structure and testosterone synthesis by probiotic microbes in the infected model and normal model. We detected testicular weight, testicular structure and Leydig cell variables in numbers. We detected the levels of serum testosterone and steroidogenic enzymes, as well as DBC1, Sirt1, NF-κB, and related redox state and inflammatory response in the testes. The results showed that probiotic microbes had significantly elevated serum testosterone levels and steroidogenic enzymes, higher Sirt1, anti-oxidative enzymes and anti-inflammatory cytokine expression, and lower NF-κB, DBC1, oxidative damage, pro-inflammatory cytokine expression. The results suggest that the testis-protective, antiinflammatory and antioxidation effects of probiotics largely resulted from its ability to decrease oxidative stress and preserve antioxidant activity by stabilizing antioxidant defense systems, reducing oxidative damage and inflammatory response.


Subject(s)
Ciprofloxacin/pharmacology , Probiotics/metabolism , Testis/metabolism , Testis/microbiology , Testosterone/metabolism , Animals , Antioxidants/metabolism , Cell Nucleus/drug effects , Cell Nucleus/metabolism , Cytokines/metabolism , Epithelium/drug effects , Inflammation Mediators/metabolism , Leydig Cells/drug effects , Leydig Cells/metabolism , Male , Mice , Molecular Weight , NF-kappa B/metabolism , Oxidative Stress/drug effects , Sirtuin 1/metabolism , Testis/drug effects
13.
Andrologia ; 51(10): e13401, 2019 Nov.
Article in English | MEDLINE | ID: mdl-31456226

ABSTRACT

Considering infection/inflammation to be an important risk factor in male infertility, the aim of this study was to make a comprehensive evaluation of the prevalence of urogenital tract infection/inflammation and its potential impact on sperm retrieval in azoospermic patients. In this prospective study, 71 patients with azoospermia were subjected to an extensive andrological workup including comprehensive microbiological diagnostics (2-glass test, semen, testicular swab and testicular tissue analysis) and testicular biopsy/testicular sperm extraction (TESE). Medical history suggested urogenital tract infection/inflammation in 7% of patients, 11% harboured STIs, 14% showed significant bacteriospermia, 15% had seminal inflammation, 17% fulfilled the MAGI definition, and 27% had relevant pathogens. At the testicular level, 1 patient had a swab positive for bacteria, no viruses were detected, tissue specimens never indicated pathogens, whereas histopathology revealed focal immune cell infiltrates in 23% of samples. Testicular sperm retrieval rate was 100% in obstructive and 46% in nonobstructive azoospermia. None of the infection/inflammation-related variables was associated with the success of sperm retrieval or inflammatory lesions in the testis. The high prevalence of urogenital infection/inflammation among azoospermic men underpins their role as significant aetiologic factors in male infertility. However, this observation does not refer to the chances of sperm retrieval at the time of surgery/TESE.


Subject(s)
Azoospermia/therapy , Sperm Retrieval/statistics & numerical data , Testis/microbiology , Urinary Tract Infections/epidemiology , Adult , Azoospermia/immunology , Bacteria/isolation & purification , Biopsy , Humans , Male , Prevalence , Prospective Studies , Retrospective Studies , Semen Analysis , Testis/immunology , Testis/pathology , Treatment Outcome , Urinary Tract Infections/diagnosis , Urinary Tract Infections/microbiology , Viruses/isolation & purification
14.
New Microbiol ; 42(3): 184-187, 2019 Jul.
Article in English | MEDLINE | ID: mdl-31305938

ABSTRACT

Tuberculosis (TB) of the testicle is a rarely reported and poorly described disease localization. There are no well-defined clinical features suggestive of testicular TB, which makes the diagnosis difficult to establish, especially in low-income settings like Mozambique, where TB is endemic and often associated with HIV-infection; both considered leading causes of death worldwide. We reported the case of a 45-year-old male, HIV positive, naïve to antiretroviral treatment, admitted to the Department of Medicine of the Central Hospital of Beira to investigate chronic enlargement of the testicles.


Subject(s)
HIV Infections , Testicular Diseases , Tuberculosis , Anti-Retroviral Agents , HIV Infections/complications , Humans , Male , Middle Aged , Mozambique , Testicular Diseases/diagnosis , Testicular Diseases/microbiology , Testicular Diseases/pathology , Testis/microbiology , Testis/pathology , Tuberculosis/complications , Tuberculosis/diagnosis , Tuberculosis/pathology
15.
Hum Reprod ; 33(7): 1212-1217, 2018 07 01.
Article in English | MEDLINE | ID: mdl-29850857

ABSTRACT

STUDY QUESTION: Given the relevant role of the extracellular microenvironment in regulating tissue homeostasis, is testicular bacterial microbiome (BM) associated with germ cell aplasia in idiopathic non-obstructive azoospermia (iNOA)? SUMMARY ANSWER: A steady increase of dysbiosis was observed among testis with normal spermatogenesis vs. iNOA with positive sperm retrieval and iNOA with complete germ cell aplasia. WHAT IS KNOWN ALREADY: Tissue-associated BM has been reported to be a biologically important extracellular microenvironment component for numerous body habitats, but not yet for the human testis. STUDY DESIGN, SIZE, DURATION: Cross-sectional study, investigating tissue-associated BM in the testis of (i) five men with iNOA and negative sperm retrieval at microdissection testicular sperm extraction (microTESE); (ii) five men with iNOA and positive sperm retrieval at microTESE; and (iii) five normozoospermic men upon orchiectomy. Every testicular specimen was histologically classified and analyzed in terms of bacterial community. PARTICIPANTS/MATERIALS, SETTING, METHODS: Massive ultra-deep pyrosequencing was applied to investigate testis microbiome. Metagenome was analyzed using Quantitative Insights Into Microbial Ecology (QIIME). Tissue-associated bacterial load was quantified by digital droplet PCR. MAIN RESULTS AND THE ROLE OF CHANCE: Normozoospermic men showed small amounts of bacteria in the testis, with Actinobacteria, Bacteroidetes, Firmicutes Proteobacteria as the dominating phyla; iNOA individuals had increased amounts of bacterial DNA (P = 0.02), associated with decreased taxa richness due to the lack of Bacteroidetes and Proteobacteria (P = 2 × 10-5). Specimens with negative sperm retrieval at microTESE depicted complete germ cell aplasia and a further decrease in terms of Firmicutes and Clostridia (P < 0.05), a complete lack of Peptoniphilus asaccharolyticus, but increased amount of Actinobacteria. LIMITATIONS, REASONS FOR CAUTION: The limited number of specimens analyzed in this preliminary study deserves external validation. The paraneoplastic microenvironment could have an impact on the residential bacterial flora. WIDER IMPLICATION OF THE FINDINGS: Human testicular microenvironment is not microbiologically sterile, containing low amounts of Actinobacteria, Bacteroidetes, Firmicutes and Proteobacteria. A dysbiotic bacterial community was associated with iNOA and complete germ cell aplasia. Novel findings on testicular BM could support future translational therapies of male-factor infertility. STUDY FUNDING/COMPETING INTEREST(S): This work was supported by URI-Urological Research Institute free funds. Authors declared no conflict of interest. TRIAL REGISTRATION NUMBER: N/A.


Subject(s)
Azoospermia/complications , Dysbiosis/complications , Microbiota , Testis/microbiology , Azoospermia/microbiology , Azoospermia/pathology , Cross-Sectional Studies , Dysbiosis/microbiology , Dysbiosis/pathology , Humans , Male , Spermatogenesis/physiology , Testis/pathology
16.
Sex Transm Infect ; 94(3): 192-193, 2018 05.
Article in English | MEDLINE | ID: mdl-29519910

ABSTRACT

The number of cases of syphilis continues to rise in the UK, USA and elsewhere and may present to a variety of clinical specialties. We report a complex case of early acquired disseminated syphilis causing an ulceronodular rash (lues maligna), orchitis, osteitis and lung nodules in an immunocompetent man who has sex with men who presented to the genitourinary medicine clinic. Syphilis should be considered in the differential diagnoses of multiple clinical presentations and optimal management should involve multidisciplinary care.


Subject(s)
Anti-Bacterial Agents/therapeutic use , Doxycycline/therapeutic use , Skin/microbiology , Syphilis, Cutaneous/pathology , Syphilis/pathology , Testicular Neoplasms/pathology , Testis/pathology , Adult , Diagnosis, Differential , Humans , Male , Orchiectomy , Skin/pathology , Syphilis/therapy , Syphilis, Cutaneous/therapy , Testicular Neoplasms/surgery , Testis/microbiology , Treatment Outcome
17.
Arch Microbiol ; 200(2): 227-235, 2018 Mar.
Article in English | MEDLINE | ID: mdl-28983672

ABSTRACT

Plant sap-feeding insects of Hemiptera often form intimate symbioses with microbes to obtain nutrients. The cicada Subpsaltria yangi is the only species of the subfamily Tettigadinae known from China. Using high-throughput sequencing combined with fluorescence in situ hybridization analysis, we characterize the bacterial composition of the bacteriomes, testes, ovaries and eggs of two representative populations of this species which occur in different habitats and feed on different plant hosts. In both populations, the bacterial community diversity in the testes was significantly higher than that in other tissues. The obligate endosymbiont Candidatus Sulcia muelleri was observed in all samples and was dominant in the bacteriomes, ovaries and eggs. The usual co-resident endosymbiont Candidatus Hodgkinia cicadicola found in some other cicadas was not detected. Instead, a novel Rhizobiales bacterium which shows a ~ 81% 16S rDNA similarity to Ca. Hodgkinia cicadicola was detected. Given that the genome of Ca. Hodgkinia cicadicola exhibits rapid evolution, it is possible that this novel Rhizobiales bacterium is a related endosymbiont with beneficial trophic functions similar to that of Ca. Hodgkinia cicadicola hosted by several certain other cicadas. The presence of the novel Rhizobiales species in other cicadas and its involvement with the adaptive evolution of related cicada hosts require further investigation. Discrepancy of bacterial communities associated with testes between the two populations may be closely related to the geographic isolation and divergence of habitats and host plants. Our results are informative for further studies of evolutionary divergence of related endosymbionts hosted in cicadas.


Subject(s)
Hemiptera/microbiology , Microbiota/genetics , Ovary/microbiology , Ovum/microbiology , Rhizobiaceae/classification , Testis/microbiology , Animals , China , DNA, Ribosomal/genetics , Female , High-Throughput Nucleotide Sequencing , In Situ Hybridization, Fluorescence , Male , Phylogeny , RNA, Ribosomal, 16S/genetics , Rhizobiaceae/genetics , Rhizobiaceae/isolation & purification , Symbiosis/genetics
18.
J Fish Dis ; 41(9): 1453-1458, 2018 Sep.
Article in English | MEDLINE | ID: mdl-29882594

ABSTRACT

This report describes a case of systemic bacterial infection caused by Edwardsiella tarda in a Western African lungfish (Protopterus annectens) exposed to poor environmental and husbandry conditions. The fish presented with a large, external ulcerative lesion and died 2 weeks after developing anorexia. Histological evaluation revealed multifocal areas of necrosis and heterophilic and histiocytic inflammation throughout multiple tissues. Gram stain identified small numbers of intra- and extracellular monomorphic Gram-negative 1 to 2 µm rod-shaped bacilli. Cytology of lung granuloma, kidney and testes imprints identified heterophilic inflammation with phagocytosis of small monomorphic bacilli and some heterophils exhibiting cytoplasmic projections indicative of heterophil extracellular traps (HETs). Initial phenotypic analysis of isolates from coelomic fluid cultures identified E. tarda. Subsequent molecular analysis of spleen, liver and intestine DNA using an E. tarda-specific endpoint PCR assay targeting the bacterial fimbrial subunit yielded a 115 bp band. Sequencing and BLASTN search revealed the sequence was identical (76/76) to E. tarda strain FL95-01 (GenBank acc. CP011359) and displayed 93% sequence identity (66/71) to Edwardsiella hoshinae strain ATCC 35051 (GenBank acc. CP011359). This is the first report of systemic edwardsiellosis in a lungfish with concurrent cytologically identified structures suggestive of HETs.


Subject(s)
Edwardsiella tarda/isolation & purification , Enterobacteriaceae Infections/veterinary , Fish Diseases/blood , Fishes/microbiology , Animals , Anorexia , Cytological Techniques , DNA, Bacterial/genetics , Edwardsiella tarda/genetics , Edwardsiella tarda/immunology , Edwardsiella tarda/physiology , Enterobacteriaceae Infections/blood , Enterobacteriaceae Infections/microbiology , Extracellular Traps/immunology , Fish Diseases/microbiology , Granulocytes/ultrastructure , Kidney/cytology , Kidney/microbiology , Kidney/pathology , Lung/cytology , Lung/microbiology , Lung/pathology , Lung/ultrastructure , Male , Phylogeny , Polymerase Chain Reaction , Sepsis/microbiology , Testis/cytology , Testis/microbiology , Testis/pathology
19.
PLoS Pathog ; 10(12): e1004577, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25521619

ABSTRACT

Microbial tropism, the infection of specific cells and tissues by a microorganism, is a fundamental aspect of host-microbe interactions. The intracellular bacteria Wolbachia have a peculiar tropism for the stem cell niches in the Drosophila ovary, the microenvironments that support the cells producing the eggs. The molecular underpinnings of Wolbachia stem cell niche tropism are unknown. We have previously shown that the patterns of tropism in the ovary show a high degree of conservation across the Wolbachia lineage, with closely related Wolbachia strains usually displaying the same pattern of stem cell niche tropism. It has also been shown that tropism to these structures in the ovary facilitates both vertical and horizontal transmission, providing a strong selective pressure towards evolutionary conservation of tropism. Here we show great disparity in the evolutionary conservation and underlying mechanisms of stem cell niche tropism between male and female gonads. In contrast to females, niche tropism in the male testis is not pervasive, present in only 45% of niches analyzed. The patterns of niche tropism in the testis are not evolutionarily maintained across the Wolbachia lineage, unlike what was shown in the females. Furthermore, hub tropism does not correlate with cytoplasmic incompatibility, a Wolbachia-driven phenotype imprinted during spermatogenesis. Towards identifying the molecular mechanism of hub tropism, we performed hybrid analyses of Wolbachia strains in non-native hosts. These results indicate that both Wolbachia and host derived factors play a role in the targeting of the stem cell niche in the testis. Surprisingly, even closely related Wolbachia strains in Drosophila melanogaster, derived from a single ancestor only 8,000 years ago, have significantly different tropisms to the hub, highlighting that stem cell niche tropism is rapidly diverging in males. These findings provide a powerful system to investigate the mechanisms and evolution of microbial tissue tropism.


Subject(s)
Drosophila melanogaster/microbiology , Wolbachia/physiology , Animals , Female , Male , Ovary/microbiology , Phenotype , Phylogeny , Sex Factors , Stem Cell Niche/physiology , Testis/microbiology , Tropism/physiology
20.
J Infect Chemother ; 22(4): 254-6, 2016 Apr.
Article in English | MEDLINE | ID: mdl-26643901

ABSTRACT

Herein, we reported a case of testicular infarction in a patient with Klebsiella oxytoca induced acute epididymitis. Acute left epididymitis progressed into testicular infarction requiring orchiectomy in spite of antibiotics treatment. Ordinary urine cultures did not reveal any specific organism, suggesting viable but noncultureable state. We amplified a bacterial 16S ribosomal subunit gene from the urine and orchiectomized samples, and we found K. oxytoca infections from both of them.


Subject(s)
Epididymitis/complications , Klebsiella Infections/complications , Klebsiella oxytoca , Testis/blood supply , Acute Disease , Adult , Epididymis/microbiology , Epididymitis/microbiology , Humans , Infarction/etiology , Klebsiella Infections/genetics , Male , Orchiectomy , RNA, Ribosomal, 16S , Testis/microbiology , Testis/surgery
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