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Autophagy is a highly conserved, lysosome-dependent biological mechanism involved in the degradation and recycling of cellular components. There is growing evidence that autophagy is related to male reproductive biology, particularly spermatogenic and endocrinologic processes closely associated with male sexual and reproductive health. In recent decades, problems such as decreasing sperm count, erectile dysfunction, and infertility have worsened. In addition, reproductive health is closely related to overall health and comorbidity in aging men. In this review, we will outline the role of autophagy as a new player in aging male reproductive dysfunction and prostate cancer. We first provide an overview of the mechanisms of autophagy and its role in regulating male reproductive cells. We then focus on the link between autophagy and aging-related diseases. This is followed by a discussion of therapeutic strategies targeting autophagy before we end with limitations of current studies and suggestions for future developments in the field.
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Disfunção Erétil , Neoplasias da Próstata , Humanos , Masculino , Sêmen , Autofagia , EnvelhecimentoRESUMO
BACKGROUND: Malaria and schistosomiasis present considerable disease burden in tropical and sub-tropical areas and severity is worsened by co-infections in areas where both diseases are endemic. Although pathogenesis of these infections separately is well studied, there is limited information on the pathogenic disease mechanisms and clinical disease outcomes in co-infections. In this study, we investigated the prevalence of malaria and schistosomiasis co-infections, and the hematologic and blood chemistry abnormalities in asymptomatic adults in a rural fishing community in western Kenya. METHODS: This sub-study used samples and data collected at enrollment from a prospective observational cohort study (RV393) conducted in Kisumu County, Kenya. The presence of malaria parasites was determined using microscopy and real-time-PCR, and schistosomiasis infection by urine antigen analysis (CCA). Hematological analysis and blood chemistries were performed using standard methods. Statistical analyses were performed to compare demographic and infection data distribution, and hematologic and blood chemistry parameters based on different groups of infection categories. Clinically relevant hematologic conditions were analyzed using general linear and multivariable Poisson regression models. RESULTS: From February 2017 to May 2018, we enrolled 671 participants. The prevalence of asymptomatic Plasmodium falciparum was 28.2% (157/556) and schistosomiasis 41.2% (229/562), with 18.0% (100/556) of participants co-infected. When we analyzed hematological parameters using Wilcoxon rank sum test to evaluate median (IQR) distribution based on malarial parasites and/or schistosomiasis infection status, there were significant differences in platelet counts (p = 0.0002), percent neutrophils, monocytes, eosinophils, and basophils (p < 0.0001 each). Amongst clinically relevant hematological abnormalities, eosinophilia was the most prevalent at 20.6% (116/562), whereas thrombocytopenia was the least prevalent at 4.3% (24/562). In univariate model, Chi-Square test performed for independence between participant distribution in different malaria parasitemia/schistosomiasis infection categories within each clinical hematological condition revealed significant differences for thrombocytopenia and eosinophilia (p = 0.006 and p < 0.0001, respectively), which was confirmed in multivariable models. Analysis of the pairwise mean differences of liver enzyme (ALT) and kidney function (Creatinine Clearance) indicated the presence of significant differences in ALT across the infection groups (parasite + /CCA + vs all other groups p < .003), but no differences in mean Creatinine Clearance across the infection groups. CONCLUSIONS: Our study demonstrates the high burden of asymptomatic malaria parasitemia and schistosomiasis infection in this rural population in Western Kenya. Asymptomatic infection with malaria or schistosomiasis was associated with laboratory abnormalities including neutropenia, leukopenia and thrombocytopenia. These abnormalities could be erroneously attributed to other diseases processes during evaluation of diseases processes. Therefore, evaluating for co-infections is key when assessing individuals with laboratory abnormalities. Additionally, asymptomatic infection needs to be considered in control and elimination programs given high prevalence documented here.
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Coinfecção , Malária Falciparum , Malária , Esquistossomose , Adulto , Infecções Assintomáticas/epidemiologia , Coinfecção/epidemiologia , Estudos Transversais , Humanos , Quênia/epidemiologia , Malária/complicações , Malária/epidemiologia , Malária Falciparum/complicações , Malária Falciparum/epidemiologia , Plasmodium falciparum , Prevalência , Estudos Prospectivos , População Rural , Esquistossomose/complicações , Esquistossomose/epidemiologiaRESUMO
Barium strontium lead titanate ((Ba0.85Sr0.15)1-x Pb x TiO3), along with various compositions (x(mol %) = 0, 2, 4, and 8), was synthesized through the conventional sol-gel reaction method. Following this, the resultant powders underwent a carefully controlled calcination process at 1000 °C for a period of 4 h. The examination of the crystalline phase of the calcined ceramics was conducted at room temperature using X-ray diffraction. Rietveld refinement of the XRD data, performed using FullProf, revealed that the samples exhibited a tetragonal structure within the space group P4mm. The impact of Pb doping on the lattice structure of BaSr1-x TiO3 was explored by analyzing the charge density distribution. The FTIR analysis unveiled a distinct absorptive band within the 450-600 cm-1 range, indicative of the stretching and bending vibrations associated with TiO6 octahedra. Notably, sintering the material at 1150 °C for 4 h resulted in improved densification, as observed in scanning electron microscopy images showcasing a nearly uniform distribution of densely packed grains. Through the utilization of Williamson-Hall plots derived from XRD data, the average particle diameter was estimated to fall within the range of 131.87-141 nm, with an associated uncertainty ranging from 5 to 10%. Additionally, the dielectric characteristics unveiled the presence of a negative dielectric constant (εr) spanning the frequency range from 1 kHz to 2 MHz. The (Ba0.85Sr0.15)1-x Pb x TiO3 ceramic displayed a widespread occurrence of negative permittivity, emphasizing the influence of dielectric resonance. The investigation revealed that the sintered ceramic with the formula (Ba0.85Sr0.15)1-x Pb x TiO3 exhibited exceptional piezoelectric properties, achieving the highest piezoelectric constant (d33 = 137 pC/N) and electromechanical coupling factor (k p = 0.49).
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OBJECTIVES: HIV and malaria coinfection impacts disease management and clinical outcomes. This study investigated hematologic abnormalities in malaria-asymptomatic people living with HIV (PLHIV) in regions with differing malaria transmission. METHODS: Study participants were enrolled in the African Cohort Study: two sites in Kenya, one in Uganda, and one in Nigeria. Data was collected at enrollment and every 6 months. Logistic regression estimated odds ratios for associations between HIV/malaria status and anemia, thrombocytopenia, and leucopenia. RESULTS: Samples from 1587 participants with one or more visits comprising 1471 (92.7%) from PLHIV and 116 (7.3%) without HIV were analyzed. Parasite point prevalence significantly differed across the study sites (P <0.001). PLHIV had higher odds of anemia, with males at lower odds compared to females; the odds of anemia decreased with age, reaching significance in those ≥50 years old. Participants in Kisumu, Kenya had higher odds of anemia compared to other sites. PLHIV had higher odds of leucopenia, but malaria co-infection was not associated with worsened leucopenia. The odds of thrombocytopenia were decreased in HIV/malaria co-infection compared to the uninfected group. CONCLUSION: Hematological parameters are important indicators of health and disease. In PLHIV with asymptomatic malaria co-infection enrolled across four geographic sites in three African countries, abnormalities in hematologic parameters differ in different malaria transmission settings and are region-specific.
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Anemia , Coinfecção , Infecções por HIV , Malária , Trombocitopenia , Masculino , Feminino , Humanos , Adulto , Pessoa de Meia-Idade , Estudos de Coortes , Coinfecção/epidemiologia , Coinfecção/complicações , Malária/complicações , Malária/epidemiologia , Infecções por HIV/complicações , Infecções por HIV/epidemiologia , Anemia/epidemiologia , Infecções Assintomáticas/epidemiologia , Quênia/epidemiologia , PrevalênciaRESUMO
Lead-free ceramic materials produced from bismuth sodium titanate (Na0.5Bi0.5TiO3, NBT)-bismuth potassium titanate (K0.5Bi0.5TiO3, KBT) have been developed through a solid-state reaction technique. The structural, dielectric, and piezoelectric characteristics of the ceramic materials were analyzed. Based on the XRD investigation, the morphotropic phase boundary (MPB) was determined for the composition (x (%) = 16 and 20). The effects of the KBT phase on the NBT lattice were examined using the charge density distribution. Furthermore, the dielectric properties indicated the presence of a negative dielectric constant (εr') as a function of frequency between 1 kHz and 2 MHz. Negative permittivity was observed globally in the (1 - x)NBT-xKBT ceramic which reflects the effect of the dielectric resonance. The grain conduction effect is revealed through the complex impedance spectrum in the form of a semicircular arc within the Nyquist plot. In addition, the samples studied revealed a non-Debye relaxation phenomenon. The relaxation time was determined based on the Vogel-Fulcher law for all samples. DC conductivity was carried out on the ceramics material and revealed that the resistance decreases with increasing temperature indicating a negative temperature coefficient of resistance. The AC conductivity as a function of frequency for different temperatures suggests the presence of a thermally activated conduction mechanism. The activation energy has been determined based on the Arrhenius plot of the DC electrical conductivity as well as the relaxation frequency.