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接受睾丸切除术的睾丸生殖细胞肿瘤患者精液样本中的抗氧化酶谱和脂质过氧化产物。

Antioxidant enzyme profile and lipid peroxidation products in semen samples of testicular germ cell tumor patients submitted to orchiectomy.

作者信息

Sposito Camila, Camargo Mariana, Tibaldi Danielle Spinola, Barradas Valéria, Cedenho Agnaldo Pereira, Nichi Marcílio, Bertolla Ricardo Pimenta, Spaine Deborah Montagnini

机构信息

Departamento de Cirurgia, Divisão de Urologia, Setor de Reprodução Humana, Universidade Federal de São Paulo, SP, Brasil.

Departamento de Reprodução Animal, Faculdade de Medicina Veterinária, Universidade de São Paulo, SP, Brasil.

出版信息

Int Braz J Urol. 2017 Jul-Aug;43(4):644-651. doi: 10.1590/S1677-5538.IBJU.2016.0323.

Abstract

PURPOSE

To determine enzymatic antioxidant and lipid peroxidation levels in seminal plasma of patients orchiectomized for testicular tumors.

MATERIALS AND METHODS

The study included 52 patients: 26 control men and 26 orchiectomized patients for testicular tumor, of which 12 men had seminoma tumor and 14 men non-seminoma tumor. After semen analysis performed according to the WHO guidelines, an aliquot of semen was centrifuged and the seminal plasma was collected. Lipid peroxidation was performed by thiobarbituric acid reactive substances(TBARS) assay and antioxidant profile was assessed by analyzing catalase, glutathione per-oxidase (GPx) and superoxide anion (SOD) activities using colorimetric assays with a standard spectrophotometer. Data were tested for normality and compared using one-way ANOVA (p<0.05).

RESULTS

Seminoma and non-seminoma groups presented lower sperm concentration and morphology when compared to control group (p=0.0001). Both study groups (seminoma and non-seminoma) presented higher TBARS levels when compared to control group (p=0.0000013). No differences were observed for SOD (p=0.646) and GPx (p=0.328). It was not possible to access the enzymatic activity of catalase in any group.

CONCLUSION

Patients with testicular tumor present increased semen oxidative stress, but no differences were observed in antioxidant levels, even after orchiectomy. This indicates that most likely an increased generation of oxidative products takes place in these patients.

摘要

目的

测定因睾丸肿瘤接受睾丸切除术患者精液中的酶抗氧化剂和脂质过氧化水平。

材料与方法

该研究纳入52例患者,其中26例为对照男性,26例为因睾丸肿瘤接受睾丸切除术的患者,其中12例为精原细胞瘤患者,14例为非精原细胞瘤患者。按照世界卫生组织指南进行精液分析后,取一份精液离心,收集精浆。通过硫代巴比妥酸反应物质(TBARS)测定法检测脂质过氧化,并使用标准分光光度计通过比色法分析过氧化氢酶、谷胱甘肽过氧化物酶(GPx)和超氧阴离子(SOD)活性来评估抗氧化剂谱。对数据进行正态性检验,并使用单因素方差分析进行比较(p<0.05)。

结果

与对照组相比,精原细胞瘤组和非精原细胞瘤组的精子浓度和形态较低(p=0.0001)。与对照组相比,两个研究组(精原细胞瘤组和非精原细胞瘤组)的TBARS水平均较高(p=0.0000013)。SOD(p=0.646)和GPx(p=0.328)未观察到差异。在任何一组中均无法检测到过氧化氢酶的酶活性。

结论

睾丸肿瘤患者精液氧化应激增加,但即使在睾丸切除术后,抗氧化剂水平也未观察到差异。这表明这些患者很可能氧化产物生成增加。

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