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1.
New Egyptian Journal of Medicine [The]. 2010; 42 (3): 262-271
in English | IMEMR | ID: emr-111407

ABSTRACT

Impotence is aconsistent inability to sustain an erection sufficient for sexual intercourse. Testosterone administration in men with liver cirrhosis improves the sense of well-being, increase serum proteins and reduces edema without serious adverse effects. Oral, alkylated forms of testosterone can create a situation of liver toxicity. There is little evidence that other methods of administration cause liver dysfunction. Most doctors be indecisive on prescribing androgen preparations in patients with liver disease, so this work was designed to study the effect of androgen replacement [injectable form] on the murine diseased liver, and subsequently whether it can be used safely in men with chronic liver disease or not. To evaluate the effect of exogenous injectable androgen and praziquantel on the diseased liver of mice. National Hepatology and Tropical Medicine Research Institute [NHTMRI]. Materials and methods: Forty male mouse [weighing 25-30 g] were infested subcutaneously with Schistosoma mansoni [100 cercariae/animal], and then they were divided into four groups. Mice in the first group were infected only and used as infected control group. Mice of group II and IV were given the Schistosomicide, praziquantel in a dose of 0.3 mg/mouse. Androgen [Sustarion] was injected intramuscularly in a "dose of 0.125 mg/mouse, [three doses, 3 weeks apart] in group III and IV. At the end of the trial all animals were then sacrificed to study histopathologically the possible effects of androgen on the liver tissue. Liver function tests were done in animals of group I, III, and IV, first prior to study and finally by the end of study. Results of assayed liver function tests and histopathological examination were tested for statistical significant association. there were marked elevation of the liver enzymes in mice of group IV compared to the corresponding control [p<0.01] and mice of the third group [p<0.01], which reflect deterioration of hepatic function in those mice received the antibilharzial drug praziquantel. On the other hand there was statistical difference between control group [group I] and androgen treated group III [P<0.05]. Histological examination of liver sections of mice in all groups revealed the presence of typical bilharzial granulomas. The mean diameter of bilharzial granulomas clearly dropped to 283.20 micrometer in group II compared to 392.55 in corresponding control. The difference between these two groups was statistically significant [p=0.0001]. In group III there was no statistical difference in the number of egg granulomas [P>0.05] compared to group I. There was a reduction of granulomas diameter in group III and IV [animals injected with androgen] in comparison to group I [P>0.05 and P<0.01] respectively. Also comparison between the four groups as regards the type of bilharzial granulomas, it is clearly evident that the predominant type of granulomas in the androgen treated groups is the cellular type [38% and 57.1%] in group III and IV respectively and this may reflect the possible beneficial effect of androgen on the diseased liver. Our results clearly indicate that androgen have no deleterious effects on tissues of the diseased liver and hence on liver functions. In conclusion androgen therapy [injectabi form] appears to be safe in the clinical management of erectile dysfunction patients with chronic liver disease


Subject(s)
Male , Animals, Laboratory , Liver Diseases/pathology , Androgens , Praziquantel , Drug Therapy, Combination , Liver Function Tests , Liver/pathology , Histology , Mice , Erectile Dysfunction
2.
New Egyptian Journal of Medicine [The]. 2009; 41 (5): 449-458
in English | IMEMR | ID: emr-113087

ABSTRACT

Recombinant human interferon alpha [rh-IFN-alpha] is used therapeutically in malignant disorders and chronic hepatitis. The phenotypic effects of this drug at the structural levels on testicular tissue were hardly ever addressed. Hence, this work was designed in adult male albino mice to study the phenotypic effects of rh-INF-alpha-2b on testicular tissue as well as assessing its effects on serum testosterone and gonadotropins levels. This research was planned to through light on the effects of interferon-alpha-2b [IFN-alpha-2b] on the hypothalamic-pituitary-testicular [HPT] axis of the adult male albino mice. Experimental study. National Hepatology and Tropical Medicine Research Institute [NHTMRI]. The study was conducted from November [2004] to February [2005]. Thirty sexually mature male mice were divided into three groups [10 mice in each group], namely: the control, the experimental and the recovery groups. Mice in the experimental and recovery groups were administered recombinant human interferon alpha intraperitoneally at a dose of 3000 U / mouse weekly for 12 weeks in a volume of 1.0-microliter isotonic normal' saline, then animals in the recovery group were left to recover for a further period of two months. At the end of the experiment, serum concentrations of gonadotropins and testosterone were measured and then all animals were then sacrificed to study histopathologically the possible effects of interferon on the testicular tissue. rh-IFN-alpha-2b induced remarkable decline in the serum levels of both follicle stimulating hormone [FSH] and luteinizing hormone [LH] in mice of the experimental group compared to the corresponding control and mice of recovery group. At the same time, testosterone was moderately increased in the experimental group, and then returned to its normal levels within 2 months after cessation of treatment. Histopathologically, in the experimental group, there were focal thickening of the basement membrane, degenerative changes and clumping of the germinal epithelial cells in the center of seminiferous tubules, partial desquamation of the germinal epithelium from basement membrane, reduction in the germ cell height, partial arrest of maturation and increased number of Sertoli cells. Increased number of leydig's cells and hypervascularity were detected in the interstitial spaces. In the recovery group, there was lessening of the germ cell hypoplasia manifested by restoration of spermatogenic cells and accidental disruption in the basement membrane. Most of the spermatogenic and Sertoli cells restored their polarity, height and maturation. Our results suggest that rh-INF-alpha-2b temporally affects the hypothalamic-pituitary-testicular axis [HPT], both centrally and peripherally [at the testicular level], through the lessening of FSH, LH, raise of testosterone serum levels and direct phenotypic effect on the testicular tissue


Subject(s)
Animals, Laboratory , Reproduction/drug effects , Gonadotropins/blood , Testosterone/blood , Testis/pathology , Follicle Stimulating Hormone/blood , Mice
3.
Journal of the Arab Society for Medical Research. 2008; 3 (1): 11-19
in English | IMEMR | ID: emr-94488

ABSTRACT

Preventive intervention of colorectal cancer has become essential as a major portion of the population may develop the disease at some points during their lives. Diet and nutrition play an important role during this multi-step colon carcinogenic process. Inhibitory activity of garlic was tested on Dimethylhydrasin [DMH] induced colon carcinogenesis in Sprague-Dawley rats. Experimental study was done to investigate the mechanism of garlic action on occurrence of colon neoplasia and liver metastasis as well as the expression of cyclooxygenase-2 [COX-2], matrix metalloproteinase [MMP-2] and CD34 was analyzed in the colonic mucosa. On histopathological examination of colon and liver of the investigated animals, the first [normal control] as well as the fourth group [receiving garlic only] revealed no pathological lesions. In the 2nd group [taking DMH only], colon neoplasia was detected in 21/21 [100%] of animals and liver metastasis in 10/21 [47.6%] while, in the 3rd group [receiving DMH and garlic], the tumor occurrence was detected in 16/32 [50%] of animals with no liver metastasis. Following treatment with garlic, significant suppression of COX-2, MMP-2 expressions [p<0.01] was detected with respect to the carcinogen group. As regards angiogenesis in DMH treated animals, CD34 expression was mostly of grades III and IV compared to grades 1 and II in combined DMH and garlic treated group. It could be concluded that the observed modulatory influences of garlic at the level of suppression of COX-2, MMP-2 and CD34 during DMH induced colon carcinogenesis suggest that the dietary intake of garlic has a chemopreventive and inhibitory effects through the multi-step carcinogenesis


Subject(s)
Animals, Laboratory , Garlic , Models, Animal , Rats , Neoplasm Metastasis , Liver/pathology , Colon/pathology , Immunohistochemistry , Matrix Metalloproteinases , Antigens, CD34
4.
Medical Journal of Cairo University [The]. 2003; 71 (3): 1-8
in English | IMEMR | ID: emr-63687

ABSTRACT

This study included 25 newly diagnosed non-Hodgkin's lymphoma [NHL] patients who fulfilled the criteria for inclusion in the study. Hepatitis profile was done for NHL patients at the time of diagnosis and after three months of chemotherapy and for ten healthy persons who were selected as a control group. In addition to the routine lab investigations, lactate dehydrogenase [LDH], B2 microglobulin and hepatitis markers were done before each cycle of chemotherapy. The study revealed a high percentage of NCV infection in patients with NHL [36%] in comparison with the control group [10%]. Patients with positive serological markers were liable to hepatic dysfunction and hepatitis reactivation during and after the end of chemotherapy. The presence of the hepatitis infection did not affect the response to chemotherapy in this group of patients. However 3/5 of the relapsed patients were HCV +ve. The results of serum gamma transferase [GGT] before treatment with chemotherapy in patients who were positive and negative to HCV showed very highly significant difference


Subject(s)
Humans , Male , Female , Lymphoproliferative Disorders , Biomarkers , Hepatitis, Viral, Human/epidemiology , Gammaherpesvirinae , Lactate Dehydrogenases , Hepatitis B Surface Antigens , Hepatitis C Antibodies , Hepatitis E virus , beta 2-Microglobulin , Kidney Function Tests , Liver Function Tests
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