Serotonin transporter (5-HTTLPR) genotypes and trinucleotide repeats of androgen receptor exert a combinatorial effect on hormonal milieu in patients with lifelong premature ejaculation.

Premature ejaculation is one of the most common sexual disorders in men due to uncontrolled modulation of spinal reflexes controlled by cortico-limbic centers in the brain. In this study, we investigate the combinatorial effects of trinucleotide repeats of androgen receptor and allelic variants of the 5-HTTLPR gene on sex steroids, hypophyseal hormones, sexual performance, and premature ejaculation assessment parameters among evidence-based lifelong premature ejaculation subjects. A total of 271 outpatients (age 26.6 ± 1.9) consulting for evidence-based lifelong premature ejaculatory dysfunction were selected in this study. The control group consists of 155 men with normal IELT (>4 min). The study revealed that the subjects who have the highest (≥26) CAG stretches depicted a significantly higher serum oxytocin levels (102.1 pg/ml; n = 126, p < 0.001) compared with the control group (71.2 pg/ml; n = 75, p = <0.001) and patients which have medium (22-25) and short (≤21) CAG stretches (76.63 ng/ml; n = 64, p < 0.001 vs. 77.4 ng/ml; n = 81, p < 0.001). Almost 33 (26.1%) lifelong premature ejaculatory patients had AR variant of longer (≥26) CAG repeats was homozygous for S alleles (SS), 45 (35.7%) was homozygous for L allele (LL), and 48 (38%) had the L/S or S/L genotype of 5-HTTLPR gene. Homozygous (SS) alleles have a significant positive correlation (r = 0.44, p < 0.0001) with the high score of BDI-II (39.1, n = 126, p < 0.001). However, LL alleles have shown a significant positive correlation with PEDT (r = 0.46, p < 0.001) and negative correlation with self-estimated IELT and intercourse satisfaction (r = -0.35, p < 0.001). The innovative study design elaborates that androgen receptor trinucleotide repeats and 5-HTTLPR genotypes have combinatorial impact on hormonal milieu and sexual function regarding evidence-based lifelong premature ejaculatory dysfunction patients.

Genetic analysis of mitochondrial DNA control region variations in four tribes of Khyber Pakhtunkhwa, Pakistan.

Due to its geo strategic position at the crossroad of Asia, Pakistan has gained crucial importance of playing its pivotal role in subsequent human migratory events, both prehistoric and historic. This human movement became possible through an ancient overland network of trails called "The Silk Route" linking Asia Minor, Middle East China, Central Asia and Southeast Asia. This study was conducted to analyze complete mitochondrial control region samples of 100 individuals of four major Pashtun tribes namely, Bangash, Khattak, Mahsuds and Orakzai in the province of Khyber Pakhtunkhwa, Pakistan. All Pashtun tribes revealed high genetic diversity which is comparable to the other Central Asian, Southeast Asian and European populations. The configuration of genetic variation and heterogeneity further unveiled through Multidimensional Scaling, Principal Component Analysis and phylogenetic analysis. The results revealed that Pashtun are the composite mosaic of West Eurasian ancestry of numerous geographic origin. They received substantial gene flow during different invasive movements and have a high element of the Western provenance. The most common haplogroups reported in this study are: South Asian haplogroups M (28%) and R (8%); whereas, West Asians haplogroups are present, albeit in high frequencies (67%) and widespread over all; HV (15%), U (17%), H (9%), J (8%), K (8%), W (4%), N (3%) and T (3%). Moreover, we linked the unexplored genetic connection between Ashkenazi Jews and Pashtun. The presence of specific haplotypes J1b (4%) and K1a1b1a (5%) pointed to a genetic connection of Jewish conglomeration in Khattak tribe. This was a result of an ancient genetic influx in the early Neolithic period that led to the formation of a diverse genetic substratum in present day Pashtun.

Imported filariasis in Pakistan.

Night blood surveys for filariasis were carried out in two camps of repatriates from Bangladesh. The sample consisted of 1,101 Biharis above one year of age of whom 9.0% were found infected with Wuchereria bancrofti. The infection rate was significantly higher in males (10.2%) than in females (6.7%). Of the three mosquito species (Anopheles stephensi, Culex pipiens fatigans and C. tritaeniorhynchus) collected in and around the camps, 4.1 and 2.5% of C. p. fatigans were found positive for W. bancrofti from the urban and rural camps, respectively. Infective stage larvae were found in the head, thorax and abdomen of C. p. fatigans in the months of May, June and July, suggesting that transmission could have been occurring in May, the hottest and driest month of the year.

Field measurement of the effective dominance of an insecticide resistance in anopheline mosquitos.

Anopheles culicifacies that were susceptible, heterozygous, or homozygous resistant to HCH and dieldrin were differentially marked with fluorescent dusts and released twice weekly into village huts in Pakistan that had been sprayed with four different dosages of HCH to see which of the genotypes died and which survived. The three highest dosages killed all three genotypes in the first four weeks, and heterozygotes and susceptibles for at least 12 weeks. The lowest dosage killed all the susceptibles throughout the period, and all but 0.07% of the heterzygotes. Thus the resistance is effectively recessive at the higher dosages and unlikely to be selected rapidly, as long as the gene frequency is low to start with and the houses are sprayed regularly. Similar releases of partially and completely resistant A. stephensi, and completely resistant A. subpictus, showed greater survival rates on exposure to the high HCH dosages than the same genotypes of A. culicifacies.

A release-recapture experiment with the malaria vector, Anopheles stephensi Liston, with observations on dispersal, survivorship, population size, gonotrophic rhythm and mating behaviour.

10 118 female and 10 863 male Anopheles stephensi were released on three successive nights at a breeding site near the village of Sattoki, Punjab Province, Pakistan during early May, 1977. A total of 721 (7.13%) females and 505 (4.65%) males were recaptured resting indoors, feeding on buffaloes and swarming. The average distance dispersed for females and males recaptured resting inside 13 cattle sheds within 2.17 km of the release point was 165.5 m and 184.8 m, respectively. The maximum longevity of the marked females and males was 12 and 13 days, respectively (mean longevity 3.24 and 3.26 days, respectively). Population size was estimated for the first five days after release using the Lincoln Index modified to account for survivorship, and Jackson's positive and negative methods. Estimates of population size at the two cattle sheds nearest the release point ranged from 1294.7--2551.7 for females and from 481.6--1374.3 for males, considerably less than the size of the released cohort. Marked males from all three releases were collected while swarming with wild males. Inseminated marked and unmarked females were captured at male swarms. Females mated on the night of release, some within 15 minutes of release. Mating here presumably occurred while the females were transversing the 45 metres from the release point to the site of the buffalo biting collections. Both inseminated and uninseminated females were collected feeding on buffaloes. The first gonotrophic cycle was completed when the females were three to four days old, i.e. two to three days after release.

The influence of physiological age on the biting rhythm of Culex tritaeniorhynchus Giles (Diptera : Culcidae)

All of 704 Cx. tritaeniorhynchus females caught on bufflo bait were inseminated and 98 % were at ovariole stage 1. Parity rates ranged from 41 % to 66 % on the 4 nights studied with increases observed during dusk, midnight and before dawn. Changes in the parity of the biting population were related to sexual maturation, mating, oviposition rhythms and especially the survivorship of the adults.

The effects of climatic patterns and agricultural practices on the population dynamics of Culex tritaeniorhynchus in Asia.

Annual population curves for C. tritaeniorhynchus are presented for representative localities distributed from Pakistan, east through Southeast Asia and the Philippines and north to Japan and Korea. In the dry temperature (Pakistan) and colder maritime climates (Japan and Korea). C. tritaeniorhynchus populations apparently overwintered as hibernating adults, while in the warmer maritime climates (Okinawa and Taiwan), gonotrophic activity and larval development continued throughout the winter months. In these climatic types, the population curves closely paralleled the annual temperature curves. In the tropical climates, however, temporal population patterns were closely related to available moisture either in the form of annual precipitation and/or rice irrigation. The extremely variable environmental conditions tolerated C. tritaeniorhynchus throughout its distribution attests to the physiological and ecological plasticity of this species and suggests that further ecological and genetic studies may reveal marked clinical variances among selected biological parameters.

Observations on the swarming and mating behavior of Anopheles culicifacies Giles in nature.

The mating and swarming behaviour of A. culicifacies Giles was investigated during December 1975 at a cattle shed near the village of Sattoki, Lahore District, Punjab, Pakistan. On average, swarming commenced 20.9 min before sunset (light intensity 1414.4 lx) and ended 21.0 min after sunset (5.4 lx) with pairing restricted to the period from 6.1 min before (467.2 lx) to 15.8 min after sunset (26.9 lx). The swarms were principally composed of males, with females entering only for mating. On average, copulation lasted 27.2 s and was completed in flight. Most females (71.8%) collected while mating had taken a partial blood meal either the previous evening or on the same evening as mating. All females in the swarms were nulliparous and 82.6% had ovaries developed to at least Christophers' stage IIa.