How to Reverse Testicular Atrophy

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Hypogastric Plexus Block

Hypogastric Nerve Distribution

Hypogastric plexus block is useful in relieving visceral pain due to cancer from the descending colon, sigmoid colon, and rectum. It is also useful in pain originating from cancer of the bladder, prostatic urethra, prostate, seminal vesicles, and testicles. Pain from the cancer of the uterus, ovary, and vaginal fundus also can be treated with hypogastric plexus block. The efficacy of neurolytic block depends on the location and extent of the tumor. It is overall considered as a good adjuvant to pain management in cancer pain from the lower GI tract and pelvic organs. The goal is to eliminate the pain or decrease it, so that concomitant oral opioid administration can control the pain without significant side effects.

Relevance To Public Health

Estimates of levels of exposure to boron posing minimal risk to humans (MRLs) have been made. These are discussed in Section 2.2 and were based on data believed to be reliable for the most sensitive noncancer effect for each route and exposure duration. No data were located on effects of acute-duration inhalation exposure in humans or animals nor on intermediate-duration inhalation exposure to boron in humans. Available information on intermediate-duration inhalation exposure in animals and chronic-duration inhalation exposure in humans do not reliably identify the most sensitive target organ. No data on effects of acute-duration oral exposure to boron in humans or animals nor on intermediate exposure in humans were located. In animals, prenatal exposure of mice (79 mg boron kg day as boric acid) and rats (13.6 mg boron kg day as boric acid) during gestation days 0-17 and 0-20 caused developmental effects consisting of reduced fetal body weight or minor skeletal changes and possibly...

Faulty Epigenetics Germline Mutations

Neurodevelopmental disorder of infant girls with a variable clinical phenotype characterized by loss of motor and language skills, microcephaly, autistic features, and stereotypic hand movements Mental retardation affecting males primarily other diagnostic criteria long face, large everted ears, autism, hand biting, hyperactivity and macroorchidism (large testicles)

Wacetylaspartylglutamate Naag

Immunocytochemical as well as in situ hybridization studies demonstrate that GCPII is selectively expressed in astrocytes in the brain with an uneven regional distribution.38, 39 Particularly high levels of expression are observed in the Bergmann glial cells. It is also expressed in non-myelating Schwann cells in the periphery, including those surrounding motor neuron terminals at the end plate.40 In the periphery, GCPII is expressed in the testicles and in the tubules of the kidney. However, the exclusive role of GCPII in the hydrolysis of NAAG has been called into question by studies in mice homozygous for a null mutation of the GCPII gene. The brains of these mice exhibit a residual of 15 GCPII-like enzyme activity with no alterations observed in the levels of NAAG, NAA, glutamate or aspartate.41 Recently, a second gene with high homology to GCPII has been cloned.42, 43

Reproductive Effects

Testicular atrophy was seen in dogs fed up to 44 mg boron kg day (1,750 ppm boron, as borax or boric acid) for 90 days (Weir and Fisher 1972), partial testicular atrophy in rats occurred at a dose of 26 mg boron kg day (525 ppm boron) (Weir and Fisher 1972). Degeneration or atrophy of the seminiferous tubules was demonstrated in mice fed 144 mg boron kg day as boric acid (5,000 ppm boric acid) (NTP 1987). In rats fed at least 50 mg boron kg day (as borax) up to 60 days, there were reduced testicular weight and germinal aplasia at 60 days (Dixon et al. 1979). In the same study, 50 mg boron kg day caused reduction in hyaluronidase, sorbitol dehydrogenase, and lactic acid dehydrogenase (isoenzyme-X) at 30 days and testicular and epididymal weights were reduced (Dixon et al. 1979). In contrast, Lee et al. (1978) did not find significant adverse effects in male rats fed 50 mg boron kg day (as borax) for 30 and 60 days. Dogs were fed 29 mg boron kg day as borax and boric acid (1,170 ppm),...

The Most Common Signs of Alcohol Addiction

Alcohol consumption and abuse can have a variety of cutaneous manifestations, including palmar erythema and spider angioma (also known as spider telangiec-tasis, arterial spider, spider nevus, or nevus araneus) 57 . Alcohol can also induce diseases disease states with dermatologic manifestations 57 . Many endocrine changes are seen in patients with chronic alcoholism. Signs of hypogonadism and hyperestrogenism are seen in male patients. Hypogonadism is manifested by loss of libido and potency, testicular atrophy, reduced fertility, and reduced facial hair growth 57 . Gynecomastia, vascular spiders, changes in fat distribution, loss of body hair, and change of pubic hair to a female distribution 57 manifest hyperestrogenism. In contrast, female patients with alcoholism rarely manifest signs of masculinization. They may demonstrate breast atrophy or menstrual irregularities 57 . b. Testicular atrophy

Oral Exposure 2221 Death

Survival was also reduced in mice following intermediate-duration exposure. Males (10 ) died after exposure to a dose of 288 mg boron kg day (as boric acid) in the diet, while 80 of males and 60 of females died at 577 mg boron kg day (NTP 1987). Hyperkeratosis and or acanthosis in the stomach and extramedullary hematopoiesis of the spleen in both sexes were observed at the highest dose tested (577 mg boron kg day). There was 100 mortality in rats fed 263 mg boron kg day for 90 days (Weir and Fisher 1972). Congestion of liver and kidneys, small gonads, and brain swelling were reported. When male mice consumed 48 and 96 mg boron kg day (as boric acid) for 103 weeks, mortality was 40 and 56 , respectively, compared to 18 in untreated controls (NTP 1987). No clinical signs were reported however, boron caused increased incidence of testicular atrophy and interstitial hyperplasia. Mortality in female mice was 30 and 24 (48 and 96 mg boron kg day) compared to 34 in the untreated controls...

Biomarkers Used to Characterize Effects Caused by Boron

Neurological damage has been reported in humans. Neurological effects reported in humans have focused primarily on histopathological alterations. No data were provided on biochemical changes. In animals, testicular atrophy and reduced sperm production have been demonstrated following chronic boron exposure. There are clinical and biochemical tests to detect neurological and gonadal injury, but these are not specific for boron exposure. Sparse data in animals suggest some biochemical changes for instance, cerebral succinate dehydrogenase was increased in rats after boron exposure. Animal data further demonstrate biochemical alterations following gonadal injury. Dose-dependent reduction in hyaluronidase, sorbitol dehydrogenase, and lactic acid dehydrogenase (isoenzyme-X) were observed in rats following boron exposure.

Antiandrogenic Effects of Phthalate Esters During Development

Recent publications demonstrate that perinatal exposure to a number of phthalate esters alters development of the male reproductive tract in an antian-drogenic manner, causing underdevelopment and agenesis of the epididymis at relative low dosage levels. Arcardi et al. 165 reported that administration of DEHP in the drinking water to the dam during pregnancy and lactation (estimated LOAEL of 3 mg kg day) produced testicular histopathological alterations in male rat offspring. Although DEHP is not an AR antagonist in vitro at concentrations up to 10 imol l, it inhibits fetal Leydig cell testosterone synthesis in vivo when orally administered to the dam at 0.75 g kg day starting at day 14 of pregnancy. As a consequence, fetal testosterone concentrations are reduced in males to female levels from day 17 of gestation to 2 days after birth. This reduction in testosterone levels results in a wide range of malformations of the androgen-dependent tissues in male rats including reduced AGD,...

Cellular and subcellular localization

Northern blot studies of GalR3 mRNA initially showed that GalR3 mRNA is present in the heart, spleen, and testis (Wang et al. 1997a). Later, with the help of more sensitive methods, GalR3 transcripts were also detected in the CNS, with the highest levels in the hypothalamus and pituitary. Other regions, like the olfactory bulb, cerebral cortex, medulla oblongata, caudate putamen, cerebellum, and spinal cord, but not the hippocampus and substantia nigra, were also found to contain GalR3 mRNA (Smith et al. 1998). In the periphery, GalR3 mRNA is widespread, with existence in the liver, kidney, stomach, testicles, adrenal cortex,

Systemic Effects

26 (partial 88 (complete testicular atrophy of atrophy) of tests spermatogenesi s, degeneration of semi ni ferous tubules) 29 (testicular atrophy, spermatogeni c arrest) 44 (severe testicular atrophy) 29 (testicular atrophy, spermatogeni c arrest) 44 (severe testicular atrophy)

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