Cover
Vol. 2 No. 1 (2012)

Published: June 30, 2012

Pages: 9-15

Research Article

Effect of smoking on sex hormones, inflammatory markers and semen parameters in infertile men

Abstract

Background: Infertility is a common social and health problem. Male factor is a major cause in 30% of infertile couples. Smoking is common at reproductive age and its effect on fertilitiy is still in controversy. Studying its effect on fertility helps in the management of infertility. Objectives: To assess the effect of smoking on serum sex steroidal hormones as well as on seminal plasma (SP) IL-2, IL-6 and conventional semen parameters in infertile men and their correlations between each other. Methods: Seventy male partners of infertile couples (30 smokers and 40 non-smokers) were involved in this study. The man was considered smoker if he had history of smoking of more than 10 cigarettes per day for at least one year. Semen analysis was done according to world health organization (WHO) 2010. Specific kits were used for measurement of serum testosterone, serum estradiol II, SP IL-2, and SP IL-6. Results: The median of SP IL-2 was significantly (p<0.05) higher in smokers than in non-smokers group and positively correlated with SP IL-6 in them. In addition, IL-2 was negatively correlated with semen volume, sperm motility and morphology, while IL-6 was negatively correlated only with sperm motility. However, there was no significant difference of serum sex hormones level or on semen parameters between smokers and non-smokers. Conclusion: Cigarette smoking affect cytokine levels in the seminal plasma but has no effect on serum sex hormones level or semen parameters.

References

  1. GaurDS, Talekar M, Pathak VP. Effect of cigarette smoking on semen quality of infertile men. Singapore Med J. 2007; 48(2): 119-123.
  2. Edwards R. The problem of tobacco smoking. BMJ. 2004; 328:217-219.
  3. Soares S. Cigarette Smoking and Fertility. Reprod Biol Insights. 2009;2:39-46.
  4. Molina PE. Endocrine physiology. 3rd edition, Lange. McGraw-Hill. USA. 2010.pp. 187-198.
  5. Walker WH. Non-classical actions of testosterone and sperm atogenesis. Phil Trans R Soc B. 2010; 365, 1557-1569.
  6. Akingbemi BT. Estrogen regulation of testicular function. Reprod Biol Endocrinol. 2005; 3(51):1-13.
  7. Janulis L, Bahr JM, Hess RA, Janssen S, Osawa Y, Bunick D. Rat testicular germ cells and epididymal sperm contain active P450 aromatase. JAndrol. 1998; 19:65-71.
  8. Barrett KE, Barman SM, Boitano S, Brooks HL. Ganong's ReviewofMedical Physiology. 23rd ed. McGraw-Hill. USA. 2010.
  9. Aydos K, Yaman o. Aromatase inhibitors in male infertility. In: Colpi GM. Male infertility today. Fotolito E Stampа Grafiche Gelmini-Milano. 2004(4). pp.41-62.
  10. Hsiao W, Schlegel PN.Assessmentof the male partner. In: Kovacs J. The subfertility handbook-Aclinician guide. 2nd ed. Cambridge University Press. UK.2011. pp. 43-59.
  11. Dousset B, Hussenet F, Daudin M, Bujan L, Foliguet B, Nabet P. Seminal cytokine concentrations (IL-1b, IL-2, IL6, SR IL-2, SR IL-6), semen parameters and blood hormonal status in male infertility. Hum Reprod. 1997; 12(7):1476-1479.
  12. Barak V, Nathan N, Zajicek G, Kalichman I, Treves AJ and Laufer N. The correlation between interleukin 2 and soluble interleukin 2 receptors to oestradiol, progesterone and testosterone levels in periovulatoryfollicles of in-vitro fertilization patients. Hum Reprod. 1992;7(7):926-929.
  13. Syed V, Gerard N, Kaipia A, Bardin CW, Parvinen M, Jegou B. Identification, ontogeny, and regulation of an interleukin-6 like factor in the rat seminiferous tubule. Endocrinology. 1993; 132:293-299.
  14. LiR, XIY, LiuX, Chen G, Wang B, Jiang L, LiW. Expression of IL-1alpha, IL-6, TGF-Beta, FasL and ZNF265 during sertoli cell infection by Ureaplasma Urealyticum. Cell Mol Immunol. 2009;6(3): 215-221.
  15. Naz RK, Kaplan P. Increased levels of interleukin-6 in seminal plasma of infertile men. J Androl. 1994; 15(3): 220-227.
  16. World Health Organization. WHO Laboratory Manual for the Examination and Processing of Human Semen. Geneva: WHO Press. 2010.
  17. Yardimci S, Atan A, Delibasi T, Sunguroglu K, Güven MC. Long-term effects of cigarette-smoke exposure on plasma testosterone, luteinizing hormone and folliclestimulating hormone levels in male rats. BrJ Urol. 1997; 79(1):66-69.
  18. English KM, Pugh PJ, Parry H, Scutt NE, Channer KS, Jones TH. Effect of cigarette smoking on levels of bioavailable testosterone in healthy men. Clin Sci. 2001; 100:661-665.
  19. Cakana M, Aldemirb M, Topcuoglua M, Altug a U. Role of testosterone/estradiol ratio in predicting the efficacy of tamoxifen citrate treatment in idiopathic oligoasthenoteratozoospermic men. Urol Int. 2009; 83:446-451.
  20. Trummer H, Habermann H, Haas J, Pummer K. The impact of cigarette smoking on human semen parameters and hormones. Hum Reprod.2002; 17:1554-1559.
  21. Kumosani TA, Elshal MF, Al-Jonaid AA, Abduljabar HS. The influence of smoking on semen quality, seminal microelements and Ca2+-ATPase activity among infertile and fertile men.Clin Biochem. 2008;41: 1199-1203.
  22. Chohan KR, Badawy SZA. Cigarette smoking impairs sperm bioenergetics. Int BrazJ Urol.2010;36(1): 60-65.
  23. Aghamohammadi A, Zafari M. The impact of cigarette smoking on sperm parameters: A cross sectional study. International Conference on Environmental, Biomedical and Biotechnology IPCВEE.2011; 16:51-84.
  24. Künzle R, Mueller MD, Honggi W,Birkhouser MH, Drescher D, Bersinger NA. Semen quality of male smokers and nonsmokers in infertile couples. Fertil Steril. 2003;79(2):287-291.
  25. Collodel G, Capitani S, Pammolli A, Giannerini V, Geminiani M, Moretti E. Semen quality of male idiopathic infertile smokers and nonsmokers: An ultrastructural study. JAndrol. 2010;31(2): 108-113.
  26. Matalliotakis I, Kiriakou D, Fragouli I, Sifakis S, Eliopoulos G, Koumantakis E. Interleukin-6 in seminal plasma of fertile and infertile men.Arch Androl. 1998a;41:45-50.
  27. Eggert-Kruse W, Boit R, Rohr G, Aufenanger J, Hund M, Strowitzki T. Relationship of seminal plasma interleukin (IL)-8and IL-6 with semen quality. Hum Reprod. 2001; 16: 517-528.
  28. Matalliotakis I, Arici A, Goumenou A, Koumantakis G, Selam B, Matalliotakis G, Koumantakis E. Distinct expression pattern of cytokines in semen of men with genital infection and oligoteratoasthenozoospermia. Am JReprod Immunol. 2002;48: 170-175.
  29. Furuya Y, Akashi T, Fuse H. Soluble Fas and interleukin-6 and interleukin-8 in seminal plasma ofinfertile men. Arch Androl. 2003:49:449-452.
  30. Kopa Z, Wenzel J, Papp GK, Haidl G. Role of granulocyte elastase and interleukin-6 in the diagnosis of male genital tractinflammation.Andrologia. 2005;37:188-194.
  31. Kokab A, Akhondi MM, Sadeghi MR, Modarresi MH, Aarabi M, Jennings R, Pacey AA, Eley A. Raised inflammatory markers in semen from men with asymptomatic chlamydial infection. JAndrol. 2010;31(2), 114-120.
  32. Kishimoto T. IL-6: from its discovery to clinical applications. IntImmunol. 2010; 22(5):347-352.
  33. Matalliotakis I, Sifakis S, Goumemou A, Fragouli Y, Neonaki M, Matalliotakis G, Koumantakis E. Cytokine levels in seminal plasma. Clin Exp Obst Gynecol. 1998b; 25:58-60.
  34. Gruschwitz MS, Brezinschek R, Brezinschekt H-P. Cytokine levels in the seminal plasma of infertile males. J Androl. 1996; 17(2): 158-163.
  35. Politch JA, Tucker L, Bowman FP, Anderson DJ. Concentrations and significance of cytokines and other immunologic factors in semen of healthy fertile men. Hum Reprod.2007;22(11):2928-2935.
  36. Ulcova-Gallova Z, Gruberova J, Vrzalova J, Bibkova K, Peknicova J, Micanova Z, Topolcan O. Sperm antibodies, intra-acrosomal sperm proteins, and cytokines in semen in men from infertile couples. Am J Reprod Immunol. 2009;61(3):236-245.
  37. Paradisi R, Capelli M, Mandini M, Bellavia E, Focacci M, Flamigni C. Interleukin-2 in seminal plasma of fertile and infertilemen.Arch Androl. 1995;35(1):35-41.
  38. Paradisi R, Mancini R, Bellavia E, Beltrandi E, Pession A, Venturoli S, Flamigni C. T-helper 2 type cytokine and soluble interleukin-2 receptor levels in seminal plasma of infertile men. Am J Reprod Immunol. 1997; 38(2): 94-99.