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Bektas H, Dasdag S. The effects of radiofrequency radiation on male reproductive health and potential mechanisms. Electromagn Biol Med 2025:1-26. [PMID: 40108785 DOI: 10.1080/15368378.2025.2480664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Accepted: 03/12/2025] [Indexed: 03/22/2025]
Abstract
Recent studies have demonstrated that radiofrequency (RF) radiation emanating from devices such as mobile phones and Wi-Fi may have adverse effects on male reproductive health. This radiation can elevate testicular temperature, potentially compromising sperm quality and DNA integrity, and influence the specific absorption rate (SAR) across different body regions, leading to detrimental reproductive outcomes. Furthermore, exposure to RF radiation has been linked to conditions that could affect male reproductive function, such as oxidative stress, alterations in ion transitions across cell membranes, and inflammation. The article reviews research conducted on both humans and animal models regarding the effects of electromagnetic radiation on sperm quality, DNA damage, oxidative stress, hormone levels, and testicular function, suggesting that exposure to electromagnetic radiation could have harmful implications for male reproductive health. However, further research is necessary to fully understand the mechanisms and implications of non-ionizing electromagnetic radiation on male infertility.
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Affiliation(s)
- Hava Bektas
- Department of Biophysics, Medical School of Van Yuzuncu Yil University, Van, Turkey
| | - Suleyman Dasdag
- Department of Biophysics, Medical School of Istanbul Medeniyet University, Istanbul, Turkey
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2
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Azizi B, Najafi E, Aghamohammadi V, Nasiri K, Moghadam HR, Bazyar H, Hosseini A, Sharifi E, Salari F. Evaluation of the impact of environmental pollutants on the sex ratio: a systematic review. REVIEWS ON ENVIRONMENTAL HEALTH 2024:reveh-2024-0046. [PMID: 39630535 DOI: 10.1515/reveh-2024-0046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/01/2024] [Accepted: 11/13/2024] [Indexed: 12/07/2024]
Abstract
In several industrialized countries, there has been a report of a decrease in the proportion of male births. The current study is designed to perform a systematic review and present a comprehensive summary of current epidemiological evidence of an association between exposure to the mentioned pollutants and sex ratio. The present systematic review was executed according to the PRISMA protocol. A comprehensive online search was performed in PubMed Medline, Scopus, Web of Science, Embase databases, Google Scholar, and the World Health Organization databases from 2000 to September 2023. After searching all databases, 20 articles were included in this systematic review. Regarding the studied pollutants found that exposure to increased PM10, PM2.5, and Nitrogen dioxide (NO2) levels was significantly associated with the sex ratio. Both maternal Benzophenone (BP)-2 and paternal BP-2 were significantly associated with an excess of female births. Finally, it must be said that the effect of some environmental pollutants on the sex ratio is undeniable. However, the sex ratio is the result of multiple factors that interact simultaneously during pregnancy. Additional research is required to examine the mechanisms responsible for the change in sex ratio.
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Affiliation(s)
- Behnam Azizi
- Student Research Committee, Qom University of Medical Sciences, Qom, Iran
| | - Esmail Najafi
- Department of Public Health, Khalkhal University of Medical Sciences, Khalkhal, Iran
| | | | - Khadijeh Nasiri
- Department of Medical-Surgical Nursing, Khalkhal University of Medical Sciences, Khalkhal, Iran
| | | | - Hadi Bazyar
- Sirjan School of Medical Sciences, Sirjan, Iran
| | - Amin Hosseini
- Student Research Committee, Tehran University of Medical Sciences, Tehran, Iran
| | - Elahe Sharifi
- Student Research Committee, Tehran University of Medical Sciences, Tehran, Iran
| | - Fatemeh Salari
- Student Research Committee, Tehran University of Medical Sciences, Tehran, Iran
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3
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Giulioni C, Maurizi V, Galosi AB. The role of physical agents' exposure in male infertility: A critical review. Arch Ital Urol Androl 2023; 95:10890. [PMID: 36924383 DOI: 10.4081/aiua.2023.10890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Accepted: 10/24/2022] [Indexed: 02/24/2023] Open
Abstract
BACKGROUND A decrease in semen quality is an increasingly widespread pathological condition worldwide. Jobs and lifestyles have changed a lot with the advancement of technology in the last few decades, and a new series of risk factors for male infertility have spread. OBJECTIVE This review aims to summarize the current literature on this relationship, evaluating alterations in semen parameters and hormonal profile. METHODS A deep research was performed through MEDLINE via PubMed, Scopus, and Web of Science on articles regarding the relationship between physical agents and male fertility over the last twenty years. Some physical agents already associated with male infertility, such as heat and radiation, while emerging ones, such as physical exertion, psychological stress and sedentary activities, were newly considered. RESULTS Most studies described sperm quality after exposure. Overall sperm impairment was shown after radiation and alteration of specific parameters, such as sperm concentration, were observed after psychological stress and sedentary work. In addition, an association was also reported between physical exertion and hormonal profile, especially pituitary hormones and testosterone. CONCLUSIONS Although the associations between physical agents and male infertility are suggestive, the level of evidence of the studies is not adequate to define their influence, except for physical exertion. Therefore, new prospective studies are necessary for the validation of the correlation and the possible safeguarding of the exposed working classes.
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Affiliation(s)
- Carlo Giulioni
- Department of Urology, Polytechnic University of Marche Region, Umberto I Hospital "Ospedali Riuniti", Ancona.
| | - Valentina Maurizi
- Department of Clinical and Molecular Sciences, Polytechnic University of Marche Region, "Ospedali Riuniti" University Hospital, Ancona.
| | - Andrea Benedetto Galosi
- Department of Urology, Polytechnic University of Marche Region, Umberto I Hospital "Ospedali Riuniti", Ancona.
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4
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Hassanzadeh-Taheri M, Khalili MA, Hosseininejad Mohebati A, Zardast M, Hosseini M, Palmerini MG, Doostabadi MR. The detrimental effect of cell phone radiation on sperm biological characteristics in normozoospermic. Andrologia 2021; 54:e14257. [PMID: 34628682 DOI: 10.1111/and.14257] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 08/25/2021] [Accepted: 09/08/2021] [Indexed: 02/06/2023] Open
Abstract
Radiofrequency electromagnetic radiation emitted from cell phone has harmful effects on some organs of the body, such as the brain, heart, and testes. This study aimed to assess the effects of cell phones on sperm parameters, DNA fragmentation, and apoptosis in normozoospermic. Normal sperm samples were divided into two groups of control and case. The samples from the case were placed for 60 min at a distance of approximately 2.5 cm from the cell phone set in the active antenna position. Control samples were exposed to cell phones without active antennas. All specimens were analysed by World Health Organization criteria. Sperm viability, sperm with chromatin abnormality and maturity, DNA fragmentation, and apoptosis were examined. Viability and motility in the case were significantly lower than the control (p < .001, p = .004 respectively). The percentage of apoptotic sperms and DNA fragmentation were significantly higher in the case when compared with the control (p = .031, p < .001 respectively). The other parameters studied such as morphology, chromatin abnormality, and maturity showed no significant difference between the case and control groups. Cell phone waves had a detrimental effect on human sperm's biological features. Therefore, it is recommended to keep the cell phone away from the pelvis as much as possible.
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Affiliation(s)
- Mohammadmehdi Hassanzadeh-Taheri
- Department of Anatomy, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran.,Cellular and Molecular Research Center, Birjand University of Medical Sciences, Birjand, Iran
| | - Mohammad Ali Khalili
- Research, and Clinical Center for Infertility, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | | | - Mahmood Zardast
- Department of Pathology, Birjand University of Medical Sciences, Birjand, Iran
| | - Mehran Hosseini
- Department of Anatomy, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran.,Cellular and Molecular Research Center, Birjand University of Medical Sciences, Birjand, Iran
| | - Maria Grazia Palmerini
- Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Mohammad Reza Doostabadi
- Department of Anatomy, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran.,Research, and Clinical Center for Infertility, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.,Royesh Infertility Center, Birjand University of Medical Science, Birjand, Iran
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5
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Karipidis K, Mate R, Urban D, Tinker R, Wood A. 5G mobile networks and health-a state-of-the-science review of the research into low-level RF fields above 6 GHz. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2021; 31:585-605. [PMID: 33727687 PMCID: PMC8263336 DOI: 10.1038/s41370-021-00297-6] [Citation(s) in RCA: 36] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 12/23/2020] [Accepted: 01/21/2021] [Indexed: 05/27/2023]
Abstract
The increased use of radiofrequency (RF) fields above 6 GHz, particularly for the 5 G mobile phone network, has given rise to public concern about any possible adverse effects to human health. Public exposure to RF fields from 5 G and other sources is below the human exposure limits specified by the International Commission on Non-Ionizing Radiation Protection (ICNIRP). This state-of-the science review examined the research into the biological and health effects of RF fields above 6 GHz at exposure levels below the ICNIRP occupational limits. The review included 107 experimental studies that investigated various bioeffects including genotoxicity, cell proliferation, gene expression, cell signalling, membrane function and other effects. Reported bioeffects were generally not independently replicated and the majority of the studies employed low quality methods of exposure assessment and control. Effects due to heating from high RF energy deposition cannot be excluded from many of the results. The review also included 31 epidemiological studies that investigated exposure to radar, which uses RF fields above 6 GHz similar to 5 G. The epidemiological studies showed little evidence of health effects including cancer at different sites, effects on reproduction and other diseases. This review showed no confirmed evidence that low-level RF fields above 6 GHz such as those used by the 5 G network are hazardous to human health. Future experimental studies should improve the experimental design with particular attention to dosimetry and temperature control. Future epidemiological studies should continue to monitor long-term health effects in the population related to wireless telecommunications.
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Affiliation(s)
- Ken Karipidis
- Australian Radiation Protection and Nuclear Safety Agency, Melbourne, VIC, Australia.
| | - Rohan Mate
- Australian Radiation Protection and Nuclear Safety Agency, Melbourne, VIC, Australia
| | - David Urban
- Australian Radiation Protection and Nuclear Safety Agency, Melbourne, VIC, Australia
| | - Rick Tinker
- Australian Radiation Protection and Nuclear Safety Agency, Melbourne, VIC, Australia
| | - Andrew Wood
- School of Health Sciences, Swinburne University of Technology, Melbourne, VIC, Australia
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6
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Geretto M, Ferrari M, De Angelis R, Crociata F, Sebastiani N, Pulliero A, Au W, Izzotti A. Occupational Exposures and Environmental Health Hazards of Military Personnel. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:5395. [PMID: 34070145 PMCID: PMC8158372 DOI: 10.3390/ijerph18105395] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 05/05/2021] [Accepted: 05/09/2021] [Indexed: 01/20/2023]
Abstract
BACKGROUND Military personnel are frequently exposed to environmental pollutants that can cause a variety of diseases. METHODS This review analyzed publications regarding epidemiological and biomonitoring studies on occupationally-exposed military personnel. RESULTS The exposures include sulfur mustard, organ chlorines, combustion products, fuel vapors, and ionizing and exciting radiations. Important factors to be considered are the lengths and intensities of exposures, its proximity to the sources of environmental pollutants, as well as confounding factors (cigarette smoke, diet, photo-type, healthy warrior effect, etc.). Assessment of environmental and individual exposures to pollutants is crucial, although often omitted, because soldiers have often been evaluated based on reported health problems rather than on excessive exposure to pollutants. Biomarkers of exposures and effects are tools to explore relationships between exposures and diseases in military personnel. Another observation from this review is a major problem from the lack of suitable control groups. CONCLUSIONS This review indicates that only studies which analyzed epidemiological and molecular biomarkers in both exposed and control groups would provide evidence-based conclusions on exposure and disease risk in military personnel.
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Affiliation(s)
- Marta Geretto
- Department of Experimental Medicine, University of Genoa, 16132 Genoa, Italy;
| | - Marco Ferrari
- Texas Biomedical Research Institute, 8715 W. Military Drive, San Antonio, TX 78227, USA;
| | - Roberta De Angelis
- Department of Oncology and Molecular Medicine, Istituto Superiore di Sanità, 00161 Rome, Italy;
| | - Filippo Crociata
- General Inspectorate of Military Health, 00184 Rome, Italy; (F.C.); (N.S.)
| | - Nicola Sebastiani
- General Inspectorate of Military Health, 00184 Rome, Italy; (F.C.); (N.S.)
| | | | - William Au
- Faculty of Medicine, Pharmacy, Science and Technology University of Medicine, Pharmacy, Science and Technology, 540142 Targu Mures, Romania;
- Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX 77555, USA
| | - Alberto Izzotti
- Department of Experimental Medicine, University of Genoa, 16132 Genoa, Italy;
- IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy
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Okechukwu CE. Does the Use of Mobile Phone Affect Male Fertility? A Mini-Review. J Hum Reprod Sci 2020; 13:174-183. [PMID: 33311902 PMCID: PMC7727890 DOI: 10.4103/jhrs.jhrs_126_19] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2019] [Accepted: 08/10/2020] [Indexed: 01/08/2023] Open
Abstract
Presently, there is a rise in the use of mobile phones, laptops, and wireless internet technologies such as Wi-Fi and 5G routers/modems across the globe; these devices emit a considerable amount of electromagnetic radiation (EMR) which could interact with the male reproductive system either by thermal or nonthermal mechanisms. The aim of this review was to examine the effects of mobile phone use on male fertility. Related studies that reported on the effects of EMR from mobile phones on male fertility from 2003 to 2020 were evaluated. PubMed database was used. The Medical Subject Heading system was used to extract relevant research studies from PubMed. Based on the outcomes of both human and animal studies analyzed in this review, animal and human spermatozoa exposed to EMR emitted by mobile phones had reduced motility, structural anomalies, and increased oxidative stress due to overproduction of reactive oxygen species. Scrotal hyperthermia and increased oxidative stress might be the key mechanisms through which EMR affects male fertility. However, these negative effects appear to be associated with the duration of mobile phone use.
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Abstract
With ever-increasing concerns on health and environmental safety, there is a fast-growing interest in new technologies for medical devices and applications. Particularly, wireless power transfer (WPT) technology provides reliable and convenient power charging for implant medical devices without additional surgery. For those WPT medical systems, the width of the human body restricts the charging distance, while the specific absorption rate (SAR) standard limits the intensity of the electromagnetic field. In order to develop a high-efficient charging strategy for medical implants, the key factors of transmission distance, coil structure, resonant frequency, etc. are paid special attention. In this paper, a comprehensive overview of near-field WPT technologies in medical devices is presented and discussed. Also, future development is discussed for the prediction of different devices when embedded in various locations of the human body. Moreover, the key issues including power transfer efficiency and output power are addressed and analyzed. All concerning characteristics of WPT links for medical usage are elaborated and discussed. Thus, this review provides an in-depth investigation and the whole map for WPT technologies applied in medical applications.
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9
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Migault L, Bowman JD, Kromhout H, Figuerola J, Baldi I, Bouvier G, Turner MC, Cardis E, Vila J. Development of a Job-Exposure Matrix for Assessment of Occupational Exposure to High-Frequency Electromagnetic Fields (3 kHz-300 GHz). Ann Work Expo Health 2019; 63:1013-1028. [PMID: 31702767 PMCID: PMC6853656 DOI: 10.1093/annweh/wxz067] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2018] [Revised: 06/18/2019] [Accepted: 07/26/2019] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES The aim of this work was to build a job-exposure matrix (JEM) using an international coding system and covering the non-thermal intermediate frequency (IF) (3-100 kHz, named IFELF), thermal IF (100 kHz-10 MHz, named IFRF), and radiofrequency (RF) (>10 MHz) bands. METHODS Detailed occupational data were collected in a large population-based case-control study, INTEROCC, with occupations coded into the International Standard Classification of Occupations system 1988 (ISCO88). The subjects' occupational source-based ancillary information was combined with an existing source-exposure matrix and the reference levels of the International Commission on Non-Ionizing Radiation Protection (ICNIRP) for occupational exposure to calculate estimates of level (L) of exposure to electric (E) and magnetic (H) fields by ISCO88 code and frequency band as ICNIRP ratios (IFELF) or squared ratios (IFRF and RF). Estimates of exposure probability (P) were obtained by dividing the number of exposed subjects by the total number of subjects available per job title. RESULTS With 36 011 job histories collected, 468 ISCO88 (four-digit) codes were included in the JEM, of which 62.4% are exposed to RF, IFRF, and/or IFELF. As a reference, P values for RF E-fields ranged from 0.3 to 65.0% with a median of 5.1%. L values for RF E-fields (ICNIRP squared ratio) ranged from 6.94 × 10-11 to 33.97 with a median of 0.61. CONCLUSIONS The methodology used allowed the development of a JEM for high-frequency electromagnetic fields containing exposure estimates for the largest number of occupations to date. Although the validity of this JEM is limited by the small number of available observations for some codes, this JEM may be useful for epidemiological studies and occupational health management programs assessing high-frequency electromagnetic field exposure in occupational settings.
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Affiliation(s)
- Lucile Migault
- University of Bordeaux, Inserm UMR 1219 EPICENE Team, Bordeaux Population Health Research Center, Bordeaux, France
| | | | - Hans Kromhout
- Environmental Epidemiology Division, Institute for Risk Assessment Sciences, Utrecht University, Nieuw Gildestein Yalelaan, Utrecht, The Netherlands
| | - Jordi Figuerola
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Plaça de la Mercè, Barcelona, Spain
| | - Isabelle Baldi
- University of Bordeaux, Inserm UMR 1219 EPICENE Team, Bordeaux Population Health Research Center, Bordeaux, France
- Bordeaux University Hospital, Service de Médecine du Travail et pathologie professionnelle, Pessac, France
| | - Ghislaine Bouvier
- University of Bordeaux, Inserm UMR 1219 EPICENE Team, Bordeaux Population Health Research Center, Bordeaux, France
| | - Michelle C Turner
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Plaça de la Mercè, Barcelona, Spain
- CIBER Epidemiologia y Salud Pública (CIBERESP), Av. Monforte de Lemos, Madrid, Spain
- McLaughlin Center for Population Health Risk Assessment, University of Ottawa, Ottawa, Canada
| | - Elisabeth Cardis
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Plaça de la Mercè, Barcelona, Spain
- CIBER Epidemiologia y Salud Pública (CIBERESP), Av. Monforte de Lemos, Madrid, Spain
| | - Javier Vila
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Plaça de la Mercè, Barcelona, Spain
- CIBER Epidemiologia y Salud Pública (CIBERESP), Av. Monforte de Lemos, Madrid, Spain
- Environmental Protection Agency (EPA), Office of Radiation Protection and Environmental Monitoring, McCumiskey House, Richview, Dublin, Ireland
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Koohestani NV, Zavareh S, Lashkarbolouki T, Azimipour F. Exposure to cell phone induce oxidative stress in mice preantral follicles during in vitro cultivation: An experimental study. Int J Reprod Biomed 2019; 17:637-646. [PMID: 31646258 PMCID: PMC6804329 DOI: 10.18502/ijrm.v17i9.5099] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2018] [Revised: 03/02/2019] [Accepted: 05/08/2019] [Indexed: 11/24/2022] Open
Abstract
Background Radiations emitting from mobile phones have been proposed to affect people's health, mediated by various mechanisms like induction of oxidative stress. Objective This study aims to investigate the effect of cell phone exposure on the oxidative status of mice preantral follicles (PFs) during in vitro culture. Materials and Methods PFs (n░=░2580) were isolated mechanically from 16 to 18 day-old NMRI mice (n░=░50) and divided into control and cell phone-exposed groups. PFs were cultured for 12 days and ovulation was induced using human chorion gonadotropin. The developmental parameters including size, survival, antral cavity formation, ovulation and oocyte maturation were assessed. In parallel, enzymatic antioxidants activities, total antioxidant capacity (TAC), and Malondialdehyde (MDA) levels were evaluated. Results The diameters and the rates of survival, antrum formation, ovulation, and metaphase II oocytes of exposed PFs to cell phone were significantly lower than those of the control group (p░≤░0.001). The PFs exposed to cell phone had significantly lower superoxide dismutase (SOD), glutathione peroxidase (GPX), and catalase (CAT) activity compared with the control group. In the cell phone exposed PFs, the TAC level was significantly lower (p░≤░0.001) and MDA levels was significantly higher (p░≤░0.001), compared tothe those of control group. Conclusion Exposure to cell phone compromised the developmental competence of mice PFs by increasing oxidative stress.
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Affiliation(s)
| | - Saeed Zavareh
- School of Biology Damghan University Damghan Iran.,Institute of Biological Sciences Damghan University Damghan Iran
| | - Taghi Lashkarbolouki
- School of Biology Damghan University Damghan Iran.,Institute of Biological Sciences Damghan University Damghan Iran
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Yang MJ, Lang HY, Miao X, Liu HQ, Zhang YJ, Wang YF, Chen YB, Liu JY, Zeng LH, Guo GZ. Effects of paternal electromagnetic pulse exposure on the reproductive endocrine function of male offspring: a pilot study. Toxicol Res (Camb) 2018; 7:1120-1127. [PMID: 30510681 PMCID: PMC6220719 DOI: 10.1039/c8tx00096d] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2018] [Accepted: 07/10/2018] [Indexed: 12/11/2022] Open
Abstract
Many studies indicate that parental exposure to an electromagnetic field (EMF) can cause long-term toxicity to the health of the offspring. While concerns have been focused on maternal influence, much less is known regarding the effects of paternal factors. Electromagnetic pulse (EMP) is a special and widely used type of EMF. The present study was designed to investigate the effects of paternal EMP exposure on the reproductive endocrine function of the male rat offspring. Male Sprague Dawley rats were randomly exposed to EMP at 200 kV m-1 for 0, 100 or 400 pulses before mating. The adult male offspring were sacrificed and the structural changes of testes, levels of serum steroid hormones, sperm characteristics, reproductive behaviors, content of the reproductive endocrine-related neurotransmitter GABA and expression of the GABAA receptor were analyzed. The results showed that paternal exposure induced a decrease of testosterone (T), sperm quantity and acrosin activity in the male offspring (p < 0.05). It did not show significant changes in the structure of testes, sperm deformity frequency and reproductive behaviors compared with the sham-exposed group. The content of GABA and the protein and mRNA expression of the hypothalamic GABAA receptor protein increased in the EMP exposure group (p < 0.05). In conclusion, our study shows that under these experimental conditions EMP had a certain degree of influence on the reproductive endocrine function of the male rat offspring, and the hypothalamic GABAA receptor may be involved in the reproductive toxicity of the male offspring.
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Affiliation(s)
- Ming-Juan Yang
- Department of Radiation Medicine , Faculty of Preventive Medicine , The Fourth Military Medical University , Xi'an , Shaanxi , China . ; ; ; ; Tel: +86-29-84774873
- Center for Infectious Disease Control , Institute of Disease Control and Prevention , PLA , Beijing , China
| | - Hai-Yang Lang
- Department of Radiation Medicine , Faculty of Preventive Medicine , The Fourth Military Medical University , Xi'an , Shaanxi , China . ; ; ; ; Tel: +86-29-84774873
| | - Xia Miao
- Department of Radiation Medicine , Faculty of Preventive Medicine , The Fourth Military Medical University , Xi'an , Shaanxi , China . ; ; ; ; Tel: +86-29-84774873
| | - Hai-Qiang Liu
- Department of Radiation Medicine , Faculty of Preventive Medicine , The Fourth Military Medical University , Xi'an , Shaanxi , China . ; ; ; ; Tel: +86-29-84774873
| | - Yan-Jun Zhang
- Department of Radiation Medicine , Faculty of Preventive Medicine , The Fourth Military Medical University , Xi'an , Shaanxi , China . ; ; ; ; Tel: +86-29-84774873
| | - Ya-Feng Wang
- Department of Radiation Medicine , Faculty of Preventive Medicine , The Fourth Military Medical University , Xi'an , Shaanxi , China . ; ; ; ; Tel: +86-29-84774873
| | - Yong-Bin Chen
- Department of Radiation Medicine , Faculty of Preventive Medicine , The Fourth Military Medical University , Xi'an , Shaanxi , China . ; ; ; ; Tel: +86-29-84774873
| | - Jun-Ye Liu
- Department of Radiation Medicine , Faculty of Preventive Medicine , The Fourth Military Medical University , Xi'an , Shaanxi , China . ; ; ; ; Tel: +86-29-84774873
| | - Li-Hua Zeng
- Department of Radiation Medicine , Faculty of Preventive Medicine , The Fourth Military Medical University , Xi'an , Shaanxi , China . ; ; ; ; Tel: +86-29-84774873
| | - Guo-Zhen Guo
- Department of Radiation Medicine , Faculty of Preventive Medicine , The Fourth Military Medical University , Xi'an , Shaanxi , China . ; ; ; ; Tel: +86-29-84774873
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12
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Abstract
The study focused on the effect of microwave radiation at a dose which commonly does not lead to tissue heating, however, in the rat testes it resulted in accumulation of heat. Adult rats were exposed to whole body pulse radiation at a frequency of 2.45 GHz and mean power density of 28 W/m2, for 3 h a day for the duration of 3 weeks. Immediately after each irradiation, the body temperature and the testicular temperature were measured in the control and experimental animals. Samples for histological and immunohistochemical analysis were taken after the last irradiation and processed for light and transmission electron microscopy. An evaluation of spermatozoa motility was performed using computer-assisted sperm analysis. Although the body temperature of the rats was not elevated after the irradiations, the testicular temperature was significantly increased (P < 0.004). Testes of the experimental animals had considerably dilated and congested blood vessels and the seminiferous epithelium showed degenerative changes. The Leydig cells showed no obvious structural abnormalities. Transmission electron microscopy revealed ultrastructural changes in developing sex cells, Sertoli cells, and endothelial cells. An intensified immunoreactivity to superoxide dismutase 1 was found in spermatogonia and Leydig cells in the experimental animals. Results of the present study revealed a distinctly adverse effect of microwave radiation on the thermoregulatory capability and histological structure of rat testes as well as an oxidative damage of the tissue. The scientific knowledge confirming or denying the thermal effect of microwave radiation on living tissue is scarce and thus the present study may be regarded as unique and helpful to clarify the issue.
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13
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Effects of Electromagnetic Waves Emitted from 3G+Wi-Fi Modems on Human Semen Analysis. Urologia 2017; 84:209-214. [DOI: 10.5301/uj.5000269] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/28/2017] [Indexed: 11/20/2022]
Abstract
Objective The purpose of this study was to evaluate the effects of 3G+wifi modems on human sperm quality. A total of 40 semen specimens were gathered between March and September 2015, from healthy adult men. Methods The sperm samples were divided into two groups – 3G+wi-fi exposed and unexposed groups. In the unexposed group, the specimens were shielded by aluminum foil in three layers and put into an incubator at a temperature of 37°C for 50 minutes. The exposed group was positioned in another room in an incubator at a temperature of 37°C for 50 minutes. A 3G+wi-fi modem was put into the same incubator and a laptop computer was connected to the modem and was downloading for the entire 50 minutes. Semen analysis was done for each specimen and comparisons between parameters of the two groups were done by using Kolmogorov-Smirnov study and a paired t-test. Results Mean percentage of sperm with class A and B motility were not significantly different in two groups (p = 0.22 and 0.54, respectively). In class C, it was significantly lower in the exposed group (p = 0.046), while in class D it was significantly higher (p = 0.022). Velocity curvilinear, velocity straight line, velocity average path, mean angular displacement, lateral displacement and beat cross frequency were significantly higher in the unexposed group. The limitation was the in vitro design. Conclusions Electromagnetic waves (EMWs) emitted from 3G+wi-fi modems cause a significant decrease in sperm motility and velocity, especially in non-progressive motile sperms. Other parameters of semen analysis did not change significantly. EMWs, which are used in communications worldwide, are a suspected cause of male infertility. Many studies evaluated the effects of cell phones and wi-fi on fertility. To our knowledge, no study has yet been done to show the effects of EMWs emitted from 3G+wi-fi modems on fertility. Our study revealed a significant decrease in the quality of human semen after exposure to EMWs emitted from 3G+wi-fi modems.
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Li JH, Jiang DP, Wang YF, Yan JJ, Guo QY, Miao X, Lang HY, Xu SL, Liu JY, Guo GZ. Influence of electromagnetic pulse on the offspring sex ratio of male BALB/c mice. ENVIRONMENTAL TOXICOLOGY AND PHARMACOLOGY 2017; 54:155-161. [PMID: 28735146 DOI: 10.1016/j.etap.2017.06.015] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/08/2016] [Revised: 05/27/2017] [Accepted: 06/20/2017] [Indexed: 06/07/2023]
Abstract
Public concern is growing about the exposure to electromagnetic fields (EMF) and its effect on male reproductive health. Detrimental effect of EMF exposure on sex hormones, reproductive performance and sex-ratio was reported. The present study was designed to clarify whether paternal exposure to electromagnetic pulse (EMP) affects offspring sex ratio in mice. 50 male BALB/c mice aged 5-6 weeks were exposed to EMP daily for 2 weeks before mated with non-exposed females at 0d, 7d, 14d, 21d and 28d after exposure. Sex hormones including total testosterone, LH, FSH, and GnRH were detected using radioimmunoassay. The sex ratio was examined by PCR and agarose gel electrophoresis. The results of D0, D21 and D28 showed significant increases compared with sham-exposed groups. The serum testosterone increased significantly in D0, D14, D21, and D28 compared with sham-exposed groups (p<0.05). Overall, this study suggested that EMP exposure may lead to the disturbance of reproductive hormone levels and affect the offspring sex ratio.
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Affiliation(s)
- Jin-Hui Li
- Department of Radiation Medicine, Faculty of Preventive Medicine, Fourth Military Medical University, Xi'an, Shaanxi, 710032, China; Institute of Disease Control and Prevention, Academy of Military Medical Science, Beijing, 100071, China
| | - Da-Peng Jiang
- Academy of Military Medical Science, Beijing, 100071,China
| | - Ya-Feng Wang
- Navy Center for Disease Control and Prevention, Beijing, 101113, China
| | - Jia-Jia Yan
- The First Affiliated Hospital of Xi'an Medical College University, Xi'an, Shaanxi, 710077, China
| | - Qi-Yan Guo
- Department of Radiation Medicine, Faculty of Preventive Medicine, Fourth Military Medical University, Xi'an, Shaanxi, 710032, China
| | - Xia Miao
- Department of Radiation Medicine, Faculty of Preventive Medicine, Fourth Military Medical University, Xi'an, Shaanxi, 710032, China
| | - Hai-Yang Lang
- Department of Radiation Medicine, Faculty of Preventive Medicine, Fourth Military Medical University, Xi'an, Shaanxi, 710032, China
| | - Sheng-Long Xu
- Department of Radiation Medicine, Faculty of Preventive Medicine, Fourth Military Medical University, Xi'an, Shaanxi, 710032, China
| | - Jun-Ye Liu
- Department of Radiation Medicine, Faculty of Preventive Medicine, Fourth Military Medical University, Xi'an, Shaanxi, 710032, China.
| | - Guo-Zhen Guo
- Department of Radiation Medicine, Faculty of Preventive Medicine, Fourth Military Medical University, Xi'an, Shaanxi, 710032, China.
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Jurewicz J, Radwan M, Sobala W, Radwan P, Jakubowski L, Wielgomas B, Ligocka D, Brzeźnicki S, Hanke W. Exposure to widespread environmental endocrine disrupting chemicals and human sperm sex ratio. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2016; 213:732-740. [PMID: 27031570 DOI: 10.1016/j.envpol.2016.02.008] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2015] [Revised: 02/02/2016] [Accepted: 02/02/2016] [Indexed: 06/05/2023]
Abstract
In recent years, a trend toward a declining proportion of male births has been noted in several, but not all, industrialized countries. The underlying reason for the drop in the sex ratio is unclear, but one theory states that widespread environmental endocrine disrupting chemicals affecting the male reproductive system in a negative manner could be part of the explanation. The present study was designed to investigate whether the urinary phthalate, pyrethroids and polycyclic aromatic hydrocarbons metabolites concentrations were associated with sperm Y:X ratio. The study population consisted of 194 men aged under 45 years of age who attended infertility clinic in Lodz, Poland for diagnostic purposes with normal semen concentration of 20-300 mln/ml or with slight oligozoospermia (semen concentration of 15-20 mln/ml) (WHO, 1999). The Y:X ratio was assessed by fluorescent in situ hybridization. Urinary concentrations of 1-hydroxypyrene were measured by high performance liquid chromatography, phthalate metabolites were analyzed using a procedure based on the LC-MS/MS methods and metabolites of synthetic pyrethroids were assessed by gas chromatography ion-tap mass spectrometry method. After adjustment for potential confounders (past diseases, age, abstinence, smoking, alcohol consumption, sperm concentration, motility, morphology) 5OH MEHP, CDCCA to TDCCA and 1-OHP was negatively related to Y:X sperm chromosome ratio (p = 0.033, p < 0.001, p = 0.047 respectively). As this is the first study to elucidate the association between the level of metabolites of widespread environmental endocrine disrupting chemicals (phthalates, synthetic pyrethroids, polycyclic aromatic hydrocarbons) on sex chromosome ratio in sperm therefore, these findings require further replication in other populations.
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Affiliation(s)
- Joanna Jurewicz
- Department of Environmental Epidemiology, Nofer Institute of Occupational Medicine, 8 Teresy St, 91-362, Lodz, Poland.
| | - Michał Radwan
- Department of Gynecology and Reproduction, "Gameta" Hospital, 34/36 Rudzka St, 95-030, Rzgów, Poland
| | - Wojciech Sobala
- Department of Environmental Epidemiology, Nofer Institute of Occupational Medicine, 8 Teresy St, 91-362, Lodz, Poland
| | - Paweł Radwan
- Department of Gynecology and Reproduction, "Gameta" Hospital, 34/36 Rudzka St, 95-030, Rzgów, Poland
| | - Lucjusz Jakubowski
- Department of Medical Genetics, Polish Mother's Memorial Hospital - Research Institute, 281/289 Rzgowska St, Lodz, Poland
| | - Bartosz Wielgomas
- Department of Toxicology, Medical University of Gdańsk, 107 Hallera St, Gdańsk, Poland
| | - Danuta Ligocka
- Bureau of Quality Assurance, Nofer Institute of Occupational Medicine, 8 Teresy Street, 91-348, Lodz, Poland
| | - Sławomir Brzeźnicki
- Department of Biological and Environmental Monitoring, Nofer Institute of Occupational Medicine, 8 Teresy Street, 91-348, Lodz, Poland
| | - Wojciech Hanke
- Department of Environmental Epidemiology, Nofer Institute of Occupational Medicine, 8 Teresy St, 91-362, Lodz, Poland
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Zilberlicht A, Wiener-Megnazi Z, Sheinfeld Y, Grach B, Lahav-Baratz S, Dirnfeld M. Habits of cell phone usage and sperm quality – does it warrant attention? Reprod Biomed Online 2015. [DOI: 10.1016/j.rbmo.2015.06.006] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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17
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Kobyliak NM, Falalyeyeva TM, Kuryk OG, Beregova TV, Bodnar PM, Zholobak NM, Shcherbakov OB, Bubnov RV, Spivak MY. Antioxidative effects of cerium dioxide nanoparticles ameliorate age-related male infertility: optimistic results in rats and the review of clinical clues for integrative concept of men health and fertility. EPMA J 2015; 6:12. [PMID: 26097523 PMCID: PMC4475301 DOI: 10.1186/s13167-015-0034-2] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2014] [Accepted: 05/08/2015] [Indexed: 02/03/2023]
Abstract
BACKGROUND Male infertility has largely idiopathic, multifactorial origin. Oxidative stress is a major factor that affects spermatogenesis, in particular in aging. Cerium dioxide nanoparticles (CNPs) due to their antioxidative properties are promising to impact on the development of male infertility. The aims of this study were to investigate the effects of CNPs on fertility parameters in 24-month male rats and to overview relevant literature in the field of personalized treatments, predictive diagnosis, and preventive measures for male health and fertility. METHODS We included 30 24-month-old male rats. After a week of adaptation to the standard diet, the rats were randomly divided into three groups with ten rats in each. Group 1 (controls) received only a standard diet. The rats of group 2 and 3 in adjunct to the standard diet during 10 days received intragastrically 10 % sodium citrate and citrate-coated CNPs in dose 1 mg/kg, respectively. We assessed sex hormones, epididymal sperm parameters and spermatogenesis, ultrasound, and morphological data of rat reproductive organs. RESULTS After a 10-day administration of CNPs, we revealed significant decrease of lipid peroxidation product levels in serum and increase of catalase and SOD activity, associated with increase of sperm count (p < 0.001) and improvement in quantitative sperm parameters (motility, viability, and percentage of spermatozoa). We found no significant changes between sperm quantitative parameters in citrate-treated rats and controls and observed age-related decrease of activated Leydig cell number and focal atrophy of the seminiferous tubules. In CNP group, we observed regeneration of seminiferous tubules, increase number and activation of Leydig cells, and 2.5-fold significant increase of serum testosterone. Ultrasound data showed the slight increase of linear measurement and volume of rat testes in CNP group. Review highlights the benefits for predictive diagnosis, preventive measures, and personalized approaches to manage male infertility in the general concept of male health also related to aging. CONCLUSION Citrate-coated 2-5-nm CNPs lead to increase in sex hormones levels, sperm count, and quality, as well as the activation of spermatogenesis in 24-month-old male rats. Nanoceria demonstrated the perspectives to be an effective infertility treatment via reduction of oxidative stress in male reproductive organs, in particular in aging.
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Affiliation(s)
- Nazarii M. Kobyliak
- />Bogomolets National Medical University, T. Shevchenko boulevard, 13, Kyiv, 01601 Ukraine
| | - Tetyana M. Falalyeyeva
- />Taras Shevchenko National University of Kyiv, Volodymyrska Str., 64/13, Kyiv, 01601 Ukraine
| | - Olena G. Kuryk
- />State Scientific Enterprise “Scientific Practical Center for Prophylactic and Clinical Medicine” State Management of Affairs Department, Kyiv, Ukraine, Verhnya str., 5, Kyiv, 01014 Ukraine
| | - Tetyana V. Beregova
- />Taras Shevchenko National University of Kyiv, Volodymyrska Str., 64/13, Kyiv, 01601 Ukraine
| | - Petro M. Bodnar
- />Bogomolets National Medical University, T. Shevchenko boulevard, 13, Kyiv, 01601 Ukraine
| | - Nadiya M. Zholobak
- />Zabolotny Institute of Microbiology and Virology, National Academy of Sciences of Ukraine, Zabolotny Str., 154, Kyiv, 03680 Ukraine
| | - Oleksandr B. Shcherbakov
- />Zabolotny Institute of Microbiology and Virology, National Academy of Sciences of Ukraine, Zabolotny Str., 154, Kyiv, 03680 Ukraine
| | - Rostyslav V. Bubnov
- />Zabolotny Institute of Microbiology and Virology, National Academy of Sciences of Ukraine, Zabolotny Str., 154, Kyiv, 03680 Ukraine
- />Clinical Hospital ‘Pheophania’ of State Management of Affairs Department, Zabolotny Str., 21, Kyiv, 03680 Ukraine
| | - Mykola Ya Spivak
- />Zabolotny Institute of Microbiology and Virology, National Academy of Sciences of Ukraine, Zabolotny Str., 154, Kyiv, 03680 Ukraine
- />LCL “DIAPROF”, Svitlycky Str., 35, Kyiv, 04123 Ukraine
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Forgotten fathers: paternal influences on mammalian sex allocation. Trends Ecol Evol 2014; 29:158-64. [DOI: 10.1016/j.tree.2013.12.003] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2013] [Revised: 11/25/2013] [Accepted: 12/07/2013] [Indexed: 11/24/2022]
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19
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Qin F, Zhang J, Cao H, Guo W, Chen L, Shen O, Sun J, Yi C, Li J, Wang J, Tong J. Circadian alterations of reproductive functional markers in male rats exposed to 1800 MHz radiofrequency field. Chronobiol Int 2013; 31:123-33. [DOI: 10.3109/07420528.2013.830622] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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20
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Sharma A, Sisodia R, Bhatnagar D, Saxena VK. Spatial memory and learning performance and its relationship to protein synthesis of Swiss albino mice exposed to 10 GHz microwaves. Int J Radiat Biol 2013; 90:29-35. [PMID: 23952535 DOI: 10.3109/09553002.2013.835883] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
PURPOSE To study the possible role of microwave (MW) exposure on spatial memory of Swiss albino mice and its relationship to protein concentration in whole brain. MATERIALS AND METHODS Mice were exposed to 10 GHz (Giga Hertz) microwaves with the power density of 0.25 mW/cm(2) (milliwatt per centimeter square) with average whole body specific absorption rate (SAR) 0.1790 W/kg daily for 2 hours per day (h/day) for 30 days. After exposure mice were tested for spatial memory performance using Morris water maze test (MWT). For this purpose mice (6-8 weeks old) were divided into two groups: (i) Sham exposed, and (ii) microwaves exposed. After initial training for two days, MWT was performed for another 6 days. Protein was estimated 48 h after exposure and immediately after completion of MWT. RESULTS Both sham-exposed and microwaves-exposed animals showed a significant decrease in escape time with training. Microwaves-exposed animals had statistically significant higher mean latency to reach the target quadrant compared to sham exposed. A concurrent decrease in protein levels was estimated in whole brain of the exposed mice compared to sham-exposed mice. CONCLUSIONS It can be concluded from the current study that exposure to microwave radiation caused decrements in the ability of mice to learn the special memory task, this may be due to simultaneous decrease in protein levels in the brain of mice.
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Thielens A, Vermeeren G, Joseph W, Martens L. Stochastic method for determination of the organ-specific averaged SAR in realistic environments at 950 MHz. Bioelectromagnetics 2013; 34:549-62. [PMID: 23754459 DOI: 10.1002/bem.21799] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2012] [Accepted: 04/28/2013] [Indexed: 11/11/2022]
Abstract
The organ-specific averaged specific absorption rate (SARosa ) in a heterogeneous human body phantom, the Virtual Family Boy, is determined for the first time in five realistic electromagnetic environments at the Global System for Mobile Communications downlink frequency of 950 MHz. We propose two methods based upon a fixed set of finite-difference time-domain (FDTD) simulations for generating cumulative distribution functions for the SARosa in a certain environment: an accurate vectorial cell-wise spline interpolation with an average error lower than 1.8%, and a faster scalar linear interpolation with a maximal average error of 14.3%. These errors are dependent on the angular steps chosen for the FDTD simulations. However, it is demonstrated that both methods provide the same shape of the cumulative distribution function for the studied organs in the considered environments. The SARosa depends on the considered organ and the environment. Two factors influencing the SARosa are investigated for the first time: conductivity over the density ratio of an organ, and the distance of the organ's center of gravity to the body's surface and exterior of the phantom. A non-linear regression with our model provides a correlation of 0.80. The SARosa due to single plane-wave exposure is also investigated; a worst-case single plane-wave exposure is determined for all studied organs and has been compared with realistic SARosa values. There is no fixed worst-case polarization for all organs, and a single plane-wave exposure condition that exceeds 91% of the SARosa values in a certain environment can always be found for the studied organs.
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Affiliation(s)
- Arno Thielens
- Department of Information Technology, Ghent University/iMinds, Ghent, Belgium
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22
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Sun W, Shen X, Lu D, Lu D, Chiang H. Superposition of an incoherent magnetic field inhibited EGF receptor clustering and phosphorylation induced by a 1.8 GHz pulse-modulated radiofrequency radiation. Int J Radiat Biol 2012; 89:378-83. [DOI: 10.3109/09553002.2013.754559] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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23
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Pregnancy outcomes after paternal radiofrequency field exposure aboard fast patrol boats. J Occup Environ Med 2012; 54:431-8. [PMID: 22354128 DOI: 10.1097/jom.0b013e3182445003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES To investigate adverse reproductive outcomes among male employees in the Royal Norwegian Navy exposed to radiofrequency electromagnetic fields aboard fast patrol boats. METHODS Cohort study of Royal Norwegian Navy servicemen linked to the Medical Birth Registry of Norway, including singleton offspring born between 1967 and 2008 (n = 37,920). Exposure during the last 3 months before conception (acute) and exposure more than 3 months before conception (nonacute) were analyzed. RESULTS Perinatal mortality and preeclampsia increased after service aboard fast patrol boats during an acute period and also after increased estimated radiofrequency exposure during an acute period, compared with service aboard other vessels. No associations were found between nonacute exposure and any of the reproductive outcomes. CONCLUSIONS Paternal work aboard fast patrol boats during an acute period was associated with perinatal mortality and preeclampsia, but the cause is not clear.
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Eisenberg ML, Murthy L, Hwang K, Lamb DJ, Lipshultz LI. Sperm counts and sperm sex ratio in male infertility patients. Asian J Androl 2012; 14:683-6. [PMID: 22842703 DOI: 10.1038/aja.2012.58] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
In recent years, investigators have noted a trend toward a declining proportion of male births in many industrialized nations. While men bear the sex-determining chromosome, the role of the female partner as it pertains to fertilization or miscarriage may also alter the gender ratio. We attempted to determine a man's secondary sex ratio (F1 generation) by directly examining the sex chromosomes of his sperm. We examined our male infertility clinic database for all men who had undergone a semen fluorescence in situ hybridization (FISH). Patient demographic and semen parameters were recorded. Chi-squared analysis was used to compare gender ratios (Y chromosomes/total chromosomes). Multivariable logistic regression was used to predict the odds of possessing a Y-bearing sperm after accounting for demographic and semen parameters. A total of 185 men underwent sperm FISH. For the entire cohort, the proportion of Y chromosome-bearing sperm was 51.5%. Men with less than five million motile sperm had a significantly lower proportion of Y chromosome-bearing sperm (50.8%) compared to men with higher sperm counts (51.6%; P=0.02). After multivariable adjustment, a higher sperm concentration, total motile sperm count and semen volume significantly increased the odds of having a Y chromosome-bearing sperm (P<0.01). As a man's sperm production declines, so does the proportion of Y chromosome-bearing sperm. Thus, a man's reproductive potential may predict his ability to sire male offspring.
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Affiliation(s)
- Michael L Eisenberg
- Department of Urology, Stanford University School of Medicine, Stanford, CA 94305, USA.
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Qin F, Zhang J, Cao H, Yi C, Li JX, Nie J, Chen LL, Wang J, Tong J. Effects of 1800-MHz radiofrequency fields on circadian rhythm of plasma melatonin and testosterone in male rats. JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH. PART A 2012; 75:1120-1128. [PMID: 22891885 DOI: 10.1080/15287394.2012.699846] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Radiofrequency fields (RF) at 1800 MHz are known to affect melatonin (MEL) and testosterone in male rats, but it remains to be determined whether RF affected circadian rhythm of these plasma hormones. Male Sprague-Dawley rats were exposed to 1800-MHz RF at 208 μw/cm² power density (SAR: 0.5762 W/kg) at different zeitgeber (ZT) periods of the day, including 0 (ZT0), 4 (ZT4), 8 (ZT8), 12 (ZT12), 16 (ZT16), and 20 (ZT20) h. RF exposure was 2 h/d for 32 d. From each rat, the concentrations of plasma MEL and testosterone were determined in plasma after RF exposure and compared with controls. The results confirmed the existence of circadian rhythms in the synthesis of MEL and testosterone, but revealed an inverse relationship in peak phase of these rhythms. These rhythms were disturbed after exposure to RF, with the effect being more pronounced on MEL than testosterone. The most pronounced effect of RF exposure on MEL and testosterone appears to be in rats exposed to RF at ZT 16 and ZT0 h, respectively. Data suggest that regulation of testosterone is controlled by MEL and that MEL is more sensitive to RF exposure.
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Affiliation(s)
- Fenju Qin
- School of Public Health, Medical College of Soochow University, Suzhou, China
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Đinđić N, Jovanović J, Veličković V, Damnjanović I, Đinđić B, Radović J. RADIOFREQUENCY AND MICROWAVE RADIATION HEALTH EFFECTS AND OCCUPATIONAL EXPOSURE. ACTA MEDICA MEDIANAE 2011. [DOI: 10.5633/amm.2011.0413] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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Sun W, Shen X, Lu D, Fu Y, Lu D, Chiang H. A 1.8-GHz radiofrequency radiation induces EGF receptor clustering and phosphorylation in cultured human amniotic (FL) cells. Int J Radiat Biol 2011; 88:239-44. [DOI: 10.3109/09553002.2011.634882] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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28
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Ziskin MC, Morrissey J. Thermal thresholds for teratogenicity, reproduction, and development. Int J Hyperthermia 2011; 27:374-87. [PMID: 21591900 DOI: 10.3109/02656736.2011.553769] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The human embryo and foetus may be especially vulnerable to chemical and physical insults during defined stages of development. In particular, the scheduled processes of cell proliferation, cell migration, cell differentiation, and apoptosis that occur at different times for different organ structures can be susceptible to elevated temperatures. With limited ability to regulate temperature on its own, the developing embryo and foetus is entirely dependent upon the mother's thermoregulatory capacity. As a general rule, maternal core body temperature increases of ∼2°C above normal for extended periods of time, 2-2.5°C above normal for 0.5-1 h, or ≥4°C above normal for 15 min have resulted in developmental abnormalities in animal models. Significant differences in thermoregulation and thermoneutral ambient temperatures make direct extrapolation of animal data to humans challenging, and the above temperatures may or may not be reasonable threshold predictions for adverse developmental effects in humans. Corresponding specific absorption rate (SAR) values that would be necessary to cause such temperature elevations in a healthy adult female would be in the range of ≥15 W/kg (whole body average or WBA), with ∼4 W/kg required to increase core temperature 1°C. However, smaller levels of thermal stress in the mother that are asymptomatic might theoretically result in increased shunting of blood volume to the periphery as a heat dissipation mechanism. This could conceivably result in altered placental and umbilical blood perfusion and reduce heat exchange with the foetus. It is difficult to predict the magnitude and threshold for such an effect, as many factors are involved in the thermoregulatory response. However, a very conservative estimate of 1.5 W/kg WBA (1/10th the threshold to protect against measurable temperature increases) would seem sufficient to protect against any significant reduction in blood flow to the embryo or foetus in the pregnant mother. This is more than three times above the current WBA limit for occupational exposure (0.4 W/kg) as outlined in both IEEE C95.1-2005 and ICNIRP-1998 international safety standards for radiofrequency (RF) exposures. With regard to local RF exposure directly to the embryo or foetus, significant absorption by the mother as well as heat dissipation due to conductive and convective exchange would offer significant protection. However, a theoretical 1-W/kg exposure averaged over the entire 28-day embryo, or averaged over a 1-g volume in the foetus, should not elevate temperature more than 0.2°C. Because of safety standards, exposures to the foetus this great would not be attainable with the usual RF sources. Foetal exposures to ultrasound are limited by the US Food and Drug Administration (FDA) to a maximum spatial peak temporal average intensity of 720 mW/cm(2). Routine ultrasound scanning typically occurs at lower values and temperature elevations are negligible. However, some higher power Doppler ultrasound devices under some conditions are capable of raising foetal temperature several degrees and their use in examinations of the foetus should be minimised.
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Affiliation(s)
- Marvin C Ziskin
- Center for Biomedical Physics, Temple University School of Medicine, Philadelphia, Pennsylvania 19140, USA.
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Terrell ML, Hartnett KP, Marcus M. Can environmental or occupational hazards alter the sex ratio at birth? A systematic review. EMERGING HEALTH THREATS JOURNAL 2011; 4:7109. [PMID: 24149027 PMCID: PMC3168220 DOI: 10.3402/ehtj.v4i0.7109] [Citation(s) in RCA: 57] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/11/2010] [Revised: 11/08/2010] [Accepted: 01/24/2011] [Indexed: 11/24/2022]
Abstract
More than 100 studies have examined whether environmental or occupational exposures of parents affect the sex ratio of their offspring at birth. For this review, we searched Medline and Web of Science using the terms ‘sex ratio at birth’ and ‘sex ratio and exposure’ for all dates, and reviewed bibliographies of relevant studies to find additional articles. This review focuses on exposures that have been the subject of at least four studies including polychlorinated biphenyls (PCBs), dioxins, pesticides, lead and other metals, radiation, boron, and g-forces. For paternal exposures, only dioxins and PCBs were consistently associated with sex ratios higher or lower than the expected 1.06. Dioxins were associated with a decreased proportion of male births, whereas PCBs were associated with an increased proportion of male births. There was limited evidence for a decrease in the proportion of male births after paternal exposure to DBCP, lead, methylmercury, non-ionizing radiation, ionizing radiation treatment for childhood cancer, boron, or g-forces. Few studies have found higher or lower sex ratios associated with maternal exposures. Studies in humans and animals have found a reduction in the number of male births associated with lower male fertility, but the mechanism by which environmental hazards might change the sex ratio has not yet been established.
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Affiliation(s)
- Metrecia L Terrell
- Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA
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Abstract
The debate regarding the health effects of low-intensity electromagnetic radiation from sources such as power lines, base stations, and cell phones has recently been reignited. Wireless communication has dramatically influenced our lifestyle; its impact on human health has not been completely assessed. Widespread concern continues in the community about the deleterious effects of radiofrequency radiations on human tissues and the subsequent potential threat of carcinogenesis. Exposure to low-frequency electromagnetic field has been linked to a variety of adverse health outcomes. This article surveys the results of early cell phone studies, where exposure duration was too short to expect tumor genesis, and 2 sets of more recent studies with longer exposure duration: the Interphone studies and the Swedish studies led by Hardell.
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Lukac N, Massanyi P, Roychoudhury S, Capcarova M, Tvrda E, Knazicka Z, Kolesarova A, Danko J. In vitro effects of radiofrequency electromagnetic waves on bovine spermatozoa motility. JOURNAL OF ENVIRONMENTAL SCIENCE AND HEALTH. PART A, TOXIC/HAZARDOUS SUBSTANCES & ENVIRONMENTAL ENGINEERING 2011; 46:1417-1423. [PMID: 21942395 DOI: 10.1080/10934529.2011.607037] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
In this study the effects of 1800 MHz GSM-like radiofrequency electromagnetic waves (RF-EMW) exposure on bovine semen was monitored. The experimental samples were analyzed in vitro in four time periods (0, 30, 120 and 420 min) and compared with unexposed samples (control). Spermatozoa motility was determined by computer assisted semen analyzer (CASA). Evaluation of the percentage of motile spermatozoa showed significant (P < 0.001) decrease in experimental groups after 120 and 420 min of culture when exposed to microwaves, in comparison to control. Similar spermatozoa motility inhibition was detected for the percentage of progressively motile spermatozoa, too. Average path distance decreased significantly (p < 0.001) in experimental groups after 30 and 420 min of culture. Path velocity increased in the experimental groups exposed to RF-EMW after 30 minutes of culture, but subsequently decreased after 420 min of culture, in comparison to control. This indicates a possible initial stimulation and subsequent velocity inhibition of bovine spermatozoa under RF-EMW exposure. Changes in spermatozoa motility were also detected for some fine parameters, too. A significant decrease (P < 0.001) was noted for amplitude of lateral head displacement in the experimental group after 420 minutes of culture. Detailed in vitro motility analysis of bovine spermatozoa exposed to microwave radiation suggested that the parameters of path and velocity at the beginning of the culture significantly increase, but after longer culture (420 minutes) a significant decrease occur in the experimental group as compared to control. In general, results of this experiment indicate a negative time-dependent effect of 1800 MHz RF-EMW radiation on bovine spermatozoa motility.
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Affiliation(s)
- Norbert Lukac
- Department of Animal Physiology, Slovak University of Agriculture, Nitra, Slovak Republic.
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THE CATEGORIES OF EVIDENCE RELATING TO THE HYPOTHESIS THAT MAMMALIAN SEX RATIOS AT BIRTH ARE CAUSALLY RELATED TO THE HORMONE CONCENTRATIONS OF BOTH PARENTS AROUND THE TIME OF CONCEPTION. J Biosoc Sci 2010; 43:167-84. [DOI: 10.1017/s0021932010000660] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
SummaryThis note categorizes the evidence for the hypothesis that mammalian offspring sex ratios (proportions male) are causally related to the hormone levels of both parents around the time of conception. Most of the evidence may be acknowledged to be correlational and observational. As such it might be suspected of having been selected; or of having been subject to other forms of bias or confounding; or, at any rate, of being inadequate as a firm basis for causal inference. However, there are other types of evidence that are not vulnerable to these types of criticism. These are from the following sources: (1) previously neglected data from Nazi Germany and Soviet Russia; (2) fulfilled predictions; (3) genetics; and (4) a network of logically (mathematically) related propositions, for some of which there is overwhelming empirical evidence. It is suggested that this variety of evidence confers greater overall credibility on the hypothesis than would be the case if all the evidence were of the same observational/correlational status. This observational/correlational evidence is tabulated to illustrate its consistency.
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Jaddoe VWV, van Duijn CM, van der Heijden AJ, Mackenbach JP, Moll HA, Steegers EAP, Tiemeier H, Uitterlinden AG, Verhulst FC, Hofman A. The Generation R Study: design and cohort update 2010. Eur J Epidemiol 2010; 25:823-41. [PMID: 20967563 PMCID: PMC2991548 DOI: 10.1007/s10654-010-9516-7] [Citation(s) in RCA: 203] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2010] [Accepted: 09/27/2010] [Indexed: 01/09/2023]
Abstract
The Generation R Study is a population-based prospective cohort study from fetal life until young adulthood. The study is designed to identify early environmental and genetic causes of normal and abnormal growth, development and health during fetal life, childhood and adulthood. The study focuses on four primary areas of research: (1) growth and physical development; (2) behavioural and cognitive development; (3) diseases in childhood; and (4) health and healthcare for pregnant women and children. In total, 9,778 mothers with a delivery date from April 2002 until January 2006 were enrolled in the study. General follow-up rates until the age of 4 years exceed 75%. Data collection in mothers, fathers and preschool children included questionnaires, detailed physical and ultrasound examinations, behavioural observations, and biological samples. A genome wide association screen is available in the participating children. Regular detailed hands on assessment are performed from the age of 5 years onwards. Eventually, results forthcoming from the Generation R Study have to contribute to the development of strategies for optimizing health and healthcare for pregnant women and children.
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Affiliation(s)
- Vincent W V Jaddoe
- The Generation R Study Group (AE006), Erasmus Medical Center, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
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Wang XW, Ding GR, Shi CH, Zeng LH, Liu JY, Li J, Zhao T, Chen YB, Guo GZ. Mechanisms involved in the blood-testis barrier increased permeability induced by EMP. Toxicology 2010; 276:58-63. [PMID: 20633596 DOI: 10.1016/j.tox.2010.07.003] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2010] [Revised: 07/01/2010] [Accepted: 07/03/2010] [Indexed: 11/29/2022]
Abstract
The blood-testis barrier (BTB) plays an important role in male reproductive system. Lots of environmental stimulations can increase the permeability of BTB and then result in antisperm antibody (AsAb) generation, which is a key step in male immune infertility. Here we reported the results of male mice exposed to electromagnetic pulse (EMP) by measuring the expression of tight-junction-associated proteins (ZO-1 and Occludin), vimentin microfilaments, and transforming growth factor-beta (TGF-beta3) as well as AsAb level in serum. Male BALB/c mice were sham exposed or exposed to EMP at two different intensities (200kV/m and 400kV/m) for 200 pulses. The testes were collected at different time points after EMP exposure. Immunofluorescence histocytochemistry, western blotting, laser confocal microscopy and RT-PCR were used in this study. Compared with sham group, the expression of ZO-1 and TGF-beta3 significantly decreased accompanied with unevenly stained vimentin microfilaments and increased serum AsAb levels in EMP-exposed mice. These results suggest a potential BTB injury and immune infertility in male mice exposed to a certain intensity of EMP.
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Affiliation(s)
- Xiao-Wu Wang
- Department of Radiation Medicine, Faculty of Preventive Medicine, The Fourth Military Medical University, Xi'an 710032, China
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Baste V, Mild KH, Moen BE. Radiofrequency exposure on fast patrol boats in the Royal Norwegian Navy-an approach to a dose assessment. Bioelectromagnetics 2010; 31:350-60. [DOI: 10.1002/bem.20562] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Desai NR, Kesari KK, Agarwal A. Pathophysiology of cell phone radiation: oxidative stress and carcinogenesis with focus on male reproductive system. Reprod Biol Endocrinol 2009; 7:114. [PMID: 19849853 PMCID: PMC2776019 DOI: 10.1186/1477-7827-7-114] [Citation(s) in RCA: 110] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/13/2009] [Accepted: 10/22/2009] [Indexed: 11/10/2022] Open
Abstract
Hazardous health effects stemming from exposure to radiofrequency electromagnetic waves (RF-EMW) emitted from cell phones have been reported in the literature. However, the cellular target of RF-EMW is still controversial. This review identifies the plasma membrane as a target of RF-EMW. In addition, the effects of RF-EMW on plasma membrane structures (i.e. NADH oxidase, phosphatidylserine, ornithine decarboxylase) and voltage-gated calcium channels are discussed. We explore the disturbance in reactive oxygen species (ROS) metabolism caused by RF-EMW and delineate NADH oxidase mediated ROS formation as playing a central role in oxidative stress (OS) due to cell phone radiation (with a focus on the male reproductive system). This review also addresses: 1) the controversial effects of RF-EMW on mammalian cells and sperm DNA as well as its effect on apoptosis, 2) epidemiological, in vivo animal and in vitro studies on the effect of RF-EMW on male reproductive system, and 3) finally, exposure assessment and dosimetry by computational biomodeling.
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Affiliation(s)
- Nisarg R Desai
- Center for Reproductive Medicine, Glickman Urological and Kidney Institute and Obstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, Ohio, USA
- Department of Internal Medicine, Staten Island University Hospital, Staten Island, New York, USA
| | - Kavindra K Kesari
- School of Environmental Sciences, Jawaharlal Nehru University, New Delhi, India
| | - Ashok Agarwal
- Center for Reproductive Medicine, Glickman Urological and Kidney Institute and Obstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, Ohio, USA
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Agarwal A, Desai NR, Makker K, Varghese A, Mouradi R, Sabanegh E, Sharma R. Effects of radiofrequency electromagnetic waves (RF-EMW) from cellular phones on human ejaculated semen: an in vitro pilot study. Fertil Steril 2009; 92:1318-1325. [DOI: 10.1016/j.fertnstert.2008.08.022] [Citation(s) in RCA: 164] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2008] [Revised: 07/31/2008] [Accepted: 08/07/2008] [Indexed: 01/10/2023]
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Mailankot M, Kunnath AP, Jayalekshmi H, Koduru B, Valsalan R. Radio frequency electromagnetic radiation (RF-EMR) from GSM (0.9/1.8GHz) mobile phones induces oxidative stress and reduces sperm motility in rats. Clinics (Sao Paulo) 2009; 64:561-5. [PMID: 19578660 PMCID: PMC2705159 DOI: 10.1590/s1807-59322009000600011] [Citation(s) in RCA: 111] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2009] [Accepted: 03/06/2009] [Indexed: 03/31/2023] Open
Abstract
INTRODUCTION Mobile phones have become indispensable in the daily lives of men and women around the globe. As cell phone use has become more widespread, concerns have mounted regarding the potentially harmful effects of RF-EMR from these devices. OBJECTIVE The present study was designed to evaluate the effects of RF-EMR from mobile phones on free radical metabolism and sperm quality. MATERIALS AND METHODS Male albino Wistar rats (10-12 weeks old) were exposed to RF-EMR from an active GSM (0.9/1.8 GHz) mobile phone for 1 hour continuously per day for 28 days. Controls were exposed to a mobile phone without a battery for the same period. The phone was kept in a cage with a wooden bottom in order to address concerns that the effects of exposure to the phone could be due to heat emitted by the phone rather than to RF-EMR alone. Animals were sacrificed 24 hours after the last exposure and tissues of interest were harvested. RESULTS One hour of exposure to the phone did not significantly change facial temperature in either group of rats. No significant difference was observed in total sperm count between controls and RF-EMR exposed groups. However, rats exposed to RF-EMR exhibited a significantly reduced percentage of motile sperm. Moreover, RF-EMR exposure resulted in a significant increase in lipid peroxidation and low GSH content in the testis and epididymis. CONCLUSION Given the results of the present study, we speculate that RF-EMR from mobile phones negatively affects semen quality and may impair male fertility.
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Affiliation(s)
- Maneesh Mailankot
- Department of Biochemistry, Melaka Manipal, Medical College (Manipal Campus), Manipal, India
- , Tel: 91 820 2922637
| | - Anil P Kunnath
- College of Allied Health Sciences, Kasturba Medical College, Manipal, India
| | - H Jayalekshmi
- Amritha School of Biotechnology, Clappana, Kerala, India
| | - Bhargav Koduru
- Department of Biochemistry, Kasturba Medical College, Manipal, India
| | - Rohith Valsalan
- Department of Medicine, Kasturba Medical College, Manipal, India
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Agarwal A, Desai NR, Ruffoli R, Carpi A. Lifestyle and testicular dysfunction: A brief update. Biomed Pharmacother 2008; 62:550-3. [DOI: 10.1016/j.biopha.2008.07.052] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2008] [Accepted: 07/01/2008] [Indexed: 12/25/2022] Open
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