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雙酚A對(duì)男性生殖功能的影響及機(jī)制探討

發(fā)布時(shí)間:2018-10-15 08:25
【摘要】:環(huán)境雌激素雙酚A(Bisphenol A,BPA)是一種重要的化工原料,其廣泛的應(yīng)用范圍導(dǎo)致了無(wú)處不在的暴露。BPA具有弱雌激素樣作用和強(qiáng)抗雄激素樣作用,可對(duì)雄性生殖系統(tǒng)產(chǎn)生影響。然而關(guān)于BPA雄性生殖毒性的人群研究和相關(guān)機(jī)制研究的報(bào)道極為有限。本研究通過(guò)人群研究探討B(tài)PA對(duì)男性的生殖毒性,通過(guò)動(dòng)物實(shí)驗(yàn)研究進(jìn)一步探索可能的機(jī)制,為明確BPA的雄性生殖毒性及其機(jī)理提供科學(xué)依據(jù)。 目的 采用人群研究和動(dòng)物實(shí)驗(yàn)研究相結(jié)合的方法,探討B(tài)PA暴露對(duì)男性生殖功能的影響,并進(jìn)一步探索可能的機(jī)制,為BPA對(duì)生殖功能的作用及其機(jī)制的研究提供新的思路。 1.通過(guò)分析BPA對(duì)男性精子質(zhì)量、血清性激素水平以及性功能之間的關(guān)系,探討B(tài)PA對(duì)男性的生殖毒性; 2.探討B(tài)PA對(duì)雄性大鼠生殖系統(tǒng)及精子質(zhì)量的影響,,以及對(duì)主要激素睪酮(T)與卵泡刺激素(FSH)的影響; 3.通過(guò)研究BPA對(duì)激素受體AR、FSHR和信號(hào)通路相關(guān)基因Src、ERK1/2、CREB的影響,初步探討B(tài)PA在精子發(fā)生過(guò)程中可能的分子機(jī)制。 方法 人群研究:收集543名研究對(duì)象,采用結(jié)構(gòu)式問(wèn)卷調(diào)查研究對(duì)象一般人口學(xué)特征、既往病史及用藥史、生活方式、性生活史、BPA暴露史等。采集研究對(duì)象尿液、精液、血液,應(yīng)用高效液相色譜法(HPLC)檢測(cè)尿液中BPA水平;計(jì)算機(jī)輔助精子分析系統(tǒng)檢測(cè)精子數(shù)量、活動(dòng)力和存活率,改良巴氏染色法檢測(cè)精子形態(tài)學(xué);放射免疫法(RIA)檢測(cè)血清卵泡刺激素(FSH)、泌乳素(PRL)、睪酮(T)、雌二醇(E2)水平,酶聯(lián)免疫吸附法(ELISA)檢測(cè)血清抑制素B (INB)、游離睪酮(FT)、性激素結(jié)合球蛋白(SHBG)和雄烯二酮(AD)水平。應(yīng)用SPSS16.0軟件建立數(shù)據(jù)庫(kù)并運(yùn)用t檢驗(yàn)、χ~2檢驗(yàn)、趨勢(shì)χ~2檢驗(yàn)、pearson相關(guān)分析、spearman秩相關(guān)分析、多元線性回歸分析等檢驗(yàn)方法進(jìn)行統(tǒng)計(jì)分析。 動(dòng)物實(shí)驗(yàn):雄性Wistar大鼠(200±20g)28只按體重隨機(jī)分為4組,每天固定時(shí)間灌胃染毒,染毒劑量分別為BPA0、50、100、200mg/(kg.d),連續(xù)4周后處死大鼠,采集生殖系統(tǒng)臟器、血清及一側(cè)附睪尾精子。計(jì)算機(jī)輔助分析檢測(cè)大鼠精子密度、活力、存活率,改良巴氏染色法檢測(cè)精子畸形率;放射免疫法檢測(cè)血清T、FSH水平。采用Real-time PCR和Western-blot法分別檢測(cè)大鼠睪丸中AR、FSHR、Src、ERK1/2、CREB基因mRNA和蛋白表達(dá)水平。采用SPSS16.0建立數(shù)據(jù)庫(kù)并運(yùn)用單因素方差分析、Dunnet-t檢驗(yàn)進(jìn)行統(tǒng)計(jì)分析。 結(jié)果 人群研究 1.尿液中BPA濃度升高與精子密度低下、精子總數(shù)低下、精子活動(dòng)力低下、精子存活率低下之間存在劑量效應(yīng)關(guān)系;在調(diào)整可疑混雜因素后,尿液中BPA濃度與精子密度、總數(shù)、活動(dòng)力、存活率之間存在負(fù)相關(guān)關(guān)系。 2.尿液BPA濃度升高與FT, AD, SHBG, PRL, FSH水平異常之間存在劑量效應(yīng)關(guān)系。在調(diào)整可疑混雜因素后,尿液BPA濃度與AD、FSH水平之間存在負(fù)相關(guān)關(guān)系,與SHBG、PRL、E2水平之間存在正相關(guān)關(guān)系。 3.尿液中BPA濃度升高與男性性欲沖動(dòng)程度、受刺激勃起能力、完成性交能力、射精強(qiáng)度、性生活滿意度降低,以及勃起困難程度和射精困難程度升高之間存在劑量效應(yīng)關(guān)系;在調(diào)整可疑混雜因素后,尿液中BPA濃度與各表現(xiàn)指標(biāo)之間存在相關(guān)關(guān)系。 動(dòng)物實(shí)驗(yàn) 1.各染毒組體重增長(zhǎng)量和染毒后體重之間存在差異,高劑量組體重增長(zhǎng)量顯著低于對(duì)照組;各染毒組大鼠精囊、前列腺、睪丸、附睪等性腺器官的臟器系數(shù)存在顯著性差異,與對(duì)照組相比,中、高劑量組睪丸、精囊腺、前列腺臟器系數(shù)明顯降低,高劑量組附睪臟器系數(shù)也明顯降低。 2.各染毒組間精子質(zhì)量存在顯著性差異;與對(duì)照組相比,中、高劑量組精子活力和存活率顯著降低;高劑量組精子密度也顯著降低。 3.各染毒組間性激素T和FSH水平存在顯著性差異;與對(duì)照組相比BPA中、高劑量組血清T水平明顯降低,而高劑量組FSH水平明顯升高;各染毒組間AR、FSHR mRNA和蛋白表達(dá)平均存在顯著性差異;BPA中、高劑量組大鼠睪丸組織中AR、FSHR mRNA和蛋白水平均顯著低于對(duì)照組。 4.未發(fā)現(xiàn)各染毒組間Src mRNA和蛋白以及蛋白磷酸化表達(dá)之間存在顯著性差異;未發(fā)現(xiàn)各染毒組間ERK1/2mRNA和蛋白表達(dá)之間存在顯著性差異,但ERK1/2蛋白磷酸化表達(dá)存在顯著性差異,BPA中、高劑量組ERK1/2蛋白磷酸化水平顯著低于對(duì)照組;未發(fā)現(xiàn)各染毒組間CREB mRNA和蛋白表達(dá)之間存在顯著性差異,但CREB蛋白磷酸化表達(dá)存在顯著性差異,BPA高劑量組CREB蛋白磷酸化水平顯著低于對(duì)照組。 結(jié)論 1.尿液BPA水平升高與男性精子質(zhì)量下降、性激素水平異常、性功能下降相關(guān); 2.高劑量BPA染毒對(duì)雄性Wistar大鼠有明顯的生殖毒性,導(dǎo)致性腺器官受損,精子質(zhì)量下降、激素水平改變; 3.BPA可導(dǎo)致大鼠睪丸組織中ERK1/2、CREB蛋白磷酸化水平降低,提示BPA可能通過(guò)對(duì)ERK1/2、CREB通路的抑制而影響生殖功能,但未發(fā)現(xiàn)Src與這一通路的上游調(diào)控有關(guān)。
[Abstract]:Environmental oestrogen double phenol A (BPA) is an important chemical raw material, and its wide application range leads to ubiquitous exposure. BPA has a weak estrogen-like action and a strong anti-androgen-like action, which can have an impact on the male reproductive system. However, there are very limited reports on population studies and related mechanism studies on BPA male reproductive toxicity. This study explored the reproductive toxicity of BPA to men through population studies, and further explored possible mechanisms through animal experiments to provide scientific basis for determining the male reproductive toxicity and its mechanism of BPA. Objective To explore the effect of BPA exposure on male reproductive function and explore possible mechanisms to study the role of BPA on reproductive function and its mechanism. To explore BPA's relationship between male sperm quality, serum sex hormone level and sexual function by analyzing BPA Reproductive toxicity to men; 2. Study BPA on male rats Effects of colonizing system and sperm quality, as well as on main hormone testosterone (T) and follicle The effect of BPA on hormone receptor AR, FSHR and signal pathway related genes Src, ERK1/ 2 and CREB was studied. Spermatozoa Possible molecular mechanisms in the course of the genesis: Study of population of 543 subjects, general demographic characteristics of subjects using structured questionnaires, past medical history, and use Drug history, lifestyle, history of sexual life, history of BPA exposure, etc. Collection of study subjects urine, semen, blood, application of high performance liquid chromatography (HPLC) to detect BPA levels in urine, computer-assisted sperm analysis system to detect sperm count, activity Serum follicle stimulating hormone (FSH), prolactin (PRL), testosterone (T), estradiol (E2) and enzyme linked immunosorbent assay (ELISA) were detected by radioimmunoassay (RIA). Serum Inhibin B (INB), Free testosterone (FT), Sex Hormone Binding The levels of globulin (SHBG) and androgradeone (AD) were established. The database was established with SPSS10.0 software and t test was used. Methods: Twenty-eight male Wistar rats (2000.20g) were randomly divided into 4 groups according to their weight, the daily fixed time was treated with daily dose of BPA0, 50, 100 and 200mg/ (kg 路 d). Detection of sperm density, viability, survival rate and improved pasteurization in rats by computer-assisted analysis of rat sperm density, viability, survival rate, and epididymal sperm. Serum T and FSH levels were measured by radioimmunoassay. Real-time PCR and Western-blot were used to detect AR, FSHR, Src, E in the testis of rats. RK1/ 2, CREB gene mRNA and protein expression level. Using SPSS10.0 to establish a database and use a single factor variance analysis Statistical analysis was conducted on Dunnet-t test. Results: 1. The increase of BPA concentration in urine was related to low sperm density, low sperm count, low sperm motility, and low sperm survival rate.; after adjusting the suspected confounding factors, urine There was a negative correlation between BPA concentration in liquid and sperm density, total number, living power and survival rate. There was a relationship between elevation and FT, AD, SHBG, PRL and FSH levels. After adjusting the suspected confounding factors, the urine BPA concentration was associated with AD, FSH. There is a negative correlation between the levels, and positive correlation exists between the levels of SHBG, PRL and E2. 3. The increase of BPA concentration in urine and the degree of male sexual desire, stimulated erection ability, completed sexual intercourse ability, ejaculation intensity, sex life satisfaction decreased, and there is a dose between the degree of erection difficulty and the degree of difficulty in ejaculation. effect relationship There was a correlation between BPA concentration in urine and each expression index after adjustment of suspicious confounding factors. Animal experiment 1. There was a difference between body weight growth amount and body weight after exposure, and the growth of body weight in high-dose group was significantly lower than that of control group. There was a significant difference in the organ coefficients of gonadal organs such as seminal vesicle, prostate, testis, epididymis and so on in each group. There was a significant decrease in the organ coefficient of the epididymis in the high-dose group compared with that in the middle and high-dose groups. The sperm quality among the groups was significantly lower than that in the high-dose group. Compared with the control group, the sperm motility and survival rate of the high-dose group decreased significantly; the sperm density of the high-dose group was also significantly decreased. Compared with the control group, the serum T level of the high-dose group was significantly lower than that in the control group. The levels of FSH in the high-dose group were significantly increased, and the expressions of AR, FSHR mRNA and protein in each group There was a significant difference between the levels of AR, FSHR mRNA and protein in the testis tissues of the rats with high dose group. The levels of AR, FSHR mRNA and protein in the testis tissues of the high dose group were significantly lower than those in the control group. There was a significant difference between ERK1/ 2mRNA and protein expression in the group, but there was a significant difference in the phosphorylation of ERK1/ 2 protein. In BPA, the phosphorylation level of ERK1/ 2 protein in high dose group was significantly lower than that in control group. exist Significant differences were noted, but there was a significant difference in the phosphorylation of CREB protein, and the BPA high dose group CREB The level of protein phosphorylation was significantly lower than that in control group. Conclusion 1. The level of BPA in urine and the quality of male sperm decreased, sex hormone level was abnormal, sex hormone level was abnormal, 2. High dose BPA exposure has obvious reproductive toxicity to male Wistar rats, resulting in impaired gonadal organs, decreased sperm quality, changes in hormone levels; 3. BPA can lead to ERK1/ 2, CR in rat testis tissues.
【學(xué)位授予單位】:山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】:博士
【學(xué)位授予年份】:2013
【分類(lèi)號(hào)】:R114

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