Male Infertility and Environmental Exposure to Lead and Cadmium
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2000/03/01
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Description:Humans are exposed occupationally and environmentally to metal aerosols including lead (Pb2+) and cadmium (Cd2+). These toxicants accumulate in male reproductive organs. Epidemiological studies have been equivocal about effects of Pb2+ and Cd2+ on hormone concentrations, male fertility and sperm parameters. Comparison of Pb2+ and Cd2+ concentrations in fertile and infertile men are problematic. Problem areas include failure to control confounding variables, but genetic polymorphisms as in somatic diseases may modulate Pb2+ and Cd2+ damage. Multiple calcium (Ca2+) and potassium (K+) channel isoforms have been identified in human testes and spermatozoa. These Ca2+ and K+ channels are involved in early events of acrosome reactions. Ca2+ channel are susceptible to Cd2+ poisoning and K+ channels to Pb2+. These channels offer entry paths for metallic toxicants into mature spermatozoa. Ion channel polymorphisms may cause differential sensitivities to Cd2+ and Pb2+, explaining in part prospective blinded studies showing high Cd2+ in varicocele-related human infertility and high Pb2+ in unexplained infertility. In both forms of male infertility the ability to undergo an acrosome reaction decreases. Reverse transcriptase-polymerase chain reaction assays for Ca2+ and K+ channel isoforms may identify susceptibility subgroups with lower resistance to environmental exposures. [Description provided by NIOSH]
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ISSN:1355-4786
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Pages in Document:107-121
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Volume:6
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Issue:2
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NIOSHTIC Number:nn:20024663
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Citation:Hum Reprod Update 2000 Mar-Apr; 6(2):107-121
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Email:sbenoff@nshs.edu
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Federal Fiscal Year:2000
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Performing Organization:North Shore University Hospital, Manhasset, New York
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Peer Reviewed:True
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Start Date:19980701
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Source Full Name:Human Reproduction Update
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End Date:20000630
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Main Document Checksum:urn:sha-512:2aac104f7261bea3428f9c30fdcfef350206f9664759e4a969bd7af567286c06e6bd7615fec8abee638b99fd4e94b947c01a6e774cdf7e88c204079cabda8efc
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