Sex Hormone-Binding Globulin (SHBG) Level and It’s Associated with Some Sex Hormones in Infertile Iraqi Men

Authors

  • Khaled S. Abd Salah Al-Din Health Department, Ministry of Health, IRAQ.
  • Adnan F. AL-Azzawie College of Science, University of Tikrit, IRAQ.

Keywords:

Male Infertility, SHBG, Sex hormones

Abstract

This study aims to assessment of Sex hormone-binding globulin (SHBG) level and it’s associated with some sex hormones such as Follicle stimulating hormone (FSH), Luteinizing hormone (LH), prolactin and testosterone hormone and the infertility type in some infertile Iraqi men.

Blood and seminal fluid samples from (60) idiopathic male infertile and (60) healthful individuals as a control group aged (18 to 60 year) were collected from private clinics. Serum hormones (SHBG, FSH, LH, prolactin and testosterone) were measurement using Enzyme Linked Immunosorbent Assay (ELISA).

The SHBG, FSH, LH and prolactin levels were significantly higher (P≤0.01) expect of the testosterone level was significantly decreased (P≤ 0.01) in the infertile men compared with control group. High significant differences (P≤0.01) were recorded when comparing the hormonal levels (SHBG, FSH, LH, prolactin and testosterone) according to the age groups. There are significant differences (P≤ 0.01) in levels of (SHBG, FSH, LH, prolactin and testosterone) in the infertility period. Smoker infertile men have high levels (P≤ 0.05) in the SHBG and LH while have low levels in the prolactin hormones compared with control. Patients with family history have shown significant differences (P≤0.05) in the levels of DHEA-S, FSH, LH and prolactin.

In conclusion, this study revealed significantly increase in the SHBG levels in the infertile men and negative correlation between SHBG and Testosterone. Therefore, SHBG has important role in the diagnosis and follow up of the male infertility.

Downloads

Download data is not yet available.

References

Turek, PJ (2008) Male infertility. In: Tanagho EA, Mc Aninch JW (Eds.), (17th edn) Smith’s general urology, Mc Graw-Hill Companies, New York, USA, pp. 684-717.

Wong WY, Thomas CM, Merkus JM, Zielhuis GA, Steeqeers-Theunissen RP (2000) Male factor sub fertility: Possible causes and the impact of nutritional factors. Fertil Steril 73(3): 435-442.

Sohrabvand F, Jafarabadi M (2005) Knowledge and attitudes of infertile couples about assisted reproductive technology. Int J Repord Biomed 3(2): 90-94.

Qu, X and Donnelly, R . (2020). Sex Hormone-Binding Globulin (SHBG) as an Early Biomarker and Therapeutic Target in Polycystic Ovary Syndrome. Int. J. Mol. Sci. 21, 8191. P 1-17.

Hammond, G.L.; Bocchinfuso,W.P. Sex hormone-binding globulin: Gene organization and structure/function analyses. Horm. Res. 1996, 45, 197–201.

Franchimont, P. 1983. Regulation of gonadal androgen secretion. Horm Res 18:7-17.

Jarow, J., Sigman, M., and Kolettis, P. N. (2010). AUA–Clinical guidelines: the optimal evaluation of the infertile male: best practice statement. AUA–Home. American Urological Association Education and Research, Inc.

Jarow, JP. (2003). Endocrine causes of male infertility. Urol Clin North Am. 30: 83-90.

Goldzieher JW, Dozier TS and Smith KD. (1976). Improving the diagnostic reliability of rapidly fluctuating plasma hormone levels by optimized multiple-sampling techniques. J Clin Endocrinol Metab; 43:824.

Hameed S, Jayasena CN, Dhillo WS. (2011). Kisspeptin and fertility. J Endocrinol. 208:97-105.

Singh R., H Alaa and Agarwal A. (2011). Thyroid Hormones in Male Reproduction and Fertility Rajender. The Open Reproductive Science Journal, 3, 98-104.

Sigman, M. and Jarrow, JP. (2007). "Current Management of Male Infertility, An Issue of Urologic, E-Book". Saunders Elsevier. ed.10th; p. 609-53, 6.

Masud, S; Mehboob, F; and Bappi MU; (2007). "Severe hyperprolactinemia directly depresses the gonadal activity causing infertility". Esculapio J Services Inst Med Sci. 2:25–7.

Maria, M.; (2016). The Role of Prolactin in Men. Endocrinol Metab Syndr. 5: 222.

Al-Rawi, K, M. (2000). An introduction to statistics. Second Edition. House of Books for Printing and Publishing - University of Mosul.

Zalata, A. A. et al. (2008) ‘Follicle‐stimulating hormone receptor polymorphism and seminal anti‐Müllerian hormone in fertile and infertile men’, Andrologia. Wiley Online Library, 40(6), pp. 392–397.

Safarinejad, M. R., Shafiei, N. and Safarinejad, S. (2011) ‘Evaluating the role of the FSH receptor gene Thr307‐Ala and Asn680‐Ser polymorphisms in male infertility and their association with semen quality and reproductive hormones’, Bju International. Wiley Online Library, 108(2b), pp. E117–E125.

Al-Nahi, A. S. (2015) ‘Evaluation of FSH, LH, Testosterone, Prolactine, TSH and T4 hormones levels in different subgroups of infertile males.’, Al-Kufa University Journal for Biology. University of Kufa, 7(3), pp. 47–54.

Perry JR,Weedon MN, Langenberg C, Jackson AU, Lyssenko V, Sparsø T et al. Genetic evidence that raised sex hormone binding globulin (SHBG) levels reduce the risk of type 2 diabetes. Human Molecular Genetics 2010; 19: 535–44 .

Al-Siddeig, M. and Ismail, A. (2016). Serum Testosterone and Dehydroepiandrosterone-Sulfate (DHEA-S) Level among Oligospermia and Azoospermia Patients. Volume 15, Issue 4; PP 62-65.

Garcia Diez, LC, Gonzalez Buitrago JM, Corrales JJ, Battaner E, Mirales JM. Hormone level in serum and seminal plasma of men with different type of azoospermia. J Reprod Fertile 1983; 67: 209-14.

Ramesh, Babu S., Sadhnani M.D., Swarna M., Padmavathi P. and Reddy P.P. (2004). Evaluation of FSH, LH and testosterone levels in different subgroups of infertile males. Indian Journal of Clinical Biochemistry, 19 (1) 45-49.

Lalitha c, Sayee R, Jeyanthi K, Shubha R. Hormonal factors associated with hypogonadismand infertility in males – chromosomal abnormality. IOSR Journal of Dental and Medical Sciences. 2013; 10 (1): 71-75.

Masanori Yamamoto, Satoshi Katsuno, Keisuke Yokoi, Hatsuki Hiei, and Koji Miyake, Serum inhibin levels in normal men and men with idiopathic infertility. Nagoya J. Med. Sci. 1995; 58: 35-39.

Mossa, H. A. L. (2010) ‘The Effect of Seasonal, Age, Smoking and Occupational exposure status on semen parameters in Iraqi Subjects’, Al-Mustansiriyah Journal of Science. Al-Mustansyriah University, 21(7), pp. 12–18.

Khadhim, M. M., Al-quizwini, T. S. and Hussian, T. A. (2015) ‘The Role of Protamine 1 Gene Polymorphism and Anti FSH Antibody in Infertile Couples’, Al-Qadisiyah Medical Journal, 11(20), pp. 85–91.

Al-Haija, R. W. M. A. (2011) ‘Main causes of infertility among men treated at Razan Centers in West Bank: Retrospective study’.

Moghadam, M. H. B. et al. (2011) ‘Evaluation of the general health of the infertile couples’, Iranian journal of reproductive medicine. Shahid Sadoughi University of Medical Sciences and Health Services, 9(4), p. 309.

Omran, H. M., Bakhiet, M. and Dashti, M. G. (2013) ‘Evaluation of age effects on semen parameters of infertile males’, Andrology, 2(106), pp. 250–2167.

Raman, J. D. and Schlegel, P. N. (2002) ‘Aromatase inhibitors for male infertility’, The Journal of urology. Wolters Kluwer Philadelphia, PA, 167(2 Part 1), pp. 624–629.

Bhasin S, Cunningham GR, Hayes FJ, Matsumoto AM, Snyder PJ, Swerdloff RS, Montori VM; Task Force, Endocrine Society. Testosterone therapy in men with androgen deficiency syndromes: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2010.

Krakowsky Y, Conners W, Morgentaler A. Serum Concentrations of Sex Hormone-binding Globulin Vary Widely in Younger and Older Men: Clinical Data from a Men’s Health Practice. sEur Urol Focus. 2019;5(2):273–9.

Cooper, TG, Noonan E, von Eckardstein S, Auger J, Baker HWG, Behre HM, et al. (2010). World Health Organization reference values for human semen characteristics. Hum Reprod. 16:231–45.

Wu FCW, Tajar A, Beynon JM, Pye SR, Silman AJ, Finn JD, O'Neill TW, Bartfai G, Casanueva FF, Forti G, et al. Identification of late-onset hypogonadism in middle-aged and elderly men. N Xita N, Tsatsoulis A. Genetic variants of sex hormone-binding globulin and their biological consequences. Mol Cell Endocrinol. 2010;316:60–5

Ventimiglia E, Capogrosso P, Boeri L, Serino A, Colicchia M, Ippolito S, Scano R, Papaleo E, Damiano R, Montorsi F, et al. Infertility as a proxy of general male health: results of a cross-sectional survey. Fertil Steril. 2015 Jul;104(1):48-55.

Boeri, L., Capogrosso, P., Ventimiglia, E., Pederzoli, F., Cazzaniga, W., Chierigo, F., et al. (2019). Heavy cigarette smoking and alcohol consumption are associated with impaired sperm parameters in primary infertile men. Asian J. Androl. 21, 478–485. doi: 10.4103/aja.aja_110_18.

Rehman R, Zahid N, Amjad S, Baig M and Gazzaz ZJ (2019) Relationship Between Smoking Habit and Sperm Parameters Among Patients Attending an Infertility Clinic. Front. Physiol. 10:1356.

Wallach, E. E., Hughes, E. G. and Brennan, B. G. (1996) ‘Does cigarette smoking impair natural or assisted fecundity?’, Fertility and sterility. Elsevier, 66(5), pp. 679–689.

Weisberg, E. (1985) ‘Smoking and reproductive health.’, Clinical reproduction and fertility, 3(3), p. 175.

Ochedalski, T. et al. (1994) ‘Examining the effects of tobacco smoking on levels of certain hormones in serum of young men’, Ginekologia polska, 65(2), pp. 87–93.

Dai, JB, Wang ZX. and Qiao ZD. (2015). The hazardous effects of tobacco smoking on male fertility. Asian J Androl. 17(6):954–60.

Gandhi, J., Hernandez, R. J., Chen, A., Smith, N. L., Sheynkin, Y. R., Joshi, G., et al. (2017). Impaired hypothalamic-pituitary-testicular axis activity, spermatogenesis, and sperm function promote infertility in males with lead poisoning. Zygote 25, 103–110.

Darbandi, M., Darbandi, S., Agarwal, A., Sengupta, P., Durairajanayagam, D., Henkel, R., et al. (2018). Reactive oxygen species and male reproductive hormones. Reprod. Biol. Endocrinol. 16:87.

Rastrelli G, Corona G, Cipriani S, Mannucci E, Maggi M. Sex hormone-binding globulin is associated with androgen deficiency features independently of total testosterone. Clinical Endocrinology 2018. 88 556–564.

Ring J, Welliver C, Parenteau M, Markwell S, Brannigan RE, Köhler TS. The utility of sex hormone-binding globulin in hypogonadism and infertile males. Journal of Urology 2017. 197 1326–1331.

Simoni M, Gromoll J, Hoppner W, Kamischke A, Krafft T, Stahle D, Nieschlag E. (1999). Mutational analysis of the follicle-stimulating hormone (FSH) receptor in normal and infertile men: identification and characterization of two discrete FSH receptor isoforms. J Clin Endocrinol Metab; 84:751-5.

Babu, S. R. et al. (2004) ‘Evaluation of FSH, LH and testosterone levels in different subgroups of infertile males’, Indian Journal of Clinical Biochemistry. Springer, 19(1), pp. 45–49.

Jawad, E. S., Mubark, H. R. and Odah, T. K. (2019) ‘The Relationship Between The Genotypes Frequency For The PRM1 Gene And Some Of Risk Factors In Male Infertile Of Thi Qar Province’, Journal of Education for Pure Science. Thi-Qar University, 9(1), pp. 102–112.

Jang Yel Shin , Soo-Ki Kim ,Mi Young Lee , Hyun Soo Kim , Byung Il Ye , Young Goo Shin , Soon Koo Baik , Choon Hee Chung, ( 2 0 1 1 ) . Serum sex hormone-binding globulin levels are independently associated with nonalcoholic fatty liver disease in people with type 2 diabetes Diabetes Research and Clinical Practice 9 4 1 5 6 – 1 6 2,

Onat A, Hergenc G, Karabulut A, Albayrak S, Can G, Kaya Z.( 2007).Serum sex hormone-binding globulin, a determinant of cardiometabolic disorders independent of abdominal obesity and insulin resistance in elderly men and women. Metabolism;56:1356–62.

Torkel Vikan1,Henrik Schirmer, Inger Njølstad and Johan Svartberg,. (2009) . Endogenous sex hormones and the prospective association with cardiovascular disease and mortality in men: the Tromsø Study" European Journal of Endocrinology. 161 435–442.

Paul Chubb ,S. A.;Zoe¨, H..; Osvaldo, P.A., Leon, F.; Paul ,E. N.; Konrad , J.; Graeme, J. H. and Bu, B. Y.(2008).Lower sex hormone-binding globulin is more strongly associated with metabolic syndrome than lower total testosterone in older men: the Health in Men Study, European Journal of Endocrinology,vol 158 785–792.

Downloads

Published

2021-07-31

How to Cite

Khaled S. Abd, & Adnan F. AL-Azzawie. (2021). Sex Hormone-Binding Globulin (SHBG) Level and It’s Associated with Some Sex Hormones in Infertile Iraqi Men. International Journal for Research in Applied Sciences and Biotechnology, 8(4), 129–136. Retrieved from https://www.ijrasb.com/index.php/ijrasb/article/view/208

Issue

Section

Articles