Browsing by Author "Opuwari, Chinyerum Sylvia"

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    The effect of garcinia livingstonei aqueous leaf extract on hyperglycaemic-induced human sperm cell: An in-vitro study
    (Elsevier B.V., 2025) Opuwari, Chinyerum Sylvia; Nethengwe, Murendeni; Okaiyeto, Kunle
    Hyperglycaemia is the main instigator of the development of male infertility in men with diabetes mellitus (DM). The consequent production of excessive reactive oxidative species (ROS) and a compromised antioxidant defence system leads to testicular damage and a decline in sperm parameters. Supplementation with antioxidants sourced from medicinal plants is beneficial in the treatment of DM-related male infertility. However, a search for more efficacious and easily accessibly medicinal plants is paramount. Garcinia livingstonei is a well-known and accessible medicinal plant used in traditional practices for the treatment of diabetic complications. However, very scarce information on the plant extract's potential benefits exists in the literature. The current study investigated the effect of aqueous leaf extract of G. livingstonei on hyperglycaemic human male sperm cell parameters. Hyperglycaemia was induced using sperm media supplemented with 100 mM D-glucose over 24 h. Hyperglycaemia induction led to a significant (P<0.05) decline in sperm motility, vitality, DNA integrity, mitochondrial membrane potential (MMP), and acrosome integrity. The effect of the plant extract on spermatozoa was concentration-dependent, with the lowest concentration demonstrating the highest protective effects. A significant (P<0.05) improvement in all tested sperm parameters was observed after exposure of the hyperglycaemic spermatozoa to aqueous leaf extract of G. livingstonei. The effect of acarbose on all tested sperm parameters was comparable to that of the plant extract. The findings of this study suggest the potential therapeutic effect of G. livingstonei in the treatment of DM-related male infertility. However, the use of an appropriate dosage depending on the pathological target is paramount.
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    Trends in semen parameters of infertile men in South Africa and Nigeria
    (2023) Akang, Edidiong Nnamso; Opuwari, Chinyerum Sylvia; Enyioma‑Alozie, Swesme
    There are conflicting reports on trends of semen parameters from different parts of the globe. However, in recent times there is dearth of information on the trend in Sub-Saharan countries. Therefore, in this study we aimed at determining the trends in semen parameters in Nigeria and South Africa between 2010 and 2019. A retrospective study of semen analyses of 17,292 men attending fertility hospitals in Nigeria and South Africa in 2010, 2015 and 2019. Patients who had undergone vasectomy and those who had a pH less than 5 or greater than 10 were excluded from this study. The following variables were assessed: ejaculate volume, sperm concentration, progressive motility, total progressively motile sperm count (TPMSC), total sperm count, and normal sperm morphology. Between 2010 and 2019, significant trends of decreasing values were observed in normal sperm morphology (− 50%), and the ejaculatory volume (− 7.4%), indicating a progressive deterioration of the values in both countries. In Nigeria, there were significant decreases in progressive motility (− 87%), TPMSC (− 78%), and sperm morphology (− 55%) between 2010 and 2019 (P < 0.001). Spearman`s rank correlation revealed significant negative associations between age and morphology (ρ = − 0.24, P < 0.001), progressive motility (ρ = − 0.31. P < 0.001), and TPMSC (ρ = − 0.32, P < 0.001). Patients in South Africa were younger than those from Nigeria, with also a significantly higher sperm morphology, sperm concentration, progressive motility, total sperm count and TPMSC. Our findings provide a quantitative evidence of an alarming decreasing trend in semen parameters in Nigeria and South Africa from 2010 to 2019. It also proves that astheno- and teratozoospermia are the leading causes of male infertility in these regions. In addition to this, it also shows empirically that semen parameters decrease with advancement in age. These findings are the first report of temporal trends in semen parameters in Sub-Saharan countries, necessitating a thorough investigation on the underlying factors promoting this worrisome decline.