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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPSIM</journal-id>
      <journal-title-group>
        <journal-title>Journal of Pakistan Society of Internal Medicine</journal-title>
        <abbrev-title>J Pak Soc Intern Med</abbrev-title>
      </journal-title-group>
      <issn publication-format="print">2709-8729</issn>
      <issn publication-format="electronic">2710-0804</issn>
      <publisher>
        <publisher-name>Pakistan Society of Internal Medicine</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.70302/jpsim.v5i2.2434</article-id>
      <article-id pub-id-type="publisher-id">jpsim.v5i2.2434</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original Research</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Diagnostic Markers in Specific Subsets of Infertile Males: Exploring the Significance of Fructose, Seminal histone Deacetylase, and Serum Reproductive Hormones</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Shah</surname>
            <given-names>Farid Ullah</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Anjum</surname>
            <given-names>Jahangir</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Shoaib</surname>
            <given-names>Muhammad</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Khan</surname>
            <given-names>Afsar</given-names>
          </name>
          <xref ref-type="aff" rid="aff3"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Bashir</surname>
            <given-names>Chaudhary Ammar</given-names>
          </name>
          <xref ref-type="aff" rid="aff4"/>
        </contrib>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Ahmad</surname>
            <given-names>Wasim</given-names>
          </name>
          <email>vazim4847@gmail.com</email>
          <xref ref-type="aff" rid="aff5"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <institution>Pak International Medical College, Peshawar,</institution>
      </aff>
      <aff id="aff2">
        <institution>MBBSMC, Mirpur, AJK</institution>
      </aff>
      <aff id="aff3">
        <institution>DHQ Hospital, Batkhela-KP,</institution>
      </aff>
      <aff id="aff4">
        <institution>DHQ Hospital Mirpur-AJK</institution>
      </aff>
      <aff id="aff5">
        <institution>SHS Peshawar-KP</institution>
      </aff>
      <author-notes>
        <corresp id="cor1">*Correspondence: Wasim Ahmad (vazim4847@gmail.com)</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2024-06-07">
        <day>07</day>
        <month>06</month>
        <year>2024</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <year>2024</year>
      </pub-date>
      <volume>5</volume>
      <issue>2</issue>
      <fpage>521</fpage>
      <lpage>527</lpage>
      <history>
        <date date-type="received" iso-8601-date="2024-01-29">
          <day>29</day>
          <month>01</month>
          <year>2024</year>
        </date>
        <date date-type="accepted" iso-8601-date="2024-03-06">
          <day>06</day>
          <month>03</month>
          <year>2024</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright © 2024 The Author(s)</copyright-statement>
        <copyright-year>2024</copyright-year>
        <copyright-holder>The Author(s)</copyright-holder>
        <ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v5i2.2434" content-type="text/html"/>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v5i2.2434.pdf" content-type="application/pdf"/>
      <abstract>
        <sec>
          <title>Objective</title>
          <p>The objective of the study was to evaluate the diagnostic markers in specific subsets of infertile males and</p>
          <p>exploring the significance of fructose, seminal histone deacetylase, and serum reproductive hormones.</p>
        </sec>
        <sec>
          <title>Methodology</title>
          <p>This investigation encompassed 80 infertile males and an equal number of fertile males (used as controls).</p>
          <p>Anthropometric measurements such as weight and height were taken to compute the weight-to-height ratio (BMI). Blood</p>
          <p>from all participants was collected through venipuncture, undergone coagulation, followed by centrifugation to isolate</p>
          <p>serum for analysis. This analysis focused on the concentrations of follicle stimulating hormone (FSH), testosterone, and</p>
          <p>luteinizing hormone (LH). Additionally, spermatozoa samples were collected via sexually self-stimulation to assess</p>
          <p>spermatozoa quality, activity of histone deacetylase and levels of seminal fructose.</p>
        </sec>
        <sec>
          <title>Results</title>
          <p>Comparisons between different subgroups of infertile men yielded the following outcomes: body mass index,</p>
          <p>height and weight were similar across the groups; semen volume and the hormones FSH and LH were significantly higher</p>
          <p>than expected, higher levels of sugar (fructose) and specific enzyme activity (HDAC) in semen, but lower sperm count,</p>
          <p>movement (motility), and male hormone (testosterone) levels. Furthermore, a strong and positive correlation was</p>
          <p>identified between sugar (fructose) and specific enzyme activity (HDAC). The study did not find a strong or meaningful</p>
          <p>relationship between HDAC activity and sperm motion, unlike the significant negative associations observed with sperm</p>
          <p>count and testosterone.</p>
        </sec>
        <sec>
          <title>Conclusion</title>
          <p>This study suggests a promising new way to diagnose male infertility. By checking levels of sugar (fructose)</p>
          <p>and specific enzyme activity (HDAC) in semen, alongside the usual tests, doctors could catch problems they might miss</p>
          <p>otherwise. This could help men get the treatment they need sooner and improve their chances of having a family.</p>
        </sec>
      </abstract>
      <kwd-group xml:lang="en" kwd-group-type="author-keywords">
        <title>Keywords</title>
        <kwd>Infertility</kwd>
        <kwd>Biomarkers</kwd>
        <kwd>SemenAnalysis</kwd>
        <kwd>SpermatozoaAbnormalities</kwd>
        <kwd>ReproductiveTractInfectionsdiagnosis</kwd>
      </kwd-group>
    </article-meta>
  </front>
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