Highly Active Antiretroviral Therapy (HAART) disrupts estrous cycling pattern following dysregulations of reproductive hormones in female Sprague-Dawley Rat

Authors

  • Bakare AA Department of Anatomy, Faculty of Basic Medical Sciences University of Lagos
  • Lawal TN Department of Anatomy, Faculty of Basic Medical Sciences, College of Medicine, University of Lagos, PMB 12003 Nigeria
  • Ohihoin AG Clinical Sciences Department, Nigerian Institute of Medical Research (NIMR), Lagos,

DOI:

https://doi.org/10.60787/tnhj.v24i3.843

Keywords:

HAART, infertility, estrous cycle, estrogen, follicle stimulating hormone, luteinizing hormone

Abstract

Background: The transmission of HIV is a global crisis with females being more vulnerable to the infection. Currently, there is no known cure for HIV but fortunately, highly active antiretroviral (HAART) drugs have enhanced the well-being of infected patients and also reduced mother to child transmission. Hence, high desire of infected couples to procreate. However, there is an emerging trend of infertility indices in HIV infected women on HAART with pronounced miscarriage, menstrual irregularities and reduced pregnancy rate. This study investigated the effects of HAART on some reproductive hormones and the corresponding effects on estrous cycle and fertility.

Method: Twenty female rats were randomly divided into treatment group A and control group B of ten rats each. Group A animals received 1.88mg of HAART dissolved in 0.1mls of normal saline water while group B received 0.1mls of normal saline (placebo) to ensure uniformity. The first five sub-sets were used for experimentation while the second sub-set of five were used to assess the eventual impact on pregnancy outcome.

Result: The findings showed the alterations in estrogen, FSH and LH levels with disruption of estrous cycling and reduction in pregnancy rate in the HAART treated group when compared with the control.

Conclusion: The current study demonstrated dysregulation of reproductive hormones and its consequential disruption on estrous cycle and pregnancy outcome. Further investigation is needed on hormone activation at their receptor sites for comprehensive understanding of the mode of actions of HAART for modification of treatment regimen.

Downloads

Download data is not yet available.

References

Nigeria HIV & AIDS statistics 2019 https://www.unaids.org/en/resources/presscentre/pressreleaseandstatementarchive/2019/march/20190314_nigeria.

Global HIV & AIDS statistics 2022; fact sheet https://www.unaids.org/en/resources/fact-sheet

Kharsany AB and Karim QA. HIV Infection and AIDS in Sub-Saharan Africa: Current Status, Challenges and Opportunities. Open AIDS J. 2016; 10:34-48.

Jan L and Marcus A. Sex Differences in Infectious Diseases–Common but Neglected. The Journal of Infectious Diseases. 2014; 209:(3) S79–S80.

Murewanhema G, Musuka G, Denhere K, Mulqueeny D, Dzinamarira T. The HIV epidemic and the COVID-19 pandemic: A double tragedy for sub-Saharan African women. Afr J Prim Health Care Fam Med. 2022;14(1):e1-e3.

Miriam A. Fertility Desires of People Living With HIV in Enugu State Nigeria. International Journal of Science and Research (IJSR) ISSN (Online): Index Copernicus Value. 2013; 6.14: 4.438.

Mkwashapi D, Renju J, Mahande M, Changalucha J, Urassa M, Todd J. Fertility trends by HIV status in a health and demographic surveillance study in Magu District, Tanzania 1994-2018. PLoS One. 2023;18(2):e0281914.

Adebimpe WO, Adebimpe MA, Adeoye OA, Omisore A. Menstrual changes among HIV positive women on antiretroviral treatment in southwestern Nigeria. South American Journal of Medicine. 2014; 2(2): 198 – 211.

Ohihoin AG1, Ohihoin EN, Bakare A, Olarenwaju O, Okafor A, Ojetunde MM, Oji K, Kalajaiye O, Ujomu I, Aina O, Ajibaye S, Okechukwu A, Kiladejo A, Medobi F, Oladele D, Ezechi O, Iranloye B, Taylor-Robinson S. The Effect of First Line Antiretroviral Drugs on the Menstrual Cycle of HIV Positive Patients. Annals of Medical and Health Sciences Research 2021; 11:1328-1331.

Liu LB, Yang W, Chang JT, Fan DY, Wu YH, Wang PG, An J. Z. Virus infection leads to hormone deficiencies of the hypothalamic-pituitary-gonadal axis and diminished fertility in mice. J Virol. 2023;97(10):e0100623.

Xianzhi HE, LI Y, LI J, Sun B, LI Y, Zhai Q. Secretion of reproductive hormones and estrous cycle in rats interfered by combined exposure to beta-cypermethrin and emamectin benzoate. Journal of Environmental and Occupational Medicine. 2023;40(1): 83-88.

Marcondes FK, Bianchi FJ and Tanno AP. Determination of the estrous cycle phases of rats: some helpful considerations. Brazilian Journal of Biology. 2002; 62: 609-614.

Bakare AA, Idaguko CA, Sogbesan ZA, Adeoye F. The effects of variations in length of suction pipette inserted during vaginal smear cytology procedure on estrous cycle in Sprague–Dawley rats. Journal of Biological research and biotechnology 2022; 20(2):1600-1605.

Ajayi, AF and Akhigbe RE. Staging of the estrous cycle and induction of estrus in experimental rodents: an update. Fertil Res Pract. 2020; 6:5.

Ohihoin AG, Ohihoin EN, Ujomu I, Bakare A, Olanrewaju O, Okafor A, Ojetunde M, Ayoola JB, Aina O, Ajibaye O, Taylor-Robinson SD. Contemporary Antiretroviral Drugs (ARVDs) Disrupt Follicular Development in Female Wistar Rats. J Exp Pharmacol. 2023; 15:267-278.

Awodele O, Popoola TD, Idowu O, Bashua BM, Awolola NA, Okunowo WO. Investigations into the Risk of Reproductive Toxicity Following Exposure to Highly Active Antiretroviral Drugs in Rodents. Tokai J Exp Clin Med. 2018;43(2):54-63.

Smith MJ and Jennes L. Neural signals that regulate GnRH neurones directly during the oestrous cycle. Reproduction. (2001); 122:1–10

Danuzia AM, Débora C, Glauber SF, Raphael ES, Janete AA, Kênia CB, Luciane HG. Influence of estrous cycle hormonal fluctuations and gonadal hormones on the ventilatory response to hypoxia in female rats. Eur J Physiol. 2017; 469:1277–1286

Cristóbal AD, Enrique H, Abril ZG, Miguel AG, Marisela H. Rats in proestrus-estrus present more attention behaviors toward males and exhibit higher prefrontal-parietal EEG synchronization, Physiology & Behavior. 2023; 263:114136

Wood GA, Fata JE, Watson KL, Khokha R. Circulating hormones and estrous stage predict cellular and stromal remodeling in murine uterus. Reproduction. 2007; 133:1035–1044.

Downloads

Published

2024-10-05

How to Cite

Bakare, A., Lawal, T., & Ohihoin, A. (2024). Highly Active Antiretroviral Therapy (HAART) disrupts estrous cycling pattern following dysregulations of reproductive hormones in female Sprague-Dawley Rat. The Nigerian Health Journal, 24(3), 1446–1452. https://doi.org/10.60787/tnhj.v24i3.843

Issue

Section

Original Articles
Abtract Views | PDF Download | EPUB Download: 164 / 76 / 10

Similar Articles

1 2 > >> 

You may also start an advanced similarity search for this article.