Background: Many studies have been conducted on the genetic and epigenetic etiology of gestational diabetes mellitus (GDM) in the last two decades because of the disease’s increasing prevalence and role in global diabetes mellitus (DM) explosion. An update on the genetic and epigenetic etiology of GDM then becomes imperative to better understand and stem the rising incidence of the disease. This review, therefore, articulated GDM candidate genes and their pathophysiology for the awareness of stakeholders. Main body (genetic and epigenetic etiology, GDM): The search discovered 83 GDM candidate genes, of which TCF7L2, MTNR1B, CDKAL1, IRS1, and KCNQ1 are the most prevalent. Certain polymorphisms of these genes can modulate beta-cell dysfunction, adiposity, obesity, and insulin resistance through several mechanisms. Environmental triggers such as diets, pollutants, and microbes may also cause epigenetic changes in these genes, resulting in a loss of insulin-boosting and glucose metabolism functions. Early detection and adequate management may resolve the condition after delivery; otherwise, it will progress to maternal type 2 diabetes mellitus (T2DM) and fetal configuration to future obesity and DM. This shows that GDM is a strong risk factor for T2DM and, in rare cases, type 1 diabetes mellitus (T1DM) and maturity-onset diabetes of the young (MODY). This further shows that GDM significantly contributes to the rising incidence and burden of DM worldwide and its prevention may reverse the trend. Conclusion: Mutations and epigenetic changes in certain genes are strong risk factors for GDM. For affected individuals with such etiologies, medical practitioners should formulate drugs and treatment procedures that target these genes and their pathophysiology.

Single gene mutations have been implicated in the pathogenesis of a form of diabetes mellitus (DM) known as the maturity-onset diabetes of the young (MODY). However, there are diverse opinions on the suspect genes and pathophysiology, necessitating the need to review and communicate the genes to raise public awareness. We used the Google search engine to retrieve relevant information from reputable sources such as PubMed and Google Scholar. We identified 14 classified MODY genes as well as three new and unclassified genes linked with MODY. These genes are fundamentally embedded in the beta cells, the most common of which are HNF1A, HNF4A, HNF1B, and GCK genes. Mutations in these genes cause β-cell dysfunction, resulting in decreased insulin production and hyperglycemia. MODY genes have distinct mechanisms of action and phenotypic presentations compared with type 1 and type 2 DM and other forms of DM. Healthcare professionals are therefore advised to formulate drugs and treatment based on the causal genes rather than the current generalized treatment for all types of DM. This will increase the effectiveness of diabetes drugs and treatment and reduce the burden of the disease.

Background: Much interest has not been placed on the role of chromosomal abnormalities in the pathogenesis and rising prevalence of infertility in recent times. This review was conducted to renew public interest on the chromosomal basis of infertility, testing, and management. Main text: Meiotic and post-zygotic mitotic errors may cause infertility-predisposing chromosomal abnormalities, including Klinefelter syndrome, Jacob syndrome, Triple X syndrome, Turner syndrome, and Down syndrome. Chromosomal abnormalities such as deletion, translocation, duplication, inversion, and ring chromosome may also predispose to infertility. Notable features of male chromosomal infertility include spermatogenic failure, characterized by azoospermia, oligospermia, and gonadal dysgenesis, while females include premature ovarian insufficiency, amenorrhea, spontaneous abortion, and gonadal dysgenesis. The risk of these abnormalities is influenced by maternal age and environmental factors such as chemical exposure, smoking, and alcohol consumption. Most chromosomal abnormalities occur spontaneously and are not treatable. However, early prenatal screening and diagnostic tests can lessen the effects of the conditions. There is also a growing belief that certain diets and drugs capable of changing gene expressions can be formulated to neutralize the effects of chromosomal abnormalities. Conclusion: Meiotic and mitotic errors during gametogenesis and fetal development, respectively, can cause chromosomal abnormalities, which predispose to infertility. Couples who are at increased risk, particularly those with a family history of infertility and women at an advanced age (≥ 35 years), should seek medical advice before getting pregnant.

The global occurrence of microplastics and their poorly understood health implications underscore the need for scientific investigation. This study aimed to assess the effects of microplastics exposure. Twenty-five (25) albino rats (Rattus norvegicus) were divided into five (5) groups, each consisting of five rats. Group 1 (the negative control) received normal feed; group 2 (the positive control) was administered a 10 % lead acetate solution; and groups 3, 4, and 5 were administered 1 %, 5 %, and 10 % microplastic solutions, respectively. The rats were monitored for 28 days, after which blood samples were taken for hematological and lipid profiles as well as liver and kidney function parameters. The results revealed dose-dependent significant (p < 0.05) alterations in the health indices of the treated rats and the positive control compared with the negative control. Specifically, the hematological parameters, including the white blood cells (WBC) and its subtypes, were reduced, indicating immunosuppressive effects, and the red blood cells (RBC), hemoglobin (HGB), hematocrit (HCT), platelets, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC) were reduced, indicating anemia. The 1 % and 5 % microplastic solutions raised the lipid profiles of the treated rats, including total cholesterol (TC), triglycerides (TG), high-density lipoprotein (HDL), and low-density lipoprotein (LDL), while the 10 % concentration decreased them, causing hyperlipidemia and hypolipidemia, respectively. The liver function parameters, including total protein (TP), albumin (ALB), aspartate transaminase (AST), alanine transaminase (ALT), and alkaline phosphatase (ALP), were elevated, indicating liver damage. Elevation of kidney function parameters, including sodium ion (Na+), potassium ion (K+), chloride ion (Cl-), urea, and creatinine (CRT), were noticed, suggesting kidney injuries. It can be inferred from these results that microplastics are toxic. Hence, human exposure to microplastics should be reduced to a minimum.

Background: There is a renewed global interest in plant-based medicine in the last few decades as a result of affordability and efficacy of the form of medicine. However, the safety of many medicinal plants and plant preparations has not been determined. To this end, this study determined the safety of the methanol extracts of the leaves of Guiera senegalensis, Cassia occidentalis, and Ziziphus mauritiana, which are plants commonly used in plant medicine in Africa. Results: Phytochemistry of the plants’ extracts showed alkaloids were the most abundant phytochemical in the extracts, followed by tannins, saponins, flavonoids, and glycosides, respectively. All the rats behaved normally at doses up to 2000 mg kg⁻¹, while at 3000 mg kg⁻¹, rats in C. occidentalis group developed breathing problems. At 5000 mg kg⁻¹, C. occidentalis group showed convulsion, whereas Z. mauritiana and G. senegalensis rats displayed temporary weakness. After 60-day dosing, significant differences (p < 0.05) were observed in the liver enzymes (ALP, AST, ALT, TP, and ALB) of most of the test rats compared with the control. Kidney function test showed the Na⁺, K⁺, Cl⁻, urea, and creatinine of the test rats were reduced compared with the control, but only significant (p < 0.05) in a few of the parameters. Fatty metamorphosis, lymphocytic infiltration, and karyorrhexis were observed in the liver tissues of the treated rats, but not in the control. Conclusion: These results show the plants are nontoxic at moderate doses, but could be injurious at high doses or if taken repeatedly for an extended period.

In Nigeria, limited research has been conducted on Microplastics (MPs) in inland rivers, necessitating a comprehensive assessment to understand the extent of contamination. This study aimed to assess the abundance, distribution, and composition of MPs in fishes, sediment, and water from inland rivers across Nigeria's six geopolitical zones. Samples were collected from selected rivers in each geopolitical zone (Rivers Yauri, Benue, Argungu, Jamare, Ogun, Ethiope and Orashi). MPs were isolated using a combination of filtration, density separation, and visual identification. MPs abundance, distribution, shapes, colors, and chemical composition were determined using microscopy and Fourier-transform infrared spectroscopy. The study presents the first report of MPs in six in land rivers in Nigeria and found that MPs were present in all the fishes, sediments and river waters studied across all the rivers. The abundance and composition of MPs varied among the different sample types, with fibers being the most abundant shape in both water and fish samples. PET, PP, and PE were the most prevalent types of plastics found in fish samples, while PE/PA/Nylon, PVA, and PVC were predominant in water samples. PA/Nylon, PUR, PVC, and PET were the most common in sediment samples. Source analysis by Principal component analysis (PCA) and Hierarchical Cluster Analysis (HCA) indicated that the presence of MPs was mainly influenced by local anthropogenic activities. However, estimated daily intakes are generally low, indicating that daily consumption of the samples is not likely to be harmful. The widespread presence of MPs in inland rivers across Nigeria highlights the urgent need for effective waste management strategies and environmental conservation efforts to mitigate plastic pollution.