“…For instance, cadmium is known to activate TGF-2 and -3 and p-p38 MAPK in the testis before extensive cellular damage can be detected in the seminiferous epithelium (Wong et al, 2004). In fact, an increase in oxidative stress was seen in ϳ80% of clinically proven infertile men who had long-term exposure to environmental toxicants (e.g., cadmium, smoking), which are emerging as a major contributing factor in male infertility (Kiziler et al, 2007;Tremellen, 2008;Venkatesh et al, 2011). In addition, recent studies have shown that flavonoids (antioxidants, such as genistein, myricetin, and quercetin) can protect the intestinal TJ barrier function from oxidative stress-induced barrier disruption caused by inflammatory cytokines, enteric bacteria, and chemicals (e.g., acetaldehyde) (Suzuki and Hara, 2011), illustrating the damaging effects of oxidative stress on TJ barrier function.…”