Hu Yu-An, Huang Yu-Feng, Xu Jian-Ping, Zhu Pei-Yuan
Laboratory of Reproduction & Genetics, Nanjing General Hospital of Nanjing Command, PLA, Nanjing, Jiangsu 210002, China.
Zhonghua Nan Ke Xue. 2003 Sep;9(6):447-50.
To investigate the possible differences in the inhibin B levels of seminal plasma and serum between fertile and infertile males and to obtain information on the relation between serum inhibin B or seminal plasma inhibin B and spermatogenesis.
Semen and blood samples were collected from fertile(n = 20), oligospermia(n = 20), asthenospermia(n = 22) and non-obstructive azoospermia(NOA) (n = 20) males at 8:00 am = 10:00 am. Semen parameters were analyzed. Levels of inhibin B in seminal plasma and serum, ACP, Fru, alpha-Glu in seminal plasma, serum levels of FSH, T, LH were determined.
Both levels of serum inhibin B and levels of seminal plasma inhibin B correlated significantly negatively with serum FSH(r = -0.536, P < 0.001 vs r = -0.288, P = 0.01), and statistically positively with sperm concentration(r = 0.49, P < 0.001 vs r = 0.48, P < 0.001). There was positive correlation between levels of seminal plasma inhibin B and activity of alpha-Glu in seminal plasma (r = 0.377, P = 0.001). The difference in levels of seminal plasma inhibin B was found only between fertile males or asthenospermia and NOA (P < 0.01 and P < 0.05, respectively). However, significant differences in levels of serum inhibin B were found not only between males with normal sperm concentration (including fertile males and asthenospermia) and NOA (P < 0.01), fertile males and oligospermia (P < 0.05), but also between oligospermia and NOA (P < 0.05). There was no correlation between serum inhibin B and seminal plasma inhibin B.
Both levels of serum inhibin B and seminal plasma inhibin B could reflect testis spermatogenesis status. Levels of seminal plasma inhibin B could also reflect the function of seminiferous duct, but the wide range of values limited its applicability.
研究生育男性与不育男性精浆和血清中抑制素B水平的可能差异,并获取血清抑制素B或精浆抑制素B与精子发生之间关系的信息。
于上午8:00至10:00采集生育男性(n = 20)、少精子症男性(n = 20)、弱精子症男性(n = 22)和非梗阻性无精子症(NOA)男性(n = 20)的精液和血液样本。分析精液参数。测定精浆和血清中抑制素B水平、精浆中酸性磷酸酶(ACP)、果糖(Fru)、α-葡萄糖苷酶(alpha-Glu)水平以及血清中卵泡刺激素(FSH)、睾酮(T)、黄体生成素(LH)水平。
血清抑制素B水平和精浆抑制素B水平均与血清FSH显著负相关(r = -0.536,P < 0.001对比r = -0.288,P = 0.01),与精子浓度均呈统计学正相关(r = 0.49,P < 0.001对比r = 0.48,P < 0.001)。精浆抑制素B水平与精浆中α-葡萄糖苷酶活性呈正相关(r = 0.377,P = 0.001)。仅在生育男性或弱精子症男性与NOA男性之间发现精浆抑制素B水平存在差异(分别为P < 0.01和P < 0.05)。然而,不仅在精子浓度正常的男性(包括生育男性和弱精子症男性)与NOA男性之间(P < 0.01)、生育男性与少精子症男性之间(P < 0.05),而且在少精子症男性与NOA男性之间(P < 0.05)均发现血清抑制素B水平存在显著差异。血清抑制素B与精浆抑制素B之间无相关性。
血清抑制素B水平和精浆抑制素B水平均能反映睾丸精子发生状态。精浆抑制素B水平也能反映曲细精管功能,但数值范围较宽限制了其适用性。