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慢性前列腺炎/慢性盆腔疼痛综合征和非特异性尿道炎患者精液中白细胞介素-8水平

Interleukin-8 levels in seminal plasma in chronic prostatitis/chronic pelvic pain syndrome and nonspecific urethritis.

作者信息

Khadra Abbas, Fletcher Patricia, Luzzi Graz, Shattock Robin, Hay Phillip

机构信息

Department of Clinical Development Sciences (Genitourinary Medicine), St George's, University of London, London.

出版信息

BJU Int. 2006 May;97(5):1043-6. doi: 10.1111/j.1464-410X.2006.06133.x.

Abstract

OBJECTIVE

To investigate whether a range of cytokines were detectable in the seminal plasma and urine of men with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and nonspecific urethritis (NSU), and whether cytokine levels correlated with symptom severity in CP/CPPS.

PATIENTS AND METHODS

In all, 87 men participated, 33 with CP/CPPS, 31 with NSU, and 23 controls. Interleukin (IL)-1beta, IL-2, IL-6, IL-8 and IL-10 were measured in seminal plasma and first pass urine, and the results were correlated with scores for pain, urinary symptoms and quality-of-life impact using a validated symptom index, the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI).

RESULTS

Seminal plasma levels of IL-8 were higher in men with CP/CPPS and NSU than in controls (P < 0.001), and the levels correlated with NIH-CPSI symptom scores in men with CP/CPPS. There were no significant differences in urinary IL-8 levels in the three groups, and no significant differences in levels of the other cytokines in either semen or urine.

CONCLUSION

Semen IL-8 levels correlate with subjective symptoms in men with CP/CPPS. IL-8 might contribute to the pathophysiology of CP/CPPS and NSU, and elevated levels might be a useful marker of the condition.

摘要

目的

研究慢性前列腺炎/慢性盆腔疼痛综合征(CP/CPPS)和非特异性尿道炎(NSU)男性的精浆和尿液中是否可检测到一系列细胞因子,以及CP/CPPS患者的细胞因子水平是否与症状严重程度相关。

患者与方法

共有87名男性参与,其中33例患有CP/CPPS,31例患有NSU,23例为对照。检测精浆和首次晨尿中的白细胞介素(IL)-1β、IL-2、IL-6、IL-8和IL-10,并使用经过验证的症状指数——美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI),将结果与疼痛、泌尿症状及生活质量影响评分进行关联。

结果

CP/CPPS和NSU男性的精浆IL-8水平高于对照组(P < 0.001),且该水平与CP/CPPS男性的NIH-CPSI症状评分相关。三组的尿IL-8水平无显著差异,精液或尿液中其他细胞因子水平也无显著差异。

结论

CP/CPPS男性的精液IL-8水平与主观症状相关。IL-8可能参与CP/CPPS和NSU的病理生理过程,其水平升高可能是该疾病的一个有用标志物。

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