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输精管结扎术后抗精子抗体及其他自身抗体产生之间不存在关联。

Lack of association of the development of anti-sperm antibodies and other autoantibodies as a consequence of vasectomy.

作者信息

Crewe P, Dawson L, Barnes R D, Tidmash E, Chanarin I, Hjort T, Ingerslev J

出版信息

Int J Fertil. 1977;22(2):104-9.

PMID:20409
Abstract

The possibility of autoantibodies--other than sperm antibodies--developing as a consequence of vasectomy has been investigated in 255 volunteers. During the first year after vasectomy no obvious increase was observed in the occurrence of any of these antibodies (rheumatoid factor, antinuclear antibodies and antibodies against smooth muscle, mitochondria, gastric parietal cell, thyroid microsomes and thyroglobulin). Ninety-nine of the patients were also examined for agglutinating and immunofluorescent antibodies to sperm to see if there was any relationship between the occurrence of anti-sperm antibodies and other autoantibodies. However, the prevalence of non-sperm autoantibodies did not differ in two nearly equal groups of patients with and without indications of autoimmune reactions to spermatozoa, respectively. Consequently the present results lend no support to the hypothesis that vasectomy could induce autoimmunity to other autoantigens than sperm-specific antigens.

摘要

在255名志愿者中研究了输精管结扎术后产生精子抗体以外的自身抗体的可能性。在输精管结扎术后的第一年,未观察到这些抗体(类风湿因子、抗核抗体以及抗平滑肌、线粒体、胃壁细胞、甲状腺微粒体和甲状腺球蛋白的抗体)的发生率有明显增加。对99名患者还检测了精子凝集抗体和免疫荧光抗体,以观察抗精子抗体的出现与其他自身抗体之间是否存在任何关系。然而,在分别有和没有对精子发生自身免疫反应迹象的两组几乎相等的患者中,非精子自身抗体的患病率并无差异。因此,目前的结果不支持输精管结扎术可诱导针对精子特异性抗原以外的其他自身抗原产生自身免疫的假说。

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