La Vignera S, Vicari E, Condorelli R A, Franchina C, Scalia G, Morgia G, Perino A, Schillaci R, Calogero A E
Section of Andrology, Endocrinology and Internal Medicine, Department of Clinical and Experimental Medicine.
Section of Andrology, Endocrinology and Internal Medicine, Department of Clinical and Experimental Medicine.
Reprod Biomed Online. 2015 Apr;30(4):385-91. doi: 10.1016/j.rbmo.2014.12.016. Epub 2015 Jan 13.
The frequency of human papillomavirus (HPV) infection in the semen of patients with male accessory gland infection (MAGI) was evaluated. One hundred infertile patients with MAGI were classified into group A: patients with an inflammatory MAGI (n = 48) and group B: patients with a microbial form (n = 52). Healthy age-matched fertile men (34.0 ± 4.0 years) made up the control group (n = 20). Amplification of HPV DNA was carried out by HPV-HS Bio nested polymerase chain reaction for the detection of HPV DNA sequences within the L1 ORF. Ten patients in group A (20.8%) and 15 patients in group B (28.8%) had a HPV infection; two controls (10.0%) had HPV infection. Patients with MAGI had a significantly higher frequency of HPV infection compared with controls; patients with a microbial MAGI had significantly higher frequency of HPV infection compared with patients with an inflammatory form (both P < 0.05). Patients with MAGI and HPV had a slight, but significantly lower sperm progressive motility and normal morphology compared with patients with MAGI HPV-negative (P < 0.05). Elevated frequency of HPV infection occurred in patients with MAGI, suggesting that HPV should be investigated in the diagnostic work-up of these patients.
评估男性附属腺感染(MAGI)患者精液中人类乳头瘤病毒(HPV)的感染频率。100例患有MAGI的不育患者被分为A组:炎症性MAGI患者(n = 48)和B组:微生物型患者(n = 52)。年龄匹配的健康有生育能力男性(34.0±4.0岁)组成对照组(n = 20)。通过HPV-HS Bio巢式聚合酶链反应进行HPV DNA扩增,以检测L1开放阅读框内的HPV DNA序列。A组10例患者(20.8%)和B组15例患者(28.8%)有HPV感染;2例对照组患者(10.0%)有HPV感染。与对照组相比,MAGI患者的HPV感染频率显著更高;与炎症型患者相比,微生物型MAGI患者的HPV感染频率显著更高(均P<0.05)。与HPV阴性的MAGI患者相比,患有MAGI和HPV的患者精子前向运动能力略低,但正常形态显著更低(P<0.05)。MAGI患者中HPV感染频率升高,提示在这些患者的诊断检查中应调查HPV。