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不育夫妇男性伴侣的精液炎症标志物与沙眼衣原体感染

Semen inflammatory markers and Chlamydia trachomatis infection in male partners of infertile couples.

作者信息

Dehghan Marvast L, Aflatoonian A, Talebi A R, Ghasemzadeh J, Pacey A A

机构信息

Department of Human Metabolism, Academic Unit of Reproductive and Developmental Medicine, The University of Sheffield, The Jessop Wing, Tree Root Walk, Sheffield, UK.

Research and Clinical Centre for Infertility, Shahid Sadoughi University of Medical Sciences, Bouali Ave, Safaeyeh, Yazd, Iran.

出版信息

Andrologia. 2016 Sep;48(7):729-36. doi: 10.1111/and.12501. Epub 2015 Dec 9.

Abstract

Previous studies have given conflicting results about the effect of generally infection and Chlamydia trachomatis on seminal ILs and semen parameters. The aim of this study was to investigate the relationship between semen quality and the level of seminal interleukins (ILs) in infertile couples with C. trachomatis. Blood, first void urine (FVU) and semen were obtained from 250 infertile men who had failed to conceive after 12 months of trying. Serological analysis for specific IgA, IgM and IgG antibodies to C. trachomatis in serum, the presence of C. trachomatis in FVU and semen sample and semen analysis were carried out. The main results are as follows: (i) elevated IL-6 and IL-8 are observed in C. trachomatis-positive men, but this is not significant and it varies by diagnostic method; and (ii) IL-6 and IL-8 levels were correlated with each other and the concentration of leucocytes, but IL-8 was correlated with semen volume and patient's age. This study showed that men with such an infection in FVU samples (PCR positive) had only lower semen volume compared with men without infection.

摘要

先前的研究对于一般感染和沙眼衣原体对精液白细胞介素(ILs)及精液参数的影响给出了相互矛盾的结果。本研究的目的是调查沙眼衣原体感染的不育夫妇精液质量与精液白细胞介素(ILs)水平之间的关系。从250名经过12个月备孕仍未受孕的不育男性中采集血液、首次晨尿(FVU)和精液。对血清中针对沙眼衣原体的特异性IgA、IgM和IgG抗体进行血清学分析,检测FVU和精液样本中沙眼衣原体的存在情况,并进行精液分析。主要结果如下:(i)在沙眼衣原体阳性男性中观察到IL-6和IL-8升高,但不显著,且因诊断方法而异;(ii)IL-6和IL-8水平相互关联,且与白细胞浓度相关,但IL-8与精液量和患者年龄相关。本研究表明,FVU样本中存在此类感染(PCR阳性)的男性与未感染男性相比,精液量仅较低。

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