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异常精子形态与吸入性过敏原致敏有关。

Abnormal sperm morphology is associated with sensitization to inhaled allergens.

作者信息

Adamczak Rafał, Ukleja-Sokołowska Natalia, Pasińska Magdalena, Zielińska Joanna, Leśny Mateusz, Dubiel Mariusz

机构信息

Department of Obstetrics, Gynecology and Oncology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland.

Department of Allergology, Clinical Immunology and Internal Medicine, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland.

出版信息

Int J Immunopathol Pharmacol. 2022 Jan-Dec;36:20587384211066718. doi: 10.1177/20587384211066718.

Abstract

BACKGROUND

Allergy is associated with the loss of tolerance of environmental antigens, combined with a pathological immune response. There were no studies up to date that would show whether the quality of semen decreases in people with allergic diseases.

MATERIAL AND METHODS

The research included men who reported to the Gynecological Outpatient Clinic due to reproductive difficulties, defined as the lack of pregnancy after one year of regular intercourse. Semen quality was assessed according to the World Health Organization (WHO) standard. All patients underwent skin prick tests with the most important inhalation allergens (such as hazel, silver birch, mugwort, rye, dog, cat, , alder, , and grass mix). The data was statistically analyzed.

RESULTS

Results of 52 patients aged 25-52 years (34.62 ± 4.96) were analyzed. The mean BMI (Body mass index) was 28.25 (+ -3.77). It was found that 38 men (73%) had increased body weight, and 14 men (26.9%) were obese (BMI > = 30). 13 patients were smokers (25%), and 24 patients (46%) had skin tests positive for at least one inhaled allergen. Sperm tail defects were statistically more significant in patients allergic to birch, rye, cat, alder, and grass. In patients allergic to , head defects were statistically more significant ( < .05). No association was found between allergy to house dust mites, mugwort, hazel, and dogs and the deterioration of semen.

CONCLUSION

Allergy due to inhalation allergens had an influence on the quality of male semen. Further research is necessary to establish the immunological bases of this phenomenon.

摘要

背景

过敏与对环境抗原耐受性的丧失以及病理性免疫反应相关。截至目前,尚无研究表明过敏性疾病患者的精液质量是否会下降。

材料与方法

该研究纳入了因生殖困难而前往妇科门诊就诊的男性,生殖困难定义为规律性交一年后仍未怀孕。精液质量根据世界卫生组织(WHO)标准进行评估。所有患者均接受了针对最重要吸入性过敏原(如榛树、白桦、艾蒿、黑麦、狗、猫、桤木和混合草类)的皮肤点刺试验。对数据进行了统计分析。

结果

分析了52例年龄在25 - 52岁(34.62 ± 4.96)的患者的结果。平均体重指数(BMI)为28.25(±3.77)。发现38名男性(73%)体重增加,14名男性(26.9%)肥胖(BMI >= 30)。13名患者(25%)吸烟,24名患者(46%)至少对一种吸入性过敏原的皮肤试验呈阳性。对桦树、黑麦、猫、桤木和草过敏的患者,精子尾部缺陷在统计学上更显著。对[此处原文缺失过敏原名称]过敏的患者,头部缺陷在统计学上更显著(P <.05)。未发现对屋尘螨、艾蒿、榛树和狗的过敏与精液恶化之间存在关联。

结论

吸入性过敏原引起的过敏对男性精液质量有影响。有必要进一步研究以确定这一现象的免疫学基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/869c/8743921/5ad6ef57d3a7/10.1177_20587384211066718-fig1.jpg

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