Wingate E W, Patrick R T, Mathur S
Department of Urology, Medical University of South Carolina, Charleston 29425.
J Urol. 1993 May;149(5 Pt 2):1331-7. doi: 10.1016/s0022-5347(17)36385-1.
We studied the possible qualitative antigenic differences between native and capacitated spermatozoa pertaining to immunological infertility. Western blot analysis was used to test serum and seminal plasma immunoglobulin G (IgG) from 18 infertile couples with sperm antibodies, and 14 fertile men and 9 fertile women without significant sperm antibodies against native and capacitated spermatozoa from fertile and infertile men. More fertile and infertile subjects had serum and seminal plasma IgG binding to antigens with molecular weights of 34/36, 46, 68, 97, 105, 115, 120, 130, 150 and 190 kDa. in capacitated versus native spermatozoa of all men. Of the other hand, immune reactivity to antigens with molecular weight 22/24, 30, 32, 50, 80, 88/92 and 180 kDa. found in native autoimmune spermatozoa was strongest in infertile couples with sperm antibodies. This reactivity significantly increased against capacitated autoimmune spermatozoa. Native spermatozoa from few fertile men had these antigens but they appeared after capacitation. It seems that certain antigens normally appearing or enhanced after capacitation are already present in native spermatozoa from infertile men, probably due to an inherent aberration or premature capacitation. This might account for the observed enhanced immune responses in infertile couples to sperm antigens from infertile husbands.
我们研究了与免疫性不育相关的天然精子和获能精子之间可能存在的定性抗原差异。采用蛋白质免疫印迹分析检测了18对有精子抗体的不育夫妇、14名有生育能力的男性和9名有生育能力且无明显精子抗体的女性的血清和精浆免疫球蛋白G(IgG),这些样本针对来自有生育能力和不育男性的天然精子和获能精子。在所有男性的获能精子与天然精子中,更多有生育能力和不育的受试者的血清和精浆IgG与分子量为34/36、46、68、97、105、115、120、130、150和190 kDa的抗原结合。另一方面,对分子量为22/24、30、32、50、80、88/92和180 kDa抗原的免疫反应性在有精子抗体的不育夫妇的天然自身免疫性精子中最强。这种反应性在针对获能的自身免疫性精子时显著增强。少数有生育能力男性的天然精子有这些抗原,但它们在获能后才出现。似乎某些通常在获能后出现或增强的抗原在不育男性的天然精子中已经存在,这可能是由于内在的异常或过早获能。这可能解释了观察到的不育夫妇对不育丈夫精子抗原的免疫反应增强的现象。