Male genital tract infection: an influence of leukocytes and bacteria on semen

J Reprod Immunol. 2004 Jun;62(1-2):111-24. doi: 10.1016/j.jri.2003.10.005.

Abstract

We have studied the oxidative status of 155 semen samples, 95 originating from healthy individuals and 60 from infertile patients, which were subdivided into two groups: (a) normozoospermic with genitourinary tract infection (GTI); and (b) with pathological spermiogram and GTI. Several phases of infection were observed: with bacterial presence only, bacteria and leukocytes, and leukocytes only, following the routine inflammatory pattern. Leukocyte numbers, bacterial strains, pro- and anti-oxidants, and selected pro-inflammatory cytokines (IL-1 beta, IL-6, IL-8 and TNF-alpha) were studied. Additionally, two oxido-sensitive indices were created (SOD/XO and CAT/XO) in order to follow particular phases of semen infection in two subgroups of patients. Different patterns of activities of pro- and anti-oxidant substances, as well as cytokines, were observed in the studied populations. It was reflected mainly by elevated XO activity in a group of patients with a pathological spermiogram while, in a group of patients with GTI and normozoospermia, xanthine oxidase was normal. In the latter group, oxido-sensitive indices were elevated in favour of anti-oxidants; similarly, this occurred with IL-6 levels in comparison to healthy controls. It appears therefore that normozoospermic semen recovers better after infection than pathological semen. Perhaps, IL-6 secretion might be helpful in the observed recovery?

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antioxidants / analysis
  • Antioxidants / metabolism
  • Bacterial Infections / complications*
  • Bacterial Infections / immunology
  • Bacterial Infections / microbiology
  • Catalase / analysis
  • Catalase / metabolism
  • Cytokines / analysis
  • Cytokines / metabolism
  • Genital Diseases, Male / complications
  • Genital Diseases, Male / immunology
  • Genital Diseases, Male / microbiology*
  • Humans
  • Infertility, Male / immunology
  • Infertility, Male / microbiology*
  • Leukocyte Count
  • Male
  • Semen / enzymology
  • Semen / immunology*
  • Semen / microbiology*
  • Superoxide Dismutase / analysis
  • Superoxide Dismutase / metabolism
  • Xanthine Oxidase / analysis
  • Xanthine Oxidase / metabolism

Substances

  • Antioxidants
  • Cytokines
  • Catalase
  • Superoxide Dismutase
  • Xanthine Oxidase