Chlamydia trachomatis Infection Is Related to Poor Semen Quality in Young Prostatitis Patients
The impact of chronic prostatitis resulting from Chlamydia trachomatis infection on male fertility is controversial. To investigate the correlation between C. trachomatis infection and semen quality in young male patients affected by chronic prostatitis resulting from C. trachomatis infection and to...
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| Published in: | European urology Vol. 57; no. 4; pp. 708 - 714 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
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Kidlington
Elsevier B.V
01.04.2010
Elsevier |
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| ISSN: | 0302-2838, 1873-7560, 1873-7560 |
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| Abstract | The impact of chronic prostatitis resulting from Chlamydia trachomatis infection on male fertility is controversial.
To investigate the correlation between C. trachomatis infection and semen quality in young male patients affected by chronic prostatitis resulting from C. trachomatis infection and to evaluate the correlation between anti–C. trachomatis immunoglobulin (Ig) A against heat shock protein 60 (HSP60), heat shock protein 70 (HSP70), and semen parameters.
All patients with clinical and instrumental diagnosis of chronic prostatitis underwent microbiological cultures for common bacteria, DNA extraction, mucosal and serum antibody evaluation for C. trachomatis, and semen parameter analysis. Western blot analysis of mucosal anti–C. trachomatis IgA was performed.
Subjects were split into two groups: Group A consisted of patients with chronic prostatitis resulting from common bacteria (uropathogens), and group B consisted of patients with chronic prostatitis resulting from C. trachomatis infection.
The relationship between C. trachomatis infection and semen parameters as well as the correlation among IgA levels, IgA characterisation, and semen analysis were determined.
We enrolled 1161 patients (mean age: 36.5 yr). Of these, 707 patients were placed in group A, and 454 were placed in group B. Significant statistical differences were reported between groups in terms of sperm concentration (p<0.001), percentage of motile sperm (p<0.001), and normal morphologic forms (p<0.001). Strong correlations between mucosal anti–C. trachomatis IgA and sperm concentration (p<0.001) and normal morphologic forms (p<0.001) were reported. Correlations among positivity to HSP60, HSP70, and sperm concentration (p<0.003) and normal morphologic forms (p<0.001) were also reported.
This study demonstrated the role of chronic prostatitis resulting from C. trachomatis in male fertility decrease, highlighting probable immunomediated damage to germinal cells because of C. trachomatis infections.
This study demonstrated the role of Chlamydia trachomatis in decreasing male fertility in a large cohort of young males affected by chronic bacterial prostatitis, highlighting the probable immunomediated damage to germinal cells resulting from C. trachomatis infections. |
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| AbstractList | The impact of chronic prostatitis resulting from Chlamydia trachomatis infection on male fertility is controversial.
To investigate the correlation between C. trachomatis infection and semen quality in young male patients affected by chronic prostatitis resulting from C. trachomatis infection and to evaluate the correlation between anti-C. trachomatis immunoglobulin (Ig) A against heat shock protein 60 (HSP60), heat shock protein 70 (HSP70), and semen parameters.
All patients with clinical and instrumental diagnosis of chronic prostatitis underwent microbiological cultures for common bacteria, DNA extraction, mucosal and serum antibody evaluation for C. trachomatis, and semen parameter analysis. Western blot analysis of mucosal anti-C. trachomatis IgA was performed.
Subjects were split into two groups: Group A consisted of patients with chronic prostatitis resulting from common bacteria (uropathogens), and group B consisted of patients with chronic prostatitis resulting from C. trachomatis infection.
The relationship between C. trachomatis infection and semen parameters as well as the correlation among IgA levels, IgA characterisation, and semen analysis were determined.
We enrolled 1161 patients (mean age: 36.5 yr). Of these, 707 patients were placed in group A, and 454 were placed in group B. Significant statistical differences were reported between groups in terms of sperm concentration (p<0.001), percentage of motile sperm (p<0.001), and normal morphologic forms (p<0.001). Strong correlations between mucosal anti-C. trachomatis IgA and sperm concentration (p<0.001) and normal morphologic forms (p<0.001) were reported. Correlations among positivity to HSP60, HSP70, and sperm concentration (p<0.003) and normal morphologic forms (p<0.001) were also reported.
This study demonstrated the role of chronic prostatitis resulting from C. trachomatis in male fertility decrease, highlighting probable immunomediated damage to germinal cells because of C. trachomatis infections. Abstract Background The impact of chronic prostatitis resulting from Chlamydia trachomatis infection on male fertility is controversial. Objective To investigate the correlation between C. trachomatis infection and semen quality in young male patients affected by chronic prostatitis resulting from C. trachomatis infection and to evaluate the correlation between anti– C. trachomatis immunoglobulin (Ig) A against heat shock protein 60 (HSP60), heat shock protein 70 (HSP70), and semen parameters. Design, setting, and participants All patients with clinical and instrumental diagnosis of chronic prostatitis underwent microbiological cultures for common bacteria, DNA extraction, mucosal and serum antibody evaluation for C. trachomatis, and semen parameter analysis. Western blot analysis of mucosal anti– C. trachomatis IgA was performed. Interventions Subjects were split into two groups: Group A consisted of patients with chronic prostatitis resulting from common bacteria (uropathogens), and group B consisted of patients with chronic prostatitis resulting from C. trachomatis infection. Measurements The relationship between C. trachomatis infection and semen parameters as well as the correlation among IgA levels, IgA characterisation, and semen analysis were determined. Results and limitations We enrolled 1161 patients (mean age: 36.5 yr). Of these, 707 patients were placed in group A, and 454 were placed in group B. Significant statistical differences were reported between groups in terms of sperm concentration ( p < 0.001), percentage of motile sperm ( p < 0.001), and normal morphologic forms ( p < 0.001). Strong correlations between mucosal anti– C. trachomatis IgA and sperm concentration ( p < 0.001) and normal morphologic forms ( p < 0.001) were reported. Correlations among positivity to HSP60, HSP70, and sperm concentration ( p < 0.003) and normal morphologic forms ( p < 0.001) were also reported. Conclusions This study demonstrated the role of chronic prostatitis resulting from C. trachomatis in male fertility decrease, highlighting probable immunomediated damage to germinal cells because of C. trachomatis infections. The impact of chronic prostatitis resulting from Chlamydia trachomatis infection on male fertility is controversial. Objective - To investigate the correlation between C. trachomatis infection and semen quality in young male patients affected by chronic prostatitis resulting from C. trachomatis infection and to evaluate the correlation between anti-C. trachomatis immunoglobulin (Ig) A against heat shock protein 60 (HSP60), heat shock protein 70 (HSP70), and semen parameters. Design, setting, and participants - All patients with clinical and instrumental diagnosis of chronic prostatitis underwent microbiological cultures for common bacteria, DNA extraction, mucosal and serum antibody evaluation for C. trachomatis, and semen parameter analysis. Western blot analysis of mucosal anti-C. trachomatis IgA was performed. Interventions - Subjects were split into two groups: Group A consisted of patients with chronic prostatitis resulting from common bacteria (uropathogens), and group B consisted of patients with chronic prostatitis resulting from C. trachomatis infection. Measurements - The relationship between C. trachomatis infection and semen parameters as well as the correlation among IgA levels, IgA characterisation, and semen analysis were determined. Results and limitations - We enrolled 1161 patients (mean age: 36.5 yr). Of these, 707 patients were placed in group A, and 454 were placed in group B. Significant statistical differences were reported between groups in terms of sperm concentration (p < 0.001), percentage of motile sperm (p < 0.001), and normal morphologic forms (p < 0.001). Strong correlations between mucosal anti-C. trachomatis IgA and sperm concentration (p < 0.001) and normal morphologic forms (p < 0.001) were reported. Correlations among positivity to HSP60, HSP70, and sperm concentration (p < 0.003) and normal morphologic forms (p < 0.001) were also reported. Conclusions - This study demonstrated the role of chronic prostatitis resulting from C. trachomatis in male fertility decrease, highlighting probable immunomediated damage to germinal cells because of C. trachomatis infections. AB: The impact of chronic prostatitis resulting from Chlamydia trachomatis infection on male fertility is controversial. To investigate the correlation between C. trachomatis infection and semen quality in young male patients affected by chronic prostatitis resulting from C. trachomatis infection and to evaluate the correlation between anti–C. trachomatis immunoglobulin (Ig) A against heat shock protein 60 (HSP60), heat shock protein 70 (HSP70), and semen parameters. All patients with clinical and instrumental diagnosis of chronic prostatitis underwent microbiological cultures for common bacteria, DNA extraction, mucosal and serum antibody evaluation for C. trachomatis, and semen parameter analysis. Western blot analysis of mucosal anti–C. trachomatis IgA was performed. Subjects were split into two groups: Group A consisted of patients with chronic prostatitis resulting from common bacteria (uropathogens), and group B consisted of patients with chronic prostatitis resulting from C. trachomatis infection. The relationship between C. trachomatis infection and semen parameters as well as the correlation among IgA levels, IgA characterisation, and semen analysis were determined. We enrolled 1161 patients (mean age: 36.5 yr). Of these, 707 patients were placed in group A, and 454 were placed in group B. Significant statistical differences were reported between groups in terms of sperm concentration (p<0.001), percentage of motile sperm (p<0.001), and normal morphologic forms (p<0.001). Strong correlations between mucosal anti–C. trachomatis IgA and sperm concentration (p<0.001) and normal morphologic forms (p<0.001) were reported. Correlations among positivity to HSP60, HSP70, and sperm concentration (p<0.003) and normal morphologic forms (p<0.001) were also reported. This study demonstrated the role of chronic prostatitis resulting from C. trachomatis in male fertility decrease, highlighting probable immunomediated damage to germinal cells because of C. trachomatis infections. This study demonstrated the role of Chlamydia trachomatis in decreasing male fertility in a large cohort of young males affected by chronic bacterial prostatitis, highlighting the probable immunomediated damage to germinal cells resulting from C. trachomatis infections. The impact of chronic prostatitis resulting from Chlamydia trachomatis infection on male fertility is controversial.BACKGROUNDThe impact of chronic prostatitis resulting from Chlamydia trachomatis infection on male fertility is controversial.To investigate the correlation between C. trachomatis infection and semen quality in young male patients affected by chronic prostatitis resulting from C. trachomatis infection and to evaluate the correlation between anti-C. trachomatis immunoglobulin (Ig) A against heat shock protein 60 (HSP60), heat shock protein 70 (HSP70), and semen parameters.OBJECTIVETo investigate the correlation between C. trachomatis infection and semen quality in young male patients affected by chronic prostatitis resulting from C. trachomatis infection and to evaluate the correlation between anti-C. trachomatis immunoglobulin (Ig) A against heat shock protein 60 (HSP60), heat shock protein 70 (HSP70), and semen parameters.All patients with clinical and instrumental diagnosis of chronic prostatitis underwent microbiological cultures for common bacteria, DNA extraction, mucosal and serum antibody evaluation for C. trachomatis, and semen parameter analysis. Western blot analysis of mucosal anti-C. trachomatis IgA was performed.DESIGN, SETTING, AND PARTICIPANTSAll patients with clinical and instrumental diagnosis of chronic prostatitis underwent microbiological cultures for common bacteria, DNA extraction, mucosal and serum antibody evaluation for C. trachomatis, and semen parameter analysis. Western blot analysis of mucosal anti-C. trachomatis IgA was performed.Subjects were split into two groups: Group A consisted of patients with chronic prostatitis resulting from common bacteria (uropathogens), and group B consisted of patients with chronic prostatitis resulting from C. trachomatis infection.INTERVENTIONSSubjects were split into two groups: Group A consisted of patients with chronic prostatitis resulting from common bacteria (uropathogens), and group B consisted of patients with chronic prostatitis resulting from C. trachomatis infection.The relationship between C. trachomatis infection and semen parameters as well as the correlation among IgA levels, IgA characterisation, and semen analysis were determined.MEASUREMENTSThe relationship between C. trachomatis infection and semen parameters as well as the correlation among IgA levels, IgA characterisation, and semen analysis were determined.We enrolled 1161 patients (mean age: 36.5 yr). Of these, 707 patients were placed in group A, and 454 were placed in group B. Significant statistical differences were reported between groups in terms of sperm concentration (p<0.001), percentage of motile sperm (p<0.001), and normal morphologic forms (p<0.001). Strong correlations between mucosal anti-C. trachomatis IgA and sperm concentration (p<0.001) and normal morphologic forms (p<0.001) were reported. Correlations among positivity to HSP60, HSP70, and sperm concentration (p<0.003) and normal morphologic forms (p<0.001) were also reported.RESULTS AND LIMITATIONSWe enrolled 1161 patients (mean age: 36.5 yr). Of these, 707 patients were placed in group A, and 454 were placed in group B. Significant statistical differences were reported between groups in terms of sperm concentration (p<0.001), percentage of motile sperm (p<0.001), and normal morphologic forms (p<0.001). Strong correlations between mucosal anti-C. trachomatis IgA and sperm concentration (p<0.001) and normal morphologic forms (p<0.001) were reported. Correlations among positivity to HSP60, HSP70, and sperm concentration (p<0.003) and normal morphologic forms (p<0.001) were also reported.This study demonstrated the role of chronic prostatitis resulting from C. trachomatis in male fertility decrease, highlighting probable immunomediated damage to germinal cells because of C. trachomatis infections.CONCLUSIONSThis study demonstrated the role of chronic prostatitis resulting from C. trachomatis in male fertility decrease, highlighting probable immunomediated damage to germinal cells because of C. trachomatis infections. |
| Author | Addonisio, Patrizia Bartoletti, Riccardo Cai, Tommaso Mondaini, Nicola Bechi, Adriano Mazzoli, Sandra |
| Author_xml | – sequence: 1 givenname: Sandra surname: Mazzoli fullname: Mazzoli, Sandra organization: Sexually Transmitted Disease Centre, Santa Maria Annunziata Hospital, Florence, Italy – sequence: 2 givenname: Tommaso surname: Cai fullname: Cai, Tommaso email: ktommy@libero.it organization: Department of Urology, University of Florence, Florence, Italy – sequence: 3 givenname: Patrizia surname: Addonisio fullname: Addonisio, Patrizia organization: Sexually Transmitted Disease Centre, Santa Maria Annunziata Hospital, Florence, Italy – sequence: 4 givenname: Adriano surname: Bechi fullname: Bechi, Adriano organization: Sexually Transmitted Disease Centre, Santa Maria Annunziata Hospital, Florence, Italy – sequence: 5 givenname: Nicola surname: Mondaini fullname: Mondaini, Nicola organization: Department of Urology, University of Florence, Florence, Italy – sequence: 6 givenname: Riccardo surname: Bartoletti fullname: Bartoletti, Riccardo organization: Department of Urology, University of Florence, Florence, Italy |
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| Keywords | IgA Spermatozoa Chlamydia trachomatis Prostatitis Mucosal immunity Fertility Human Nephrology Urinary system disease Chlamydiaceae Prostate disease Semen Mucosa Germinal cell Urology Infection Local immunity Sexually transmitted disease Quality Bacteriosis Chlamydiales Bacteria Chlamydiosis Male genital diseases |
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| Snippet | The impact of chronic prostatitis resulting from Chlamydia trachomatis infection on male fertility is controversial.
To investigate the correlation between C.... Abstract Background The impact of chronic prostatitis resulting from Chlamydia trachomatis infection on male fertility is controversial. Objective To... The impact of chronic prostatitis resulting from Chlamydia trachomatis infection on male fertility is controversial. Objective - To investigate the correlation... The impact of chronic prostatitis resulting from Chlamydia trachomatis infection on male fertility is controversial.BACKGROUNDThe impact of chronic prostatitis... |
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| SubjectTerms | Adolescent Adult Age Analysis of Variance Antibodies, Bacterial - blood Bacterial diseases Bacterial diseases of the genital system Bacterial Outer Membrane Proteins - immunology Biological and medical sciences Blotting, Western Chaperonin 60 - immunology Chi-Square Distribution Chlamydia Infections - complications Chlamydia Infections - immunology Chlamydia Infections - microbiology Chlamydia Infections - pathology Chlamydia trachomatis Chlamydia trachomatis - immunology Chlamydia trachomatis - pathogenicity Chronic Disease Fertility HSP70 Heat-Shock Proteins - immunology Human bacterial diseases Humans IgA Immunity, Mucosal Immunoglobulin A - blood Immunoglobulin G - blood Infectious diseases Infertility, Male - immunology Infertility, Male - microbiology Infertility, Male - pathology Italy Linear Models Male Medical sciences Mucosal immunity Nephrology. Urinary tract diseases Prostatitis Prostatitis - immunology Prostatitis - microbiology Prostatitis - pathology Risk Assessment Risk Factors Semen Analysis Sperm Count Sperm Motility Spermatozoa Urinary system involvement in other diseases. Miscellaneous Urinary tract. Prostate gland Urology Young Adult |
| Title | Chlamydia trachomatis Infection Is Related to Poor Semen Quality in Young Prostatitis Patients |
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