Helicobacter pylori infection and infertility.

Objective: To determine (1) the prevalence of Helicobacter pylori infection in male and female patients with reproductive disorders and controls; (2) the presence of anti-H. pylori antibodies in samples of follicular fluid, vaginal secretions and sperm; and (3) the existence of a structural homology...

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Publicado en:European Journal of Gastroenterology & Hepatology Vol. 14; no. 6; pp. 663 - 670
Autores principales: Figura N, Piomboni P, Ponzetto A, Gambera L, Lenzi C, Vaira D, Peris C, Lotano MR, Gennari L, Bianciardi L, Renieri T, Valensin PE, Capitani S, Moretti E, Colapinto R, Baccetti B, Gennari C, Figura, N, Piomboni, P, Ponzetto, A
Formato: pictorial research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins 2002 Jun
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2002 Jun
      vid: 14
      iid: 6
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        10.1097/00042737-200206000-00012
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        106817970
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      formats:
      tig:
        atl: Helicobacter pylori infection and infertility.
      aug:
        au:
          Figura N
          Piomboni P
          Ponzetto A
          Gambera L
          Lenzi C
          Vaira D
          Peris C
          Lotano MR
          Gennari L
          Bianciardi L
          Renieri T
          Valensin PE
          Capitani S
          Moretti E
          Colapinto R
          Baccetti B
          Gennari C
          Figura, N
          Piomboni, P
          Ponzetto, A
        affil: Institute of Internal Medicine, University of Sienna, Sienna, Italy
      sug:
        subj:
          Helicobacter Infections Complications
          Infertility Etiology
          Antibodies, Bacterial Analysis
          Blotting, Western
          Enzyme-Linked Immunosorbent Assay
          Helicobacter Pylori Immunology
          Spermatozoa
          Case Control Studies
          T-Tests
          Adolescence
          Adult
          Middle Age
          Female
          Funding Source
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: Objective: To determine (1) the prevalence of Helicobacter pylori infection in male and female patients with reproductive disorders and controls; (2) the presence of anti-H. pylori antibodies in samples of follicular fluid, vaginal secretions and sperm; and (3) the existence of a structural homology between a major spermatozoa protein, tubulin, and H. pylori proteins.Patients and Methods: Serum samples from 167 patients with infertility and 837 age- and gender-matched controls (blood donors) were examined by enzyme-linked immunosorbent assay (ELISA) and Western blotting to determine the seropositivity for H. pylori infection. The presence of anti-H. pylori antibodies in samples of follicular fluid, vaginal secretions and sperm was determined using the same techniques. The possible cross-reactivity with spermatozoa of anti-H. pylori hyperimmune sera and human antibodies was studied by immunofluorescence. The N-acid homology of human tubulin with the principal H. pylori proteins was assayed by the WU-blastp program available on the Internet.Results: The prevalence of infection was significantly higher in patients than controls (49.1% v. 33.5%, P < 0.001). Follicular fluids from infected patients contained specific antibodies in all cases, sperm samples in about 50% of cases, and vaginal secretions in a minority of cases. Sera to H. pylori whole antigens and VacA reacted with the tails and the pericentriolar area of human spermatozoa (which are rich in tubulin); sera to urease and heat-shock protein (Hsp) did not. Follicular fluids with anti-H. pylori antibodies immune reacted with spermatozoa. A linear homology was found between beta-tubulin and three H. pylori proteins, flagellin, VacA and CagA.Conclusions: H. pylori infection may increase the risk of developing reproductive disorders or worsen the clinical expression of this syndrome.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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