1887

Abstract

Three specimens from 111 asymptomatic male partners of infertile couples attending the Department of Urology in Amiens, France, were examined by the PCR COBAS AMPLICOR test (Roche Molecular Diagnostics) for the presence of . The specimens analysed were: first void urine (FVU), urine obtained after prostatic massage (UPM) and semen specimens. Serum from each patient was also obtained and analysed for the presence of IgG and IgA chlamydial antibodies by in-house microimmunofluorescence (MIF) and pELISA. was detected by PCR in 5.4 % of FVU samples, 2.7 % of semen specimens and in 0.9 % of UPM samples. Two treatments for processing the samples (storage at −70 °C and heating to 95 °C) were routinely used before initial testing to reduce the effects of inhibitors of PCR. Despite these precautions, the PCR method revealed the presence of inhibitors in 7.3 % of semen specimens and 3.6 % of FVU samples. was detected by PCR COBAS AMPLICOR in seven of 111 patients (6.3 %) and by serology in five of 111 patients (4.5 %). The detection of in FVU, UPM and semen specimens can serve as a marker for the presence of this organism in the genital tract, and can be used as a reliable way of detecting asymptomatic carriers of infection.

Loading

Article metrics loading...

/content/journal/jmm/10.1099/jmm.0.45641-0
2004-10-01
2024-04-25
Loading full text...

Full text loading...

/deliver/fulltext/jmm/53/10/JM531006.html?itemId=/content/journal/jmm/10.1099/jmm.0.45641-0&mimeType=html&fmt=ahah

References

  1. Beatty W. L., Byrne G. I., Morrison R. P. 1993; Morphologic and antigenic characterisation of interferon γ-mediated persistent Chlamydia trachomatis infection in vitro . Proc Natl Acad Sci U S A 90:3998–4002 [CrossRef]
    [Google Scholar]
  2. Berger R. E., Alexander E. R., Monda G. D., Ansell J., McCormick G., Holmes K. K. 1978; Chlamydia trachomatis as a cause of acute ‘‘idiopathic’’ epididymitis. N Engl J Med 298:301–304 [CrossRef]
    [Google Scholar]
  3. Bornman M. S., Ramuthaga T. N., Mahomed M. F., Greeff A. S., Crewe-Brown H. H., Reif S. 1998; Chlamydial infection in asymptomatic infertile men attending an andrology clinic. Arch Androl 41:203–208 [CrossRef]
    [Google Scholar]
  4. Bourgoin A., Venot C., Beby A., Giraudeau G., Korenian M., Pierron D., Agius G. 1998; Etude comparative d'un ELISA et de la micro-immunofluorescence pour le titrage des IgG et des IgA anti- Chlamydia trachomatis . Med Mal Infect 28:280–284 (in French [CrossRef]
    [Google Scholar]
  5. Custo G. M., Lauro V., Saitto C., Frongillo R. F. 1989; Chlamydial infection and male fertility: an epidemiological study. Arch Androl 23:243–248 [CrossRef]
    [Google Scholar]
  6. Dan M., Samra Z., Siegel Y. I., Korczak D., Lindner A. 1991; Isolation of Chlamydia trachomatis from prostatic tissue of patients undergoing transurethral prostatectomy. Infection 19:162–163 [CrossRef]
    [Google Scholar]
  7. Dieterle S., Mahony J. B., Luinstra K. E., Stibbe W. 1995; Chlamydial immunoglobulin IgG and IgA antibodies in serum and semen are not associated with the presence of Chlamydia trachomatis DNA or rRNA in semen from male partners of infertile couples. Hum Reprod 10:315–319
    [Google Scholar]
  8. Dym M., Fawcett D. W. 1970; The blood–testis barrier in the rat and the physiological compartmentation of the seminiferous epithelium. Biol Reprod 3:308–326
    [Google Scholar]
  9. Eggert-Kruse W., Buhlinger-Gopfarth N., Rohr G., Probst S., Aufenanger J., Naher H., Runnebaum B. 1996; Antibodies to Chlamydia trachomatis in semen and relationship with parameters of male fertility. Hum Reprod 11:1408–1417 [CrossRef]
    [Google Scholar]
  10. Friberg J., Confino E., Suarez M., Gleicher N. 1987; Chlamydia trachomatis attached to spermatozoa recovered from the peritoneal cavity of patients with salpingitis. J Reprod Med 32:120–122
    [Google Scholar]
  11. Gdoura R., Daoudi F., Bouzid F. & 7 other authors; 2001; Detection of Chlamydia trachomatis in semen and urethral specimens from male members of infertile couples in Tunisia. Eur J Contracept Reprod Health Care 6:14–20 [CrossRef]
    [Google Scholar]
  12. Golden M. R., Schillinger J. A., Markowitz L., St Louis M. E. 2000; Duration of untreated genital infections with Chlamydia trachomatis : a review of the literature. Sex Transm Dis 27:329–337 [CrossRef]
    [Google Scholar]
  13. Greendale G. A., Haas S. T., Holbrook K., Walsh B., Schachter J., Phillips R. S. 1993; The relationship of Chlamydia trachomatis and male infertility. Am J Public Health 83:996–1001 [CrossRef]
    [Google Scholar]
  14. Hanssen W., Mardh P. A. 1984; In vitro tests of the adherence of Chlamydia trachomatis to human spermatozoa. Fertil Steril 42:102–107
    [Google Scholar]
  15. Hocking J., Fairley C. K. 2003; Need for screening for genital Chlamydia trachomatis infection in Australia. Aust N Z J Public Health 27:80–81 [CrossRef]
    [Google Scholar]
  16. Hosseinzadeh S., Eley A., Pacey A. A. 2004; Semen quality of men with asymptomatic chlamydial infection. J Androl 25:104–109
    [Google Scholar]
  17. Lin J. S., Donegan S. P., Heeren T. C. & 11 other authors; 1998; Transmission of Chlamydia trachomatis and Neisseria gonorrhoeae among men with urethritis and their female sex partners. J Infect Dis 178:1707–1712 [CrossRef]
    [Google Scholar]
  18. Mardh P. A., Collen S., Sylwan J. 1980; Inhibitory effect on the formation of chlamydial inclusions in McCoy cells by seminal fluid and some of its components. Invest Urol 17:510–513
    [Google Scholar]
  19. Ochsendorf F. R., Rabenav H., Schofer H. 1991; Chlamydia trachomatis : Epidemiologie und Wertigkeit der serologischen Labordiagnostic. H G Z Hautkr 66:878–882 (in German
    [Google Scholar]
  20. Orfila J., Eb F. 1985; Généralités sur les Chlamydia .Applications cliniques, diagnostiques et thérapeutiques. Med Mal Infect 15:464–472 (in French [CrossRef]
    [Google Scholar]
  21. Pannekoek Y., Westenberg S. M., Eijk P. P., Repping S., van der Veen F., van der Ende A., Dankert J. 2003; Assessment of Chlamydia trachomatis infection of semen specimens by ligase chain reaction. J Med Microbiol 52:777–779 [CrossRef]
    [Google Scholar]
  22. Pasternack R., Vuorinen P., Kuukankorpi A., Pitkajarvi T., Miettinen A. 1996; Detection of Chlamydia trachomatis infections in women by AMPLICOR PCR: comparison of diagnostic performance with urine and cervical specimens. J Clin Microbiol 34:995–998
    [Google Scholar]
  23. Stamm W. E., Koutsky L. A., Benedetti J. K., Jourden J. L., Brunham R. C., Holmes K. K. 1984; Chlamydia trachomatis urethral infection in men.Prevalence, risk factors, and clinical manifestations. Ann Intern Med 100:47–51 [CrossRef]
    [Google Scholar]
  24. Su H., Feilzer K., Caldwell H. D., Morrison R. P. 1997; Chlamydia trachomatis genital tract infection of antibody-deficient gene knockout mice. Infect Immun 65:1993–1999
    [Google Scholar]
  25. Taylor-Robinson D. 1992; The value of non-culture techniques for the diagnosis of Chlamydia trachomatis infections: making the best of a bad job. Eur J Clin Microbiol Infect Dis 11:499–503 [CrossRef]
    [Google Scholar]
  26. Tomasi T. B., Grey H. M. 1972; Structure and function of immunoglobulin A. Prog Allergy 16:81–213
    [Google Scholar]
  27. Toye B., Peeling R. W., Jessamine P., Claman P., Gemmill I. 1996; Diagnosis of Chlamydia trachomatis in asymptomatic men and women by PCR assay. J Clin Microbiol 34:1396–1400
    [Google Scholar]
  28. Treharne J. D., Darougar S., Jones B. R. 1977; Modification of the microimmunofluorescence test to provide a routine serodiagnostic test for chlamydial infection. J Clin Pathol 30:510–517 [CrossRef]
    [Google Scholar]
  29. Verkooyen R. P., Luijendijk A., Huisman W. M., Goessens W. H. F., Kluytmans J. A. J., van Rijsoort-Vos J. H., Verbrugh H. A. 1996; Detection of PCR inhibitors in cervical specimens by using the AMPLICOR Chlamydia trachomatis assay. J Clin Microbiol 34:3072–3074
    [Google Scholar]
  30. Villegas H., Pinon M., Shor V., Karchmer S. 1991; Electronic microscopy of Chlamydia trachomatis infection of the male genital tract. Arch Androl 27:117–126 [CrossRef]
    [Google Scholar]
  31. Wang S. P., Grayston J. T. 1970; Immunologic relationship between genital TRIC, lymphogranuloma venereum and related organisms in new microtiter indirect immunofluorescence test. Am J Ophthalmol 70:367–374 [CrossRef]
    [Google Scholar]
  32. WHO 2001 Global Prevalence and Incidence of Selected Curable Sexually Transmitted Infections: Overview and Estimates pp 10–14 Geneva: WHO;
    [Google Scholar]
  33. Witkin S. S. 2002; Immunological aspects of genital Chlamydia infections. Best Pract Res Clin Obstet Gynaecol 16:865–874 [CrossRef]
    [Google Scholar]
  34. Witkin S. S., Jeremias J., Grifo J. A., Ledger W. J. 1993; Detection of Chlamydia trachomatis in semen by the polymerase chain reaction in male members of infertile couples. Am J Obstet Gynecol 168:1457–1462 [CrossRef]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmm/10.1099/jmm.0.45641-0
Loading
/content/journal/jmm/10.1099/jmm.0.45641-0
Loading

Data & Media loading...

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error