男性不育病人精浆血管紧张素Ⅱ测定及临床意义

目的 :探讨人精浆血管紧张素Ⅱ(AngⅡ)对精液常规指标的影响及其与男性不育症的关系。　方法 :通过固相提取 高效液相分离 放免法 (SPE HPLC RIA)测定 4 3例不育男性 (无精子症 13例 ,少弱精子症 8例 ,弱精子症17例 ,精液常规正常 5例 )和 10例正常生育男性对照组的血浆和精浆AngⅡ 。　结果 :精浆AngⅡ 水平明显高于血浆AngⅡ 水平 ,为血浆值的 3倍多 (P <0 .0 1) ;无精子症组精浆AngⅡ 浓度明显高于其他生育与不育男性 (P <0 .0 5 ) ;血浆、精浆AngⅡ与精子密度、活力、存活率、畸形率和精子顶体反应率等均无相关性。　结论 :精浆AngⅡ很可能由男性生殖道局部产生 ,除睾丸、附睾外 ,前列腺和 (或 )精囊也可能是其来源 ;无精子症病人精浆高AngⅡ 水平的原因及精浆AngⅡ在男性生育调节中可能发挥的具体作用 ,还需要进一步研究。

Seminal Plasma Angiotensin Ⅱ Detection and Its Clinical Implication

OBJECTIVE: To investigate the variation of seminal plasma angiotension II (Ang II) in infertile men and its clinical implication. METHODS: Ang II values in paired blood plasma and seminal plasma from 43 infertile men(13 azoospermia, 8 asthenozoopermia, 17 asthenozoospermia and 5 cases with normal semen parameters) and 10 normal controls were obtained by SPE-HPLC-RIA. All semen samples with spermatozoa were analyzed by CASA for sperm count, motility and other parameters. Acrosome reaction rate (AR) was assessed by triple-stain. RESULTS: The mean concentration of seminal plasma Ang II was 4 times as high as that of blood plasma in all patients and controls (P < 0.01), but there was no correlation between them. The seminal plasma Ang II of azoospermic patients was higher than that of other infertile men and controls(P < 0.05), but no difference was found between the latter two groups. There was no correlation between seminal plasma Ang II values and other traditional parameters of sperm together with AR. CONCLUSIONS: Seminal plasma Ang II may be secreted locally in male reproductive tract. In addition to testis and epididymis, prostate and/or seminal vesicle may also be the source of it. The reason why seminal plasma Ang II of azoospermic patients is higher than that of others remains unknown. Further study is required to clarify the exact role of seminal plasma Ang II in the mechanisms of male fertility regulation.