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Production of Anti-sperm Antibody (ASA) in Men

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Gamete Immunology
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Abstract

The blood-testis barrier (BTB) creates favorable conditions for the spermatogenesis and sperm survival in the testicular fluid. It prevents the occurrence of autoimmunity after puberty. The alteration of the BTB allows the production of anti-sperm antibodies (ASAs) and may lead to infertility. This leads to autoimmune-mediated testicular damage, germ cell loss, and impaired sperm function.

The possible risk factors of ASA production in men have been shown such as congenital or acquired chronic obstruction of the male reproductive tract (MRT), infection in the MRT, varicocele, cryptorchidism, testicular injuries, testicular tumors, homosexual men, spinal cord injury, and autoimmune diseases. However, the relationship between these risk factors and the production of ASA is still controversial. Recently, it was suggested that vasectomy followed by vasovasostomy is the only clinical condition that shows almost permanently high titers of ASA in numerous clinical series.

In this chapter, the possible risk factors for the production of ASA in men are discussed.

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Shibahara, H. (2022). Production of Anti-sperm Antibody (ASA) in Men. In: Shibahara, H., Hasegawa, A. (eds) Gamete Immunology. Springer, Singapore. https://doi.org/10.1007/978-981-16-9625-1_10

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