Skip to main content

Immunological Infertility in Men: Clinical and Therapeutic Considerations

  • Chapter
Treatment of Male Infertility

Abstract

The antigenicity of spermatozoa and the seminal fluid has been known since the turn of the century. That immunization of both male and female animals with semen, testicular cells, and spermatozoa could render them temporarily or permanently sterile boosted research in immunoreproduction. As a result of these studies, a complex of antigenic substances has been described in semen. These antigens can be broadly classified into those found in the seminal fluid and those found in or on the spermatozoa (Fig. 1). Proteins, blood-group substances, HL-A antigens, and lactoferrin are examples of potent antigens found in the seminal fluid. In the group of antigens demonstrated with the spermatozoa, hyaluronidase, acrosin, protamine, and LDH-X can be mentioned, the first three originating from the sperm head and the last in the middle piece. In addition, a lipoglycoprotein present on the sperm surface appears to constitute at least one of the antigens that induces sperm agglutination and sperm immobilization. To further complicate the picture, spermatozoa have been shown to be potent antigen absorbers.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Alexander NJ, Schmidt SS (1977) Incidence of antisperm antibody levels and granulomas in men. Fertil Steril 28:655–657

    PubMed  CAS  Google Scholar 

  • Bandhauer K (1966) Immunreaktionen bei Fertilitätsstörungen des Mannes. Urol Int 21:247–282

    Article  PubMed  CAS  Google Scholar 

  • Boettcher B, Hjort T, Rümke P, Shulman S, Vyazov OE (1977) Auto- and isoantibodies to antigens of the human reproductive system. I. Results of an international comparative study. Clin Exp Immunol 30:173–180

    Google Scholar 

  • Butler WT, Rossen RD (1973) Effects of cortico-steroids on immunity in man. I. Decreased serum I concentration caused by 3 or 5 days of high-doses of methylprednisolone. J Clin Invest 52:2629–2640

    Article  PubMed  CAS  Google Scholar 

  • De Almeida M, Soufir JC (1977) Corticosteroid therapy for male autoimmune infertility. Lancet 11:815–816

    Article  Google Scholar 

  • Dondero F, Isidori A, Lenzi A, Cerasaro M, Mazzilli F, Giovenco P, Conti C (1979) Treatment and follow-up of patients with infertility due to spermagglutinins. Fertil Steril 31:48–51

    PubMed  CAS  Google Scholar 

  • Fjällbrant B (1965) Immunoagglutination of sperm in cases of sterility. Acta Obstet Gynecol Scand 44:474–490

    Article  PubMed  Google Scholar 

  • Fjällbrant B (1968) Sperm agglutinins in sterile and fertile men. Acta Obstet Gynecol Scand 47:89–101

    Article  PubMed  Google Scholar 

  • Fjällbrant B (1968) Interrelation between high levels of sperm antibodies, reduced penetration of cervical mucus by spermatozoa, and sterility in men. Acta Obstet Gynecol Scand 47:102–118

    Article  PubMed  Google Scholar 

  • Fjällbrant B (1969) Studies on sera from men with sperm antibodies. Acta Obstet Gynecol Scand 48:131–146

    Article  PubMed  Google Scholar 

  • Fjällbrant B (1973) Antibodies affecting fertility in males. In: Hesegawa T, Hagashi M, Ebling FJG, Henderson IW (eds) Proceedings of the Vllth World Congress Fertility and Sterility, Tokyo 1971 Excerpta Medica, Amsterdam, pp 99–104

    Google Scholar 

  • Fjällbrant B, Nilsson S (1977) Decrease of sperm antibody titer in males, and conception after treatment of chronic prostatitis. Int J Fertil 22:255–256

    PubMed  Google Scholar 

  • Friberg J (1974) Clinical and immunological studies on sperm-agglutinating antibodies in serum and seminal fluid. Acta Obstet Gynecol Scand [Suppl] 36:1–76

    Google Scholar 

  • Friberg J (1980) Serum and seminal fluid immunoglobulins in relation to testicular morphology. J Androl 1:133–137

    Google Scholar 

  • Friberg J (1980) Post-coital tests and sperm-agglutinating antibodies in men. Am J Obstet Gynecol 141:76–80

    Google Scholar 

  • Friberg J, Friberg-Tilly I (1977) Spontaneous sperm-agglutination in ejaculates from men with head-to-head or tail-to-tail sperm-agglutinating antibodies in serum. Fertil Steril 28: 657–662

    Google Scholar 

  • Halim A, Antoniou D, Leedham PW, Blandy JP, Tresidder GC (1973) Investigation and treatment of the infertile male. Proc R Soc Med 66:373–378

    PubMed  CAS  Google Scholar 

  • Hellema HWJ, Rümke P (1976) Comparison of the tray agglutination technique with the gelatin agglutination technique for the detection of sperm-agglutinating activity in human sera. Fertil Steril 27:284–292

    PubMed  CAS  Google Scholar 

  • Hendry WF, Stedronska J, Hughes L, Cameron KM, Pugh RCB (1979) Steroid treatment of male subfertility caused by anti-sperm antibodies. Lancet II:498–501

    Google Scholar 

  • Husted S (1975) Sperm antibodies in men from infertile couples. Analysis of sperm-agglutinins and immuno-fluorescent antibodies in 657 men. Int J Fertil 20:113–121

    PubMed  CAS  Google Scholar 

  • Husted S, Hjort T (1975) Sperm antibodies in serum and seminal plasma. Int J Fertil 20:97–105

    CAS  Google Scholar 

  • Husted S, Ingerslev HJ (1975) Comparison of methods for the detection of immobilizing and cytotoxic sperm antibodies. Acta Pathol Microbiol Scand Sect C 83:347–353

    Google Scholar 

  • Isojima S, Li TS, Ashitaka Y (1968) Immunologic analysis of sperm-immobilizing factor found in sera of women with unexplained sterility. Am J Obstet Gynecol 101:677–683

    Google Scholar 

  • Koskimies AI (1979) Sperm-agglutinating antibodies in infertile couples. Arch Androl 2:241–245

    Article  PubMed  CAS  Google Scholar 

  • Krause W (1974) Autorennotiz zum Beitrag „Unterdrückung spermagglutinierender Autoan-tikörper mit Imurek“. Hautarzt 25:574

    Google Scholar 

  • Krause W, Meyhöfer W (1973) Unterdrückung spermagglutinierender Autoantikörper im Serum durch Azathioprin (Imurek). Hautarzt 24:551–552

    PubMed  CAS  Google Scholar 

  • Kremer J, Jager S (1976) The sperm-cervical mucus contact test: A preliminary report. Fertil Steril 27:335–340

    PubMed  CAS  Google Scholar 

  • Kremer J, Jager S, Kuiken J (1978) Treatment of infertility caused by anti-sperm antibodies. Int J Fertil 23:270–276

    PubMed  CAS  Google Scholar 

  • Kremer J, Jager S, Kuiken J, van Slochteren-Draaisma T (1978) Recent advances in diagnosis and treatment of infertility due to anti-sperm antibodies. In: Cohen J, Hendry WF (eds) Spermatozoa, antibodies and infertility. Blackwell Scientific Publications, Oxford, pp 117–127

    Google Scholar 

  • Lamensdorf H, Compere D, Begley G (1975) Testosterone rebound therapy in the treatment of male infertility. Fertil Steril 26:469–472

    PubMed  CAS  Google Scholar 

  • Laurenti C, Fagioli A, Lenzi A, Dondero F (1978) Anti-sperm antibodies in a case of secondary unilateral testicular atrophy. Br J Urol 50:352

    Article  PubMed  CAS  Google Scholar 

  • Marcus ZH, Freisheim JH, Houk JL, Herman JH, Hess EV (1978) In vitro studies in reproductive immunology. 1. Suppression of cell-mediated immune response by human spermatozoa and fractions isolated from human seminal plasma. Clin Immunol Immunopathol 9:318–326

    Article  PubMed  CAS  Google Scholar 

  • Mettler L, Gradl T (1975) Difficulty of obtaining reproducibility in the Franklin and Dukes test for the detection of sperm-agglutinating antibodies in human sera. J Reprod Fertil 44:217–221

    Article  PubMed  CAS  Google Scholar 

  • Morgan H, Stedronska J, Hendry WF, Chamberlain GVP, Dewhurst CJ (1977) Sperm-cervical mucus crossed-hostility testing and anti-sperm antibodies in the husband. Lancet 1:1228–1230

    Article  PubMed  CAS  Google Scholar 

  • Parrillo JE, Fauci AS (1979) Mechanisms of glucocorticoid action on immune processes. Annu Rev Pharmacol Toxicol 19:179–201

    Article  PubMed  CAS  Google Scholar 

  • Phadke AM (1964) Fate of spermatozoa in cases of obstructive azoospermia and after ligation of vas deferens in man. Fertil Steril 7:1–12

    CAS  Google Scholar 

  • Quesada EM, Dukes CD, Deen GH, Franklin RR (1968) Genital infection and sperm-agglutinating antibodies in infertile men. J Urol 99:106–108

    PubMed  CAS  Google Scholar 

  • Rose NR, Hjort T, Rümke P, Harper MJK, Vyazov O (1976) Techniques for detection of iso-and auto-antibodies to human spermatozoa. Clin Exp Immunol 23:175–199

    Google Scholar 

  • Rümke P (1954) The presence of sperm antibodies in the serum of two patients with oligo-zoospermia. Vox Sang 4:135–140

    Google Scholar 

  • Rümke P (1974) Autoantibodies against spermatozoa in infertile men: Some unsolved problems. In: Centaro A, Carretti N (eds) Immunology in obstetrics and gynecology. Proceedings of the First International Congress, Padua 1973. Excerpta Medica, Amsterdam, pp 26–35

    Google Scholar 

  • Rümke P (1974) The origin of immunoglobulins in semen. Clin Exp Immunol 17:287–297

    PubMed  Google Scholar 

  • Rümke P, Hellinga G (1959) Autoantibodies against spermatozoa in sterile men. Am J Clin Pathol 32:357–363

    PubMed  Google Scholar 

  • Rümke P, van Amstel N, Messer EN, Bezemer PD (1973) Prognosis of men with auto-sperm- agglutinins in the serum and the unsuccessful treatment with testosterone. In: Bratanov K, Edwards RG, Vulchanov VH, Dikov V, Somlev B (eds) Immunology of reproduction. Proceedings of the Second International Symposium, Varna Bulgaria 1971. Bulgarian Academy of Sciences, Sofia, pp 319–324

    Google Scholar 

  • Rümke P, van Amstel N, Messer EN, Bezemer PD (1974) Prognosis of fertility of men with sperm-agglutinins in the serum. Fertil Steril 25:393–398

    PubMed  Google Scholar 

  • Schoenfeld C, Amelar RD, Dubin L (1976) Clinical experience with sperm antibody testing. Fertil Steril 27:1199–1203

    PubMed  CAS  Google Scholar 

  • Schoysman R (1968) Treatment of male infertility due to auto-agglutination of spermatozoa. In: Vlth World Congress Fertility and Sterility, Tel Aviv (Abstr), pp 112–113

    Google Scholar 

  • Schoysman R (1971) Immunologie du testicle et des spermatozoides. In: Endocrinopathies et immunologie. Masson, Paris, pp 345–365

    Google Scholar 

  • Setchell BP (1980) The functional significance of the blood-testis barrier. J Androl 1:3–10

    CAS  Google Scholar 

  • Shulman S (1976) Treatment of immune male infertility with methylprednisolone. Lancet II:1243

    Google Scholar 

  • Shulman S, Davis P, Lade P, Reyniak JV (1977) Immune infertility and new approaches to treatment. In: Boettcher B (ed) Immunological influence on human fertility. Academic Press, Sydney, pp 281–288

    Google Scholar 

  • Shulman S, Harlin B, Davis P, Reyniak JV (1978) Immune infertility and new approaches to treatment. Fertil Steril 29:309–313

    PubMed  CAS  Google Scholar 

  • Shulman S, Mininberg DT, Davis JE (1978) Significant immunologic factors in male infertility. J Urol 119:231–234

    PubMed  CAS  Google Scholar 

  • Stites DP, Erickson RP (1975) Suppressive effect of seminal plasma on lymphocyte activation. Nature (Lond) 253:727–729

    Article  CAS  Google Scholar 

  • Walsh PC, Amelar RD (1977) Medical management of male infertility. In: Amelar RD, Dubin L, Walsh PC (eds) Male infertility. Saunders, Philadelphia, pp 179–190

    Google Scholar 

  • Wilson L (1954) Sperm-agglutinins in human semen and blood. Proc Soc Exp Biol Med 85:652–655

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1982 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Friberg, J. (1982). Immunological Infertility in Men: Clinical and Therapeutic Considerations. In: Bain, J., Schill, WB., Schwarzstein, L. (eds) Treatment of Male Infertility. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68223-0_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-68223-0_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-68225-4

  • Online ISBN: 978-3-642-68223-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics