PMID- 24903066 OWN - NLM STAT- MEDLINE DCOM- 20150512 LR - 20140815 IS - 2047-2927 (Electronic) IS - 2047-2919 (Linking) VI - 2 IP - 5 DP - 2014 Sep TI - Detection and quantification of human herpes viruses types 4-6 in sperm samples of patients with fertility disorders and chronic inflammatory urogenital tract diseases. PG - 687-94 LID - 10.1111/j.2047-2927.2014.00232.x [doi] AB - Acute and chronic infections of the seminal tract are among the most common causes of male infertility. As at least half of male infertility cases are classified as idiopathic, some of these cases might be attributed to asymptomatic infection. The detection and quantification of Epstein-Barr virus (EBV), cytomegalovirus (CMV) and human herpes virus type 6 (HHV-6) DNA in semen samples were performed. A total of 232 patients were divided into five groups: (i) infertile men with varicocoele; (ii) men with idiopathic infertility; (iii) infertile men with chronic inflammatory urogenital tract diseases (IUTD); (iv) fertile men with IUTD and (v) men whose partners had a history of pregnancy loss. In the study population, the prevalence of viral DNA was 17.7, 3.4% for EBV, 5.2% for CMV, 6.5% for HHV-6, 0.43% for EBV + CMV, 0.87% for EBV + HHV-6 and 1.3% for CMV + HHV-6. The median viral loads for EBV, CMV and HHV-6 were 500, 2250 and 250 copies/mL respectively. Of the sperm cell fractions, derived from infected samples 87.5% contained viral DNA. No association between EBV and fertility disorders or IUTD was found. CMV detection was much higher in the group of patients with infertility and concomitant IUTD compared with the other groups combined (18.5% vs. 5.4%, p = 0.03) and associated with reduced sperm cell count (39.5 x 10(6) /mL vs. 72.5 x 10(6) /mL, p = 0.036). Immunostaining of spermatozoa from infected samples and in vitro-infected cells detected CMV in sperm heads, tails and connecting pieces and revealed attachment to sperm membrane and intracellular localization. HHV-6 was the more common in fertile men with chronic IUTD than in the other groups combined (19% vs. 6.3%, p = 0.018) and had no effect on sperm parameters. The results suggest that both CMV and HHV-6 may contribute to the aetiology of IUTD and, moreover, CMV-associated IUTD can lead to male sterility. CI - (c) 2014 American Society of Andrology and European Academy of Andrology. FAU - Naumenko, V AU - Naumenko V AD - D.I. Ivanovsky Institute of Virology, Moscow, Russia. FAU - Tyulenev, Y AU - Tyulenev Y FAU - Kurilo, L AU - Kurilo L FAU - Shileiko, L AU - Shileiko L FAU - Sorokina, T AU - Sorokina T FAU - Evdokimov, V AU - Evdokimov V FAU - Yakovleva, V AU - Yakovleva V FAU - Kovalyk, V AU - Kovalyk V FAU - Malolina, E AU - Malolina E FAU - Kulibin, A AU - Kulibin A FAU - Gomberg, M AU - Gomberg M FAU - Kushch, A AU - Kushch A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140605 PL - England TA - Andrology JT - Andrology JID - 101585129 RN - 0 (DNA, Viral) SB - IM MH - Adult MH - Cytomegalovirus/isolation & purification MH - DNA, Viral/*isolation & purification MH - Herpesviridae Infections/*virology MH - Herpesvirus 4, Human/isolation & purification MH - Herpesvirus 6, Human/isolation & purification MH - Humans MH - Infertility, Male/*virology MH - Male MH - Male Urogenital Diseases/*virology MH - Semen Analysis MH - Spermatozoa/virology MH - Urogenital System/virology MH - Varicocele OTO - NOTNLM OT - Epstein-Barr virus OT - cytomegalovirus OT - human herpes virus type 6 OT - infertility OT - pelvic pain syndrome OT - prostatitis OT - spermatozoa OT - uretheritis EDAT- 2014/06/07 06:00 MHDA- 2015/05/13 06:00 CRDT- 2014/06/07 06:00 PHST- 2013/10/10 00:00 [received] PHST- 2014/05/04 00:00 [revised] PHST- 2014/05/07 00:00 [accepted] PHST- 2014/06/07 06:00 [entrez] PHST- 2014/06/07 06:00 [pubmed] PHST- 2015/05/13 06:00 [medline] AID - 10.1111/j.2047-2927.2014.00232.x [doi] PST - ppublish SO - Andrology. 2014 Sep;2(5):687-94. doi: 10.1111/j.2047-2927.2014.00232.x. Epub 2014 Jun 5.