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Oxidative Stress and Infection

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Studies on Men's Health and Fertility

Abstract

Male accessory gland infections (MAGI) are included among the conventional diagnostic categories recognized to cause male infertility. They constitute a clinical model of oxidative stress for a number of considerations: (a) some uropathogens or etiological agents of sexually transmitted diseases (Chlamydia trachomatis, Ureaplasma urealyticum) by themselves, microbial products, and/or toxic metabolites may contribute to an overproduction of reactive oxygen species (ROS); (b) the canalicular spread of pathogens to one or more male accessory glands causes a further increase of ROS production, since they become the site of inflammation as shown by the presence of morphostructural abnormalities. The infecting pathogen triggers an inflammatory process which includes a series of multiple persistent components, such as kinetic of leukocyte subpopulations, pattern of cytokine production, and morphostructural abnormalities of the infected glands. This results in a final impairment of conventional and non-­conventional sperm parameters. Therefore, MAGI-related oxidative stress is the sum of a microenvironmental and sperm-related damage. This includes several redox imbalance in the gland (ratio of gland inflamed areas to noninflamed areas), pattern of cytokine release (prooxidative/antioxidant ratio), and sperm microenvironment.

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Correspondence to Aldo E. Calogero MD .

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Vicari, E., La Vignera, S., Calogero, A.E. (2012). Oxidative Stress and Infection. In: Agarwal, A., Aitken, R., Alvarez, J. (eds) Studies on Men's Health and Fertility. Oxidative Stress in Applied Basic Research and Clinical Practice. Humana Press. https://doi.org/10.1007/978-1-61779-776-7_25

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