1991
DOI: 10.1111/j.1464-410x.1991.tb15399.x
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Seminal White Blood Cells in Men with Urethral Tract Infection. A Monoclonal Antibody Study

Abstract: Monoclonal antibodies were used to detect seminal leucocytes in 19 men with urethritis. A wide range in the number and type of leucocytes between individuals was documented (median 2.06 x 10(6)/ml, range 0.6-29.89 x 10(6)/ml); 22% of the men had less than 1 x 10(6) leucocytes/ml. The results suggest that the threshold of greater than or equal to 1 x 10(6)/ml proposed by the World Health Organisation to indicate genital tract infection is unsuitable for men with urethritis.

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Cited by 17 publications
(12 citation statements)
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“…The same difficulties become evident with respect to significance and distribution of seminal leucocytes. It is apparently undisputed that seminal leucocytes are a reliable indicator of infections of both male accessory sex glands and ejaculate (Comhaire et al ., 1980; Barratt et al ., 1991; Weidner et al ., 1991). However, the impact of infections and/or leucocytes for ejaculate parameters and male infertility is still under debate (van der Ven et al ., 1987; Wolff et al ., 1990; Diemer et al ., 2000b).…”
Section: Discussionmentioning
confidence: 99%
“…The same difficulties become evident with respect to significance and distribution of seminal leucocytes. It is apparently undisputed that seminal leucocytes are a reliable indicator of infections of both male accessory sex glands and ejaculate (Comhaire et al ., 1980; Barratt et al ., 1991; Weidner et al ., 1991). However, the impact of infections and/or leucocytes for ejaculate parameters and male infertility is still under debate (van der Ven et al ., 1987; Wolff et al ., 1990; Diemer et al ., 2000b).…”
Section: Discussionmentioning
confidence: 99%
“…Symptomatic bacterial genital tract infections and inflammation are often associated with increased urethral/seminal WBC numbers [62,63]. However, chronic asymptomatic genital viral infections do not generally produce elevated seminal WBC counts [64,65], and as mentioned above, HIV infection appears to deplete CD4 + and CD8 + lymphocytes in semen [15,66], an effect partially reversed by antiretroviral therapy [15].…”
Section: Putative Cellular Vectors Of Hiv Mucosal Transmissionmentioning
confidence: 99%
“…Although HIV RNA levels in blood roughly correlate with levels in seminal plasma (13,39,56,69,72), local genital factors, particularly concomitant sexually transmitted infections (STI), can increase HIV shedding in semen (38,39,61). Common bacterial STI can also increase the number of immune cells in the genital tract (9,52), and elevated counts of white blood cells in semen are associated with higher seminal HIV shedding (3,4,69,80). Since HIV principally infects and replicates in CD4 Ï© T lymphocytes, monocytes, and macrophages (16,30), an accumulation of these cells in semen is likely to increase the risk of sexual HIV transmission (40,79).…”
mentioning
confidence: 99%