Płodność i alergia – czy istnieje związek?

ARTYKUŁ PRZEGLĄDOWY

Płodność i alergia – czy istnieje związek?

Rafał Adamczak 1 , Natalia Ukleja-Sokołowska 2 , Zbigniew Bartuzi 2

1. Department of Obstetrics and Gynaecology, L. Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Bydgoszcz, Poland
2. Department and Clinic of Allergology, Clinical Immunology and Internal Medicine, L. Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Bydgoszcz, Poland

Opublikowany: 2019-09-12
DOI: 10.5604/01.3001.0013.4536
GICID: 01.3001.0013.4536
Dostępne wersje językowe: pl en
Wydanie: Postepy Hig Med Dosw 2019; 73 : 440-446

 

Abstrakt

Approximately 10% of couples have difficulties conceiving. Idiopathic infertility affects 10–15% of infertile couples. Some suspected causes of idiopathic infertility are lifestyle factors such as stress, diet, smoking, obesity, lack of physical exercise and alcohol consumption. At the same time, allergies and bronchial asthma are growing health problems in developed countries. Therefore, this study addresses the possible correlation between atopic diseases and fertility. Several interesting cases of patients presenting symptoms of HSPH (human seminal plasma hypersensitivity) have been reported to date. In the majority of cases, allergy to semen is the IgE-dependent response to proteins contained in the seminal plasma. Observations indicating that patients presenting symptoms of HSPH are primarily allergic to allergens of dogs are particularly interesting. The structure of dog allergen Can f 5 is similar to the human PSA (55–60% similarity in the sequence of amino acids). This may explain the presence of IgE-dependent reactions following contact with semen during sexual intercourse in women allergic to dog fur. This article presents the current state of knowledge on the phenomenon.

Przypisy

  • 1. Allam J.P., Haidl G., Novak N.: Semenallergy. Hautarzt, 2015; 66: 919–923
    Google Scholar
  • 2. Al-Sahab B., Hamadeh M.J., Ardern C.I., Tamim H.: Early menar­che predicts incidence of asthma in early adulthood. Am. J. Epide­miol., 2011; 173: 64–70
    Google Scholar
  • 3. Baker T.W., Ghosh D., Bernstein J.A.: Successful intravaginal gra­ded challenge after a systemic reaction with skin prick testing to seminal fluid. Ann. Allergy Asthma Immunol., 2013; 110: 301–303
    Google Scholar
  • 4. Basagaña M., Bartolomé B., Pastor C., Torres F., Alonso R., Vivanco F., Cisteró-Bahíma A.: Allergy to human seminal fluid: cross-reacti­vity with dog dander. J. Allergy Clin. Immunol., 2008; 121: 233–239
    Google Scholar
  • 5. Basagaña M., Luengo O., Labrador M., Garriga T., Mattsson L., Li­dholm J., Cardona V., Component-resolved diagnosis of dog allergy. J. Investig. Allergol. Clin. Immunol., 2017; 27: 185–187
    Google Scholar
  • 6. Basagaña M., Pastor C., Bartolomé B., Alonso R., San Miguel M., Cisteró-Bahíma A.: Prostate specific antigen: Responsible allergen in human seminal plasma allergy. J. Allergy Clin. Immunol., 2007; 119: S18
    Google Scholar
  • 7. Bernstein J.A.: Human seminal plasma hypersensitivity: an under­-recognized women’s health issue. Postgrad. Med., 2011; 123: 120–125
    Google Scholar
  • 8. Canguven O., Albayrak S.: Do low testosterone levels contribute to the pathogenesis of asthma? Med. Hypotheses, 2011; 76: 585–588
    Google Scholar
  • 9. Chapdelaine P., Potvin C., Ho-Kim M.A., Larouche L., Bellemare G., Tremblay R.T., Dubé J.Y.: Androgen regulation of canine prostatic arginine esterase mRNA using cloned cDNA. Mol. Cell. Endocrinol., 1988; 56: 63–70
    Google Scholar
  • 10. Chen W., Mempel M., Schober W., Behrendt H., Ring J.: Gender difference, sex hormones, and immediate type hypersensitivity re­actions. Allergy, 2008; 63:1418–1427
    Google Scholar
  • 11. Choi I.S.: Gender-specific asthma treatment. Allergy Asthma Immunol. Res., 2011; 3: 74-80
    Google Scholar
  • 12. ClinicalTrials.gov. Unexplained Infertility Among Asthmatic and Atopic Patients. https://clinicaltrials.gov/ct2/show/NCT01788735 (26.06.2018)
    Google Scholar
  • 13. Gade E.J., Thomsen S.F., Lindenberg S., Backer V.: Fertility out­comes in asthma: a clinical study of 245 women with unexplained infertility. Eur. Respir. J., 2016; 47: 1144–1151
    Google Scholar
  • 14. Gade E.J., Thomsen S.F., Lindenberg S., Kyvik K.O., Lieberoth S., Backer V.: Asthma affects time to pregnancy and fertility: a register­-based twin study. Eur. Respir. J., 2014; 43: 1077–1085
    Google Scholar
  • 15. Galobardes B., Patel S., Henderson J., Jeffreys M., Smith G.D.: The association between irregular menstruations and acne with asthma and atopy phenotypes. Am. J. Epidemiol., 2012; 176: 733–737
    Google Scholar
  • 16. Ghosh D., Bernstein J.A.: Localized seminal plasma hypersen­sitivity: patients’ reactivity to seminal plasma proteins and immu­nological responses to desensitization. J. Allergy Clin. Immunol., 2010; 125: AB36
    Google Scholar
  • 17. González-de-Olano D., Gandolfo-Cano M., de-Calzada-Bustingor­ri M.P., González-Mancebo E., de-Andrés-Martín A., Cuesta-Herranz J., Bartolomé-Zavala B., Pastor-Vargas C.: Prevalence of allergy to human seminal fluid among women with allergy to male dog and sensitization to Can f 5. Clin. Exp. Allergy, 2018; 48: 1368–1370
    Google Scholar
  • 18. Gupta A., Goenka D., Goenka M.L.: Progesterone hypersensitivi­ty: A challenge for luteal support. J. Hum. Reprod. Sci., 2018; 11: 79–81
    Google Scholar
  • 19. Jankowski M., Kodyra E., Kaszubowska J., Czajkowski R.: Cha­racterization of patients with suspected hypersensitivity to cervi­co vaginal fluid. J. Eur. Acad. Dermatol. Venereol., 2018; 32: 86–90
    Google Scholar
  • 20. Jensen-Jarolim E., Untersmayr E.: Gender-medicine aspects in allergology. Allergy, 2008; 63: 610–615
    Google Scholar
  • 21. Juul Gade E., Thomsen S.F., Lindenberg S., Backer V.: Female asthma has a negative effect on fertility: what is the connection? ISRN Allergy, 2014; 2014: 131092
    Google Scholar
  • 22. Käck U., Asarnoj A., Grönlund H., Borres M.P., van Hage M., Lilja G., Konradsen J.R.: Molecular allergy diagnostics refine characteriza­tion of children sensitized to dog dander. J. Allergy Clin. Immunol., 2018; 142: 1113–1120.e9
    Google Scholar
  • 23. Kamata Y., Miyanomae A., Nakayama E., Miyanomae T., Tajima T., Hoshi H.: Characterization of dog allergens Can f 1 and Can f 2. 1. Preparation of their recombinant proteins and antibodies. Int. Arch. Allergy Immunol., 2007; 142: 291–300
    Google Scholar
  • 24. Koper I., Hufnagl K., Ehmann R.: Gender aspects and influence of hormones on bronchial asthma – Secondary publication and update. World Allergy Organ. J., 2017; 10: 46
    Google Scholar
  • 25. Laffont S., Blanquart E., Savignac M., Cénac C., Laverny G., Met­zger D., Girard J.P., Belz G.T., Pelletier L., Seillet C., Guéry J.C.: Andro­gen signaling negatively controls group 2 innate lymphoid cells. J. Exp. Med., 2017; 214: 1581–1592
    Google Scholar
  • 26. Liccardi G., Calzetta L., Salzillo A., Apicella G., Di Maro E., Ro­gliani P.: What could the role of can f 5 allergen be in dog-sensi­tized patients in “real life”? J. Investig. Allergol. Clin. Immunol., 2017; 27: 397–398
    Google Scholar
  • 27. Macsali F., Real F.G., Omenaas E.R., Bjorge L., Janson C., Franklin K., Svanes C.: Oral contraception, body mass index, and asthma: a cross-sectional Nordic-Baltic population survey. J. Allergy Clin. Im­munol., 2009; 123: 391–397
    Google Scholar
  • 28. Matalliotakis I., Cakmak H., Matalliotakis M., Kappou D., Arici A.: High rate of allergies among women with endometriosis. J. Obstet. Gynaecol., 2012; 32: 291–293
    Google Scholar
  • 29. Nilsson L., Kjellman N.I., Löfman O., Björkstén B.: Parity among ato­pic and non-atopic mothers. Pediatr. Allergy Immunol., 1997; 8: 134–136
    Google Scholar
  • 30. Pagán J.A., Postigo I., Rodríguez-Pacheco J.R., Peña M., Guisantes J.A., Martínez J.: Bovine serum albumin contained in culture medium used in artificial insemination is an important anaphylaxis risk fac­tor. Fertil. Steril., 2008; 90: 2013.e17–9
    Google Scholar
  • 31. Pałgan K., Żbikowska-Götz M., Chrzaniecka E., Bartuzi Z.: Ve­nom immunotherapy and pregnancy. Postepy Dermatol. Alergol., 2018; 35: 90–92
    Google Scholar
  • 32. Petri M.A., Lahita R.G., Van Vollenhoven R.F., Merrill J.T., Schiff M., Ginzler E.M., Strand V., Kunz A., Gorelick K.J., Schwartz K.E., GL601 Study Group: Effects of prasterone on corticosteroid requ­irements of women with systemic lupus erythematosus: a double­-blind, randomized, placebo-controlled trial. Arthritis Rheum., 2002; 46: 1820–1829
    Google Scholar
  • 33. Schoos A.M., Bønnelykke K., Chawes B.L., Stokholm J., Bisgaard H., Kristensen B.: Precision allergy: Separate allergies to male and female dogs. J. Allergy Clin. Immunol. Pract., 2017; 5: 1754–1756
    Google Scholar
  • 34. Sills E.S., Conway S.C., Kaplan C.R., Perloe M., Tucker M.J.: First successful case of in vitro fertilization-embryo transfer with venom immunotherapy for hymenoptera sting allergy., Clin. Mol. Allergy, 2004; 2: 11
    Google Scholar
  • 35. Song W.J., Kim D.I., Kim M.H., Yang M.S., Kim Y.J., Kim S.H., Cho S.H., Min K.U., Chang Y.S.: Human seminal plasma allergy: successful pregnancy after prophylactic anti-histamine treatment. Asia Pac. Allergy, 2011; 1: 168–171
    Google Scholar
  • 36. Sturm G.J., Varga E.M., Roberts G., Mosbech H., Bilò M.B., Ak­dis C.A., Antolín-Amérigo D., Cichocka-Jarosz E., Gawlik R., Jakob T., Kosnik M., Lange J., Mingomataj E., Mitsias D.I., Ollert M., et al.: EAACI guidelines on allergen immunotherapy: Hymenoptera venom allergy. Allergy, 2018; 73: 744–764
    Google Scholar
  • 37. Sunyer J., Antó J.M., Plana E., Janson C., Jarvis D., Kony S., Ome­naas E.R., Svanes C., Wjst M., Leynaert B., European Community Re­spiratory Health Study: Maternal atopy and changes in parity. Clin. Exp. Allergy, 2005; 35: 1028–1032
    Google Scholar
  • 38. Svanes C., Real F.G., Gislason T., Jansson C., Jögi R., Norrman E., Nyström L., Torén K., Omenaas E.: Association of asthma and hay fever with irregular menstruation. Thorax, 2005; 60: 445–450
    Google Scholar
  • 39. Tal Y., Bernstein J.A., Lorberbaum M., Ghosh D., Dranitzki Z.: Is skin testing reliable for confirming sensitization to seminal fluid proteins? J. Allergy Clin. Immunol. Pract., 2014; 2: 798–799
    Google Scholar
  • 40. Tan J., Bernstein J.A.: Fertility and humanseminal plasma (HSP) hypersensitivity. Ann. Allergy Asthma Immunol., 2013; 111: 145–146
    Google Scholar
  • 41. Tata L.J., Hubbard R.B., McKeever T.M., Smith C.J., Doyle P., Sme­eth L., West J., Lewis S.A.: Fertility rates in women with asthma, ecze­ma, and hay fever: a general population-based cohort study. Am. J. Epidemiol., 2007; 165: 1023–1030
    Google Scholar
  • 42. Turner P.J., Jerschow E., Umasunthar T., Lin R., Campbell D.E., Boyle R.J.: Fatal anaphylaxis: Mortality rate and risk factors. J. Al­lergy Clin. Immunol. Pract., 2017; 5: 1169–1178
    Google Scholar
  • 43. Ukleja-Sokołowska N., Gawrońska-Ukleja E., Żbikowska-Gotz M., Socha E., Lis K., Sokołowski Ł., Kuźmiński A., Bartuzi Z.: Analysis of feline and canine allergen components in patients sensitized to pets. Allergy Asthma Clin. Immunol., 2016; 12: 61
    Google Scholar
  • 44. Weidinger S., Ring J., Köhn F.M.: IgE-mediated allergy against human seminal plasma, Chem. Immunol. Allergy, 2005; 88: 128-138
    Google Scholar
  • 45. Westergaard T., Begtrup K., Rostgaard K., Krause T.G., Benn C.S., Melbye M.: Reproductive history and allergic rhinitis among 31145 Danish women. Clin. Exp. Allergy, 2003; 33: 301–305
    Google Scholar
  • 46. Wolthers O.D.: A five-year follow up of human seminal plasma allergy in an 18-year-old woman. Case Rep. Med., 2012; 2012: 257246
    Google Scholar

Pełna treść artykułu

Skip to content