Evaluation of seminal citrate level by 1H nuclear magnetic resonance spectroscopy in men with spinal cord injury

Study design: A case–control evaluating seminal citrate in patients with spinal cord injury (SCI). Objective: Several studies have shown neurological prostatic dysfunction in patients with SCI, as confirmed by low levels of seminal prostate-specific antigen (PSA), which is used as a parameter of gla...

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Veröffentlicht in:Spinal cord 2009-12, Vol.47 (12), p.878-881
Hauptverfasser: Alexandrino, A P, Rodrigues, M A F, Matsuo, T, Schuquel, I T A, Costa, W F, Santilli, J C
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container_end_page 881
container_issue 12
container_start_page 878
container_title Spinal cord
container_volume 47
creator Alexandrino, A P
Rodrigues, M A F
Matsuo, T
Schuquel, I T A
Costa, W F
Santilli, J C
description Study design: A case–control evaluating seminal citrate in patients with spinal cord injury (SCI). Objective: Several studies have shown neurological prostatic dysfunction in patients with SCI, as confirmed by low levels of seminal prostate-specific antigen (PSA), which is used as a parameter of gland activity. However, seminal citrate, produced almost exclusively by the prostate, could also be used as a marker of prostate function. Thus, the objective of this study was to determine whether SCI causes any changes in seminal citrate concentration and to compare the results obtained for patients and healthy men (controls). Setting: The study was carried out in Brazil. Methods: We studied 30 men with SCI aged on average 37.77±10.04 years and 30 controls aged on average 38.03±10.06 years. Blood and semen samples were collected after 3 days of abstinence from ejaculation. Fifteen minutes after collection, semen was stored in liquid nitrogen and the samples were submitted to 1 H nuclear magnetic resonance ( 1 H NMR). Serum was stored at a controlled temperature of −70 to −79 °C and later used for the determination of testosterone, prolactin and total PSA using an AxSYM instrument and Abbott reagents. Results: The median concentration of seminal citrate was significantly lower in patients than in controls (521.65 versus 858.30 mg per 100 ml, P
doi_str_mv 10.1038/sc.2009.62
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Serum was stored at a controlled temperature of −70 to −79 °C and later used for the determination of testosterone, prolactin and total PSA using an AxSYM instrument and Abbott reagents. Results: The median concentration of seminal citrate was significantly lower in patients than in controls (521.65 versus 858.30 mg per 100 ml, P &lt;0.001). Conclusions: Patients with SCI have a significant reduction of seminal citrate as a consequence of neurological dysfunction of the prostate.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/sc.2009.62</identifier><identifier>PMID: 19652660</identifier><identifier>CODEN: SPCOFM</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adult ; Anatomy ; Biological and medical sciences ; Biomarkers - analysis ; Biomarkers - metabolism ; Biomedical and Life Sciences ; Biomedicine ; Cerebrospinal fluid. Meninges. Spinal cord ; Citric Acid - analysis ; Citric Acid - metabolism ; Down-Regulation - physiology ; Human Physiology ; Humans ; Hydrogen ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Magnetic Resonance Spectroscopy - methods ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurochemistry ; Neurology ; Neuropsychology ; Neurosciences ; original-article ; Predictive Value of Tests ; Prostatic Diseases - diagnosis ; Prostatic Diseases - etiology ; Prostatic Diseases - physiopathology ; Semen - chemistry ; Semen - metabolism ; Sensitivity and Specificity ; Sexual Dysfunction, Physiological - diagnosis ; Sexual Dysfunction, Physiological - etiology ; Sexual Dysfunction, Physiological - physiopathology ; Spinal Cord Injuries - complications ; Traumas. 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Objective: Several studies have shown neurological prostatic dysfunction in patients with SCI, as confirmed by low levels of seminal prostate-specific antigen (PSA), which is used as a parameter of gland activity. However, seminal citrate, produced almost exclusively by the prostate, could also be used as a marker of prostate function. Thus, the objective of this study was to determine whether SCI causes any changes in seminal citrate concentration and to compare the results obtained for patients and healthy men (controls). Setting: The study was carried out in Brazil. Methods: We studied 30 men with SCI aged on average 37.77±10.04 years and 30 controls aged on average 38.03±10.06 years. Blood and semen samples were collected after 3 days of abstinence from ejaculation. Fifteen minutes after collection, semen was stored in liquid nitrogen and the samples were submitted to 1 H nuclear magnetic resonance ( 1 H NMR). Serum was stored at a controlled temperature of −70 to −79 °C and later used for the determination of testosterone, prolactin and total PSA using an AxSYM instrument and Abbott reagents. Results: The median concentration of seminal citrate was significantly lower in patients than in controls (521.65 versus 858.30 mg per 100 ml, P &lt;0.001). Conclusions: Patients with SCI have a significant reduction of seminal citrate as a consequence of neurological dysfunction of the prostate.</description><subject>Adult</subject><subject>Anatomy</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - analysis</subject><subject>Biomarkers - metabolism</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cerebrospinal fluid. Meninges. 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Objective: Several studies have shown neurological prostatic dysfunction in patients with SCI, as confirmed by low levels of seminal prostate-specific antigen (PSA), which is used as a parameter of gland activity. However, seminal citrate, produced almost exclusively by the prostate, could also be used as a marker of prostate function. Thus, the objective of this study was to determine whether SCI causes any changes in seminal citrate concentration and to compare the results obtained for patients and healthy men (controls). Setting: The study was carried out in Brazil. Methods: We studied 30 men with SCI aged on average 37.77±10.04 years and 30 controls aged on average 38.03±10.06 years. Blood and semen samples were collected after 3 days of abstinence from ejaculation. Fifteen minutes after collection, semen was stored in liquid nitrogen and the samples were submitted to 1 H nuclear magnetic resonance ( 1 H NMR). Serum was stored at a controlled temperature of −70 to −79 °C and later used for the determination of testosterone, prolactin and total PSA using an AxSYM instrument and Abbott reagents. Results: The median concentration of seminal citrate was significantly lower in patients than in controls (521.65 versus 858.30 mg per 100 ml, P &lt;0.001). Conclusions: Patients with SCI have a significant reduction of seminal citrate as a consequence of neurological dysfunction of the prostate.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>19652660</pmid><doi>10.1038/sc.2009.62</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Anatomy
Biological and medical sciences
Biomarkers - analysis
Biomarkers - metabolism
Biomedical and Life Sciences
Biomedicine
Cerebrospinal fluid. Meninges. Spinal cord
Citric Acid - analysis
Citric Acid - metabolism
Down-Regulation - physiology
Human Physiology
Humans
Hydrogen
Injuries of the nervous system and the skull. Diseases due to physical agents
Magnetic Resonance Spectroscopy - methods
Male
Medical sciences
Middle Aged
Nervous system (semeiology, syndromes)
Neurochemistry
Neurology
Neuropsychology
Neurosciences
original-article
Predictive Value of Tests
Prostatic Diseases - diagnosis
Prostatic Diseases - etiology
Prostatic Diseases - physiopathology
Semen - chemistry
Semen - metabolism
Sensitivity and Specificity
Sexual Dysfunction, Physiological - diagnosis
Sexual Dysfunction, Physiological - etiology
Sexual Dysfunction, Physiological - physiopathology
Spinal Cord Injuries - complications
Traumas. Diseases due to physical agents
title Evaluation of seminal citrate level by 1H nuclear magnetic resonance spectroscopy in men with spinal cord injury
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