US006180355B1 (12) United States Patent (10) Patent N0.: US 6,180,355 B1 Alexander et al. (45) Date of Patent: Jan. 30, 2001 (54) METHOD FOR DIAGNOSING AND Ryoji Yasumoto et al., “Seminal Plasma Cytokines in Non TREATING CHRONIC PELVIC PAIN bacterial Prostatitis: Changes FolloWing Spar?oxacin Treat SYNDROME ment,” Acta Urol. Jpn., 1995, 41: pp.771—774. F. Comhaire et al., “Cytokines in Semen of Normal Men and (75) Inventors: Richard B. Alexander; Sathibalan of Patients With Andrological Diseases,” American Journal Ponniah, both of Ellicott City, MD of Reproductive Immunology, 1994, 1994, 31: pp. 99—103. (Us) Kouichiro Shimoya et al., “Detection of Monocyte Chemo (73) Assignee: University of Maryland, Baltimore, tactic and Activating Factor (MCAF) and Interleukin (IL)—6 Baltimore, MD (US) in Human Seminal Plasma and Effect of Leukospermia on These Cytokine Levels,” American Journal of Reproductive ( * ) Notice: Under 35 U.S.C. 154(b), the term of this Immunology, 1995, 34: pp. 311—316. patent shall be extended for 0 days. Taiji Nishimura et al., IL—1ra Versus IL—1 Levels in Pros tatic Fluid from Prostatitis Patients, Urol Int 1998, 60: pp. (21) Appl. No.: 09/306,927 92—96. (22) Filed: May 7, 1999 Taiji Nishimura et al., “LoW Levels of IL—1ra Versus IL—1 Levels in Prostatic Fluid Are Not a Cause of Prolongation of Related US. Application Data Prostatitis,” J. Nippon Med. Sch., 1996, 63 (6): pp. 62—63. (60) Provisional application No. 60/084,668, ?led on May 7, 1998. Maryann Nocera and T. Ming Chu, “Characterization of Latent Transforming GroWth Factor—[3 From Human Semi (51) Int. Cl.7 ......................... .. G01N 33/50; G01N 33/53 nal Plasma,” American Journal of Reproductive Immunol ogy, 1995, 33: pp. 282—291. (52) US. Cl. ............................................. .. 435/71; 435/78 (List continued on next page.) (58) Field of Search .......................... .. 435/7.1, 7.8, 7.92, 435/794; 424/141, 145.1, 158.1; 436/501, Primary Examiner—Robert A. SchWartZman 86, 87 Assistant Examiner—Thomas G. Larson (74) Attorney, Agent, or Firm—Steven J. Hultquist; (56) References Cited William A. Barrett PUBLICATIONS (57) ABSTRACT Yasumoto et al. (1995) Seminal plasma cytokines in non bacterial prostatitis: Changes following spar?oxacin treat The present invention provides a superior method of diag ment. Acta Urologica J aponica 41: 771—774. (English nosing Chronic Pelvic Pain Syndrome in men comprising abstract only, BIOSIS accession No. 1996: 70462).* measuring levels of cytokines in semen or components or Depuydt et al. (1996) The relation betWeen reactive oxygen fractions of semen. The invention also provides a method of species and cytokines in andrological patients With or With treating a condition associated With elevated levels of a out male accessory gland infection. J. Andrology, 17: cytokine, such as TNF-(X, in semen or a component or fraction thereof, comprising administering a therapeutically 699—707.* NaZ et al. (1994) Increased levels of interleukin—6 in seminal effective amount of an ant-cytokine compound or plasma of infertile men. J. Andrology 15: 220—227.* composition, such as an anti-TNF-ot compound or compo R.B. Alexander, F. Brady and S. Ponnian, “Autoimmune sition. Prostatitis: Evidence of T Cell Reactivity With Normal Prostatic Proteins,” Urology, 50(6) pp. 893—899. 1997. 14 Claims, 8 Drawing Sheets SEMINAL PLASMA GM-CSF LEVELS, pg/ml PROSTATITIS N=8 NORMALS N=7 1200 1000 — . aoo — 5Q o 600 — IU") E 400 — i; \ i 200 — O o- i i | I PROSTATITIS NORMALS I lNDNlDUAL VALUES FOR EACH SUBJECT 1:1 MEAN (SEM) US 6,180,355 B1 Page 2 PUBLICATIONS Brigitte Dousset et al., “Seminal Cytokine Concentrations (IL—1[3, IL—2, IL—6, sR IL—2, sR IL—6), Semen Parameters Maryann Nocera and T. Ming Chu, “Transforming Growth and Blood Hormonal Status in Male Infertility,” Human Factor [3 as an Immunosuppressive Protein in Human Semi Reproduction, 1997, 12 (7): pp. 1476—1479. nal Plasma,” American Journal of Reproductive Immunol Mahmoud Huleihel et al., “Distinct Expression of Cytokines ogy, 1993, 30: pp. 1—8. and Mitogenic Inhibitory Factors in Semen of Fertile and Bernadette Loras et al., “Seminal Transforming GroWth Infertile Men,” American Journal of Immunology, 1997, 37: Factor—[3 in Normal and Infertile Men,” Human Reproduc pp. 304—309. tion, 1999, 14 (6): pp. 1534—1539. Matthias S. GruschWitZ et al., “Cytokine Levels in the Fiona C. Denison et al., “Seminal Plasma Components Seminal Plasma of Infertile Males,” Journal of Andrology, Stimulate Interleukin—8 and Interleukin—10 Release,” Mar/Apr. 1996, 17 (2): pp. 158—163. Molecular Human Reproduction, 1999, 5 (3):pp.220—226. E. Koumantakis et al., “Increased Levels of Interleukin—8 in LaWrence F. BroWn et al., “Vascular Permeability Factor Human Seminal Plasma,” Andrologia, 1998, 30: pp. (Vascular Endothelial GroWth Factor) Is Strongly Expressed 339—343. in the Normal Male Genital Tract and is Present in Substan G. Frenette et al., “High Concentrations of the Macrophage tial Quantities in Semen,” The Journal of Urology, Aug. Migration Inhibitory Factor in Human Seminal Plasma and 1995, 154: pp. 576—579. Prostatic Tissues,” Archives of Andrology, 1998, 41: pp. R. Paradisi et al., “Interleukin—2 in Seminal Plasma of 185—193. Fertile and Infertile Men,” Archives of Andrology, 1995, 35: Alexander E. Omu et al., “Antibiotic Therapy of Seminal pp. 35—41. Infection Effect on Antioxidant Activity and T—Helper Mahadevan Raj asekaran et al., “Oxidative Stress and Inter Cytokines,” The Journal of Reproductive Medicine, 1998, leukins in Seminal Plasma During Leukocytospermia,” Fer 43 (10): pp. 857—864. tility and Sterility, Jul. 1995, 64 (1): pp. 166—171. I. Matalliotakis et al., “Cytokine Levels in Seminal Plama,” Clin. Exp. Obst. & Gyn., 1998, 25 (1—2): pp. 58—60. Rajesh K. NaZ and Paul Kaplan, “Increased Levels of I. Matalliotakis et al., “Interleukin—6 in Seminal Plasma of Interleukin—6 in Seminal Plasma of Infertile Men,” Journal Fertile and Infertile Men,” Archives of Andrology, 1998, 41: of Andrology, May/Jun. 1994, 15 (3): pp. 220—227. pp. 43—50. S. ShimonovitZ et al., “High Concentration of Soluble Rajesh K. NaZ and Lori Evans, “Presence and Modulation of Interleukin—2 Receptors in Ejaculate With LoW Sperm Interleukin—12 in Seminal Plasma of Fertile and Infertile Motility,” Human Reproduction, 1994, 9 (4): pp. 653—655. Men,” Journal of Andrology, 1998, 19 (3): pp. 302—307. Nina—Beate Liabakk et al., “High Concentrations of the M. FujisaWa et al., “Levels of Interferon 0t and y in Seminal Soluble p55 Tumour Necrosis Factor Receptor in Human Plasma of NormoZoospermic, OligoZoospermic, and Seminal Plasma,” Human Reproduction, 1993, 8 (11): pp. AZoospermic Men,” Archives of Andrology, 1998, 40: pp. 1837—1842. 211—214. Y. Hirata et al., “Epidermal GroWth Factor in Human D.J. Anderson et al., “Quantitation of Mediators of In?am mation and Immunity in Genital Tract Secretions and Their Seminal Plasma,” Horm. Metabol. Res., 1987, 19: pp. 35—37. Relevance to HIV Type 1 Transmission,” AIDS Research and Human Retroviruses, 1998, 14 (Supplement 1): pp. Roger D. Kempers, “Distinct Expression Levels of Cytok S43—S49. ines and Soluble Cytokine Receptors in Seminal Plasma of Roberto Paradisi et al., “T—Helper 2 Type Cytokine and Fertile and Infertile Men,” Fertility and Sterility, Jul. 1996, Soluble Interleukin—2 Receptor Levels in Seminal Plasma of 66(1): pp. 135—139. Infertile Men,” American Journal of Reproductive Immu nology, 1997, 38: pp. 94—99. * cited by examiner U.S. Patent Jan. 30, 2001 Sheet 1 0f 8 US 6,180,355 B1 @ O'OEE” n?cm5mo+mho.ii_+...h 3 a @ 70E \/ mm 0 ~ . 00.53.00. 00 00 630000 3 / oooow o1 ooI|o on C18 8 0|8 8 S|o ? 818 m 818 w 8|0 8 CPM U.S. Patent Jan. 30, 2001 Sheet 3 0f 8 US 6,180,355 B1 225508121 é<Ez.=2i39mE5m:5 :2 2£50%2 wE2Ew5ooEz mm __ 40$5N:5396.%03< .;>36. m Q 0mI8 m 0 U526a: W0 8w 0|8 o| mQ1? .m p U.S. Patent Jan. 30, 2001 Sheet 4 0f 8 US 6,180,355 B1 @2562 00 00 loE-ooo YOK ooon ooIm p ooIm N ooIo N oooI __ ooI m lL-8 pg/ml U.S. Patent Jan. 30, 2001 Sheet 5 0f 8 US 6,180,355 B1 _5h<wm2E5oi5l\2z%gu 2 wwEEumozE 3>,301022 22:5580a2m k_ Dm- 0 55mw.0m283886<23>2 8|NQ AU256:9 8|2 0 8Iw 0|8 8I+ cPom GM-CSF, pg/ ml U.S. Patent Jan. 30, 2001 Sheet 6 0f 8 US 6,180,355 B1 m@EE5w0o2E __ a_- 0 #N$55o85353.,55.8;2. O om. 8Q|w AU256:9 wu 80|9 0/ Si 8IN IQF18 . NO9I . U.S. Patent Jan. 30, 2001 Sheet 7 0f 8 US 6,180,355 B1 $£55002K $3_m..6mEi3d2\%.a :E @8205022 50$ 2U265: I02 I02 Ion omn co1 m 0mI m coI m IL-6 pg/ ml U.S. Patent Jan. 30, 2001 Sheet 8 0f 8 US 6,180,355 B1 cow mdE mx?zQm5?mlu2lum o:ubm coIo p co| m col m o9I ~ coI m o_o.m
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