The role of cell-mediated immunity in the etiopathogenesis of male inf
ertility is far from being defined. The cytokine interleukin-2 (IL-2)
has a key role in T-cell mediated immune responses. The aim of this st
udy was to confirm the presence of IL-2 in human seminal plasma, to sh
ow eventual differences between IL-2 concentrations in fertile and inf
ertile subjects, and to show potential relationship between IL-2 amoun
ts in semen and spermiogram parameters. Forty-three subjects entered t
he study, 20 with proven fertility and normal semen quality (fertile g
roup) and 23 with male infertility of at least 2 years and poor semen
quality (infertile group). IL-2 levels of seminal plasma in infertile
subjects (444.3 +/- 40.5 fmol/ml) were significantly higher than those
in fertile subjects (251.3 +/- 42.7 fmol/ml). There was a significant
negative correlation between IL-2 levels and sperm count, motility, a
nd morphology. No correlation was found between IL-2 levels and leukoc
yte count. These findings confirm IL-2 to be in seminal plasma, show i
ncreased IL-2 secretion in the infertile group, demonstrate negative c
orrelations of IL-2 levels with main spermiogram parameters, and indic
ate no correlation with leukocyte count. IL-2 concentration in seminal
plasma may therefore be considered as a potential marker in male infe
rtility.