Abstract
The World Health Organization has described infertility as a health problem of global concern. One in seven couples experiences infertility or subfertility (1). Infertility is commonly defined as absence of a pregnancy after a year of unprotected intercourse. For information about cytogenetic aspects of spontaneous abortions, please refer to Chapter 13. Male factor and female factor infertility each account for about 40% of cases of infertility, and the remaining 20% is a combination (2). In this chapter, an overview of known causes of infertility will be presented so that the cytogenetic component’s relative contribution can be placed into context.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Greenhall, E. and Vessey, M. (1990) The prevalence of subfertility: our view of the current confusion and a report of two new studies. Fertil. Steril. 54, 978–983.
Speroff L. (1999) Women’s healthcare in the 21st century. Maturitas 32,1–9.
Saenger, P. (1996) Turner’s syndrome. N. Engl. J. Med. 335, 1749–1754.
Layman, L.C. (2002) The genetic basis of female infertility. In Principles and Practice of Medical Genetics, 4th ed. (Rimoin, D.L., Connor, J.M., Pyeritz, R.E., and Korf, B.R., eds.), Churchill Livingstone, New York, pp. 947–960.
Kaneko, N., Kawagoe, S., and Hiroi, M. (1990) Turner’s syndrome—review of the literature with reference to a successful pregnancy outcome. Gynecol. Obstet. Invest. 29, 81–86.
Magee, A.C., Nevin, N.C., Armstrong, M.J., McGibbon, D., and Nevin, J. (1998) Ullrich-Turner syndrome: seven pregnancies in an apparent 45,X woman. Am. J. Med. Genet. 75, 1–3.
Kocova, M., Siegel, S.F., Wenger, S.L., Lee, P.A., and Trucco, M. (1993) Detection of Y chromosome sequences in Turner’s syndrome by Southern blot analysis of amplified DNA. Lancet 342, 140–143.
Davison, R.M., Quilter, C.R., Webb, J., et al. (1998). A familial case of X chromosome deletion ascertained by cytogenetic screening of women with premature ovarian failure. Hum. Reprod. 13(11), 3039–3041.
Simpson, J.L. and Rajkovic, A (2000) Ovarian differentiation and gonadal failure. Am. J. Med. Genet. 89(4), 186–200.
Online Mendelian Inheritance in Man 131200 (http://www.ncbi.nlm.nih/gov/entrez/query.fcgi?db=omim).
Gogusev, J., Bouquet de Joliniere, J., Telvi, L., et al. (1999) Detection of DNA copy number changes in human endometriosis by comparitive genomic hybridization. Hum. Genet. 105(5), 444–451.
Rowe, P.J., Comhaire, F.H., Hargreave, T.B., and Mellows, H.J. (1993) WHO Manual for the Standardized Investigation and Diagnosis of the Infertile Couple. Cambridge University Press, New York.
March, M.R. and Isidori, A. (2002) New frontiers in the treatment of male sterility. Contraception 65(4), 279–281.
Lissens, W., Liebaers, I. and Van Steirteghem, A. (2002) Male infertility. In Principles and Practice of Medical Genetics, 4th ed. (Rimoin, D.L., Connor, J.M., Pyeritz, R.E., and Korf, B.R., eds.), Churchill Livingstone, New York, pp. 961–981.
Chandley, A.C. (1998) Chromosome anomalies and Y chromosome microdeletions as causal factors in male infertility. Hum. Reprod. 13(Suppl. 1), 45–50.
Hackstein, J.H., Hochstenbach, R., and Pearson, P.L. (2000) Towards an understanding of the genetics of human male infertility: lessons from flies. Trends Genet. 16, 565–572.
Bor, P., Hindkjaer, J., Kolvraa, S., and Ingerslev, H.J. (2002) Y-chromosome microdeletions and cytogenetic findings in unselected ICSI candidates at a Danish fertility clinic. J. Assist. Reprod. Genet. 19, 224–231.
Bonde, J.P.E., Ernst, E., Jensen, T.K., et al. (1998) Relation between semen quality and fertility: a population-based study of 430 first-pregnancy planners. Lancet 352, 1172–1177.
Gunduz, G., Luleci, G., and Bayukara, M. (1998) Cytogenetic study in 102 infertile men. Urol. Int. 61, 32–34.
Van Assche, E., Bonduelle, M., Tournaye, H., et al. (1996) Cytogenetics of infertile men. Hum. Reprod. 4(Suppl. 4), 1–26.
Yoshida, A., Miura, K., and Shirai, M. (1997) Cytogenetic survey of 1,007 infertile males. Urol. Int. 58, 166–176.
Allanson, J.E. and Graham, G.E. (2002) Sex chromosome abnormalities. In Principles and Practice of Medical Genetics, 4th ed. (Rimoin, D.L., Connor, J.M., Pyeritz, R.E., and Korf, B.R., eds.), Churchill Livingstone, New York, pp. 1184–1201.
Johnson, M.D. (1998) Genetic risks of intracytoplasmic sperm injection in the treatment of male infertility: recommendations for genetic counseling and screening. Fertil. Steril. 70, 397–411.
Johannisson R., Schwinger E., Wolff, H.H., vom Ende, V., and Lohrs, U. (1993) The effect of 13;14 translocation on germ-cell differentiation in infertile males. Cytogenet. Cell Genet. 63, 151–155.
Zuffardi, O. and Tiepolo, L. (1982) Frequencies and types of chromosome abnormalities associated with human male infertility. In Serano Clinical Cologuia on Reproduction. III. Genetic Control of Gamete Production and Function (Crosignani, P.G. and Rubin, B.L., eds.) Academic/Grune & Stratton, London, pp. 261–273.
De Braekeleer, M. and Dao, T-N. (1991) Cytogenetic studies in male infertility: a review. Hum. Reprod. 6, 245–250.
Tiepolo, L. and Zuffardi, O. (1976) Localization of factors controlling spermatogenesis in the nonfluorescent position of the human Y chromosome long arm. Hum.Genet. 34, 119–134.
Kent-First, M.G., Kol, S., Muallem, A., et al. (1996) The incidence and possible relevance of Y-linked microdeletions in babies born after intracytoplasmic sperm injection and their infertile fathers. Mol. Hum. Reprod. 2, 943–950.
Vogt, P.H., Edelmann, A., Kirsch, S., et al. (1996) Human Y chromosome azoospermia factors (AZF) mapped to subregions in Yq11. Hum. Mol. Genet. 5, 933–943.
Le Bourhis, C., Siffroi, J.P., McElreavey, K., and Dadoune, J P. (2000) Y chromosome microdeletions and germinal mosaicism in infertile males. Mol. Hum. Reprod. 6, 688–693.
Krausz, C., Quintana-Murci, L., Barbaux, S., et al. (1999) A high frequency of Y chromosome deletions in males with nonidiopathic infertility. J. Clin. Endocrinol. Metab. 84, 3606–3612.
Ma, K., Inglis, K.J.D., Sharkey, A., et al. (1993) A Y chromosome gene family with RNA-binding protein homology: candidates for the azoospermia factor AZF controlling human spermatogenesis. Cell 75, 1287–1295.
Reijo, R., Lee, T.-Y., Salo, P.et al. (1995) Diverse spermatogenic defects in humans caused by Y chromosome deletions encompassing a novel RNA-binding protein gene. Nature Genet. 10, 383–393.
Weighardt, F., Biamonti, G., and Riva, S. (1996) The roles of heterogeneous nuclear ribonucleoproteins (hnRNP) in RNA metabolism. Bioessays 18, 747–756.
Elliott, D.J., Millar, M.R., Oghene, K., et al. (1997) Expression of RBM in the nuclei of human germ cells is dependent on a critical region of the Y chromosome long arm. Proc. Natl. Acad. Sci. USA 94, 3848–3853.
Delbridge, M.L., Lingenfelter, P.A., Disteche, C.M., and Graves, J.A. (1999) The candidate spermatogenesis gene RBMY has a homologue on the human X chromosome. Nature Genet. 22, 223–224.
Saxena, R., Brown, L.G., Hawkins, T., et al. (1996) The DAX gene cluster on the human Y chromosome arose from an autosomal gene that was transposed, repeatedly amplified and pruned. Nature Genet. 14, 292–299.
Menke, D.B., Mutter, G.L., and Page, D.C. (1997) Expression of DAZ, an azoospermia factor candidate, in human spermatogonia. Am. J. Hum. Genet. 60, 237–241.
Saxena, R., Brown, L.G., Hawkins, T., et al. (1996) The DAZ gene cluster on the human Y chromosome arose from autosomal gene that was transposed, repeatedly amplified and pruned. Nature Genet. 14, 292–299.
Cram, D.S., Ma, K., Bhasin, S., et al. (2000) Y chromosome analysis of infertile men and their sons conceived through intracytoplasmic sperm injection: vertical transmission of deletions and rarity of do novo deletions. Fertil. Steril. 74, 909–915.
Levron, J., Aviram-Goldring, A., Madgar, I., Raviv, G., Barkai, G., and Dor, J. (2000) Sperm chromosome analysis and outcome of IVF in patients with non-mosaic Klinefelter’s syndrome. Fertil. Steril. 74, 925–929.
Giltay, J.C., van Golde, R.J., and Kastrop, P.M. (2000) Analysis of spermatozoa from seven ICSI males with constitutional sex chromosomal abnormalities by fluorescent in situ hybridization. J. Assist. Reprod. Genet. 17, 151–155.
Viville, S., Mollard, R., Bach, M.-L., Falquet, C., Gerlinger, P., and Warter, S. (2000) Do morphological anomalies reflect chromosomal aneuploidies? Hum. Reprod. 15, 2563–2566.
Bonduelle M., van Assche, E., Joris, H., et al. (2002) Prenatal testing in ICSI pregnancies: incidence of chromosomal anomalies in 1585 karyotypes and relation to sperm parameters. Hum. Reprod. 17, 2600–2614.
Palermo, G.D., Colombero, L.T., Schattman, G.L., Davis, O.K., and Rosenwaks, Z. (1996) Evolution of pregnancies and initial follow-up of newborns delivered after intracytoplasmic sperm injection. JAMA 276, 1893–1897.
Simpson, J.L. and Lamb, D.J. (2001) Genetic effects of intracytoplasmic sperm injection. Semin. Reprod. Med. 19, 239–249.
Bonduelle, M., Legein, J., Buysse, A., et al. (1996) Prospective follow-up study of 423 children born after intracytoplasmic sperm injection. Hum. Reprod. 11, 1558–1564.
Kurinczuk, J.J. and Bower, C. (1997) Birth defects in infants conceived by intracytoplasmic sperm injection: an alternative interpretation. Br. Med. J. 315, 1260–1266.
Gicquel, C., Gaston, V., Mandelbaum, J., Siffroi, J.-P., Flahault, A., and Le Bouc, Y. (2003) In vitro fertilization may increase the risk of Beckwith-Wiedemann syndrome related to the abnormal imprinting of the KCNQ1OT gene. Am. J. Hum. Genet. 72, 1338–1341.
Marchington, D.R., Scott-Brown, M.S., Lamb, V.K., et al. (2002) No evidence for paternal mtDNA transmission to offspring or extra-embryonic tissues after ICSI. Mol. Hum. Reprod. 11, 1046–1049.
Houshmand, M., Holme, E., Hanson, C., Wennerholm, U.B., and Hamberger, L. (1997) Is paternal mitochondrial DNA transferred to the offspring following intracytoplasmic sperm injection? J. Assist. Reprod. Genet. 14, 223–227.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2005 Humana Press Inc., Totowa, NJ
About this chapter
Cite this chapter
Randolph, L.M. (2005). Cytogenetics of Infertility. In: Gersen, S.L., Keagle, M.B. (eds) The Principles of Clinical Cytogenetics. Humana Press, Totowa, NJ. https://doi.org/10.1385/1-59259-833-1:247
Download citation
DOI: https://doi.org/10.1385/1-59259-833-1:247
Publisher Name: Humana Press, Totowa, NJ
Print ISBN: 978-1-58829-300-8
Online ISBN: 978-1-59259-833-5
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)