Abstract
Y chromosome harbors the male-specific region (MSY) that regulates male sex determination and spermatogenesis. Y microdeletions are the most common cause of male infertility. These deletions are found in 15–20% of patients with idiopathic azoospermia and 7–10% of patients with severe oligozoospermia. Apart from microdeletions, partial deletions in the AZFc region result in loss of multiple copies of Y genes and increase the risk of infertility. A few studies have suggested that routine screening of these deletions could help in understanding the etiology, offering counseling and managing infertility by natural or assisted methods. X being a homologue chromosome of Y has drawn attention regarding the presence of spermatogenic genes. A number of theories and speculations have been put forward that are now supported by the identification of a number of testis-specific or testis-predominant genes present on the X chromosome. This chapter provides an overview of the Y deletions and X chromosome genes that affect spermatogenesis or male fertility.
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References
Akinloye O, Gromoll J, Callies C, Nieschlag E, Simoni M (2007) Mutation analysis of the X-chromosome linked, testis-specific TAF7L gene in spermatogenic failure. Andrologia 39(5):190–195
Arredi B, Ferlin A, Speltra E, Bedin C, Zuccarello D, Ganz F, Marchina E, Stuppia L, Krausz C, Foresta C (2007) Y-chromosome haplogroups and susceptibility to azoospermia factor c microdeletion in an Italian population. J Med Genet 44(3):205–208
Atia T, Abbas M, Ahmed AF (2015) Azoospermia factor microdeletion in infertile men with idiopathic severe oligozoospermia or non-obstructive azoospermia. Afr J Urol 21(4):246–253
Auger J, Kunstmann JM, Czyglik F, Jouannet P (1995) Decline in semen quality among fertile men in Paris during the past 20 years. N Engl J Med 332(5):281–285
Baccetti B, Collodel G, Gambera L, Moretti E, Serafini F, Piomboni P (2005a) Fluorescence in situ hybridization and molecular studies in infertile men with dysplasia of the fibrous sheath. Fertil Steril 84(1):123–129
Baccetti B, Collodel G, Estenoz M, Manca D, Moretti E, Piomboni P (2005b) Gene deletions in an infertile man with sperm fibrous sheath dysplasia. Hum Reprod 20(10):2790–2794
Bansal SK, Jaiswal D, Gupta N, Singh K, Dada R, Sankhwar SN, Gupta G, Rajender S (2016a) Gr/gr deletions on Y-chromosome correlate with male infertility: an original study, meta-analyses, and trial sequential analyses. Sci Rep 6
Bansal SK, Gupta G, Rajender S (2016b) Y chromosome b2/b3 deletions and male infertility: a comprehensive meta-analysis, trial sequential analysis and systematic review. Mutat Res Rev Mutat Res 768:78–90
Blanco-Arias P, Sargent CA, Affara NA (2002) The human-specific Yp11. 2/Xq21.3 homology block encodes a potentially functional testis-specific TGIF-like retroposon. Mamm Genome 13(8):463–468
Brandell RA, Mielnik A, Liotta D, Ye Z, Veeck LL, Palermo GD, Schlegel PN (1998) AZFb deletions predict the absence of spermatozoa with testicular sperm extraction: preliminary report of a prognostic genetic test. Hum Reprod 13(10):2812–2815
Carlsen E, Giwercman A, Keiding N, Skakkebæk NE (1992) Evidence for decreasing quality of semen during past 50 years. BMJ 305(6854):609–613
Carvalho C, Fujisawa M, Shirakawa T, Gotoh A, Kamidono S, Freitas Paulo T, Santos SE, Rocha J, Pena SD, Santos FR (2003) Lack of association between Y chromosome haplogroups and male infertility in Japanese men. Am J Med Genet A 116(2):152–158
Cheng Y, Buffone MG, Kouadio M, Goodheart M, Page DC, Gerton GL, Davidson I, Wang PJ (2007) Abnormal sperm in mice lacking the Taf7l gene. Mol Cell Biol 27(7):2582–2589
Chianese C, Gunning AC, Giachini C, Daguin F, Balercia G, Ars E, Giacco DL, Ruiz-Castañé E, Forti G, Krausz C (2014) X chromosome-linked CNVs in male infertility: discovery of overall duplication load and recurrent, patient-specific gains with potential clinical relevance. PLoS One 9(6):e97746
Choi J, Song SH, Bak CW, Sung SR, Yoon TK, Lee DR, Shim SH (2012) Impaired spermatogenesis and gr/gr deletions related to Y chromosome haplogroups in Korean men. PLoS One 7(8):e43550
D’Aurora M, Ferlin A, Di Nicola M, Garolla A, De Toni L, Franchi S, Palka G, Foresta C, Stuppia L, Gatta V (2015) Deregulation of sertoli and leydig cells function in patients with Klinefelter syndrome as evidenced by testis transcriptome analysis. BMC Genomics 16(1):1
de Knijff P (2000) Messages through bottlenecks: on the combined use of slow and fast evolving polymorphic markers on the human Y chromosome. Am J Hum Genet 67(5):1055–1061
De Llanos M, Ballescà JL, Gázquez C, Margarit E, Oliva R (2005) High frequency of gr/gr chromosome Y deletions in consecutive oligospermic ICSI candidates. Hum Reprod 20(1):216–220
de Mouzon JACQUES, Thonneau PD, Spira A, Multigner L (1996) Declining sperm count. Semen quality has declined among men born in France since 1950. BMJ 313(7048):43
Dirac AM, Bernards R (2010) The deubiquitinating enzyme USP26 is a regulator of androgen receptor signaling. Mol Cancer Res 8(6):844–854
Ferlin A, Raicu F, Gatta V, Zuccarello D, Palka G, Foresta C (2007) Male infertility: role of genetic background. Reprod Biomed Online 14(6):734–745
Fernandes S, Paracchini S, Meyer LH, Floridia G, Tyler-Smith C, Vogt PH (2004) A large AZFc deletion removes DAZ3/DAZ4 and nearby genes from men in Y haplogroup N. Am J Hum Genet 74(1):180–187
Foresta C, Moro E, Ferlin A (2001) Y microdeletions and alterations of spermatogenesis 1. Endocr Rev 22(2):226–239
Geserick C, Weiss B, Schleuning WD, Haendler B (2002) OTEX, an androgen-regulated human member of the paired-like class of homeobox genes. Biochem J 366(1):367–375
Hammer MF, Zegura SL (2002) The human Y chromosome haplogroup tree: nomenclature and phylogeography of its major divisions. Annu Rev Anthropol 31(1):303–321.
Hammer MF, Karafet T, Rasanayagam A, Wood ET, Altheide TK, Jenkins T, Griffiths RC, Templeton AR, Zegura SL (1998) Out of Africa and back again: nested cladistic analysis of human Y chromosome variation. Mol Biol Evol 15(4):427–441
Hammer MF, Karafet TM, Redd AJ, Jarjanazi H, Santachiara-Benerecetti S, Soodyall H, Zegura SL (2001) Hierarchical patterns of global human Y-chromosome diversity. Mol Biol Evol 18(7):1189–1203
Hopps CV, Mielnik A, Goldstein M, Palermo GD, Rosenwaks Z, Schlegel PN (2003) Detection of sperm in men with Y microdeletions of the AZFa, AZFb and AZFc regions. Hum Reprod 18(8):1660–1665
Hucklenbroich K, Gromoll J, Heinrich M, Hohoff C, Nieschlag E, Simoni M (2005) Partial deletions in the AZFc region of the Y chromosome occur in men with impaired as well as normal spermatogenesis. Hum Reprod 20(1):191–197
Hughes JF, Page DC (2015) The biology and evolution of mammalian Y chromosomes. Annu Rev Genet 49:507–527
Krausz C, McElreavey K (1999) Y chromosome and male infertility. Front Biosci 4:E1–E8
Krausz C, Quintana-Murci L, Barbaux S, Siffroi JP, Rouba H, Delafontaine D, Souleyreau-Therville N, Arvis G, Antoine JM, Erdei E, Taar JP (1999a) A high frequency of Y deletions in males with nonidiopathic infertility 1. J Clin Endocrinol Metabol 84(10):3606–3612
Krausz C, Bussani-Mastellone C, Granchi S, McElreavey K, Scarselli G, Forti G (1999b) Screening for microdeletions of Y chromosome genes in patients undergoing intracytoplasmic sperm injection. Hum Reprod 14(7):1717–1721
Krausz C, Quintana-Murci L, McElreavey K (2000) Prognostic value of Y deletion analysis what is the clinical prognostic value of Y microdeletions analysis? Hum Reprod 15(7):1431–1434
Krausz C, Quintana-Murci L, Rajpert-De Meyts E, Jørgensen N, Jobling MA, Rosser ZH, Skakkebaek NE, McElreavey K (2001) Identification of a Y chromosome haplogroup associated with reduced sperm counts. Hum Mol Genet 10(18):1873–1877
Kuroki Y, Iwamoto T, Lee J, Yoshiike M, Nozawa S, Nishida T, Ewis AA, Nakamura H, Toda T, Tokunaga K, Kotliarova SE (1999) Spermatogenic ability is different among males in different Y chromosome lineage. J Hum Genet 44(5):289–292
Lin YW, Hsu CL, Yen PH (2006) A two-step protocol for the detection of rearrangements at the AZFc region on the human Y chromosome. Mol Hum Reprod 12(5):347–351
Lin YW, Hsu TH, Yen PH (2011) Localization of ubiquitin specific protease 26 at blood–testis barrier and near Sertoli cell–germ cell interface in mouse testes. Int J Androl 34(5 Pt 2):e368–e377
Lu C, Zhang J, Li Y, Xia Y, Zhang F, Wu B, Wu W, Ji G, Gu A, Wang S, Jin L (2009) The b2/b3 subdeletion shows higher risk of spermatogenic failure and higher frequency of complete AZFc deletion than the gr/gr subdeletion in a Chinese population. Hum Mol Genet 18(6):1122–1130
Lu C, Wang Y, Zhang F, Lu F, Xu M, Qin Y, Wu W, Li S, Song L, Yang S, Wu D (2013) DAZ duplications confer the predisposition of Y chromosome haplogroup K* to non-obstructive azoospermia in Han Chinese populations. Hum Reprod 28(9):2440–2449
Lynch M, Cram DS, Reilly A, O’bryan MK, Baker HWG, De Kretser DM, McLachlan RI (2005) The Y chromosome gr/gr subdeletion is associated with male infertility. Mol Hum Reprod 11(7):507–512
Manning M, Jüemann KP, Alken P (1998) Decrease in testosterone blood concentrations after testicular sperm extraction for intracytoplasmic sperm injection in azoospermic men. Lancet 352(9121):37
McElreavey K, Krausz C, Bishop CE (2000) The human Y chromosome and male infertility. In: The genetic basis of male infertility. Springer, Berlin, pp 211–232
Miki K, Willis WD, Brown PR, Goulding EH, Fulcher KD, Eddy EM (2002) Targeted disruption of the Akap4 gene causes defects in sperm flagellum and motility. Dev Biol 248(2):331–342
Mulhall JP, Reijo R, Alagappan R, Brown L, Page D, Carson R, Oates RD (1997) Azoospermic men with deletion of the DAZ gene cluster are capable of completing spermatogenesis: fertilization, normal embryonic development and pregnancy occur when retrieved testicular spermatozoa are used for intracytoplasmic sperm injection. Hum Reprod 12(3):503–508
Nakahori Y, Kuroki Y, Komaki R, Kondoh N, Namiki M, Iwamoto T, Toda T, Kobayashi K (1996) The Y chromosome region essential for spermatogenesis. Horm Res Paediatr 46(Suppl 1):20–23
Olesen C, Silber J, Eiberg H, Ernst E, Petersen K, Lindenberg S, Tommerup N (2003) Mutational analysis of the human FATE gene in 144 infertile men. Hum Genet 113(3):195–201
Paracchini S, Stuppia L, Gatta V, Palka G, Moro E, Foresta C, Mengua L, Oliva R, BaIlescà JL, Kremer JAM, Van Golde RJT (2000) Y-chromosomal DNA haplotypes in infertile European males carrying Y-microdeletions. J Endocrinol Investig 23(10):671–676
Pointud JC, Mengus G, Brancorsini S, Monaco L, Parvinen M, Sassone-Corsi P, Davidson I (2003) The intracellular localisation of TAF7L, a paralogue of transcription factor TFIID subunit TAF7, is developmentally regulated during male germ-cell differentiation. J Cell Sci 116(9):1847–1858
Pryor JL, Kent-First M, Muallem A, Van Bergen AH, Nolten WE, Meisner L, Roberts KP (1997) Microdeletions in the Y chromosome of infertile men. N Engl J Med 336(8):534–540
Puzuka A, Pronina N, Grinfelde I, Erenpreiss J, Lejing V, Bars J, Pliss L, Pelnena I, Baumanis V, Krumina A (2011) Y chromosome—a tool in infertility studies of Latvian population. Russ J Genet 47(3):347–353
Quintana-Murci L, Krausz C, Heyer E, Gromoll J, Seifer I, Barton DE, Barrett T, Skakkebaek NE, Rajpert-De Meyts E, Mitchell M, Lee AC (2001) The relationship between Y chromosome DNA haplotypes and Y deletions leading to male infertility. Hum Genet 108(1):55–58
Ran J, Han TT, Ding XP, Wei X, Zhang LY, Zhang YP, Li TJ, Nie SS, Chen L (2013) Association study between Y-chromosome haplogroups and susceptibility to spermatogenic impairment in Han People from southwest China. Genet Mol Res 12(1):59–66
Ravel C, Chantot-Bastaraud S, El Houate B, Mandelbaum J, Siffroi JP, McElreavey K (2006) GR/GR deletions within the azoospermia factor c region on the Y chromosome might not be associated with spermatogenic failure. Fertil Steril 85(1):229–231
Repping S, Skaletsky H, Brown L, van Daalen SK, Korver CM, Pyntikova T, Kuroda-Kawaguchi T, de Vries JW, Oates RD, Silber S, van der Veen F (2003) Polymorphism for a 1.6-Mb deletion of the human Y chromosome persists through balance between recurrent mutation and haploid selection. Nat Genet 35(3):247–251
Rice WR (1984) Sex chromosomes and the evolution of sexual dimorphism. Evolution 38:735–742
Ross MT, Grafham DV, Coffey AJ, Scherer S, McLay K, Muzny D, Platzer M, Howell GR, Burrows C, Bird CP, Frankish A (2005) The DNA sequence of the human X chromosome. Nature 434(7031):325–337
Sato Y, Shinka T, Iwamoto T, Yamauchi A, Nakahori Y (2013) Y chromosome haplogroup D2* lineage is associated with azoospermia in Japanese males. Biol Reprod 88(4):107
Sato Y, Iwamoto T, Shinka T, Nozawa S, Yoshiike M, Koh E, Kanaya J, Namiki M, Matsumiya K, Tsujimura A, Komatsu K (2014) Y chromosome gr/gr subdeletion is associated with lower semen quality in young men from the general Japanese population but not in fertile Japanese Men. Biol Reprod 90(6):116
Sato Y, Shinka T, Nozawa S, Yoshiike M, Koh E, Kanaya J, Namiki M, Matsumiya K, Tsujimura A, Komatsu K, Itoh N (2015) Y chromosome haplogroup D2a1 is significantly associated with high levels of luteinizing hormone in Japanese men. Andrology 3(3):520–525
Sen S, Pasi AR, Dada R, Shamsi MB, Modi D (2013) Y microdeletions in infertile men: prevalence, phenotypes and screening markers for the Indian population. J Assist Reprod Genet 30(3):413–422
Sen S, Ambulkar P, Hinduja I, Zaveri K, Gokral J, Pal A, Modi D (2015) Susceptibility of gr/gr rearrangements to azoospermia or oligozoospermia is dependent on DAZ and CDY1 gene copy deletions. J Assist Reprod Genet 32(9):1333–1341
Shahid M, Dhillon VS, Khalil HS, Sexana A, Husain SA (2011) Associations of Y-chromosome subdeletion gr/gr with the prevalence of Y-chromosome haplogroups in infertile patients. Eur J Hum Genet 19(1):23–29
Silber SJ, Van Steirteghem AC, Devroey P (1995) Sertoli cell only revisited. Hum Reprod 10(5):1031–1032
Silber SJ, Alagappan R, Brown LG, Page DC (1998) Y deletions in azoospermic and severely oligozoospermic men undergoing intracytoplasmic sperm injection after testicular sperm extraction. Hum Reprod 13(12):3332–3337
Simoni M, Gromoll J, Dworniczak B, Rolf C, Abshagen K, Kamischke A, Carani C, Meschede D, Behre HM, Horst J, Nieschlag E (1997) Screening for deletions of the Y chromosome involving the DAZ (deleted in AZoospermia) gene in azoospermia and severe oligozoospermia. Fertil Steril 67(3):542–547
Simoni M, Bakker E, Krausz C (2004) EAA/EMQN best practice guidelines for molecular diagnosis of Y-chromosomal microdeletions. State of the art 2004. Int J Androl 27(4):240–249
Skaletsky H, Kuroda-Kawaguchi T, Minx PJ, Cordum HS, Hillier L, Brown LG, Repping S, Pyntikova T, Ali J, Bieri T, Chinwalla A (2003) The male-specific region of the human Y chromosome is a mosaic of discrete sequence classes. Nature 423(6942):825–837
Stahl PJ, Mielnik A, Margreiter M, Marean MB, Schlegel PN, Paduch DA (2011) Diagnosis of the gr/gr Y microdeletions does not help in the treatment of infertile American men. J Urol 185(1):233–237
Stouffs K, Lissens W (2012) X chromosomal mutations and spermatogenic failure. Biochim Biophys Acta 1822(12):1864–1872
Stouffs K, Lissens W, Tournaye H, Van Steirteghem A, Liebaers I (2005) Possible role of USP26 in patients with severely impaired spermatogenesis. Eur J Hum Genet 13(3):336–340
Stouffs K, Lissens W, Tournaye H, Haentjens P (2011) What about gr/gr deletions and male infertility? Systematic review and meta-analysis. Hum Reprod Update 17(2):197–209
Tiepolo L, Zuffardi O (1976) Localization of factors controlling spermatogenesis in the nonfluorescent portion of the human Y chromosome long arm. Hum Genet 34(2):119–124
Turner RM, Musse MP, Mandal ARABINDA, Klotz KEN, Jayes FC, Herr JC, Gerton GL, Moss SB, Chemes HE (2001a) Molecular genetic analysis of two human sperm fibrous sheath proteins, AKAP4 and AKAP3, in men with dysplasia of the fibrous sheath. J Androl 22(2):302–315
Turner RM, Foster JA, Gerton GL, Moss SB, Patrizio P (2001b) Molecular evaluation of two major human sperm fibrous sheath proteins, pro-hAKAP82 and hAKAP82, in stump tail sperm. Fertil Steril 76(2):267–274
Tüttelmann F, Rajpert-De Meyts E, Nieschlag E, Simoni M (2007) Gene polymorphisms and male infertility – a meta-analysis and literature review. Reprod Biomed Online 15(6):643–658
Tüttelmann F, Simoni M, Kliesch S, Ledig S, Dworniczak B, Wieacker P, Röpke A (2011) Copy number variants in patients with severe oligozoospermia and Sertoli-cell-only syndrome. PLoS One 6(4):e19426
Underhill PA, Shen P, Lin AA, Jin L, Passarino G, Yang WH, Kauffman E, Bonné-Tamir B, Bertranpetit J, Francalacci P, Ibrahim M (2000) Y chromosome sequence variation and the history of human populations. Nat Genet 26(3):358–361
Underhill PA, Passarino G, Lin AA, Shen P, Lahr MM, Foley RA, Oefner PJ, Cavalli-Sforza LL (2001) The phylogeography of Y chromosome binary haplotypes and the origins of modern human populations. Ann Hum Genet 65(01):43–62
Van Esch H, Hollanders K, Badisco L, Melotte C, Van Hummelen P, Vermeesch JR, Devriendt K, Fryns JP, Marynen P, Froyen G (2005) Deletion of VCX-A due to NAHR plays a major role in the occurrence of mental retardation in patients with X-linked ichthyosis. Hum Mol Genet 14(13):1795–1803
Veith AM, Klattig J, Dettai A, Schmidt C, Englert C, Volff JN (2006) Male-biased expression of X-chromosomal DM domain-less Dmrt8 genes in the mouse. Genomics 88(2):185–195
Vijesh VV, Nambiar V, Mohammed SI, Sukumaran S, Suganthi R (2015) Screening for AZFc partial deletions in Dravidian men with nonobstructive azoospermia and oligozoospermia. Genet Test Mol Biomarkers 19(3):150–155
Visser L, Westerveld GH, Korver CM, Van Daalen SKM, Hovingh SE, Rozen S, Van Der Veen F, Repping S (2009) Y chromosome gr/gr deletions are a risk factor for low semen quality. Hum Reprod 24(10):2667–2667
Visser L, Westerveld GH, Xie F, van Daalen SK, van der Veen F, Lombardi MP, Repping S (2011) A comprehensive gene mutation screen in men with asthenozoospermia. Fertil Steril 95(3):1020–1024
Vogt PH, Edelmann A, Kirsch S, Henegariu O, Hirschmann P, Kiesewetter F, Köhn FM, Schill WB, Farah S, Ramos C, Hartmann M (1996) Human Y chromosome azoospermia factors (AZF) mapped to different subregions in Yq11. Hum Mol Genet 5(7):933–943
Wang PJ (2004) X chromosomes, retrogenes and their role in male reproduction. Trends Endocrinol Metab 15(2):79–83
Wayne CM, MacLean JA, Cornwall G, Wilkinson MF (2002) Two novel human X-linked homeobox genes, hPEPP1 and hPEPP2, selectively expressed in the testis. Gene 301(1):1–11
Y Chromosome Consortium (2002) A nomenclature system for the tree of human Y-chromosomal binary haplogroups. Genome Res 12(2):339–348
Zhang F, Li Z, Wen B, Jiang J, Shao M, Zhao Y, He Y, Song X, Qian J, Lu D, Jin L (2006) A frequent partial AZFc deletion does not render an increased risk of spermatogenic impairment in East Asians. Ann Hum Genet 70(3):304–313
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The authors would like to thank the Council of Scientific and Industrial Research (CSIR), Govt. of India, for financial help under the network project, PROGRAM (BSC0101).
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Bansal, S.K., Singh, V., Singh, K., Singh, R. (2017). Sex Chromosomal Genes in Male Infertility. In: SINGH, R., Singh, K. (eds) Male Infertility: Understanding, Causes and Treatment. Springer, Singapore. https://doi.org/10.1007/978-981-10-4017-7_15
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