Abstract
Purpose
To detect incidences and the types of chromosomal abnormalities in Chinese men with infertility and determine chromosomal factors association with various phenotypes.
Methods
Semen analysis and karyotype analysis by G-banding were carried out in 4,659 idiopathic infertile males; additionally, multiplex PCR using nine specific sequence-tagged sites (STSs) was used to detect azoospermia factor (AZF) microdeletions in 412 patients with Y chromosomal abnormalities.
Results
Male infertility was divided into pregestational infertility, characterized by failure to produce a fertilized ovum, and gestational infertility, characterized by embryo loss after fertilization. The former can result from azoospermia, oligozoospermia or oligoasthenozoospermia syndrome, while the latter is associated with developmental early pregnancy loss, habitual miscarriage and stillbirth. Among 4,659 male patients, 412 (8.84 %) showed abnormal chromosomal karyotypes, including 314 (6.74 %) with sex chromosomal abnormalities and 98 (2.10 %) with autosomal abnormalities. The prevalences of numerical and structural abnormalities among patients with chromosomal abnormalities were 259/412 (62.86 %) and 153/412 (37.14 %), respectively. Furthermore, structural sex chromosomal abnormalities were represented by various phenotypic profiles (46,XX, 47,XYY and 45,X/46,XY), and a prevalence of AZF microdeletions of 19/79 (24.05 %). AZF microdeletions were highly associated with Y chromosomal abnormalities (P = 0.018).
Conclusion
Various chromosomal abnormalities that result in male infertility could affect spermatogenesis or embryonic development at different levels. Sex chromosomal and autosomal abnormalities were highly associated with pregestational and gestational infertility, respectively. AZF microdeletions may play an important role in lowering the stability of the Y chromosome.
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References
Anton E, Blanco J, Egozcue J, Vidal F. Risk assessment and segregation analysis in a pericentric inversion inv(6p23q25) carrier using FISH on decondensed sperm nuclei. Cytogenet Genome Res. 2002;97:149–54.
Bernicot I, Dechanet C, Mace A, Hedon B, Hamamah S, Pellestor F, et al. Predictive value of sperm-FISH analysis on the outcome of preimplantation genetic diagnosis (PGD) for a pericentric inversion inv5(p15.3q11.2) carrier. Hum Reprod. 2010;25(7):1818–23.
Chantot-Bastaraud S, Ravel C, Siffroi JP. Underlying karyotype abnormalities in IVF/ICSI patients. Reprod Biomed. 2008;16:514–22.
Dada R, Gupta NP, Kucheria K. Molecular screening for Yq microdeletion in men with idiopathic oligozoospermia and azoospermia. J Biosci. 2003;28(2):163–8.
Egozcue S, Blanco J, Vendrell JM, García F, Veiga A, Aran B, et al. Human male infertility: chromosome anomalies, meiotic disorders, abnormal spermatozoa and recurrent abortion. Hum Reprod Update. 2000;6(1):93–105.
Hong Y, Zhou YW, Tao J, Wang SX, Zhao XM. Do polymorphic variants of chromosomes affect the outcome of in vitro fertilization and embryo transfer treatment? Hum Reprod. 2011;26(4):933–40.
Ichioka K, Yoshimura K, Honda T, Takahashi A, Terai A. Paracentric inversion of chromosome 7(q22–31) associated with nonobstructive azoospermia. Fertil Steril. 2005;83:455–6.
International Standing Committee on Human Cytogenetic Nomenclature, Shaffer LG, Tommerup N. ISCN 2005: An International System for Human Cytogenetic Nomenclature (2005): Recommendations of the International Standing Committee on Human Cytogenetic Nomenclature. Cytogenet Genome Res. 2005.
Levy R. Genetic regulation of preimplantation embryo survival. Int Rev Cyt. 2001;210:1–22.
Male Infertility Best Practice Policy Committee of the American Urological Association, Practice Committee of the American Society for Reproductive Medicine. Report on optimal evaluation of the infertile male. Fertil Steril. 2006;86:S202–9.
Mark SK, Renee A, Reijo P. Male infertility, genetic analysis of the DAZ genes on the human Y chromosome and genetic analysis of DNA repair. Mol Cell Endocrinol. 2001;184(1–2):41–9.
Mitra A, Dada R, Kumar R, Gupta NP, Kucheria K, Gupta SK. Y chromosome microdeletion in azoospermic patients with Klinefelter's syndrome. Asian J Androl. 2006;8(1):81–8.
Koşar PA, Özçelik N, Koşar A. Cytogenetic abnormalities detected in patients with non-obstructive azoospermia and severe oligozoospermia. J Assist Reprod Genet. 2011;27(1):17–21.
Ravel C, Berthaut I, Bresson JL, Siffroi JP. Prevalence of chromosomal abnormalities in phenotypically normal and fertile adult males: large-scale survey of over 10,000 sperm donor karyotypes. Hum Reprod. 2006;21:1484–9.
Rives N, Joly G, Machy A, Siméon N, Leclerc P, Macé B. Assessment of sex chromosome aneuploidy in sperm nuclei from 47, XXY and 46, XY/47, XXY males: comparison with fertile and infertile males with normal karyotypes. Mol Hum Reprod. 2000;6:107–12.
Rives N, Simeon N, Milazzo JP, Barthélémy C, Macé B. Meiotic segregation of sex chromosomes in mosaic and non-mosaic XYY males: case reports and review of the literature. Int J Androl. 2003;26:242–9.
McLachlan RI, O’Bryan MK. State of the art for genetic testing of infertile men. J Clin Endocrinol Metab. 2010;95(3):1013–24.
Roeder GS, Bailis JM. The pachytene checkpoint. Trends Genet. 2000;16:395–403.
Schultz N, Hamra FK, Garbers DL. A multitude of genes expressed solely in meiotic or postmeiotic spermatogenic cells offers a myriad of contraceptive targets. Proc Natl Acad Sci USA. 2003;100(21):12201–6.
Umeno M, Shinka T, Sato Y, Xin-JunYang BY, Iwamoto T, Nakahori Y. A rapid and simple system of detecting deletions on the Y chromosome related with male infertility using multiplex PCR. J Med Invest. 2006;53(1–2):147.
Zamani AG, Kutlu R, Durakbasi-Dursan HG, Gorkemli H, Acar A. Y chromosome microdeletions in Turkish infertile men. Indian J Hum Genet. 2006;12:66–71.
Acknowledgments
We would like to thank all the patients recruited for this study, especially the donors of DNA samples. We would also like to express our sincere gratitude to all the staff of the Andrology Laboratory for their excellent work. This work was kindly supported by funds from the National Population and Family Planning Commission of China (NO. 2011-GJKJS-07).
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AZF microdeletions are highly associated with Y chromosomal abnormalities. Sex chromosomal and autosomal abnormalities in men are prone to pregestational and gestational infertility respectively.
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Li, D., Zhang, H., Wang, R. et al. Chromosomal abnormalities in men with pregestational and gestational infertility in northeast China. J Assist Reprod Genet 29, 829–836 (2012). https://doi.org/10.1007/s10815-012-9783-1
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DOI: https://doi.org/10.1007/s10815-012-9783-1