Background: Significant progress has been made in recent years towards understanding the pathogenesis of spermatogenic arrest and infertility. Genetic factors contribute to 10-15% of male infertility. After chromosomal abnormalities, Azoospermia factor (AZF) microdeletions in the Yq region are the second most prevalent spermatogenic disorder among infertile men. Our study aimed to assess rates of chromosomal abnormalities and AZF microdeletions in Senegalese men diagnosed with azoospermia and oligozoospermia. Methods: Twenty-three men with azoospermia and oligozoospermia were chosen for molecular studies. Blood samples were analyzed for karyotyping and identification of Y chromosome microdeletions. Multiplex polymerase chain reaction was used to identify the complete deletion of AZF using six Sequence-Tagged Sites (STSs) (sY84 and sY86 in the AZFa region, sY127 and sY134 in the AZFb region, and sY254 and sY255 in the AZFc region). Results: During karyotyping analysis, it was observed that no chromosomal abnormalities were present except for four patients who had Klinefelter syndrome (XXY or XY/XXY; XX/XXY mosaics). Furthermore, AZF microdeletions were detected, with the most common being in the AZFc region, followed by AZFa and AZFb. Ten patients (62.5%, 10/16) exhibited deletion of AZFc markers sY254 and sY255. Of these, two patients (20%, 2/10) had sY254 deletion, one patient (10%, 1/10) had sY255 deletion, and seven patients (70%, 7/10) had sY254 + sY255 deletion which was significantly related to azoospermic phenotype (80%, 8/10). Additionally, four patients (25%, 4/16) had deletion of AZFa at marker sY86 and this was linked to both azoospermic and oligozoospermic. Finally, two patients (12.5%, 2/1) exhibited deletion AZFb in marker sY127, which was associated solely with azoospermia. However, microdeletions of the Y chromosome were detected in four azoospermic patients with abnormal karyotype. Conclusions: Our study indicates the presence of abnormal chromosome and Y chromosome microdeletions in the infertile Senegalese men, suggesting that screening for these should be part of their diagnostic.
Published in | International Journal of Genetics and Genomics (Volume 11, Issue 4) |
DOI | 10.11648/j.ijgg.20231104.11 |
Page(s) | 112-118 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Male Infertility, Karyotype Analysis, AZF (Azoospermia Factor) Deletions
[1] | Frydman, René. 2012. "Infertility in Africa". Journal of Continuing Medical Education XXV (3-4): 103. |
[2] | Diao, B., Faye, O., Fall, P. A. et al. (2006). Semen analysis in infertile couples in Senegal. Andrologie. 16, 247–252. DOI: 10.1007/BF03034863. |
[3] | Faye, O., J. C. Moreau, S. M. Agonhessou, E. O. Faye, M. Badiane, et J. M. Afoutou. (2000). « Value of post coital and cytological sperm tests in conjugal sterility in Senegal ». Dakar Medical. 45 (2): 138-40. |
[4] | Naasse, Y., Charoute, H., El Houate, B. et al. (2015). Chromosomal abnormalities and Y chromosome microdeletions in infertile men from Morocco. BMC Urology. 15, 95 DOI: 10.1186/s12894-015-0089-3. |
[5] | Rao KL, Babu KA, Kanakavalli M, Padmalatha V, Deenadayal M, Singh L. (2005). Prevalence of chromosome defects in azoospermic and oligoastheno-teratozoospermic South Indian infertile men attending an infertility clinic. Reproductive BioMedicine Online. 10(4): 467–472. DOI: 10.1016/s1472-6483(10)60822-x |
[6] | Ghorbel M, Baklouti SG, Abdallah FB, Zribi N, Cherif M, Keskes R, Chakroun N, Sellami A, Belguith N, Kamoun H. (2012). Chromosomal defects in infertile men with poor semen quality. Journal of Assisted Reproduction and Genetics. 29(5): 451–456. DOI: 10.1007/s10815-012-9737-7. |
[7] | Pylyp LY, Spinenko LO, Verhoglyad NV, Zukin VD. (2013). Chromosomal abnormalities in patients with oligozoospermia and non-obstructive azoospermia. Journal of Assisted Reproduction and Genetics. 30(5): 729–732. |
[8] | Mierla D, Jardan D, Stoian V. 2014. Chromosomal abnormality in men with impaired spermatogenesis. International Journal of Fertility and Sterility. 8(1): 35–42. |
[9] | Arafa MM, Majzoub A, AlSaid SS, El Ansari W, Al Ansari A, Elbardisi Y, Elbardisi HT. 2018. Chromosomal abnormalities in infertile men with azoospermia and severe oligozoospermia in Qatar and their association with sperm retrieval intracytoplasmic sperm injection outcomes. Arab Journal of Urology. 16(1): 132–139. DOI: 10.1016/j.aju.2017.11.009. |
[10] | Nailwal M, Chauhan JB. 2017. Azoospermia factor C subregion of the Y chromosome. Journal of Human Reproductive Sciences. 10(4): 256. DOI: 10.4103/jhrs.JHRS_16_17. |
[11] | Vogt PH, Edelmann A, Kirsch S, Henegariu O, Hirschmann P, Kiesewetter F, Köhn FM, Schill WB, Farah S, Ramos C, Hartmann M, Hartschuh W, Meschede D, Behre HM, Castel A, Nieschlag E, Weidner W, Gröne HJ, Jung A, Engel W, Haidl G. (1996). Human Y chromosome azoospermia factors (AZF) mapped to different subregions in Yq11. Human Molecular Genetics. 5: 933–943. DOI: 10.1093/hmg/5.7.933. |
[12] | Repping S, Skaletsky H, Lange J, Silber S, Van Der Veen F, Oates RD, Page DC, Rozen S. (2002). Recombination between palindromes P5 and P1 on the human Y chromosome causes massive deletions and spermatogenic failure. American Journal of Human Genetics. 71: 906–922. DOI: 10.1086/342928. |
[13] | Skaletsky, H., Kuroda-Kawaguchi, T., Minx, P. et al. (2003). The male-specific region of the human Y chromosome is a mosaic of discrete sequence classes. Nature. 423, 825–837. DOI: 10.1038/nature01722. |
[14] | Vogt PH, Falcao CL, Hanstein R, Zimmer J. (2008). The AZF proteins. Andrology. 31: 383–394. DOI: 10.1111/j.1365-2605.2008.00890.x. |
[15] | World Health Organization. (2010). WHO Laboratory Manual for the Examination and Processing of Human Semen. 5th ed. 20 Avenue Appia, 1211 Geneva 27. Switzerland: World Health Organization. |
[16] | Faye, O., Ndiaye, A., Gueye, M. V., Dia, F., Gueye, F. D. and Sembène, M. P. (2016) Caractérisation des aneuploidies recues au Laboratoire de Cytogénétique du CHU Aristide Le Dantec: A propos de 12 cas. JAMO, 7, 6-11. |
[17] | Gueye, F. D., Dia, F., Ndiaye, A., Diallo, A. D., Gueye, M. V., Diop, N., et al. (2023) Contribution of Cytogenetic and Molecular Biology in Disorders of Sex Development Diagnosis: About 55 Cases. International Journal of Genetics and Molecular Biology, 15, 1-12. DOI: 10.5897/IJGMB2022.0223. |
[18] | McGowan-Jordan J, Simons A, Schmid M. ISCN (2016): An international system for human cytogenomic nomenclature. Basel: Karger. |
[19] | Krausz C, Hoefsloot L, Simoni M, Tüttelmann F European Academy of Andrology; European Molecular Genetics Quality Network. (2013). EAA/EMQN best practice guidelines for molecular diagnosis of Y-chromosomal microdeletions: state-of-the-art. Andrology. 2014; 2: 5–19. DOI: 10.1111/j.2047-2927.2013.00173.x. |
[20] | Gunter C, Paradee W, Crawford DC, Meadows KA, Newman J, Kunst CB, Nelson DL, Schwartz C, Murray A, Macpherson JN, Sherman SL, Warren ST. Re-examination of factors associated with expansion of CGG repeats using a single nucleotide polymorphism in FMR1. Human Molecular Genetics. Nov; 7(12): 1935-46. DOI: 10.1093/hmg/7.12.1935. PMID: 9811938. |
[21] | Babu SR, Sadhnani M, Swarna M, Padmavathi P, Reddy P. (2004). Evaluation of FSH, LH and testosterone levels in different subgroups of infertile males. Indian Journal of Clinical Biochemistry. 19(1): 45–49. DOI: 10.1007/BF02872388. |
[22] | Bhasin S, de Kretser DM, Baker HW. (1994). Clinical review 64: pathophysiology and natural history of male infertility. Journal of Clinical Endocrinology and Metabolism. 79: 1525–1529. DOI: 10.1210/jcem.79.6.7989450. |
[23] | Colpi, G. M., Francavilla, S., Haidl, G., Link, K., Behre, H. M., Goulis, D. G., Krausz, C. and Giwercman, A. (2018). European Academy of Andrology guideline Management of oligo-astheno-teratozoospermia. Andrology. 6: 513-524. DOI: 10.1111/andr.12502. |
[24] | Foresta C, Ferlin A, Gianaroli L & Dallapiccola B. (2002). Guidelines for the appropriate use of genetic tests in infertile couples. European Journal of Human Genetics. 10, 303–312. DOI: 10.1038/sj.ejhg.5200805. |
[25] | Jungwirth A, Giwercman A, Tournaye H, Diemer T, Kopa Z, Dohle G, Krausz C & European Association of Urology Working Group on Male I. (2012). European Association of Urology guidelines on Male Infertility: the 2012 update. European Urology. 62, 324–332. DOI: 10.1016/j.eururo.2012.04.048. |
[26] | Balkan M, Tekes S, Gedik A. Cytogenetic and Y chromosome microdeletion screening studies in infertile males with Oligozoospermia and Azoospermia in Southeast Turkey. Journal of Assisted Reproduction and Genetics. 2008; 25: 559–65. DOI: 10.1007/s10815-008-9272-8. |
[27] | Johnson MD. (1998). Genetic risks of intracytoplasmic sperm injection in the treatment of male infertility: recommendations for genetic counseling and screening. Fertility and Sterility. 70, 397–411. DOI: 10.1016/s0015-0282(98)00209-x. |
[28] | Sargin CF, Berker-Karaüzüm S, Manguoğlu E, Erdoğru T, Karaveli S, Gülkesen KH, et al. (2004). AZF microdeletions on the Y chromosome of infertile men from Turkey. Annales de Génétique. 47: 61–8. DOI: 10.1016/j.anngen.2003.09.002. |
[29] | Lanfranco F, Kamischke A, Zitzmann M, Nieschlag E (2004) Klinefelter’s syndrome. Lancet. 364: 273-83. DOI: 10.1016/S0140-6736(04)16678-6. |
[30] | Li Fu, Da Ke Xiong, XianPing Ding. (2012). Genetic screening for chromosomal abnormalities and Y chromosome microdeletions in Chinese infertile men. Journal of Assisted Reproduction and Genetics. 29(6): 521–52. DOI: 10.1007/s10815-012-9741-y. |
[31] | Abur U. Gunes S, Ascı R, etal. (2019). Chromosomal and Y-chromosome microdeletion analysis in 1,300 infertile males and the fertility outcome of patients with AZFc microdeletions. Andrologia. 51(11): 13402. DOI: 10.1111/and.13402. |
[32] | Johnson M, Raheem A, De Luca F, Hallerstrom M, Zainal Y, Poselay S, Mohammadi B, Moubasher A, Johnson TF, Muneer A, Sangster P & Ralph DJ. (2018). An analysis of the frequency of Y-chromosome microdeletions and the determination of a threshold sperm concentration for genetic testing in infertile men. BJU International. 123, 367–372. DOI: 10.1111/bju.14521. |
[33] | Krausz C. (2011) Male infertility: pathogenesis and clinical diagnosis. Best Pract Res. Clinical Endocrinology and Metabolism. 25, 271–285. DOI: 10.1016/j.beem.2010.08.006. |
[34] | Lo Giacco D, Chianese C, Sánchez-Curbelo J, Bassas L, Ruiz P, Rajmil O, Sarquella J, Vives A, Ruiz-Castañé E, Oliva R, Ars E & Krausz C. (2013). Clinical relevance of Y-linked CNV screening in male infertility: new insights based on the 8-year experience of a diagnostic genetic laboratory. European Journal of Human Genetics. 22, 754. DOI: 10.1038/ejhg.2013.253. |
[35] | McLachlan RI, O'Bryan MK. (2010). Clinical Review#: State of the art for genetic testing of infertile men. Journal of Clinical Endocrinology and Metabolism. 95(3): 1013-24. DOI: 10.1210/jc.2009-1925. |
[36] | Krausz C, McElreavey K. (1999). Y chromosome and male infertility. Frontiers in Bioscience-Landmark. 15: 1–8. DOI: 10.2741/krausz. |
[37] | Ambasudhan R, Singh K, Agarwal J K, Singh S K, Khanna A, Sah R K, Singh I and Raman R. (2003). Idiopathic cases of male infertility from a region in India show low incidence of Y-chromosome microdeletion. Journal of Biosciences. 28 605–612. DOI: 10.1007/BF02703336. |
[38] | Özdemir TR, Özyılmaz B, Çakmak Ö, Kaya ÖÖ, Köse C, Kırbıyık Ö, Keskin MZ, Koç A, Zeyrek T, Kutbay YB, Erdoğan KM, Güvenç MS. (2019). Evaluation of chromosomal abnormalities and Y-chromosome microdeletions in 1696 Turkish cases with primary male infertility: A single-center study. Turkish Journal of Urology. 46(2): 95-100. DOI: 10.5152/tud.2019.19156. |
[39] | Liu XY, Wang RX, Fu Y, Luo LL, Guo W, Liu RZ. Outcomes of intracytoplasmic sperm injection in oligozoospermic men with Y chromosome AZFb or AZFc microdeletions. Andrologia. 2017; 49 DOI: 10.1111/and.12602. |
[40] | Mitra A, Dada R, Kumar R, Gupta NP, Kucheria K, Gupta SK. (2006). Y chromosome microdeletions in azoospermic patients with Klinefelter's syndrome. Asian Journal of Andrology. Jan; 8(1): 81-8. DOI: 10.1111/j.1745-7262.2006.00083.x. |
APA Style
Diallo, A. D., Ndiaye, A., Gueye, F. D., Diop, N., Ndiaye, R., et al. (2023). Y-Chromosome Microdeletion Screening in Senegalese Infertile Men. International Journal of Genetics and Genomics, 11(4), 112-118. https://doi.org/10.11648/j.ijgg.20231104.11
ACS Style
Diallo, A. D.; Ndiaye, A.; Gueye, F. D.; Diop, N.; Ndiaye, R., et al. Y-Chromosome Microdeletion Screening in Senegalese Infertile Men. Int. J. Genet. Genomics 2023, 11(4), 112-118. doi: 10.11648/j.ijgg.20231104.11
AMA Style
Diallo AD, Ndiaye A, Gueye FD, Diop N, Ndiaye R, et al. Y-Chromosome Microdeletion Screening in Senegalese Infertile Men. Int J Genet Genomics. 2023;11(4):112-118. doi: 10.11648/j.ijgg.20231104.11
@article{10.11648/j.ijgg.20231104.11, author = {Adji Dieynaba Diallo and Arame Ndiaye and Fatou Diop Gueye and Ndiaga Diop and Rokhaya Ndiaye and Amath Thiam and Abdoulaye Sega Diallo and Mame Venus Gueye and Mama Sy Diallo and Oumar Faye}, title = {Y-Chromosome Microdeletion Screening in Senegalese Infertile Men}, journal = {International Journal of Genetics and Genomics}, volume = {11}, number = {4}, pages = {112-118}, doi = {10.11648/j.ijgg.20231104.11}, url = {https://doi.org/10.11648/j.ijgg.20231104.11}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijgg.20231104.11}, abstract = {Background: Significant progress has been made in recent years towards understanding the pathogenesis of spermatogenic arrest and infertility. Genetic factors contribute to 10-15% of male infertility. After chromosomal abnormalities, Azoospermia factor (AZF) microdeletions in the Yq region are the second most prevalent spermatogenic disorder among infertile men. Our study aimed to assess rates of chromosomal abnormalities and AZF microdeletions in Senegalese men diagnosed with azoospermia and oligozoospermia. Methods: Twenty-three men with azoospermia and oligozoospermia were chosen for molecular studies. Blood samples were analyzed for karyotyping and identification of Y chromosome microdeletions. Multiplex polymerase chain reaction was used to identify the complete deletion of AZF using six Sequence-Tagged Sites (STSs) (sY84 and sY86 in the AZFa region, sY127 and sY134 in the AZFb region, and sY254 and sY255 in the AZFc region). Results: During karyotyping analysis, it was observed that no chromosomal abnormalities were present except for four patients who had Klinefelter syndrome (XXY or XY/XXY; XX/XXY mosaics). Furthermore, AZF microdeletions were detected, with the most common being in the AZFc region, followed by AZFa and AZFb. Ten patients (62.5%, 10/16) exhibited deletion of AZFc markers sY254 and sY255. Of these, two patients (20%, 2/10) had sY254 deletion, one patient (10%, 1/10) had sY255 deletion, and seven patients (70%, 7/10) had sY254 + sY255 deletion which was significantly related to azoospermic phenotype (80%, 8/10). Additionally, four patients (25%, 4/16) had deletion of AZFa at marker sY86 and this was linked to both azoospermic and oligozoospermic. Finally, two patients (12.5%, 2/1) exhibited deletion AZFb in marker sY127, which was associated solely with azoospermia. However, microdeletions of the Y chromosome were detected in four azoospermic patients with abnormal karyotype. Conclusions: Our study indicates the presence of abnormal chromosome and Y chromosome microdeletions in the infertile Senegalese men, suggesting that screening for these should be part of their diagnostic. }, year = {2023} }
TY - JOUR T1 - Y-Chromosome Microdeletion Screening in Senegalese Infertile Men AU - Adji Dieynaba Diallo AU - Arame Ndiaye AU - Fatou Diop Gueye AU - Ndiaga Diop AU - Rokhaya Ndiaye AU - Amath Thiam AU - Abdoulaye Sega Diallo AU - Mame Venus Gueye AU - Mama Sy Diallo AU - Oumar Faye Y1 - 2023/11/30 PY - 2023 N1 - https://doi.org/10.11648/j.ijgg.20231104.11 DO - 10.11648/j.ijgg.20231104.11 T2 - International Journal of Genetics and Genomics JF - International Journal of Genetics and Genomics JO - International Journal of Genetics and Genomics SP - 112 EP - 118 PB - Science Publishing Group SN - 2376-7359 UR - https://doi.org/10.11648/j.ijgg.20231104.11 AB - Background: Significant progress has been made in recent years towards understanding the pathogenesis of spermatogenic arrest and infertility. Genetic factors contribute to 10-15% of male infertility. After chromosomal abnormalities, Azoospermia factor (AZF) microdeletions in the Yq region are the second most prevalent spermatogenic disorder among infertile men. Our study aimed to assess rates of chromosomal abnormalities and AZF microdeletions in Senegalese men diagnosed with azoospermia and oligozoospermia. Methods: Twenty-three men with azoospermia and oligozoospermia were chosen for molecular studies. Blood samples were analyzed for karyotyping and identification of Y chromosome microdeletions. Multiplex polymerase chain reaction was used to identify the complete deletion of AZF using six Sequence-Tagged Sites (STSs) (sY84 and sY86 in the AZFa region, sY127 and sY134 in the AZFb region, and sY254 and sY255 in the AZFc region). Results: During karyotyping analysis, it was observed that no chromosomal abnormalities were present except for four patients who had Klinefelter syndrome (XXY or XY/XXY; XX/XXY mosaics). Furthermore, AZF microdeletions were detected, with the most common being in the AZFc region, followed by AZFa and AZFb. Ten patients (62.5%, 10/16) exhibited deletion of AZFc markers sY254 and sY255. Of these, two patients (20%, 2/10) had sY254 deletion, one patient (10%, 1/10) had sY255 deletion, and seven patients (70%, 7/10) had sY254 + sY255 deletion which was significantly related to azoospermic phenotype (80%, 8/10). Additionally, four patients (25%, 4/16) had deletion of AZFa at marker sY86 and this was linked to both azoospermic and oligozoospermic. Finally, two patients (12.5%, 2/1) exhibited deletion AZFb in marker sY127, which was associated solely with azoospermia. However, microdeletions of the Y chromosome were detected in four azoospermic patients with abnormal karyotype. Conclusions: Our study indicates the presence of abnormal chromosome and Y chromosome microdeletions in the infertile Senegalese men, suggesting that screening for these should be part of their diagnostic. VL - 11 IS - 4 ER -