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特发性无精子症和严重少精子症中的无精子症因子微缺失

[Azoospermia factor microdeletions in idiopathic azoospermia and severe oligozoospermia].

作者信息

Jia Yi-Fang, Wu Ai-Hua, Qiu Yi, Qu Ji-Ying, Song Chang-Zheng

机构信息

Key Laboratory for Improving Birth Outcome Technique of Shandong Provincial Institute of Family Planning Resaerch, Jinan, Shandong 250002, China.

出版信息

Zhonghua Nan Ke Xue. 2006 Feb;12(2):108-11.

Abstract

OBJECTIVE

To observe the relationship between microdeletions of AZF( azoospermia factor) on Y chromosome in male with idiopathic azoospermia and severe oligozoospermia.

METHODS

Only patients with an apparently normal 46,XY karyotype and normal FSH, LH and T were included in this study. Multiplex PCR was used to detect the sequence-tagged sites( STS) as follows :sY84, sY86, sY127, sY134, sY152, sY153, sY254, sY255, and ZFX/Y was used as internal control gene.

RESULTS

No microdeletion was detected in the control whereas 8 microdeletion cases existed in 67 idiopathic azoospermia and severe oligozoospermia, including 4 in AZFc, 2 in AZFa + AZFc, 1 in AZFc + AZFb, and 1 in AZFb. The prevalence rate of microdeletion was 11.94%, which was statistically different from the control.

CONCLUSION

Microdeletions in the AZF regions on the long arm of the Y-chromosome are associated with idiopathic azoospermic and severely oligozoospermic men. Multiplex PCR was a rapid and reliable method for screening microdeletions of AZF.

摘要

目的

观察特发性无精子症和严重少精子症男性患者Y染色体上无精子症因子(AZF)微缺失情况及其相互关系。

方法

本研究仅纳入核型为46,XY且外观正常,促卵泡生成素(FSH)、促黄体生成素(LH)及睾酮(T)水平正常的患者。采用多重聚合酶链反应(Multiplex PCR)检测序列标签位点(STS),具体包括:sY84、sY86、sY127、sY134、sY152、sY153、sY254、sY255,并以锌指蛋白X/Y基因(ZFX/Y)作为内对照基因。

结果

对照组未检测到微缺失,而67例特发性无精子症和严重少精子症患者中存在8例微缺失,其中AZFc区4例,AZFa + AZFc区2例,AZFc + AZFb区1例,AZFb区1例。微缺失发生率为11.94%,与对照组相比差异有统计学意义。

结论

Y染色体长臂AZF区域微缺失与特发性无精子症和严重少精子症男性相关。多重聚合酶链反应是筛查AZF微缺失的一种快速可靠的方法。

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