Krausz C, Giachini C, Xue Y, O'Bryan M K, Gromoll J, Rajpert-de Meyts E, Oliva R, Aknin-Seifer I, Erdei E, Jorgensen N, Simoni M, Ballescà J L, Levy R, Balercia G, Piomboni P, Nieschlag E, Forti G, McLachlan R, Tyler-Smith C
Andrology Unit, Department of Clinical Physiopathology, University of Florence, Viale Pieraccini, 6 Florence 50139, Italy.
J Med Genet. 2009 Jan;46(1):21-31. doi: 10.1136/jmg.2008.059915. Epub 2008 Sep 9.
Previous studies have compared sperm phenotypes between men with partial deletions within the AZFc region of the Y chromosome and non-carriers, with variable results. In this study, a separate question was investigated, the basis of the variation in sperm phenotype within gr/gr deletion carriers, which ranges from normozoospermia to azoospermia. Differences in the genes removed by independent gr/gr deletions, the occurrence of subsequent duplications or the presence of linked modifying variants elsewhere on the chromosome have been suggested as possible causal factors. This study set out to test these possibilities in a large sample of gr/gr deletion carriers with known phenotypes spanning the complete range.
In total, 169 men diagnosed with gr/gr deletions from six centres in Europe and one in Australia were studied. The DAZ and CDY1 copies retained, the presence or absence of duplications and the Y-chromosomal haplogroup were characterised. Although the study had good power to detect factors that accounted for >or=5.5% of the variation in sperm concentration, no such factor was found. A negative effect of gr/gr deletions followed by b2/b4 duplication was found within the normospermic group, which remains to be further explored in a larger study population. Finally, significant geographical differences in the frequency of different subtypes of gr/gr deletions were found, which may have relevance for the interpretation of case control studies dealing with admixed populations.
The phenotypic variation of gr/gr carriers in men of European origin is largely independent of the Y-chromosomal background.
既往研究比较了Y染色体AZFc区域存在部分缺失的男性与非携带者的精子表型,结果各异。在本研究中,探讨了一个不同的问题,即gr/gr缺失携带者中精子表型变异的基础,其范围从正常精子症到无精子症。独立的gr/gr缺失所去除的基因差异、随后重复的发生情况或染色体其他位置上连锁修饰变异的存在被认为是可能的致病因素。本研究旨在对大量已知表型涵盖整个范围的gr/gr缺失携带者样本进行这些可能性的检验。
共研究了来自欧洲六个中心和澳大利亚一个中心的169名诊断为gr/gr缺失的男性。对保留的DAZ和CDY1拷贝数、重复的有无以及Y染色体单倍群进行了特征分析。尽管该研究有足够的能力检测出占精子浓度变异≥5.5%的因素,但未发现此类因素。在正常精子症组中发现gr/gr缺失后伴随b2/b4重复有负面影响,这有待在更大的研究人群中进一步探索。最后,发现gr/gr缺失不同亚型的频率存在显著地理差异,这可能与涉及混合人群的病例对照研究的解释有关。
欧洲裔男性中gr/gr携带者的表型变异在很大程度上独立于Y染色体背景。