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[49例精子发生功能障碍患者Y染色体大片段缺失的断点定位]

[Breakpoint localization of Y-chromosome massive deletions in 49 spermatogenesis dysfunction patients].

作者信息

Tu Xiangdong, Cong Xuewen, Yan Aihen, Zeng Jian, Zhu Zhongyong

机构信息

PLA Center for Laboratory Medicine, Fuzhou General Hospital of Nanjing Military Region, Fuzhou, Fujian, 350025 PR China.

出版信息

Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2009 Dec;26(6):686-9. doi: 10.3760/cma.j.issn.1003-9406.2009.06.017.

Abstract

OBJECTIVE

To analyze the characteristics of azoospermia factor(AZF) deletions in Y-chromosome.

METHODS

Based on the AZF microdeletion screening on 272 cases of azoospermia and 240 cases of severe oligozoo spermia, 49 cases were investigated using 23 sequence-tagged sites (STS) in AZFa, AZFb and AZFc. For some cases, single nucleotide rarians (SNV) method was applied to identify the single nucleotide polymorphism (SNPs) in four DAZ gene copies and to determine the copy number of the DAZ gene.

RESULTS

In 6 cases with deletions of AZFb+c, there was 1 case with sY98/sY1206 deletion, 4 cases with P5/distal-P1 recombination and 1 with P4/distal-P1 recombination. In 3 cases with deletions in AZFb, 1 case showed P5/P3 deletion and 2 cases showed P5/proximal-P1 recombination with DAZ1 and DAZ2 deletions. b2/b4 recombination was observed in all the 40 cases with deletions in AZFc. A fraction of patients with AZFb and AZFb+c deletions showed oligospermia and spermatogenic failure by testicular biopsy.

CONCLUSION

Breakpoint localization of deletions in AZF regions may help elucidating the mechanisms of microdeletions, and analysis of the characteristics and quantity of deleted genes essential for normal spermatogenesis may evaluate the association of phenotype with spermatogenic failure.

摘要

目的

分析Y染色体无精子症因子(AZF)缺失的特征。

方法

基于对272例无精子症患者和240例严重少精子症患者进行的AZF微缺失筛查,采用AZFa、AZFb和AZFc区域的23个序列标签位点(STS)对49例患者进行研究。对于部分病例,应用单核苷酸变异(SNV)方法鉴定四个DAZ基因拷贝中的单核苷酸多态性(SNP),并确定DAZ基因的拷贝数。

结果

在6例AZFb + c缺失的病例中,1例存在sY98/sY1206缺失,4例存在P5/远端 - P1重组,1例存在P4/远端 - P1重组。在3例AZFb缺失的病例中,1例表现为P5/P3缺失,2例表现为P5/近端 - P1重组伴DAZ1和DAZ2缺失。在所有40例AZFc缺失的病例中均观察到b2/b4重组。部分AZFb和AZFb + c缺失的患者经睾丸活检显示少精子症和生精功能障碍。

结论

AZF区域缺失的断点定位可能有助于阐明微缺失的机制,分析对正常精子发生至关重要的缺失基因的特征和数量可能有助于评估表型与生精功能障碍的关联。

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