Department of Urology, The Second Hospital of Jilin University, Changchun, China.
Medicine (Baltimore). 2022 Oct 14;101(41):e31091. doi: 10.1097/MD.0000000000031091.
Male infertility is a multifactorial condition that is closely associated with chromosomal abnormalities. Reciprocal chromosomal translocation (RCT) is a significant structural genetic abnormality. The specific mechanisms of forms of RCT affecting male infertility include the product of chromosomally unbalanced gametes, thereby disrupting the structure and function of important genes responsible for spermatogenesis. RCT breakpoints have been found to disrupt gene structure and function in many medical fields However, the relationship between RCT breakpoints and male infertility remains to be determined. The purpose of this study is to describe 2 male carriers of RCTs 46,XY,t(8;22)(q13;q13) and 46,XY,t(8;14)(q13;q22). Both patients were collected from the second hospital of Jilin University. Semen parameters were detected using the computer-aided semen analysis system. Cytogenetic analysis was performed using standard operating procedure. Related genes on chromosomal breakpoints were searched using Online Mendelian Inheritance in Man. One man had semen parameters within the normal range, but the couple was infertile after 5 years of marriage. The other man showed normal semen parameters, and his wife had experienced 2 spontaneous miscarriages. Using a literature search, the association between chromosome 22q13 breakpoint and fertility were investigated. The results suggest that physicians should focus on the clinical phenotype of the patients and the breakpoints of RCT in genetic counseling. An important gene related to human male infertility is clearly located in chromosome region 22q13, and its function is worthy of further study.
男性不育是一种多因素的疾病,与染色体异常密切相关。相互易位(RCT)是一种重要的结构遗传异常。影响男性不育的 RCT 形式的具体机制包括染色体不平衡配子的产物,从而破坏负责精子发生的重要基因的结构和功能。已经发现 RCT 断点会破坏许多医学领域的基因结构和功能。然而,RCT 断点与男性不育之间的关系仍有待确定。本研究的目的是描述 2 名 RCT 46,XY,t(8;22)(q13;q13)和 46,XY,t(8;14)(q13;q22)的男性携带者。这两名患者均来自吉林大学第二医院。使用计算机辅助精液分析系统检测精液参数。采用标准操作程序进行细胞遗传学分析。使用在线孟德尔遗传在线搜索染色体断点上的相关基因。一名男子的精液参数在正常范围内,但结婚 5 年后夫妇不育。另一名男子的精液参数正常,他的妻子曾经历过 2 次自然流产。通过文献检索,研究了染色体 22q13 断点与生育能力之间的关系。结果表明,医生应关注患者的临床表型和 RCT 的断点在遗传咨询中的作用。一个与人类男性不育明显相关的重要基因位于染色体 22q13 区域,其功能值得进一步研究。