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CFTR基因突变及其在男性不育中的作用:一项病例研究。

CFTR Gene Mutations and their Role in Male Infertility: A Case Study.

作者信息

Anjankar Namrata, More Akash, Anjankar Ashish P, Mahajan Sanket S, Nawale Neha

机构信息

Department of Clinical Embryology, School of Allied Health Sciences, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.

Department of Biochemistry, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.

出版信息

J Pharm Bioallied Sci. 2025 May;17(Suppl 1):S1008-S1010. doi: 10.4103/jpbs.jpbs_469_25. Epub 2025 Apr 9.

Abstract

The F508del CFTR gene mutation primarily leads to cystic fibrosis development yet produces infertility complications in males. The presented case concerns a 32-year-old man who has azoospermia but does not display cystic fibrosis symptoms. Testing showed the presence of the F508del CFTR mutation, which resulted in identifying obstructive azoospermia with congenital absence of the vas deferens (CAVD). The woman suffered from inadequate ovarian function. Fertility solutions for couples can be obtained through assisted reproductive methods which include testicular sperm extraction (TESE) along with percutaneous epididymal sperm aspiration (PESA) that utilizes intracytoplasmic sperm injection techniques (ICSI). Genetic counseling remains essential for risk assessment because it tells family members if they carry this genetic defect. The assessment matters more when women also have the genetic defect. The research confirms how CFTR mutations affect infertility while demonstrating the need for early genetic screening to properly manage male infertility with unknown causes.

摘要

F508del囊性纤维化跨膜传导调节因子(CFTR)基因突变主要导致囊性纤维化,但会引发男性不育并发症。本文介绍的病例是一名32岁男性,他患有无精子症,但未表现出囊性纤维化症状。检测显示存在F508del CFTR突变,这导致诊断为梗阻性无精子症伴先天性输精管缺如(CAVD)。该名女性存在卵巢功能不全。夫妇的生育解决方案可通过辅助生殖方法获得,这些方法包括睾丸精子提取(TESE)以及利用胞浆内单精子注射技术(ICSI)的经皮附睾精子抽吸(PESA)。遗传咨询对于风险评估仍然至关重要,因为它能告知家庭成员是否携带这种基因缺陷。当女性也存在这种基因缺陷时,评估更为重要。该研究证实了CFTR突变如何影响不育,同时表明需要进行早期基因筛查,以妥善处理病因不明的男性不育问题。

相似文献

1
CFTR Gene Mutations and their Role in Male Infertility: A Case Study.CFTR基因突变及其在男性不育中的作用:一项病例研究。
J Pharm Bioallied Sci. 2025 May;17(Suppl 1):S1008-S1010. doi: 10.4103/jpbs.jpbs_469_25. Epub 2025 Apr 9.

本文引用的文献

1
Genetics of Male Infertility - Present and Future: A Narrative Review.男性不育的遗传学:现状与未来:一篇叙述性综述
J Hum Reprod Sci. 2021 Jul-Sep;14(3):217-227. doi: 10.4103/jhrs.jhrs_115_21. Epub 2021 Sep 28.
4
Genetics of and male infertility.男性不育的遗传学
Transl Androl Urol. 2021 Mar;10(3):1391-1400. doi: 10.21037/tau.2020.04.05.
5
Male reproductive health in cystic fibrosis.囊性纤维化男性生殖健康
J Cyst Fibros. 2019 Oct;18 Suppl 2:S105-S110. doi: 10.1016/j.jcf.2019.08.007.
6
Cystic fibrosis.囊性纤维化。
Nat Rev Dis Primers. 2015 May 14;1:15010. doi: 10.1038/nrdp.2015.10.
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