Частота термінальної делеції sY160 серед чоловіків із мікроделеціями AZFc регіону Y-хромосоми
Анотація
Aim. Determine the frequency of absence marker terminal deletions sY160 among men with microdeletions of AZFc region Y-chromosome. Methods. DNA from probands blood samples was isolated using a modified salting out method. Microdeletions of Y chromosome AZF region were analyzed using two multiplex PCR. The molecular-genetic study of terminal deletions (absence of sY160) was carried out using allele-specific PCR and analysed by electrophoresis in a 2 % agarose gel. Results. Among infertile men (1500 individuals), Y chromosome microdeletions were detected in 7% males: microdeletions of AZFa subregion in 1 %, AZFb subregion – 3 %, AZF(b+c) subregions – 15 %, AZFc subregion – 67 %. The presence of heterochromatin marker sY160 was confirmed in 39 cases (84.8 %) and absence of sY160 in 7 men (15.2 %). Absence of sY160 was detected in 2 men with AZFc microdeletion and in 5 men with AZFb+AZFc microdeletions. It is important to point out that terminal AZFc deletion was confirmed in 83.3 % of cases of AZFb+c microdeletions and only in 5.1 % of isolated AZFc microdeletions. Conclusions. Thus, among 15.2 % man with different AZF microdeletions of Y-chromosome the heterochromatin marker of terminal deletion sY160 was absents. The implementation of testing of marker of terminal deletion – sY160 may help to determine if the deletion corresponds to the b2/b4 pattern and to avoid biopsy in man which most likely not benefit from the surgical procedure.
Keywords: male infertility, spermatogenesis, Y chromosome, AZF region, terminal deletions.
Посилання
Hopps C.V., Mielni A., Goldstein M., Palerm G.D., Rosenwaks Z., Schlegel P.N. Detection of sperm in men with Y chromosome microdeletions of the AZFa, AZFb and AZFc regions. Human Reproduction. 2003. V. 18. Р. 1660-1665. doi: 10.1093/humrep/deg348
Tiepolo L., Zuffardi O. Localization of factors controlling spermatogenesis in the nonfluorescent portion of the human Y-chromosome long arm. Hum.Genet. 1976. V. 34. P. 119-124. doi: 10.1007/BF00278879
Vollrath D., Foote S., Hilton A., Brown L.G., Beer-Romero P., Bogan J.S., Page D.C. The human Y chromosome: a 43-internal map based on naturally occurring deletions. Science. 1992. V. 258. P. 52-59. doi: 10.1126/science.1439769
Foresta C., Moro E., Ferlin A. Prognostic value of Y deletion analysis. The role of current methods. Hum. Reprod. 2001. V. 16(8). P. 1543-1547. doi: 10.1093/humrep/16.8.1543
Simoni M., Bakker E., Eurlings M., Matthijs G., Moro E., Muller C.R., Vogt P.H. Laboratory guidelines for molecular diagnosis of Y-chromosomal microdeletion. Int. J. Androl. 1999. V. 22. P. 292-299. doi: 10.1046/j.1365-2605.1999.00193.x
Vogt P.H., Edelmann A., Kirsch S., Henegariu O., Hirschmann P., Kiesewetter, Köhn F.M., Schill W.B. Human Y chromosome azoospermia factors (AZF) mapped to different subregions in Yq11. Hum Mol Genet. 1996. V. 5. P. 933-943. doi: 10.1093/hmg/5.7.933
Krausz C., Quintana-Murci L., McElreavey K. Prognostic value of Y deletion analysis: what is the clinical prognostic value of Y chromosome microdeletion analysis?. Human Reproduction. 2000. V. 15. P. 1431-1434. doi: 10.1093/humrep/15.7.1431
Calogero A.E., Garofalo M.R., Barone N. Spontaneous regression over time of the germinal epithelium in a Y chromosome-microdeleted patient. Human Reproduction. 2001. V. 16. P. 1845-1848. doi: 10.1093/humrep/16.9.1845
Krausz C., Forti G., McElreavey K. The Y chromosome and male fertility and infertility. International Journal of Andrology. 2003. V. 26. Р. 70-75. doi: 10.1046/j.1365-2605.2003.00402.x
Krausz C., Hoefsloot L., Simoni M., Tüttelmann F. EAA/EMQN best practice guidelines for molecular diagnosis of Y-chromosomal microdeletions: state-of-the-art 2013. Andrology. 2014. V. 2(1). P. 5-19. doi: 10.1111/j.2047-2927.2013.00173.x
Ambulkar P.S., Sigh R., Reddy M., Varma P.S., Gupta D.O., Shende M.R., Pal A.K. Genetic Risk of Azoospermia Factor (AZF) Microdeletions in Idiopathic Cases of Azoospermia and Oligozoospermia in Central Indian Population. J Clin Diagn Res. 2014. V. 8(3). P. 88-91.
Makukh H.V., Zastavna D.V., Tyrkus M.Ya. Pat. 32044 UA, MPK G01N33/49 (2006.01) Sposib vydilennia DNK z leykotsytiv peryferiynoi krovi, zaiavnyk DU «Instytut spadkovoi patolohii AMNU». No u200801896; zaiavl. 14.02.2008; opubl. 25.04.2008, Biul. No 8. [in Ukrainian]
Simoni M., Bakker E., Krausz C. EAA/EMQN best practice guidelines for molecular diagnosis of y-chromosomal microdeletions. International J. of Andrologi. 2004. V. 27. P. 240-249. doi: 10.1111/j.1365-2605.2004.00495.x
Brandell R.A., Mielnik A., Liotta D., Ye Z., Veeck L.L., Palermo G.D. AZFb deletions predict the absence of spermatozoa with testicular sperm extraction: preliminary report of a prognostic genetic test. Hum Reprod. 1998. V. 13. P. 2812-2815. doi: 10.1093/humrep/13.10.2812
Jaruzelska J., Korcz A., Wojda A., Jedrzejczak P., Bierla J., Surmacz T., Page D., Kotecki M. Mosaicism for 45,X cell line may accentuate the severity of spermatogenic defects in men with AZFc deletion. International J of Andrologi. 2001. V. 38. P. 798-802. doi: 10.1136/jmg.38.11.798