Skip to main content
Top
Published in: Journal of Assisted Reproduction and Genetics 4/2013

01-04-2013 | Genetics

Non-chimerism and chimerism pseudo dicentric Y chromosome: two case reports about azoospermia and cytogenetic/molecular genetic analysis in the Chinese population

Authors: Ping Li, Lu Ding, Yan-Wei Sha, Yue-Qiang Song, Jin Lin, Erika F. Werner, Mingyu She

Published in: Journal of Assisted Reproduction and Genetics | Issue 4/2013

Login to get access

Abstract

Objective

To report the cytogenetic and molecular genetic analysis of the first two cases of non-chimerism and chimerism karyotype in Chinese male patients who suffer from azoospermia, which may be caused by pseudo dicentric Y chromosomes.

Design

Case study.

Setting

Academic reproductive medicine center.

Patients

Two male patients with azoospermia, carrying pseudo dicentric Y chromosome.

Interventions

Review the records of inquiry, testicular biopsy, pathological examination, semen routine examination, endocrine evaluation, cytogenetic chromosomal analysis, and FISH detection of peripheral blood to evaluate Y chromosome deletion.

Main outcome measures

To investigate the possible association among pseudo dicentric Y, chimeric status and azoospermia.

Results

Two patients were both diagnosed with azoospermia by a variety of andrology inspections. Further chromosomal analysis and FISH indicated their pseudo dicentric Y chromosome and different chimerism status. PCR confirmed simultaneous deletions of AZFb and AZFc regions in the Y chromosome of both patients.

Conclusions

Pseudodicentric Y chromosome affecting the long arm may lead to a male phenotype by duplicating the sex-determining region of Y chromosome (SRY) fragment and chimeric status may further impact patient's hormone levels, which obstruct spermatogenesis. However, the deletion of the azoospermia factor (AZF) is likely the key factor that causes azoospermia.
Literature
1.
2.
go back to reference Cohen G, Manuel A, Cohen M, Fagan K, Grunstein H. A deletion of heterochromatin only of the Y chromosome in an azoospermic male. Hum Genet. 1983;64:297–300.PubMedCrossRef Cohen G, Manuel A, Cohen M, Fagan K, Grunstein H. A deletion of heterochromatin only of the Y chromosome in an azoospermic male. Hum Genet. 1983;64:297–300.PubMedCrossRef
3.
go back to reference Cai XP, Zhao L, Mao M, Yang ZJ, Xing XY, Li GW. A case of Klinefelter's syndrome with type 1 diabetes mellitus. Chin Med J (Engl). 2012;125:937–40. Cai XP, Zhao L, Mao M, Yang ZJ, Xing XY, Li GW. A case of Klinefelter's syndrome with type 1 diabetes mellitus. Chin Med J (Engl). 2012;125:937–40.
4.
go back to reference Inoue H, Orita T, Matsushige T, Hasegawa S, Ichiyama T. Klinefelter's syndrome complicated with West syndrome in a 4-month-old boy. Brain Dev. 2012;34:148–50.PubMedCrossRef Inoue H, Orita T, Matsushige T, Hasegawa S, Ichiyama T. Klinefelter's syndrome complicated with West syndrome in a 4-month-old boy. Brain Dev. 2012;34:148–50.PubMedCrossRef
5.
go back to reference Ros C, Castelo-Branco C. Management of Turner's syndrome in adult life: case-series and systematic review. Gynecol Endocrinol. 2012;28:726–32.PubMedCrossRef Ros C, Castelo-Branco C. Management of Turner's syndrome in adult life: case-series and systematic review. Gynecol Endocrinol. 2012;28:726–32.PubMedCrossRef
6.
go back to reference Sanchez Fuentes S, Amaya Garcia MJ, Enciso Izquierdo FJ, Moyano Calvente SL. 46 XX Male syndrome. Endocrinol Nutr. 2012;59:276–8.PubMedCrossRef Sanchez Fuentes S, Amaya Garcia MJ, Enciso Izquierdo FJ, Moyano Calvente SL. 46 XX Male syndrome. Endocrinol Nutr. 2012;59:276–8.PubMedCrossRef
7.
go back to reference Yoshinaga A, Morozumi M, Yoshida S, Ohno R, Ishii N, Terao T, et al. A case of hypospadias with a dicentric Y chromosome. Nihon Hinyokika Gakkai Zasshi. 2007;98:30–3.PubMed Yoshinaga A, Morozumi M, Yoshida S, Ohno R, Ishii N, Terao T, et al. A case of hypospadias with a dicentric Y chromosome. Nihon Hinyokika Gakkai Zasshi. 2007;98:30–3.PubMed
8.
go back to reference Santos MA, Teklenburg G, Macklon NS, Van Opstal D, Schuring-Blom GH, Krijtenburg PJ, et al. The fate of the mosaic embryo: chromosomal constitution and development of Day 4, 5 and 8 human embryos. Hum Reprod. 2010;25:1916–26.PubMedCrossRef Santos MA, Teklenburg G, Macklon NS, Van Opstal D, Schuring-Blom GH, Krijtenburg PJ, et al. The fate of the mosaic embryo: chromosomal constitution and development of Day 4, 5 and 8 human embryos. Hum Reprod. 2010;25:1916–26.PubMedCrossRef
9.
go back to reference Al-Achkar W, Wafa A, Liehr T, Klein E, Moassass F. Detailed analysis of an idic(Y)(q11.21) in a mosaic karyotype. Mol Med Report. 2012;6:293–6. Al-Achkar W, Wafa A, Liehr T, Klein E, Moassass F. Detailed analysis of an idic(Y)(q11.21) in a mosaic karyotype. Mol Med Report. 2012;6:293–6.
10.
go back to reference Xie T. Human dicentric Y chromosome case report and discussion of its clinico-cytogenetical aspects. Hereditary and Disease. 1987;4:69–71. 131. Xie T. Human dicentric Y chromosome case report and discussion of its clinico-cytogenetical aspects. Hereditary and Disease. 1987;4:69–71. 131.
11.
go back to reference Yu C. Genetic analysis of a case 45, X/46, X, dic, i(Yq) and gonadal dysgenesis. ACTA Academiae Medicinae Shanghai. 1990;17:157–9. Yu C. Genetic analysis of a case 45, X/46, X, dic, i(Yq) and gonadal dysgenesis. ACTA Academiae Medicinae Shanghai. 1990;17:157–9.
12.
go back to reference Wei T. A case report of dicentric Y chromosome. Chinese Journal of Medical Genetics. 2005;22:631. Wei T. A case report of dicentric Y chromosome. Chinese Journal of Medical Genetics. 2005;22:631.
13.
go back to reference Guo Q, Lan F, Xu L, Jiang Y, Xiao L, Huang H, et al. Quadruplex real-time polymerase chain reaction assay for molecular diagnosis of Y-chromosomal microdeletions. Fertil Steril. 2012;97:864–9.PubMedCrossRef Guo Q, Lan F, Xu L, Jiang Y, Xiao L, Huang H, et al. Quadruplex real-time polymerase chain reaction assay for molecular diagnosis of Y-chromosomal microdeletions. Fertil Steril. 2012;97:864–9.PubMedCrossRef
14.
go back to reference Berta P, Hawkins JR, Sinclair AH, Taylor A, Griffiths BL, Goodfellow PN, et al. Genetic evidence equating SRY and the testis-determining factor. Nature. 1990;348:448–50.PubMedCrossRef Berta P, Hawkins JR, Sinclair AH, Taylor A, Griffiths BL, Goodfellow PN, et al. Genetic evidence equating SRY and the testis-determining factor. Nature. 1990;348:448–50.PubMedCrossRef
15.
go back to reference Xu Z, Gao X, He Y, Ju J, Zhang M, Liu R, et al. Synergistic effect of SRY and its direct target, WDR5, on Sox9 expression. PLoS One. 2012;7:e34327.PubMedCrossRef Xu Z, Gao X, He Y, Ju J, Zhang M, Liu R, et al. Synergistic effect of SRY and its direct target, WDR5, on Sox9 expression. PLoS One. 2012;7:e34327.PubMedCrossRef
16.
go back to reference Niederberger C. Re: XX males SRY negative: a confirmed cause of infertility. J Urol. 2012;187:1792–3. Niederberger C. Re: XX males SRY negative: a confirmed cause of infertility. J Urol. 2012;187:1792–3.
17.
go back to reference Zhao L, Koopman P. SRY protein function in sex determination: thinking outside the box. Chromosome Res. 2012;20:153–62.PubMedCrossRef Zhao L, Koopman P. SRY protein function in sex determination: thinking outside the box. Chromosome Res. 2012;20:153–62.PubMedCrossRef
18.
go back to reference Taniuchi I, Mizutani S, Namiki M, Okuyama A, Kodama M. Short arm dicentric Y chromosome in a sterile man: a case report. J Urol. 1991;146:415–6.PubMed Taniuchi I, Mizutani S, Namiki M, Okuyama A, Kodama M. Short arm dicentric Y chromosome in a sterile man: a case report. J Urol. 1991;146:415–6.PubMed
19.
go back to reference Stovall DW, Shabanowitz RB. The effects of prolactin on human sperm capacitation and acrosome reaction. Fertil Steril. 1991;56:960–6.PubMed Stovall DW, Shabanowitz RB. The effects of prolactin on human sperm capacitation and acrosome reaction. Fertil Steril. 1991;56:960–6.PubMed
20.
go back to reference Eggert-Kruse W, Schwalbach B, Gerhard I, Tilgen W, Runnebaum B. Influence of serum prolactin on semen characteristics and sperm function. Int J Fertil. 1991;36:243–51.PubMed Eggert-Kruse W, Schwalbach B, Gerhard I, Tilgen W, Runnebaum B. Influence of serum prolactin on semen characteristics and sperm function. Int J Fertil. 1991;36:243–51.PubMed
21.
go back to reference Soler Fernandez JM, Caravaca Magarinos F, Dominguez Bravo C, Murillo Mirat J, Aparicio Palomino A, Herrera Puerto J. Correlation of serum prolactin, sperm count and motility. Prevalence of hyperprolactinemia in the infertile male. Arch Esp Urol. 1990;43:891–5.PubMed Soler Fernandez JM, Caravaca Magarinos F, Dominguez Bravo C, Murillo Mirat J, Aparicio Palomino A, Herrera Puerto J. Correlation of serum prolactin, sperm count and motility. Prevalence of hyperprolactinemia in the infertile male. Arch Esp Urol. 1990;43:891–5.PubMed
22.
go back to reference Hsu LY. Phenotype/karyotype correlations of Y chromosome aneuploidy with emphasis on structural aberrations in postnatally diagnosed cases. Am J Med Genet. 1994;53:108–40.PubMedCrossRef Hsu LY. Phenotype/karyotype correlations of Y chromosome aneuploidy with emphasis on structural aberrations in postnatally diagnosed cases. Am J Med Genet. 1994;53:108–40.PubMedCrossRef
23.
go back to reference Tiepolo L, Zuffardi O. Localization of factors controlling spermatogenesis in the nonfluorescent portion of the human Y chromosome long arm. Hum Genet. 1976;34:119–24.PubMedCrossRef Tiepolo L, Zuffardi O. Localization of factors controlling spermatogenesis in the nonfluorescent portion of the human Y chromosome long arm. Hum Genet. 1976;34:119–24.PubMedCrossRef
24.
go back to reference Kent-First M, Muallem A, Shultz J, Pryor J, Roberts K, Nolten W, et al. Defining regions of the Y-chromosome responsible for male infertility and identification of a fourth AZF region (AZFd) by Y-chromosome microdeletion detection. Mol Reprod Dev. 1999;53:27–41.PubMedCrossRef Kent-First M, Muallem A, Shultz J, Pryor J, Roberts K, Nolten W, et al. Defining regions of the Y-chromosome responsible for male infertility and identification of a fourth AZF region (AZFd) by Y-chromosome microdeletion detection. Mol Reprod Dev. 1999;53:27–41.PubMedCrossRef
25.
go back to reference Pryor JL, Kent-First M, Muallem A, Van Bergen AH, Nolten WE, Meisner L, et al. Microdeletions in the Y chromosome of infertile men. N Engl J Med. 1997;336:534–9.PubMedCrossRef Pryor JL, Kent-First M, Muallem A, Van Bergen AH, Nolten WE, Meisner L, et al. Microdeletions in the Y chromosome of infertile men. N Engl J Med. 1997;336:534–9.PubMedCrossRef
26.
go back to reference Vogt PH, Edelmann A, Kirsch S, Henegariu O, Hirschmann P, Kiesewetter F, et al. Human Y chromosome azoospermia factors (AZF) mapped to different subregions in Yq11. Hum Mol Genet. 1996;5:933–43.PubMedCrossRef Vogt PH, Edelmann A, Kirsch S, Henegariu O, Hirschmann P, Kiesewetter F, et al. Human Y chromosome azoospermia factors (AZF) mapped to different subregions in Yq11. Hum Mol Genet. 1996;5:933–43.PubMedCrossRef
27.
go back to reference Taskiran C, Baltaci V, Gunalp S. Globozoospermia: do Y-chromosome microdeletions play a role in this rare spermatogenic disorder? J Reprod Med. 2006;51:628–34.PubMed Taskiran C, Baltaci V, Gunalp S. Globozoospermia: do Y-chromosome microdeletions play a role in this rare spermatogenic disorder? J Reprod Med. 2006;51:628–34.PubMed
28.
go back to reference Patrat C, Bienvenu T, Janny L, Faure AK, Fauque P, Aknin-Seifer I, et al. Clinical data and parenthood of 63 infertile and Y-microdeleted men. Fertil Steril. 2010;93:822–32.PubMedCrossRef Patrat C, Bienvenu T, Janny L, Faure AK, Fauque P, Aknin-Seifer I, et al. Clinical data and parenthood of 63 infertile and Y-microdeleted men. Fertil Steril. 2010;93:822–32.PubMedCrossRef
29.
go back to reference Simoni M, Tuttelmann F, Gromoll J, Nieschlag E. Clinical consequences of microdeletions of the Y chromosome: the extended Munster experience. Reprod Biomed Online. 2008;16:289–303.PubMedCrossRef Simoni M, Tuttelmann F, Gromoll J, Nieschlag E. Clinical consequences of microdeletions of the Y chromosome: the extended Munster experience. Reprod Biomed Online. 2008;16:289–303.PubMedCrossRef
30.
go back to reference Stouffs K, Lissens W, Verheyen G, Van Landuyt L, Goossens A, Tournaye H, et al. Expression pattern of the Y-linked PRY gene suggests a function in apoptosis but not in spermatogenesis. Mol Hum Reprod. 2004;10:15–21.PubMedCrossRef Stouffs K, Lissens W, Verheyen G, Van Landuyt L, Goossens A, Tournaye H, et al. Expression pattern of the Y-linked PRY gene suggests a function in apoptosis but not in spermatogenesis. Mol Hum Reprod. 2004;10:15–21.PubMedCrossRef
31.
go back to reference Wong EY, Tse JY, Yao KM, Lui VC, Tam PC, Yeung WS. Identification and characterization of human VCY2-interacting protein: VCY2IP-1, a microtubule-associated protein-like protein. Biol Reprod. 2004;70:775–84.PubMedCrossRef Wong EY, Tse JY, Yao KM, Lui VC, Tam PC, Yeung WS. Identification and characterization of human VCY2-interacting protein: VCY2IP-1, a microtubule-associated protein-like protein. Biol Reprod. 2004;70:775–84.PubMedCrossRef
32.
go back to reference Caron C, Pivot-Pajot C, van Grunsven LA, Col E, Lestrat C, Rousseaux S, et al. Cdyl: a new transcriptional co-repressor. EMBO Rep. 2003;4:877–82.PubMedCrossRef Caron C, Pivot-Pajot C, van Grunsven LA, Col E, Lestrat C, Rousseaux S, et al. Cdyl: a new transcriptional co-repressor. EMBO Rep. 2003;4:877–82.PubMedCrossRef
33.
go back to reference Sadeghi-Nejad H, Oates RD. The Y chromosome and male infertility. Curr Opin Urol. 2008;18:628–32.PubMedCrossRef Sadeghi-Nejad H, Oates RD. The Y chromosome and male infertility. Curr Opin Urol. 2008;18:628–32.PubMedCrossRef
34.
go back to reference Marques-Salles T de J, Mkrtchyan H, Leite EP, Soares-Ventura EM, Muniz MT, Silva EF, et al. Complex karyotype defined by molecular cytogenetic FISH and M-FISH in an infant with acute megakaryoblastic leukemia and neurofibromatosis. Cancer Genet Cytogenet. 2010;200:167–9. Marques-Salles T de J, Mkrtchyan H, Leite EP, Soares-Ventura EM, Muniz MT, Silva EF, et al. Complex karyotype defined by molecular cytogenetic FISH and M-FISH in an infant with acute megakaryoblastic leukemia and neurofibromatosis. Cancer Genet Cytogenet. 2010;200:167–9.
35.
go back to reference Nowakowska B, Stankiewicz P, Obersztyn E, Ou Z, Li J, Chinault AC, et al. Application of metaphase HR-CGH and targeted Chromosomal Microarray Analyses to genomic characterization of 116 patients with mental retardation and dysmorphic features. Am J Med Genet A. 2008;146A:2361–9.PubMedCrossRef Nowakowska B, Stankiewicz P, Obersztyn E, Ou Z, Li J, Chinault AC, et al. Application of metaphase HR-CGH and targeted Chromosomal Microarray Analyses to genomic characterization of 116 patients with mental retardation and dysmorphic features. Am J Med Genet A. 2008;146A:2361–9.PubMedCrossRef
Metadata
Title
Non-chimerism and chimerism pseudo dicentric Y chromosome: two case reports about azoospermia and cytogenetic/molecular genetic analysis in the Chinese population
Authors
Ping Li
Lu Ding
Yan-Wei Sha
Yue-Qiang Song
Jin Lin
Erika F. Werner
Mingyu She
Publication date
01-04-2013
Publisher
Springer US
Published in
Journal of Assisted Reproduction and Genetics / Issue 4/2013
Print ISSN: 1058-0468
Electronic ISSN: 1573-7330
DOI
https://doi.org/10.1007/s10815-013-9969-1

Other articles of this Issue 4/2013

Journal of Assisted Reproduction and Genetics 4/2013 Go to the issue