Human Reproduction, Vol 12, 55-58, Copyright © 1997 by Oxford University Press
SA Halbert, DL Patton, PW Zarutskie and MR Soules
In Kartagener's syndrome (KS), primary defects of the ciliary axoneme cause
dyskinetic ciliary motion. Because ciliary motion is an important factor in
normal ovum transport, ciliary dyskinesia may cause infertility. On the
other hand, the existence of some ciliary activity, albeit abnormal, may
account for fertility in some women with KS. In this case study, an
infertile woman diagnosed with KS had normal results in all usual
infertility tests. Biopsies of tubal mucosa were obtained at laparoscopy
for ovum recovery during an in-vitro fertilization cycle. Ciliary activity,
measured by laser light- scattering spectroscopy, was detected in all tubal
specimens; however the majority of regions sampled showed no activity. In
active regions, beat frequency ranged from 5 to 10 Hz, approximately 30% of
normal. Electron microscopy showed similar morphological defects in both
tubal and nasal mucosa. The number of cilia per cell was approximately 20%
of normal. The major ultrastructural abnormality of cilia was an absence of
the central microtubules. The only demonstrable explanation for this
patient's infertility was primary ciliary dyskinesia associated with KS.
ARTICLES
Function and structure of cilia in the fallopian tube of an infertile woman with Kartagener's syndrome
Department of Obstetrics and Gynecology, University of Washington, Seattle 98195-6460, USA.
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