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Hum. Reprod. Advance Access originally published online on April 25, 2008
Human Reproduction 2008 23(7):1669-1678; doi:10.1093/humrep/den124
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© The Author 2008. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Sons conceived by assisted reproduction techniques inherit deletions in the azoospermia factor (AZF) region of the Y chromosome and the DAZ gene copy number

C. Mau Kai1, A. Juul1, K. McElreavey2, A.M. Ottesen1, I.D. Garn1, K.M. Main1, A. Loft3, N. Jørgensen1, N.E. Skakkebæk1, A. Nyboe Andersen3 and E. Rajpert-De Meyts1,4

1 University Department of Growth and Reproduction, Rigshospitalet, Section GR-5064, Blegdamsvej 9, DK-2100 Copenhagen, Denmark 2 Human Developmental Genetics, Institut Pasteur, 25 rue du Dr Roux, 75724, Paris, France 3 The Fertility Clinic, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen, Denmark

4 Correspondence address. Tel: +45-3545-5017/8145; Fax: +45-3545-6054; E-mail: erm{at}rh.regionh.dk

BACKGROUND: Deletions in the azoospermia factor (AZF) region of the Y chromosome are frequent in infertile men. The clinical consequences and the mode of inheritance of these deletions are not yet clear.

METHODS: Y chromosome deletion mapping and quantitative PCR analysis of the DAZ-gene copy number, supplemented with haplogroup typing in deleted patients, were performed, in combination with clinical assessments in 264 fathers and their sons conceived by assisted reproduction techniques (ART), and in 168 fertile men with normal sperm concentration.

RESULTS: In the ART fathers group, a complete AZFc deletion was detected in 0.4% (1/264). AZFc rearrangements/polymorphisms were found in 6.8% (18/264; 95% CI: 4.4–10.5), which was significantly more frequent (P = 0.021) than in the controls (3/168; 1.8%, 95% CI: 0.6–5.1). All deletions were transmitted to the sons, without any clinical symptoms in early childhood. In the fathers, there was no significant correlation between the DAZ copy number and the severity of spermatogenic failure.

CONCLUSIONS: AZFc rearrangements/polymorphisms are transmitted to sons and may represent a risk factor for decreased testis function and male subfertility, which needs confirmation in further studies in larger cohorts. However, deletions of two DAZ gene copies are compatible with normal spermatogenesis and fertility.

Key words: gr–gr deletion/b2–b3 deletion/AZFc/Y chromosome/ART

Submitted on April 22, 2007; resubmitted on February 24, 2008; accepted on March 21, 2008.


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