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Hum. Reprod. Advance Access originally published online on October 24, 2006
Human Reproduction 2007 22(3):729-732; doi:10.1093/humrep/del420
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© The Author 2006. 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

Meiotic segregation in spermatozoa of a 45,XY,-14,der(18)t(14;18)(q11;p11.3) translocation carrier: A Case Report

A. Perrin1, N. Douet-Guilbert1,2, B. Laudier3, M.L. Couet4, F. Guérif4, D. Royère4, M.J. Le Bris2, M. De Braekeleer1,2,5 and F. Morel1,2

1 Laboratoire d’Histologie, Embryologie et Cytogénétique, Faculté de Médecine et des Sciences de la Santé, Université de Bretagne Occidentale 2 Service de Cytogénétique, Cytologie et Biologie de la Reproduction, CHU Morvan, Brest 3 Service de Génétique and 4 CECOS, Biologie de la Reproduction, CHU Bretonneau, Tours, France

5 To whom correspondence should be addressed at: Laboratoire de Cytogénétique, Faculté de Médecine et des Sciences de la Santé, Université de Bretagne Occidentale, 22, Avenue Camille Desmoulins, CS 93837, F-29238 Brest Cedex 3, France. E-mail: marc.debraekeleer{at}univ-brest.fr


    Abstract
 Top
 Abstract
 Introduction
 Materials and methods
 Results
 Discussion
 Acknowledgements
 References
 
A 35-year-old male was found to have a 45,XY,-14,der(18)t(14;18)(q11;p11.3) karyotype during the investigations for a couple with infertility for 8 years. Two sperm samples were obtained and analysed in triple fluorescence in situ hybridization (FISH) with the D18Z1 and LSI IGH/BCL2 probes. The frequency of gametes exhibiting a normal or balanced chromosomal equipment was 87.26 and 90.97% in samples 1 and 2, respectively. No statistically significant difference was found between the results of meiotic segregation of both samples. These proportions are close to those observed among Robertsonian translocation carriers. They can probably be explained by the formation of trivalent in cis configuration during meiosis I between the derivative chromosome and the normal chromosomes 14 and 18, as in Robertsonian translocation carriers. These results suggest that the configuration adopted at pachytene strongly determines the segregation mode that will be preferentially followed during anaphase I.

Key words: meiotic segregation/intra-individual variation/fluorescence in situ hybridization/chromosomal translocation


    Introduction
 Top
 Abstract
 Introduction
 Materials and methods
 Results
 Discussion
 Acknowledgements
 References
 
Balanced reciprocal and Robertsonian translocations are the most common structural chromosomal rearrangements in infertile men (De Braekeleer and Dao, 1991Go; De Braekeleer et al., 2006Go). Balanced reciprocal translocations result from the exchange of chromosomal material between two heterologous chromosomes without loss or gain of material, giving a 46-chromosome karyotype. Robertsonian translocations involve the fusion of the long arms of two acrocentric chromosomes (13, 14, 15, 21 and 22 pairs), with subsequent loss of their short arms, leading to a 45-chromosome karyotype. Generally, carriers of these balanced reciprocal and Robertsonian translocations have no phenotypic consequences, but they can produce a significant percentage of chromosomally unbalanced gametes (ranging from ~5 to >80%) (Morel et al., 2004aGo, 2006Go; Benet et al., 2005Go; Roux et al., 2005Go; Midro et al., 2006Go; Moradkhani et al., 2006Go; Ogur et al., 2006Go).

In this study, we analysed and compared the meiotic segregation in spermatozoa from two different samples of a 45,XY, -14,der(18)t(14;18)(q11;p11.3) carrier using fluorescence in situ hybridization (FISH). The case reported here is neither a reciprocal translocation nor a Robertsonian translocation. To our knowledge, this is the first meiotic segregation study in a male carrier of such an abnormality.


    Materials and methods
 Top
 Abstract
 Introduction
 Materials and methods
 Results
 Discussion
 Acknowledgements
 References
 
Patient’s history and cytogenetic analysis
A couple (29-year-old female and 35-year-old male) presented with an 8-year history of primary infertility. The female partner had had one miscarriage, but no cytogenetic study was performed on the pregnancy loss. The male partner was found to have a very severe oligoasthenozoospermia on two consecutive semen analyses (0.01 and 0.02 million spermatozoa/ml).

Subsequent karyotyping of the male peripheral blood using G and R banding showed a translocation involving chromosomes 14 and 18 (Figure 1). His karyotype was 45,XY,-14,der(18)t(14;18)(q11;p11.3). A complementary FISH analysis using CEP14/22 (D14Z1 and D22Z1, spectrum green, Cytocell, Compiègne, France) and 18p subtelomere-specific probe (D18S552, spectrum red, Cytocell) allowed the accurate identification of the translocation. The karyotype was rewritten as 45,XY,-14,der(18)t(14;18)(q11;p11.3).ish der(18)t(14;18)(q11;p11.3) (D18S552+,D14Z1–,D22Z1–).


Figure 1
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Figure 1. Partial G- (A) and R- (B) banded karyotype showing the 14 and 18 normal chromosomes and the der(18) in the 45,XY, -14,der(18)t(14;18)(q11;p11.3) carrier.

 
The results of a physical examination were normal, and there was no evidence of mental retardation. Familial cytogenetic investigations showed the patient’s parents to have a normal karyotype.

Sperm analyses
Sample collection
Before this study, the patient was informed of the investigations and gave his consent. Two sperm samples were obtained at >3 months interval. Given the low sperm concentration, the spermogram and the spermocytogram were not performed again, the whole sample being used for FISH analysis.

Analysis of the meiotic segregation
Detailed procedures for sperm preparation and FISH have been previously described (Morel et al., 2004cGo; Douet-Guilbert et al., 2005Go). Triple FISH was carried out using the specific alphoid probe of chromosome 18 (D18Z1, spectrum aqua, Abbott, Rungis, France) and LSI IGH/BCL2 probes which are a mixture of the LSI IGH probe (~1.5Mb, spectrum green, Abbott) and the LSI BCL2 probe (~750kb, spectrum orange, Abbott).

Ideogram showing the localization of the DNA probes and the various segregation patterns after analysis using a Zeiss Axioplan microscope (Zeiss, Le Pecq, France) and Isis (significant in situ imaging system) (MetaSystems, Altlussheim, Germany) are schematized in Figure 2. Sperm nuclei were analysed using strict selection criteria (Morel et al., 1997Go). All spermatozoa presenting at least one green and/or orange and/or aqua signal were scored.


Figure 2
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Figure 2. Ideogram of the chromosomes involved in the rearrangement and the probes used. The trivalent (cis and trans configurations) and the various segregation patterns are schematized.

 
Statistical analysis was carried out using the chi-square with correction for small numbers. The significance level was set at P < 0.05.


    Results
 Top
 Abstract
 Introduction
 Materials and methods
 Results
 Discussion
 Acknowledgements
 References
 
A total of 981 (sample 1) and 144 (sample 2) spermatozoa were analysed after triple FISH. The results of the meiotic segregation in both samples are summarized in Table I. For samples 1 and 2, respectively, 87.26 and 90.97% of the analysed nuclei showed one orange, one green and one blue signal corresponding to a normal or balanced chromosomal complement resulting from alternate segregation.


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Table I. Results of the meiotic segregation in two different samples from a 45,XY,-14,der(18)t(14;18)(q11;p11.3) carrier

 
The proportion of chromosomally unbalanced spermatozoa resulting from the adjacent mode was estimated at 9.08 and 6.95% (samples 1 and 2, respectively). No statistically significant difference was found in the proportion of nuclei showing two orange, one green and two blue signals and those with one green signal, or between the rate of spermatozoa showing one orange, two green and one blue signal and those with one orange and one blue signal.

No statistically significant difference was found between the results of meiotic segregation of both samples (P>0.05).


    Discussion
 Top
 Abstract
 Introduction
 Materials and methods
 Results
 Discussion
 Acknowledgements
 References
 
In this study, we report the results of the meiotic segregation in two different samples from a 45,XY,-14,der(18)t(14;18) (q11;p11.3) carrier. The patient has a normal phenotype because this translocation results in the formation of a metacentric chromosome composed of the whole chromosome 18 (18p subtelomere present) and the long arm of chromosome 14. The loss of the short arm of chromosome 14 is without consequence because it only contains nucleolar organizer genes. However, as a consequence of this rearrangement, the patient has only 45 chromosomes.

Meiotic segregation studies in males carrying a reciprocal translocation showed the proportion of chromosomally unbalanced spermatozoa to vary from 10 to >80% (Morel et al., 2004aGo, 2006Go; Benet et al., 2005Go). In males carrying a Robertsonian translocation, meiotic segregation studies showed most spermatozoa to be chromosomally normal or balanced (ranging from 72 to 93%) (Morel et al., 2004aGo, 2006Go; Roux et al., 2005Go; Brugnon et al., 2006Go; Ogur et al., 2006Go).

The frequency of gametes exhibiting a normal or balanced chromosomal equipment in the patient reported here was 87.26 and 90.97% in samples 1 and 2, respectively. These proportions are close to those observed among Robertsonian translocation carriers. In Robertsonian translocation carriers, during prophase I meiosis, pairing of the involved chromosomes gives a trivalent structure (Vidal et al., 1982Go; Luciani et al., 1984Go). Thus, the results of meiotic segregation in spermatozoa of this 45,XY,-14,der(18)t(14;18)(q11;p11.3) carrier can probably be explained by the formation of trivalent in cis configuration during meiosis I between the derivative chromosome and the normal chromosomes 14 and 18, as in Robertsonian translocation carriers.

Theoretically, in Robertsonian translocation carriers and in the patient reported here, cis or trans configurations are possible (Figure 2). Luciani et al. (1984)Go using meiotic cytogenetics on testicular biopsies found that the trivalent was always in cis configuration (Luciani et al., 1984Go). Moreover, it is well known that the cis configuration tends to segregate in an alternate way, producing chromosomally balanced and normal spermatozoa. However, a small proportion of unbalanced gametes deriving from adjacent or 3:0 segregation is also produced. Moreover, Luciani et al. (1984)Go found an association of trivalent and sex vesicle in most of the nuclei at the pachytene stage in a sterile t(13;14) carrier (Luciani et al., 1984Go). This association could lead to gametogenic arrest and produce severe spermatogenetic impairment (Johannisson et al., 1993Go; Gabriel-Robez and Rumpler, 1996Go).

The results of meiotic segregation in both samples showed no variations. To the best of our knowledge, a single study on intra-individual variations was previously published; no difference was found in the meiotic segregation profiles between two samples from a male carrier of a t(9;22)(q21;q11.2) (Morel et al., 2004bGo). Four studies have analysed the meiotic segregation of translocations within families; similar profiles were found in each family but not between families (Estop et al., 1992Go; Rousseaux et al., 1995Go; Cora et al., 2002Go; Morel et al., 2004cGo, 2006Go).

As the frequency of normal or balanced gametes was ~90%, it was decided to try an IVF with microinjection. Ten oocytes were collected, 3 fertilized, but a single embryo was obtained and transferred, without pregnancy. A new attempt will be made during the year.

In conclusion, this study shows that the configuration adopted at pachytene strongly determines the segregation mode that will be preferentially followed during anaphase I.


    Acknowledgements
 Top
 Abstract
 Introduction
 Materials and methods
 Results
 Discussion
 Acknowledgements
 References
 
A.P. is the recipient of a studentship from the region Bretagne.


    References
 Top
 Abstract
 Introduction
 Materials and methods
 Results
 Discussion
 Acknowledgements
 References
 
Benet J, Oliver-Bonet M, Cifuentes P, Templado C, Navarro J. (2005) Segregation of chromosomes in sperm of reciprocal translocation carriers: a review. Cytogenet Genome Res 111:281–290.[CrossRef][Web of Science][Medline]

Brugnon F, Van Assche E, Verheyen G, Sion B, Boucher D, Pouly JL, Janny L, Devroey P, Liebaers I, Van Steirteghem A. (2006) Study of two markers of apoptosis and meiotic segregation in ejaculated sperm of chromosomal translocation carrier patients. Hum Reprod 21:685–693.[Abstract/Free Full Text]

Cora T, Acar H, Kaynak M. (2002) Molecular cytogenetic detection of meiotic segregation patterns in sperm nuclei of carriers of 46,XY,t(15;17)(q21;q25). J Androl 23:793–798.[Abstract/Free Full Text]

De Braekeleer M and Dao TN. (1991) Cytogenetic studies in male infertility: a review. Hum Reprod 6:245–250.[Abstract/Free Full Text]

De Braekeleer M, Perrin A, Morel F. (2006) Chromosomal abnormalities in male infertility. In De Braekeleer M (Ed.). Cytogenetics and Infertility(Transworld Research Network, Trivandrum, India) pp. 27–52.

Douet-Guilbert N, Le Bris MJ, Amice V, Marchetti C, Delobel B, Amice J, De Braekeleer M, Morel F. (2005) Interchromosomal effect in sperm of males with translocations: report of 6 cases and review of the literature. Int J Androl 28:372–379.[CrossRef][Web of Science][Medline]

Estop AM, Levinson F, Cieply KM, Van Kirk V. (1992) The segregation of a translocation t(1;4) in two male carriers heterozygous for the translocation. Hum Genet 89:425–429.[Web of Science][Medline]

Gabriel-Robez O and Rumpler Y. (1996) The meiotic pairing behaviour in human spermatocytes carrier of chromosome anomalies and their repercussions on reproductive fitness. II. Robertsonian and reciprocal translocations. A European collaborative study. Ann Genet 39:17–25.[Web of Science][Medline]

Johannisson R, Schwinger E, Wolff HH, vom Ende V, Lohrs U. (1993) The effect of 13;14 Robertsonian translocations on germ-cell differentiation in infertile males. Cytogenet Cell Genet 63:151–155.[Web of Science][Medline]

Luciani JM, Guichaoua MR, Mattei A, Morazzani MR. (1984) Pachytene analysis of a man with a 13q;14q translocation and infertility. Behavior of the trivalent and nonrandom association with the sex vesicle. Cytogenet Cell Genet 38:14–22.[Web of Science][Medline]

Midro AT, Wiland E, Panasiuk B, Lesniewicz R, Kurpisz M. (2006) Risk evaluation of carriers with chromosome reciprocal translocation t(7;13)(q34;q13) and concomitant meiotic segregation analyzed by FISH on ejaculated spermatozoa. Am J Med Genet 140:245–256.

Moradkhani K, Puechberty J, Bhatt S, Vago P, Janny L, Lefort G, Hamamah S, Sarda P, Pellestor F. (2006) Meiotic segregation of rare Robertsonian translocations: sperm analysis of three t(14q;22q) cases. Hum Reprod 21:1166–1171.[Abstract/Free Full Text]

Morel F, Mercier S, Roux C, Clavequin MC, Bresson JL. (1997) Estimation of aneuploidy levels for 8, 15, 18, X and Y chromosomes in 97 human sperm samples using fluorescence in situ hybridization. Fertil Steril 67:1134–1139.[CrossRef][Web of Science][Medline]

Morel F, Douet-Guilbert N, Le Bris MJ, Herry A, Amice V, Amice J, De Braekeleer M. (2004a) Meiotic segregation of translocations during male gametogenesis. Int J Androl 27:200–212.[CrossRef][Web of Science][Medline]

Morel F, Douet-Guilbert N, Le Bris MJ, Herry A, Marchetti C, Lefebvre V, Delobel B, Amice V, Amice J, De Braekeleer M. (2004b) Lack of intraindividual variation of unbalanced spermatozoa frequencies from a 46,XY,t(9;22)(q21;q11.2) carrier: case report. Hum Reprod 19:2227–2230.[Abstract/Free Full Text]

Morel F, Douet-Guilbert N, Roux C, Tripogney C, Le Bris MJ, De Braekeleer M, Bresson JL. (2004c) Meiotic segregation of a t(7;8)(q11.21;cen) translocation in two carrier brothers. Fertil Steril 81:682–685.[CrossRef][Web of Science][Medline]

Morel F, Douet-Guilbert N, Perrin A. (2006) Chromosomal abnormalities in spermatozoa. In De Braekeleer M, Le Bris MJ, Amice V, Amice J, De Braekeleer M (Eds.). Cytogenetics and Infertility(Transworld Research Network, Trivandrum, India) pp. 53–112.

Ogur G, Van Assche E, Vegetti W, Verheyen G, Tournaye H, Bonduelle M, Van Steirteghem A, Liebaers I. (2006) Chromosomal segregation in spermatozoa of 14 Robertsonian translocation carriers. Mol Hum Reprod 12:209–215.[Abstract/Free Full Text]

Rousseaux S, Chevret E, Monteil M, Cozzi J, Pelletier R, Devillard F, Lespinasse J, Sele B. (1995) Meiotic segregation in males heterozygote for reciprocal translocations: analysis of sperm nuclei by two and three colour fluorescence in situ hybridization. Cytogenet Cell Genet 71:240–246.[Web of Science][Medline]

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Vidal F, Templado C, Navarro J, Marina S, Egozcue J. (1982) Meiotic and synaptonemal complex studies in a 14/21 translocation carrier. Int J Androl 5:21–26.[Web of Science][Medline]

Submitted on May 31, 2006; resubmitted on August 3, 2006; accepted on August 8, 2006.


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