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Published on: February 6, 2018
Mosaic ring Y chromosome in two normal healthy men with azoospermia
Veronica Bertini1, Domenico Canale, Maria Patrizia Bicocchi
1Laboratory of Cytogenetics and Molecular Genetics, Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.
Objective:
To better define by molecular and cytogenetic techniques ring Y chromosomes detected in 2 infertile men.
Design:
Case report.
Setting:
Molecular genetics/cytogenetics unit in a university hospital.
Patient(S):
Two infertile men with azoospermia, presenting a normal male phenotype with complete masculinization.
Intervention(S):
Karyotype and genetic counseling.
Main Outcome Measure(S):
Metaphases were studied by standard G- and Q-banding; fluorescent in situ hybridization and PCR were performed to analyze specific Y chromosome regions.
Result(S):
Chromosomal analysis detected a mosaicism with a Y chromosome ring cell line in 92% (patient 1) and 95% (patient 2) of the metaphases, coexisting with a 45,X cell line in the remaining metaphases. In patient 1, PCR analysis showed the presence of AZFa region and a partial deletion of AZFb region; AZFc region was deleted. In patient 2 all three AZF regions were deleted.
Conclusion(S):
A 45,X/46,X,r(Y) mosaicism can be detected not only in patients with Ullrich-Turner syndrome and in patients with various degrees of genital ambiguity but also in men presenting a normal phenotype. Their azoospermia can be explained by partial or total deletion of AZF regions.
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