Partial and complete microdeletions of Y chromosome in infertile males from South of Iran

Document Type : Original article

Authors

Biology Department, College of Sciences, Shiraz University, Shiraz, Iran

Abstract

Y chromosome microdeletions are the second genetic cause of male infertility. The incidence of Y chromosome microdeletions can vary considerably depending on several factors, including patient selection criteria, population composition, and diagnostic protocols. They are associated with spermatogenic failure and lead to azoospermia or oligozoospermia. The advance in assisted reproductive technology and intracytoplasmic sperm injection, and the possibility of genetic defect transmission to the next generation make it necessary to improve our knowledge about the various factors leading to spermatogenic impairment. This study was designed to determine the frequency of microdeletions of Y chromosome in a population from South of Iran. 81 infertile males with non-obstructive azoospermia or oligozoospermia were selected. Multiplex PCR using several STS markers was carried out to detect the complete or partial microdeletions. The frequency of both complete and partial microdeletions in men with azoospermia or severe oligozoospermia was 7.4%. All microdeletions were observed in AZFc region. There was 1.25% complete microdeletions and after excluding complete microdeletions, we detected 5% gr/gr and 1.25% b2/b3 microdeletions. In our control group of fertile males, 4% gr/gr microdeletions was detected while there was no b2/b3 microdeletions. We concluded that there is a low frequency of Y chromosome microdeletions in a population of infertile males from South of Iran. b2/b3 microdeletions was detected only in infertile males and not in the control group. Screening a population with larger sample size is necessary to determine the involvement of this partial microdeletion in infertility of this population.

Keywords


1. Akhondi MM, Kamali K, Ranjbar F, Shirzad M, Shafeghati S, Behjati Ardakani Z,   Goodjani A, Parsaeian M, Mohammad K. Prevalence of primary infertility in Iran in 2010. Iran J Public Health 2013;42:1398-1404.
2. Dohle GR, Colpi GM, Hargreave TB, Papp GK, Jungwirth A,Weidner W. EAU guidelines on male infertility. Eur Urol 2005;48:703-711.
3. Krausz C, Hoefsloot L, Simoni M, Tüttelmann F. EAA/EMQN best practice guidelines for molecular diagnosis of Y-chromosomal microdeletions: state-of-the-art 2013. Andrology 2014;2:5-19.
4. Vogt PH, Edelmann A, Kirsch S, Henegariu O, Hirschmann P, Kiesewetter F. Human Y chromosome azoospermia factors (AZF) mapped to different subregions in Yq11. Hum Mol Genet 1996;5:933-943.
5. Repping S, Skaletsky H, Lange J, Silber S, Van Der Veen F, Oates RD, Page DC, Rozen S. Recombination between palindromes P5 and P1 on the human Y chromosome causes massive deletions and spermatogenic failure. Am J Hum Genet 2002;71:906-922.
6. Lange J, Noordam MJ, van Daalen SK, Skaletsky H, Clark BA, Macville MV, Page DC, Repping S. Intrachromosomal homologous recombination between inverted amplicons on opposing Y-chromosome arms. Genomics 2013;102:257-264.
7. Krausz C, Quintana-Murci L, McElreavey K. Prognostic value of Y deletion analysis: what is the clinical prognostic value of Y chromosome microdeletion analysis? Hum Reprod 2000; 15:1431-1434.
8. Kamp C, Huellen K, Fernandes S, Sousa M, Schlegel PN, Mielnik A, Kleiman S, Yavetz H, Krause W, Küpker W, Johannisson R, Schulze W, Weidner W,Barros A, Vogt PH. High deletion frequency of the complete AZFa sequence in men with Sertoli-cell-only syndrome. Mol Hum Reprod 2001;7:987-994.
9. Kleiman SE, Bar-Shira Maymon B, Yogev L, Paz G, Yavetz H. The prognostic role of the extent of Y microdeletion on spermatogenesis and maturity of Sertoli cells. Hum Reprod 2001;16:399-402.
10. Hopps CV, Mielnik A, Goldstein M, Palermo GD, Rosenwak Z, Schlegel PN. Detection of sperm in men with Y chromosome microdeletions of the AZFa, AZFb and AZFc regions. Hum Reprod 2003;18:1660-1665.
11. Repping S, Skaletsky H, Brown L, van Daalen SK, Korver CM, Pyntikova T, Kuroda- Kawaguchi T, de Vries JW, Oates RD, Silber S, van der Veen F, Page DC, Rozen S. Polymorphism for a 1.6-Mb deletion of the human Y chromosome persists through balance between recurrent mutation and haploid selection. Nat Genet 2003;35:247- 251.
12. Agarwal S, Agarwal A, Khanna A, Singh K. Microdeletion of Y chromosome as a cause of recurrent pregnancy loss. J Hum Reprod Sci 2015;8:159-164.
13. Kuhnert B, Gromoll J, Kostova E, Tschanter P, Luetjens CM, Simoni M,     Nieschlag E. Case report: natural transmission of an AZFc Ychromosomal microdeletion from father to his sons. Hum Reprod 2004;19:886–888.
14. Yu X-W, Wei Z-T, Jiang Y-T, Zhang S-L. Y chromosome azoospermia factor  region microdeletions and transmission characteristics in azoospermic and severe oligozoospermic patients. Int J Clin and Exp Med 2015;8:14634-14646.
15. Saliminejad K, Khorram Khorshid HR. Methodological errors in screening of Yq microdeletion in Iranian azoospermic men. Indian J Med Res 2012;135:137-138.
16. Saliminejad K, Khorram Khorshid HR. Discrepancy in the results of Y chromosome microdeletions in an Iranian population. J Hum Reprod Sci 2011;4:157.
17. Malekasgar AM, Mombaini H. Screening of Y chromosome microdeletions in  Iranian infertile males. J Hum Reprod Sci 2008;1:2-9.
18. Saliminejad K, Sadeghi MR, Kamali K, Amirjannati N, Soltanghoraee H, Khorram Khorshid HR. Discrepancy in the Frequency of Y Chromosome Microdeletions Among Iranian Infertile Men with Azoospermia and Severe Oligozoospermia. Genet Test Mol Biomarkers 2012;16:931-934.
19. Newton CR. Mutational analysis: known mutations. In: McPherson MJ, Hames D, Taylor GR, editors. PCR2. A Practical Approach. Oxford: IRL Press; 1995;219-222.
20. Simoni M, Bakker E, Krausz C. EAA/EMQN best practice guidelines for molecular diagnosis of Y-chromosomal microdeletions. State of the art 2004. Int J Andro 2004; 27:240-249.
21. Tiepolo L, Zuffardi O. Localization of factors controlling spermatogenesis in the    nonfluorescent portion of the human Y chromosomelong arm. Hum Genet 1976; 34:119-124.
22. Omrani MD, Samadzadae S, Bagheri M, Attar K. Y chromosome microdeletions in idiopathic infertile men from West Azarbaijan. Urol J 2009;3:38-43.
23. Sin HS, Koh E, Shigehara K, Sugimoto K, Maeda Y, Yoshida A, Kyono K,   Namiki M. Features of constitutive gr/gr  deletion  in  a  Japanese  population.  Hum  Reprod  2010;25:2396-2403.
24. Yang Y, Ma M, Li L, Su D, Chen P, Ma Y, Liu Y, Tao D, Lin L, Zhang S. Differential effect of specific gr/gr deletion subtypes on spermatogenesis in the Chinese Han population. Int J Androl 2010;33:745-754.
25. Motovali-Bashi M, Rezaei Z, Dehghanian F, Rezaei H, Multiplex PCR based screening for micro/partial deletions in the AZF region of Y-chromosome in severe oligozoospermic and azoospermic infertile men in Iran. Iran J Reprod Med 2015; 13:563-570.
26. Eloualid A, Rhaissi H, Reguig A, Bounaceur S, El houate B, Abidi O, Charif M, Louanjli N, Chadli E,Barakat A, Bashamboo A, McElreavey K, Rouba H. Association of spermatogenic failure with the b2/b3 partial AZFc deletion. PLoS One 2012;7:e34902.
27. Repping S, van Daalen SK, Korver CM, Brown LG, Marszalek JD, Gianotten J, Oates RD, Silber S, van der Veen F, Page DC, Rozen S. A family of human Y chromosomes has dispersed throughout northern Eurasia despite a 1.8-Mb deletion in the azoospermia factor c region. Genomics 2004;83:1046-1052.
28. Wu B, Lu NX, Xia YK, Gu AH, Lu CC, Wang W, Song L, Wang SL, Shen HB, Wang XR. A frequent Y chromosome b2/b3 subdeletion shows strong association with male infertility in Han-Chinese population. Hum Reprod 2007;22:1107-1113.