Abstract
Purpose
AZFc deletions are associated with variable testicular histology ranging from the Sertoli cell only to spermatogenic arrest and hypospermatogenesis. Such variable phenotypes may be explained by progressive germ cell regression over time. Increased apoptosis is likely responsible for progressive regression of spermatogenic potential. This study evaluated germ cell apoptosis as a cause of the progressive decrease in the number of germ cells in patients with AZFc deletions.
Methods
This study evaluated germ cell apoptosis in patients with AZFc deletions. A total of 151 patients who were diagnosed with either severe oligozoospermia or non-obstructive azoospermia were screened for Y chromosome microdeletions. Germ cell apoptosis was examined using terminal deoxy-nucleotidyl transferase-mediated digoxigenin-dUTP nick-end labeling (TUNEL) on formalin-fixed 5-µm sections of testicular specimens.
Results
Seven out of 117 (6.0%) patients with azoospermia and 4 of 34 (11.8%) patients with severe oligozoospermia had Y chromosome microdeletions. The percentage of apoptotic germ cells in the testes of patients with AZFc deletions were significantly increased compared to those of patients without AZFc deletions.
Conclusions
These results suggest that increased apoptosis of germ cells is responsible for the progressive decline of spermatogenic potential in patients with AZFc deletions.
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We appreciate the excellent technical assistance of Miss Ai Ikarasi and Mrs. Hiroimi Ihana.
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Capsule Males carrying AZFc deletions exhibit diminished sperm cell numbers due to an enhanced incidence of apoptosis.
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Yamada, K., Fujita, K., Quan, J. et al. Increased apoptosis of germ cells in patients with AZFc deletions. J Assist Reprod Genet 27, 293–297 (2010). https://doi.org/10.1007/s10815-010-9400-0
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DOI: https://doi.org/10.1007/s10815-010-9400-0