AZF gene microdeletions: case series and literature review

Actas Urol Esp. 2014 Dec;38(10):698-702. doi: 10.1016/j.acuro.2014.04.003. Epub 2014 Jun 19.
[Article in English, Spanish]

Abstract

Objective: Aproximately 10% of patients with non-obstructive azoospermia and 5% with non-obstructive severe oligozoospermia carry AZF region microdeletions (AZoospermic Factor) in the Y chromosome. The aim of this study is to analize the clinical and pathological findings in this group of patients and compare them with the previous evidence.

Material and methods: Retrospective study of 11 patients with diagnosis of azoospermia or oligozoospermia and the presence of AZFa, AZFb, AZFc microdeletions or any combination of them.

Results: Microdeletions of AZFc region were found in 45% of cases, AZFa in 33% and a 10% showed a deletion of the three regions (a,b and c). 91% of them demonstrated azoospermia with low testicular volume in 62,5% cases.

Conclusion: Microdeletions of AZF regions are associated with azoospermia and a low expectation of sperm retrieval in testicular biopsy. On the other hand, they seem not related with significative modifications on the hormone profile.

Keywords: Azoospermia; Azoospermic factor; Genetics; Genética; Infertilidad primaria; Microdeleción Y; Primary infertility; Y chromosome microdeletion.

Publication types

  • Review

MeSH terms

  • Adult
  • Azoospermia / genetics*
  • Chromosome Deletion*
  • Humans
  • Male
  • Oligospermia / genetics*
  • Retrospective Studies