Nieves Cremades

Unique (Y;13) translocation in a male with oligozoospermia: cytogenetic and molecular studies.

The incidence of Y/autosome translocations is low. Whereas involvement of non-acrocentric chromosomes often leads to infertility, cases related with acrocentric chromosomes are usually familial with no or minimal effect on fertility. A de novo (Yp/13p) translocation was found in a 32-year-old male referred for severe oligozoospermia. Conventional cytogenetic procedures (GTG, CBG and NOR banding) and molecular cytogenetic techniques (Fluorescence In Situ Hybridization, FISH) were performed on high-resolution chromosomes obtained after peripheral blood lymphocyte culture as also on interphase nuclei of spermatogenic cells from semen samples. Screening of AZF microdeletions in the Yq11.2 region known to be involved with spermatogenesis defects was also performed. GTG banding showed a (Yp/13p) translocation in all scored metaphases. CBG and NOR staining of the derivative chromosome revealed the maintenance of Yq heterochromatin and of the 13p NOR region. FISH with centromeric Y and 13/21 probes, SRY specific probe and X/Y (p and q arms) sub-telomeric probes gave the expected number/location of fluorescent signals. Hybridisation with a pan-telomeric repeat (TTAGGG) probe showed an absence of the telomeric sequences at the fusion point of the rearranged chromosome. FISH analysis with probes to chromosomes X, Y, 13 and 18 showed an abnormal segregation of the translocated chromosome during meiosis I, which explains that only 13.6% of the secondary spermatocytes were normal. Most of these became arrested, as after meiosis II the large majority of the round spermatids were normal (70%), as were in consequence most of the sperm (85.1%). Multiplex-PCR confirmed the intactness of the SRY region and showed absence of AZF microdeletions. We report a novel de novo (Yp;13p) translocation characterised by loss of the 13p and Yp telomeres. Meiotic studies using FISH demonstrated meiosis I chromosome unpairing and mal segregation that justifies the severe oligozoospermia. Although most sperm have a normal chromosomal constitution, preimplantation genetic diagnosis should be considered an option for this patient.

Cytological and Expression Studies and Quantitative Analysis of the Temporal and Stage-Specific Effects of Follicle-Stimulating Hormone and Testosterone During Cocultures of the Normal Human Seminiferous Epithelium

Abstract In vitro culturing of normal human seminiferous epithelium remains largely unexplored. To study normal human spermatogenesis in vitro, we used a micromethod for the purification and culture of Sertoli cells, spermatogonia A, spermatocytes, and early round spermatids. Cytological quantitative data for Sertoli and premeiotic germ cell cocultures isolated from normal testicular biopsies demonstrated that cells were able to proliferate (4%), complete meiosis (6.7%), and differentiate into late round (54%), elongating (49%), and elongated (17%) spermatids at similar in vivo time delays (up to 16 days) in response to FSH + testosterone stimulation. Cells maintained normal meiotic segregation, chromosome complements, and specific gene expression profiles. Follicle-stimulating hormone + testosterone stimulated spermatogonia proliferation and Sertoli cell survival. Follicle-stimulating hormone and especially FSH + testosterone increased diploid germ cell survival during the first week, whereas only FSH + testosterone was able to inhibit cell death during the second week of culture. Follicle-stimulating hormone and especially FSH + testosterone also stimulated meiosis resumption, although this was restricted to late pachytene and secondary spermatocytes. In contrast, spermiogenesis was only stimulated by FSH + testosterone. Expression studies showed that apoptosis was induced in the nucleus of diploid cells, and in nuclear and cytoplasmic compartments of spermatids, mainly triggered by the Fas pathway. Although junctional complexes between Sertoli and premeiotic germ cells were partially reacquired, the same did not apply to spermatids, suggesting that FSH potentiated by testosterone was unable to render Sertoli cells competent to bind round spermatids.

Cryopreservation of human testicular diploid germ cell suspensions.

For patients with threatened fertility, preservation of it is a major concern. Although promising results have been obtained in animal models using testicular germ cell suspensions, in humans, it is crucial to first develop an efficient method of cryopreservation to be able to apply to transplantation. Thus, four reliable and available cryopreservation techniques in any fertility centre were tested to cryopreserve an enriched fraction of diploid germ cells isolated from human testicular biopsies. The protocols were evaluated based on cell viability, and the results showed significant differences between the four methods. The semen and tissue cryopreservation methods appeared to be inadequate for diploid germ cell suspensions, and programmed slow freezing gave significantly lower results than open pulled straw vitrification; the latter was found to be the protocol that best preserved cell viability. The vitrification of isolated human diploid germ cells is innovative and constitutes valuable information for cryopreservation in cases of transplants or in vitro maturation.

Caracterización citogenética molecular de las células germinales masculinas en la azoospermia secretora: parada de la maduración

Resumen Cerca de una tercera parte de los pacientes con azoospermia no obstructive presentan parada de la maduracion (MA, maturation arrest). Queda por evaluar por que algunos casos exhiben unas pocas celulas germinales que escapan al bloqueo meiotico y forman espermatozoides (MA incompleta) mientras otros presentan una MA completa en la meiosis (MA completa). En este estudio comparamos ambas situaciones por hibridacion in situ fluorescente (FISH) de los cromosomas sexuales (X, Y) y autosomicos (7, 18) en poblaciones puras de los distintos estadios de celulas germinales. Se aislaron por micromanipulacion celulas de Sertoli, espermatocitos primarios, espermatocitos secundarios, espermatidas redondas y elongadas de biopsias en fresco de 7 pacientes con azoospermia obstructiva (controles) y 20 pacientes con MA (9 MA completa, 11 MA incompleta). En todos los casos, los pacientes presentaron cariotipo y desarrollo de los caracteres sexuales secundarios normales, ausencia de endocrinopatias y microdeleciones en Yq11.2. La MA incompleta se caracterizo por cifras incrementadas de aneuploidias en las celulas de Sertoli, disminucion en el emparejamiento de los cromosomas homologos en la meiosis I y una incidencia incrementada de aneuploidias en los espermatocitos secundarios, sugiriendo que puede ser debido a deficiencias en el ensamblaje del complejo sinaptonemico. Por el contrario, la MA completa se asocio con cifras incrementadas de aneuploidias en los espermatocitos primarios, originadas en las divisiones mitoticas de la espermatogonia, y emparejamiento normal, sugiriendo que la MA meiotica puede ser debida a deficiencias en el sistema de reparacion del ADN.