Compound genetic abnormalities in patients with cystic fibrosis transmembrane regulator gene mutation.

Abstract:

OBJECTIVE:To determine the prevalence of compound genetic abnormalities in patients who are carriers of cystic fibrosis mutations. DESIGN:Case report. SETTING:Tertiary referral center for male infertility. PATIENT(S):Between 2000 and 2005, 65 patients were identified to be carriers of cystic fibrosis transmembrane regulator gene (CFTR) mutations or have a polymorphism of the polythymidine tract of intron 8. INTERVENTION(S):Patients were evaluated for male factor infertility. Additional genetic testing for karyotype abnormalities or Y chromosome microdeletions was performed when indicated because of evidence of impaired spermatogenesis during surgical sperm retrieval or on semen analysis. A comparison of similar patients is in the published literature. MAIN OUTCOME MEASURE(S):Characteristics of patients with compound genetic abnormalities presenting to an academic male fertility practice. Comparison to similar patients reported in the literature. RESULT(S):Two patients (3.1%) out of 65 were identified in our database to have compound genetic abnormalities. One patient had a W1282X mutation while the other had an I148T mutation. Both patients had deletions of AZF b + c regions. There were no karyotype abnormalities identified in our database. An additional two patients with compound CFTR mutations and Y chromosome microdeletions were identified in the literature. Three patients in the literature had compound CFTR mutations and karyotype abnormalities. CONCLUSION:Compound genetic abnormalities in CFTR mutation patients can be a contributing factor when abnormal spermatogenesis is encountered. A secondary genetic etiology should be considered in these types of patients.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Karpman E,Williams DH 4th,Wilberforce S,Lipshultz LI

doi

10.1016/j.fertnstert.2006.07.1537

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

1468.e5-8

issue

6

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(06)04410-4

journal_volume

87

pub_type

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