1. Diagnostic genetic screening for assisted reproductive technologies patients with macrozoospermia
- Author
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J.-M. Dupont, R. C. Fierro, Jacques Auger, Patricia Fauque, Virginie Carmignac, N. Lieury, Céline Bruno, Julie Barberet, Emmanuel Dulioust, Lipides - Nutrition - Cancer [Dijon - U1231] ( LNC ), Université de Bourgogne ( UB ) -AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Institut National de la Santé et de la Recherche Médicale ( INSERM ), Nancy University, Service Commun de Microscopie, Nancy-University, Universidad Autónoma Metropolitana [Mexico] ( UAM ), Universidad Autonoma Metropolitana - Cuajimalpa (UAM), Laboratoire de Biologie de la reproduction CECOS - [CHU de Dijon], Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand ( CHU Dijon ), Laboratoire d'Histologie Embryologie - Biologie de la Reproduction, Université Paris Descartes - Paris 5 ( UPD5 ) -PRES Sorbonne Paris Cité-AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris], Service d'Histologie-Embryologie, Biologie de la Reproduction ( CECOS ), Assistance publique - Hôpitaux de Paris (AP-HP)-CHU Cochin [AP-HP], Burgundy Regional Research Council, Lipides - Nutrition - Cancer [Dijon - U1231] (LNC), Université de Bourgogne (UB)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Institut National de la Santé et de la Recherche Médicale (INSERM), Universidad Autónoma Metropolitana [Mexico] (UAM), Universidad Autonoma Metropolitana, Unidad Cuajimalpa, Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon), Université Paris Descartes - Paris 5 (UPD5)-PRES Sorbonne Paris Cité-AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Service d'Histologie-Embryologie, Biologie de la Reproduction (CECOS Paris Cochin), Hôpital Cochin [AP-HP], Université de Bourgogne (UB)-Institut National de la Santé et de la Recherche Médicale (INSERM)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement, and CHU Cochin [AP-HP]-Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)
- Subjects
Adult ,Male ,0301 basic medicine ,Reproductive Techniques, Assisted ,pregnancy outcomes ,Urology ,Endocrinology, Diabetes and Metabolism ,Twins ,men ,Semen ,Reproductive technology ,Biology ,medicine.disease_cause ,Andrology ,Teratozoospermia ,03 medical and health sciences ,0302 clinical medicine ,Endocrinology ,Polyploid ,c c.144delc mutation ,medicine ,Humans ,Aurora Kinase C ,Genetic Testing ,Aurora Kinase C Gene ,[SDV.GEN]Life Sciences [q-bio]/Genetics ,aurora kinase C gene ,Mutation ,assisted reproductive technologies ,030219 obstetrics & reproductive medicine ,urogenital system ,tailed spermatozoa ,Genetic Status ,head ,Sperm ,3. Good health ,macrozoospermia ,human sperm ,030104 developmental biology ,Reproductive Medicine ,male-infertility ,Sperm Head ,aneuploidy rate ,flow-cytometry ,[ SDV.GEN ] Life Sciences [q-bio]/Genetics ,polyploid spermatozoa - Abstract
International audience; Macrozoospermia is characterized by a high proportion of abnormal spermatozoa with enlarged heads. So far, it has been associated with mutations only in the Aurora Kinase C gene (AURKC) in some cases. Although many publications have reported failure to conceive in couples with macrozoospermia, a few others have described successful pregnancies, thus raising questions as to whether ICSI and AURKC genetic screening should be recommended in all patients with macrozoospermia. First, we report on two monozygotic twins presenting macrozoospermia for whom the genetic status was explored (Aurora Kinase C sequencing) and whole semen and gradient-selected spermatozoa were analyzed, using Fluorescent In Situ Hybridization (FISH), Electron Microscopy and flow cytometry. Additionally, FISH analysis was performed on individually selected uniflagellate spermatozoa with normal sized heads. Second, we also provide an updated review of patients with macrozoospermia gathering the percentage of enlarged head spermatozoa, the genetic status and pregnancy outcomes. Both twins carried a homozygous mutation of AURKC. Spermocytograms showed means of 86% and 83.5% of enlarged head forms. FISH analyses showed that normal head size, uniflagellate spermatozoa had an aneuploid or polyploid nucleus despite a high level of selection. SEM analysis also showed special intranuclear inclusions in enlarged head spermatozoa. Our data together with cases reported in the literature allowed us to recommend that the AURKC gene should be sequenced when the sperm contains 30% or more of enlarged head spermatozoa, and when a mutation is found, ART should not be performed. Our analyses provide information that could greatly help practitioners in their decision-making with regard to optimal care of patients with macrozoospermia.
- Published
- 2017