Microdeletion
of sperm producing Y chromosome –as a cause of RPL --- Is is a dream or reality??
It is worth remembering
that Different micro deletions have deleterious effects
in different aspects of male fertility More informations on Microdeletion of a segment of long arm of Y chromosome . That particular
segment i.e. –the long arm segment contains many loci (full of genes ) whose
duty is entrusted for sperm production,. Micro deletions of the
chromosome Y long arm are the most frequent molecular genetics of severe male infertility , mainly by presence of severe oligozoospermia and non obstructive
azoospermia . Nowadays these
genetic alterations could be
screened as routine which is important since they are present in approximately in 9% of the oligo azoospermia males.
At the
molecular level Y chromosome
micro deletions affect at least three regions
known as azoospermia factor these
three regions are essential for a
successful spermatogenesis.. It is of note though the AFZ cv 2/64 deletions since men carrying them produce a higher percentage of nullisomy for the sex chromosome
and NY disomy .
Query to
learned members: Can there be a link
between male carriers of Y chromosome
deletions and RPL(Rec Preg losses) ?? I don’t know. Any member like to
volunteer pl?? . In fact Dewan et al
in 2006 observed that in couples with RPL
a significant percentage of the males
had chromosome Y micro deletions
. Another study carried out by Agarwal et al in 2015 stated that in couples suffering RPL
32.5% of males were carriers of
chromosome Y micro deletions and after excluding the female
factor in 13. 5% of the cases. Interestingly the most frequent
micro deletion was the AZFc. The
incidence of chromosome Y micro deletion is different in different population
since is linked to chromosome Y haplogroups
. In fact Venkatesh et al did
not detect any micro deletion in a population of RPL in New Delhi.
Nevertheless
taking in account the population that one is dealing the prevalence of
microdeletion as an cause of RPL may vary . Is that also the members opinion.
PL share your views This will be a later date which will offer a relationship
of AZF deletions and its etiology as RPL besides cong thrombophilia and other genetic causes of Post embryonic growth
& development aberrations. A day may come when we the treating gynecologist
may ask cases of RPL for AZF deletion in
male partner . Till then let’s hope that that micro deletions in chromosome
Y may not be a cause
of RPL so that
The unfortunate
male is exempted from study of such chromosomal
abnormalities in cases of RPL
& idiopathic abortion
No comments:
Post a Comment