检验医学 ›› 2012, Vol. 27 ›› Issue (6): 479-481.

• 分子生物学检验论著 • 上一篇    下一篇

上海地区原发性男性不育症患者Y染色体AZF基因微缺失的检测

杨慧敏1,陈国武2   

  1. 1.上海达安医学检测中心,上海 201203;2.上海集爱遗传与不育诊疗中心,上海 200011
  • 收稿日期:2012-03-15 修回日期:2012-04-15 出版日期:2012-06-30 发布日期:2012-06-06
  • 通讯作者: 陈国武,联系电话:021-63455468。
  • 作者简介:杨慧敏,女,1972年生,硕士,主管技师,主要从事实验室相关诊断和研究。

Detection of Y chromosome AZF gene microdeletion in idiopathic infertile males from Shanghai

  1. 1. Shanghai Daan Medical Centre for Clinical Laboratory,Shanghai 201203,China;2. Shanghai Jiai Genetics and IVF Institute,Shanghai 200011,China
  • Received:2012-03-15 Revised:2012-04-15 Online:2012-06-30 Published:2012-06-06

摘要: 目的 探讨上海地区原发性男性不育症患者无精子因子(AZF)基因微缺失情况及其微缺失特点。方法 运用聚合酶链反应(PCR)结合琼脂糖凝胶电泳等方法,对上海地区269例原发性男性不育症患者(无精子症38例、严重少精子症231例)以及10名已生育的正常男性进行了AZFa、AZFb和AZFc微缺失筛查。结果 269例男性不育症患者中发现18例AZF基因STS位点存在缺失,其中14例为AZFc区存在缺失、2例为AZFb+c区存在缺失、1例为AZFa+b+c均缺失、1例为AZFa区存在缺失,总缺失率为6.7%。结论 AZFc区为原发性不育症患者AZF基因筛查的主要候选基因,临床上对原发性不育患者进行AZF基因缺失筛查仍是十分必要的。

关键词: 原发性男性不育, 无精子症, 少精子症, AZF基因微缺失, 辅助生殖技术

Abstract: Objective To investigate the azoospermia factor(AZF) gene microdeletion and its characteristic in idiopathic infertile males from Shanghai.  Methods Polymerase chain reaction and agarose electrophoresis were used to detect microdeletion in AZFa,AZFb and AZFc in 38 patients with idiopathic azoospermia, 231 patients with oligozoospermia and 10 healthy controls.  Results AZF gene STS point microdeletion was found in 18 of 269 infertile patients. There were 14 cases in AZFc,2 cases in AZFb+c, 1 case in AZFa+b+c and 1 case in AZFa. The total prevalence rate of microdeletion was 6.7% .  Conclusions AZFc is a major gene for AZF gene screening in idiopathic infertile patients.Screening of AZF gene microdeletion for idiopathic infertile patients is essential.

Key words: Idiopathic male infertility, Azoospermia, Oligozoospermia, Azoospermia factor gene microdeletion, Assisted reproductive technology