Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

Frequency of Y Chromosome Microdeletions Among Iranian Infertile Men with Azoospermia and Severe Oligozoospermia: A Meta-analysis

Authors
1 Department of Medical Genetics, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract
Background: While multiple factors can contribute to male infertility, genetic factors, such as chromosomal disorders or Y-chromosome microdeletion, are responsible for about 10% of male infertility. Considering the role of Y-chromosome microdeletions in men with oligozoospermia who volunteer for in vitro fertilization (IVF), the prevalence of such microdeletions in each particular community needs to be exactly determined. Hence, the present study attempted to analyze the available literature on the frequency of chromosome microdeletion among Iranian infertile men. Methods: In the first stage, a systematic search was performed on international and Iranian databases including PubMed, Scopus, Web of Science, IranMedex, MEDLIB, and Scientific Information Database in order to extract all relevant studies published until December 1, 2014. Results: According to the literature review and meta-analysis process, Y chromosome microdeletions were present in about 12.1% (95% CI, 6.5-21.5) of Iranian infertile men with azoospermia and severe oligozoospermia. Conclusion: Because of the presence of Y-chromosome microdeletion in at least 12% of Iranian infertile men, it is necessary all the IVF centers, implement this Y-chromosome microdeletion screening tests in the work-up of male infertility.
Keywords

  1. Elfateh F, Rulin D, Xin Y, Linlin L, Haibo Z, Liu RZ. Prevalence and patterns of Y chromosome microdeletion in infertile men with azoospermia and oligzoospermia in Northeast China. Iran J Reprod Med. 2014;12(6):383-8.
  2. Ambulkar PS, Sigh R, Reddy M, Varma PS, Gupta DO, Shende MR, et al. Genetic risk of azoospermia factor (AZF) microdeletions in idiopathic cases of azoospermia and oligozoospermia in central indian population. J Clin Diagn Res. 2014;8(3):88-91.
  3. Zaimy MA, Kalantar SM, Sheikhha MH, Jahaninejad T, Pashaiefar H, Ghasemzadeh J, et al. The frequency of Yq microdeletion in azoospermic and oligospermic Iranian infertile men. Iran J Reprod Med. 2013;11(6):453-8.
  4. Khabour OF, Fararjeh AS, Alfaouri AA. Genetic screening for AZF Y chromosome microdeletions in Jordanian azoospermic infertile men. Int J Mol Epidemiol Genet. 2014;5(1):47-50.
  5. Hamada AJ, Esteves SC, Agarwal A. A comprehensive review of genetics and genetic testing in azoospermia. Clinics (Sao Paulo). 2013;68 Suppl 1:39-60.
  6. Wong WY, Thomas CM, Merkus JM, Zielhuis GA, Steegers-Theunissen RP. male factor subfertility: possible causes and the impact of nutritional factors. Fertil Steril. 2000;73(3):435-42.
  7. Elghezal H, Hidar S, Braham R, Denguezli W, Ajina M, Saâd A. Chromosome abnormalities in one thousand infertile males with nonobstructive sperm disorders. Fertil Steril. 2006;86(6):1792-5.
  8. Fu L, Xiong DK, Ding XP, Li C, Zhang LY, Ding M, et al. Genetic screening for chromosomal abnormalities and Y chromosome microdeletions in Chinese infertile men. J Assist Reprod Genet. 2012;29(6):521-7.
  9. Vogt PH. Genomic heterogeneity and instability of the AZF locus on the human Y chromosome. Mol Cell Endocrinol. 2004;224(1-2):1-9.
  10. Totonchi M, Mohseni Meybodi A, Borjian Boroujeni P, Sedighi Gilani M, Almadani N, Gourabi H. Clinical data for 185 infertile Iranian men with Y-chromosome microdeletion. J Assist Reprod Genet. 2012;29(8):847-53.
  11. Mirfakhraie R, Mirzajani F, Kalantar SM, Montazeri M, Salsabili N, Pourmand GR, et al. High prevalence of AZFb microdeletion in Iranian patients with idiopathic non-obstructive azoospermia. Indian J Med Res. 2010;132:265-70.
  12. Nasiri MJ, Farnia P. Prevalence of rapidly growing mycobacteria (RGM) in Iran: Systematic review and meta-analysis. Int J Mycobacteriol. 2015;4(Suppl 1):145.
  13. Saliminejad K, Sadeghi MR, Kamali K, Amirjannati N, Soltanghoraee H, Khorram Khorshid HR. Discrepancy in the frequency of Y chromosome microdeletions among Iranian infertile men with azoospermia and severe oligozoospermia. Genet Test Mol Biomarkers. 2012;16(8):931-4.
  14. Malekasgar AM, Mombaini H. Screening of 'Y' chromosome microdeletions in Iranian infertile males. J Hum Reprod Sci. 2008;1(1):2-9.
  15. Khatami SR, Galehdari H, Rasekh A, Mombeini H, Konar E. Assessment of Correlation between Androgen Receptor CAG Repeat Length and Infertility in Infertile Men Living in Khuzestan, Iran. Int J Fertil Steril. 2015;9(2):189-96.
  16. Torfeh M, Sakhinia E, Hasani H, Ahmadi Asre Badr Y, Nourizadeh D, Heshmat Y, et al. Molecular analysis and comparison of Y chromosome microdeletions in Tabriz and Kashan infertile men with azospermia and severe oligospermia. Iran J Obstet Gynecol Infertil. 2012;15(2):23-30.
  17. Omrani MD, Samadzadae S, Bagheri M, Attar K. Y chromosome microdeletions in idiopathic infertile men from West Azarbaijan. Urol J. 2006;3(1):38-43.
  18. Sheikhha MH, Zaimy MA, Soleimanian S, Kalantar SM, Rasti A, Golzade M, et al. Multiplex PCR Screening of Y-chromosome microdeletions in azoospermic ICSI candidate men. Iran J Reprod Med. 2013;11(4):335-8.
  19. Asbagh FA, Sina A, Najmabadi H, Akbari MT, Pourm ATG. Prevalence of Y chromosome microdeletions in Iranian infertile men. Acta Med Iran. 2003;41(3):164-70.
  20. Akbarzadeh-Khiavi M, Rahmani SA, Akbarzadeh-Khiavi T, Safary A, Nikzad H, Jalili A. Molecular screening of Y chromosome microdeletions in AZFc and AZFd regions of the non-obstructive azoospermic patients referred to Alzahra hospital in Tabriz. Jokull J. 2013;63(10):44-53.
  21. Etemadi K, Amiri I. Y chromosome microdeletion study in idiopathic infertile men in Hamadan Fatemieh hospital with multiplex PCR method. Sci J Hamadan Univ Med Sci. 2013;19(4):48-56
  22. Kalantar SM, Dehghani M, Zaimy A, Soleimanian S. Screening of Y-chromosome microdeletion in Iranian infertile men. Int J Reprod BioMed. 2011;9(2):61.
  23. Keshvari Shirvan M, Taghavi Razavizadeh R, Ashraf H. Evaluating Y chromosome microdeletions in infertile men with severe oligozoospermia or azoospermia at Imam Reza hospital in Meshad. J Reprod Infertil. 2010;11(4):259-67.
  24. Poongothai J, Gopenath TS, Manonayaki S. Genetics of human male infertility. Singapore Med J. 2009;50(4):336-47.
  25. Krausz C, Forti G, McElreavey K. The Y chromosome and male fertility and infertility. Int J Androl. 2003;26(2):70-5.
  26. Saliminejad K, Khorshid HR. Methodological errors in screening of Yq microdeletion in Iranian azoospermic men. Indian J Med Res. 2012;135:137-8.
  27. Saliminejad K, Khorshid HR. Discrepancy in the results of Y chromosome microdeletions in an Iranian population. J Hum Reprod Sci. 2011;4(3):157.