Is there any clinical relevant difference between non mosaic Klinefelter Syndrome patients with or without Androgen Receptor variations?

Abstract Klinefelter Syndrome (KS) is the most common chromosomal disorder in men leading to non-obstructive azoospermia. Spermatozoa can be found by TESE in about 50% of adults with KS despite severe testicular degeneration. We evaluated AR variations and polymorphism length in 135 non-mosaic KS pa...

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Autores principales: Umberto Valente, Cinzia Vinanzi, Savina Dipresa, Riccardo Selice, Massimo Menegazzo, Massimo Iafrate, Carlo Foresta, Andrea Garolla
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Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/57af7c1216d943ad819c953f32b3fee8
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spelling oai:doaj.org-article:57af7c1216d943ad819c953f32b3fee82021-12-02T16:06:32ZIs there any clinical relevant difference between non mosaic Klinefelter Syndrome patients with or without Androgen Receptor variations?10.1038/s41598-017-03371-y2045-2322https://doaj.org/article/57af7c1216d943ad819c953f32b3fee82017-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-03371-yhttps://doaj.org/toc/2045-2322Abstract Klinefelter Syndrome (KS) is the most common chromosomal disorder in men leading to non-obstructive azoospermia. Spermatozoa can be found by TESE in about 50% of adults with KS despite severe testicular degeneration. We evaluated AR variations and polymorphism length in 135 non-mosaic KS patients, aimed to find possible correlation with clinical features, sex hormones and sperm retrieval. Among 135 KS patients we found AR variations in eight subjects (5.9%). All variations but one caused a single amino acid substitution. Four variations P392S, Q58L, L548F, A475V found in six patients had been previously described to be associated with different degrees of androgen insensitivity. Moreover we observed in two patients Y359F and D732D novel variations representing respectively a missense variation and a synonymous variation not leading to amino acid substitution. All the Klinefelter patients with AR gene variations were azoospermic. Spermatozoa were retrieved with TESE for two men (40%), sperm retrieval was unsuccessful in other 3 patients. This is the only study reporting AR variations in KS patients. Relevant clinical differences not emerged between AR mutated and not AR mutated KS patients, but does each variation play an important role in the trasmission to the offspring obtained by ART in this patients?Umberto ValenteCinzia VinanziSavina DipresaRiccardo SeliceMassimo MenegazzoMassimo IafrateCarlo ForestaAndrea GarollaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-7 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Umberto Valente
Cinzia Vinanzi
Savina Dipresa
Riccardo Selice
Massimo Menegazzo
Massimo Iafrate
Carlo Foresta
Andrea Garolla
Is there any clinical relevant difference between non mosaic Klinefelter Syndrome patients with or without Androgen Receptor variations?
description Abstract Klinefelter Syndrome (KS) is the most common chromosomal disorder in men leading to non-obstructive azoospermia. Spermatozoa can be found by TESE in about 50% of adults with KS despite severe testicular degeneration. We evaluated AR variations and polymorphism length in 135 non-mosaic KS patients, aimed to find possible correlation with clinical features, sex hormones and sperm retrieval. Among 135 KS patients we found AR variations in eight subjects (5.9%). All variations but one caused a single amino acid substitution. Four variations P392S, Q58L, L548F, A475V found in six patients had been previously described to be associated with different degrees of androgen insensitivity. Moreover we observed in two patients Y359F and D732D novel variations representing respectively a missense variation and a synonymous variation not leading to amino acid substitution. All the Klinefelter patients with AR gene variations were azoospermic. Spermatozoa were retrieved with TESE for two men (40%), sperm retrieval was unsuccessful in other 3 patients. This is the only study reporting AR variations in KS patients. Relevant clinical differences not emerged between AR mutated and not AR mutated KS patients, but does each variation play an important role in the trasmission to the offspring obtained by ART in this patients?
format article
author Umberto Valente
Cinzia Vinanzi
Savina Dipresa
Riccardo Selice
Massimo Menegazzo
Massimo Iafrate
Carlo Foresta
Andrea Garolla
author_facet Umberto Valente
Cinzia Vinanzi
Savina Dipresa
Riccardo Selice
Massimo Menegazzo
Massimo Iafrate
Carlo Foresta
Andrea Garolla
author_sort Umberto Valente
title Is there any clinical relevant difference between non mosaic Klinefelter Syndrome patients with or without Androgen Receptor variations?
title_short Is there any clinical relevant difference between non mosaic Klinefelter Syndrome patients with or without Androgen Receptor variations?
title_full Is there any clinical relevant difference between non mosaic Klinefelter Syndrome patients with or without Androgen Receptor variations?
title_fullStr Is there any clinical relevant difference between non mosaic Klinefelter Syndrome patients with or without Androgen Receptor variations?
title_full_unstemmed Is there any clinical relevant difference between non mosaic Klinefelter Syndrome patients with or without Androgen Receptor variations?
title_sort is there any clinical relevant difference between non mosaic klinefelter syndrome patients with or without androgen receptor variations?
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/57af7c1216d943ad819c953f32b3fee8
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