PMID- 15513983 OWN - NLM STAT- MEDLINE DCOM- 20050531 LR - 20111214 IS - 0268-1161 (Print) IS - 0268-1161 (Linking) VI - 19 IP - 12 DP - 2004 Dec TI - A constitutional complex chromosome rearrangement involving meiotic arrest in an azoospermic male: case report. PG - 2784-90 AB - Complex chromosome rearrangements are rare aberrations that frequently lead to reproductive failure and that may hinder assisted reproduction. A 25-year-old azoospermic male was studied cytogenetically with synaptonemal complex analysis of spermatocytes from a testicular biopsy and fluorescence in situ hybridization (FISH) of lymphocytes. The spermatocytes showed a pentavalent plus a univalent chromosome. Cell death occurred mainly at advanced pachytene stages. The sex chromosomes were involved in the multiple, as shown by their typical axial excrescences. Two autosomal pairs, including an acrocentric chromosome (15), were also involved in the multiple. FISH allowed the definite identification of all the involved chromosomes. An inverted chromosome 12 is translocated with most of one long arm of chromosome 15, while the centromeric piece of this chromosome 15 is translocated with Yqh, forming a small marker chromosome t(15;Y). The euchromatic part of the Y chromosome is joined to the remaining piece of chromosome 12, forming a neo-Y chromosome. The patient shows azoospermia and a normal phenotype. The disruption of spermatogenesis is hypothetically due to the extent of asynaptic segments and to sex-body association during pachytene. This CCR occurred 'de novo' during paternal spermatogenesis. Meiotic analysis and FISH are valuable diagnostic tools in these cases. FAU - Coco, R AU - Coco R AD - FECUNDITAS, Instituto de Medicina Reproductiva, Larrea 790, Buenos Aires, Argentina. FAU - Rahn, M I AU - Rahn MI FAU - Estanga, P Garcia AU - Estanga PG FAU - Antonioli, G AU - Antonioli G FAU - Solari, A J AU - Solari AJ LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20041028 PL - England TA - Hum Reprod JT - Human reproduction (Oxford, England) JID - 8701199 RN - 0 (Seminal Plasma Proteins) SB - IM MH - Adult MH - *Chromosome Aberrations MH - Cytogenetic Analysis MH - Gene Rearrangement MH - Genetic Loci MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Meiosis MH - Oligospermia/*genetics MH - Seminal Plasma Proteins/genetics MH - Sequence Deletion MH - Spermatocytes/pathology/physiology MH - Spermatogenesis/genetics MH - Synaptonemal Complex/genetics EDAT- 2004/10/30 09:00 MHDA- 2005/06/01 09:00 CRDT- 2004/10/30 09:00 PHST- 2004/10/30 09:00 [pubmed] PHST- 2005/06/01 09:00 [medline] PHST- 2004/10/30 09:00 [entrez] AID - deh506 [pii] AID - 10.1093/humrep/deh506 [doi] PST - ppublish SO - Hum Reprod. 2004 Dec;19(12):2784-90. doi: 10.1093/humrep/deh506. Epub 2004 Oct 28.