PMID- 16952512 OWN - NLM STAT- MEDLINE DCOM- 20060925 LR - 20220311 IS - 1556-5653 (Electronic) IS - 0015-0282 (Linking) VI - 86 IP - 3 DP - 2006 Sep TI - Tail stump syndrome associated with chromosomal translocation in two brothers attempting intracytoplasmic sperm injection. PG - 719.e1-7 AB - OBJECTIVE: To raise the possibility that a familial chromosomal translocation associated with teratozoospermia can disrupt a gene necessary for flagellum assembly. DESIGN: Case report. SETTING: University hospital. PATIENT(S): Two brothers with infertility related to anomalies of meiotic division and of the flagella assembly, presenting the same balanced 5-12 autosomal translocation. INTERVENTION(S): Several intracytoplasmic sperm injection (ICSI) cycles in our IVF department for both couples. MAIN OUTCOME MEASURE(S): Sperm analysis, karyotypes, electron microscopy, and fluorescence in situ hybridization (FISH) analysis of spermatozoa performed using probes coding for chromosomes X, Y, 13, 18, and 21. RESULT(S): In both brothers, sperm analysis indicated a tail stump syndrome. Electron microscopy analysis displayed complex abnormalities, which were probably related to meiotic errors. The FISH analysis indicated an increase of diploid germ cells. Karyotypes of both patients revealed the same balanced chromosomal t(5;12) (p15.1; q21) translocation. Results of ICSI cycles were comparable for both couples. A twin pregnancy was achieved in one of these two couples, but a spontaneous miscarriage occurred at 10 weeks of gestation. CONCLUSION(S): The flagella anomalies raise the possibility that the translocation disrupts a gene necessary for the flagellum assembly, although a mutation in a gene unrelated to the chromosome breakpoints cannot be excluded. FAU - Ravel, Celia AU - Ravel C AD - AP-HP, Hopital Tenon, Service d'Histologie Biologie de la Reproduction Cytogenetique, Paris, France. FAU - Chantot-Bastaraud, Sandra AU - Chantot-Bastaraud S FAU - Siffroi, Jean-Pierre AU - Siffroi JP FAU - Escalier, Denise AU - Escalier D FAU - Antoine, Jean-Marie AU - Antoine JM FAU - Mandelbaum, Jacqueline AU - Mandelbaum J LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Fertil Steril JT - Fertility and sterility JID - 0372772 SB - IM MH - Adult MH - Chromosome Aberrations MH - Genetic Predisposition to Disease/genetics MH - Humans MH - Infertility, Male/*genetics/*pathology/therapy MH - Male MH - Oligospermia/*genetics/*pathology/therapy MH - Siblings MH - *Sperm Injections, Intracytoplasmic MH - Sperm Tail/*pathology MH - Syndrome EDAT- 2006/09/06 09:00 MHDA- 2006/09/26 09:00 CRDT- 2006/09/06 09:00 PHST- 2005/10/14 00:00 [received] PHST- 2005/12/27 00:00 [revised] PHST- 2005/12/27 00:00 [accepted] PHST- 2006/09/06 09:00 [pubmed] PHST- 2006/09/26 09:00 [medline] PHST- 2006/09/06 09:00 [entrez] AID - S0015-0282(06)01016-8 [pii] AID - 10.1016/j.fertnstert.2005.12.078 [doi] PST - ppublish SO - Fertil Steril. 2006 Sep;86(3):719.e1-7. doi: 10.1016/j.fertnstert.2005.12.078.