Genetics: Obstructive azoospermia with agenesis of vas deferens or with bronchiectasia (Young's syndrome): a genetic approach

• Published in: Human reproduction (Oxford) 1995-02, Vol.10 (2), p.338-341
• Main Authors: Lannou, D.Le, Jezequel, P., Blayau, M., Dorval, I., Lemoine, P., Dabadie, A., Roussey, M., Marec, B.Le, Legall, J.Y.
• Format: Article
• Language: English
• Subjects: azoospermia; bronchiectasia; congenital agenesis of vas deferens; cystic fibrosis; Young's syndrome
• ISSN: 0268-1161; 1460-2350
• DOI: 10.1093/oxfordjournals.humrep.a135939

Two groups of infertile men with obstructive azoospermia were screened for cystic fibrosis (CF) gene mutations (ΔF508, exons 3, 4, 7, 10, 11, 14a, 17b, 19, 20, 21). The first group was composed of 26 patients with congenital agenesis of vas deferens (CAVD). The second group was composed of 12 patients with obstructive azoospermia associated with chronic suppurating respiratory disease (Young's syndrome). Of the group with CAVD, 77% of patients showed at least one mutation in the CF transmembrane conductance regulator (CFTR) gene. The ΔF508 mutation occurred most frequently (54%), and the second most frequent mutation to occur was R117H (27%). Six patients were double heterozygotes. In Young's syndrome, no CF mutations were detected. CAVD can be considered as an incomplete clinical form of CF. However, the differences observed in CF mutations between CF and CAVD suggest that they are different disorders resulting from mutations in the same gene. Young's syndrome is a very different clinical entity.