You have accessJournal of UrologyInfertility: Epidemiology & Evaluation II (PD25)1 Apr 2020PD25-10 TESTING FOR GENETIC MUTATIONS IN SEVERE TESTICULAR FAILURE USING COMMERCIALIZED GENE SEQUENCING OFFERS NOVEL INSIGHT FOR PHYSICIANS AND PATIENTS Matthew Pollard*, Saneal Rajanahally, Michael Jansen, Alexander Bisignano, Malgorzata Jaremko, and Larry Lipshultz Matthew Pollard*Matthew Pollard* More articles by this author , Saneal RajanahallySaneal Rajanahally More articles by this author , Michael JansenMichael Jansen More articles by this author , Alexander BisignanoAlexander Bisignano More articles by this author , Malgorzata JaremkoMalgorzata Jaremko More articles by this author , and Larry LipshultzLarry Lipshultz More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000882.010AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Unexplained non-obstructive azoospermia (NOA) is a challenging diagnosis for clinicians and patients. Next-generation sequencing has allowed the identification of over 500 monogenic mutations with a potential impact on male fertility. Commercialization of this sequencing offers cost effective analyses of gene panels related to testicular failure. Our objective was to examine the data from available panels for unexplained oligospermia or NOA. METHODS: After IRB approval, we reviewed deidentified data from infertile men evaluated by a gene sequencing facility. Two panels were offered based on the amount and quality of published data describing the genetic association with infertility: a standard panel (>20 publications per gene) and an emerging genes panel (<10 publications per gene). Each panel is described in Table 1. RESULTS: A total of 37 patients were included in our analysis. Fourteen patients were azoospermic (38%), 11 were oligospermic (30%), and 12 oligospermic but unspecified sperm density (32%). In total, 25 patients (68%) tested positive for a mutation in at least one of the 16 genes (Table 2). Thirteen patients (35%) had more than one genetic mutation detected. Of 33 mutations, 16 (48%) were in the standard panel and 17 (51%) were in the emerging genes panel. PRDM9, an emerging gene involved in transcription regulation in germ cells, yielded 9 mutations - 6 deletion/duplications and 3 single-nucleotide polymorphisms. CONCLUSIONS: Testing patients diagnosed with severe oligospermia or NOA for mutations in targeted genetic panels yields significant results. The incidence of mutations detected in PRDM9 is greater than one would predict for Y chromosome microdeletion in this sample of infertile men. Future research should focus on the impact of mutations on ART outcomes, consequences for offspring, and establishing a semen analysis-based threshold for testing. Large population analysis will be essential in identifying additional single gene mutations that deserve further research. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e542-e542 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Matthew Pollard* More articles by this author Saneal Rajanahally More articles by this author Michael Jansen More articles by this author Alexander Bisignano More articles by this author Malgorzata Jaremko More articles by this author Larry Lipshultz More articles by this author Expand All Advertisement PDF downloadLoading ...
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