Cover
Vol. 6 No. 1 (2016)

Published: June 30, 2016

Pages: 32-44

Research Article

Molecular Identification of Azoospermia in Iraqi Patients Based on (NR5A1) Gene Sequencing

Abstract

Background: Infertility is considered one of the main public health issues, as it affects about 15% of the couples of reproductive age. The male factor is involved in 40% - 50% of infertility cases. It is difficult to assess accurately the overall magnitude of the contribution of genetics to infertility as most, if not all, conditions are likely to have a genetic component. The genetic causes of infertility are varied and include chromosomal abnormalities, single gene disorders and phenotypes with multifactorial inheritance. Some genetic factors influence males specifically, whereas others affect both males and females. Frequently, however, in the clinic no clear cause for the observed infertility could be diagnosed which at least in part, it reflects our still poor understanding of the basic mechanisms that regulating and controlling the genetic networks of male infertility. Objective: To study the molecular identification of Azoospermic infertile patients by the gene sequencing of NR5A1. Subjects, Materials and Methods: A study carried out during the period from November 2014 to June 2015. Fifty specimens were collected from thirty azoospermic patients and twenty normal healthy subjects (normozoospermic subjects) as control their age ranged between 23 and 48 years old, the seminal fluid of cases indicated that liquefaction time, color and viscosity equal in normozoospermic subjects (control group) and patient group while there is significant difference P≥0.05 in sperm count reach to more than 20 million and motility reach to more than > 25% in control subjects while there is no sperm count found in azoospermic patients. Then blood was collected for hormonal assay, in azoospermic patients the results revealed a gradual decrease in serum testosterone levels with a concomitant increase in serum follicular stimulating hormone (FSH) level when compared with control subjects . NR5A1 gene were investigated in 30 samples of extracted DNA from azoospermic patients by using polymerase chain reaction (PCR) method it can directly detect the NR5A1 gene content after it had been molecularly identified then were sent successfully for sequencing analysis ,this study examined the presence of two transversion and one transition mutation of NR5A1 gene in azoospermic patients compared with control subjects, there’s no mutation in the same gene when compared with gene bank.

References

  1. van Golde RJ, van der Avoort IA, Tuerlings JH et al: Phenotypic characteristics of male subfertility and its familial occurrence. J Androl 2004; 25: 819–823.
  2. Schultz N, Hamra FK, Garbers DL: A multitude of genes expressed solely in meiotic or postmeiotic spermatogenic cells offers a myriad of contraceptive targets. Proc Natl Acad Sci USA 2003; 100: 12201–12206.
  3. Tuerlings J.H., van Golde R.J., Oudakker A.R., Yntema H.G., Kremer J.A. Familial oligoasthenoteratozoospermia: evidence of autosomal dominant inheritance with sex-limited expression. Fertil. Steril. 2002;77:415–418.
  4. Gianotten J., Westerveld G.H., Leschot N.J., Tanck M.W., Lilford R.J., Lombardi M.P., van der Veen F. Familial clustering of impaired spermatogenesis: no evidence for a common genetic inheritance pattern. Hum. Reprod. 2004;19:71–76.
  5. McLachlan R.I., O'Bryan M.K. Clinical Review#: State of the art for genetic testing of infertile men. J. Clin. Endocrinol. Metab. 2010;95:1013–1024
  6. O'Flynn O'Brien K.L., Varghese A.C., Agarwal A. The genetic causes of male factor infertility: a review. Fertil. Steril. 2010;93:1–12.
  7. Lala, D.S., Rice, D.A., Parker, K.L., 1992. Steroidogenic factor 1, a key regulator of steroidogenic enzyme expression, is the mouse homolog of fushi tarazu-factor I. Mol. Endocrinol. 6, 1249–1258.
  8. Rice, D.A., Mouw, A.R., Bogerd, A.M., Parker, K.L., 1991. A shared promoter element regulates the expression of three steroidogenic enzymes. Mol. Endocrinol. 5, 1552– 1561.
  9. Enzo Lalli, Isabelle Mus-Veteau et al., Beyond steroidogenesis: Novel 42 target genes for SF-1 disco -vered by genomics, Molecular and Cellular Endocrinology, 2013, 371,154–159.
  10. Katz P, Bellet N, less M.CEDIATM total an automated homogenous enzyme-immunoassay for serum total fsh,testosteron. Clin Chem.1991;37:9936.
  11. Steel, RG. and Torries JH. (1980). Principal and Procedures of Statistics. Abiometrical approach 2nd Ed. McGraw - Hill Book Company. New York USA.
  12. Kanbe, T., Horii, T., Arishima, T., Ozeki, M. and Kikuchi, A. 2002. PCR-based identification of pathogenic Candida species using primer mixes specific to Candida DNA topoisomerase II genes. Yeast19, 973–989.
  13. Farber, P., Geisen, R., Holzapfe, WH. (1997). Detection of aflatoxigenic fungi in figs by a PCR reaction. Int J Food Microbiol. 36:215–220. 43
  14. Ferraz-de-Souza B., Lin L., Achermann J.C.,et al., Steroidogenic factor-1 (SF-1, NR5A1) and human disease, Molecular and Cellular Endocrinology, 2011, 336,198–205.
  15. Chia-Yih Wang, Wei-Yi Chen, Pao-Yen Lai, Bon-chu Chung, Distinct functions of steroidogenic factor-1 (NR5A1) in the nucleus and the centrosome, Molecular and Cellular Endocrinology, 2013, 371, 148-153.
  16. Saiki, R. 1989. Chapter 1. In PCR Technology: Principles and Applications for DNA Amplification, H. A. Erlich (Ed.). Stockton Press, New York.
  17. Thompson, J. D., Gibson, T. J., Plewniak, F., Jeanmougin, F. & Higgins, D. G. (1997). The CLUSTAL X windows interface: flexible strategies for multiple sequence alignment aided by quality analysis tools. Nucleic Acids Res 25, 4876–4882.
  18. Shen WH, Moore CC, Ikeda Y, Parker KL, Ingraham HA (1994) Nuclear receptor steroidogenic factor 1 regulates the müllerian inhibiting substance gene: a link to the sex determination cascade. Cell 77:651– 661.
  19. Luo X, Ikeda Y, Parker KL: A cell-specific nuclear receptor is essential for adrenal and gonadal development and sexual differentiation. Cell 1994, 77:481– 490.
  20. Parker KL, Rice DA, Lala DS, Ikeda Y, Luo X, Wong M, Bakke M, Zhao L, Frigeri C,Hanley NA, Stallings N, Schimmer BP: Steroidogenic factor 1: an essential mediator of endocrine development. Recent Prog Horm Res 2002, 57:19– 36.
  21. Buaas FW, Gardiner JR, Clayton S, Val P, Swain A: In vivo evidence for the crucial role of SF1 in steroid- producing cells of the testis, ovary and adrenal gland. Development 2012, 139:4561–4570.
  22. Zhao H, Li Z, Cooney AJ, Lan ZJ: Orphan nuclear receptor function in the ovary. Front Biosci 2007, 12:3398–3405.
  23. Bruno Ferraz-de-Souza, Lin Lin, John C. Achermann, Steroidogenic factor-1 (SF-1, NR5A1) and human disease, Molecular and Cellular Endocrinology, 2011, 336, 198-205. 44