[Fluorescence in situ hybridization detection of peripheral lymphocyte and ultrastructural study of the testicular tissue in a 48,XXYY syndrome patient].
OBJECTIVE
To investigate the pathogenesis of male sterility in 48,XXYY syndrome patient.


METHODS
The peripheral lymphocyte was detected by dual-color fluorescence in situ hybridization. The bioptic testicular tissues were pathologically sectioned and ultra-thin sections were examined by electron-microscopy.


RESULTS
The pathological findings revealed extremely severe dysgenesis of the badly damaged testicular tissue. Only a few convoluted seminiferous tubules were found, in which no spermatogenic cell or sperm of any range could be viewed. The ultrastructural observations showed the thickened interstitial vascular walls of the testicular tissue and severe hyperplasia of the collagen fibers in the basilemma and lumens of the blood vessels.


CONCLUSIONS
The structure of the testicle in the 48,XXYY syndrome patient has severe fibrous hyperplasia, leading to the non-specific thickening of the barrier and serious damage to the blood-testis barrier, which in turn produce significant disturbance and pathological changes in the process of the spermatogenic cell formation. The whole interrelated loops account mainly for the male sterility.
Liu
Yong-zhang
YZ
Department of Biology, Wenzhou Medical College, Wenzhou, Zhejiang, 325027 PR China. liuyz-2@163.com
Zhu
Hai-bo
HB
D000328:Adult; D041321:Chromosomes, Human, X / Q000235:genetics*; D041322:Chromosomes, Human, Y / Q000235:genetics*; D006801:Humans; D017404:In Situ Hybridization, Fluorescence / Q000379:methods; D007248:Infertility, Male / Q000235:genetics / Q000473:pathology; D008214:Lymphocytes / Q000378:metabolism*; D008297:Male; D008854:Microscopy, Electron; D012729:Sex Chromosome Aberrations; D013737:Testis / Q000378:metabolism / Q000473:pathology / Q000648:ultrastructure*