title: Gene copy number reduction in the azoospermia factor c (AZFc) region and its effect on total motile sperm count.
abstract: The azoospermia factor c (AZFc) region harbors multi-copy genes that are expressed in the testis. Deletions of the AZFc region lead to reduced copy numbers of these genes. Four (partial) AZFc deletions have been described of which the b2/b4 and gr/gr deletions affect semen quality. In most studies, (partial) AZFc deletions are identified and characterized using plus/minus sequence site tag (STS) polymerase chain reaction (PCR). However, secondary duplications increase the gene copy number without re-introducing the STS boundary marker. Consequently, the actual copy number of AZFc genes cannot be determined via STS PCR. In the current study, we first set out to determine by quantitative real-time PCR the actual copy number of all AZFc genes in men with (partial) AZFc deletions based on STS PCR. We then analyzed whether reduced gene copy numbers of each AZFc gene family were associated with reduced total motile sperm count (TMC), regardless of the type of deletion. We screened 840 men and identified 31 unrelated men with (partial) deletions of AZFc based on STS PCR. Of these 31 men, 6 men (19%) had one or more secondary duplications. For all AZFc genes, we found an association between a reduction in the copy number of each individual AZFc gene and reduced TMC. In gr/gr-deleted men, restoration of reduced gene copy numbers restored their TMC to normal values. Our findings suggest that the gene content of the AZFc region has been preserved throughout evolution through a dosage effect of the AZFc genes on TMC safeguarding male fertility.
authors.affiliation: Department of Obstetrics and Gynecology, Center for Reproductive Medicine, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
authors.forename: Michiel J
authors.initials: MJ
authors.lastname: Noordam
authors.forename: G Henrike
authors.initials: GH
authors.lastname: Westerveld
authors.forename: Suzanne E
authors.initials: SE
authors.lastname: Hovingh
authors.forename: Saskia K M
authors.initials: SK
authors.lastname: van Daalen
authors.forename: Cindy M
authors.initials: CM
authors.lastname: Korver
authors.forename: Fulco
authors.initials: F
authors.lastname: van der Veen
authors.forename: Ans M M
authors.initials: AM
authors.lastname: van Pelt
authors.forename: Sjoerd
authors.initials: S
authors.lastname: Repping
mesh_terms: D018628:Gene Dosage / Q000235:genetics / Q000502:physiology*; D056426:Genetic Loci; D006801:Humans; D008297:Male; D010641:Phenotype; D016133:Polymerase Chain Reaction; D029589:Seminal Plasma Proteins / Q000235:genetics* / Q000378:metabolism; D013076:Sperm Count; D013081:Sperm Motility / Q000235:genetics*; D018709:Statistics, Nonparametric; D013737:Testis / Q000378:metabolism
chemical_list: D029589:Seminal Plasma Proteins