2000
DOI: 10.1093/humrep/15.2.440
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Fluorescence in-situ hybridization of sex chromosomes in spermatozoa and spare preimplantation embryos of a Klinefelter 46,XY/47,XXY male

Abstract: It has been suggested recently that 47,XXY germ cells are able to progress through meiosis to produce hyperhaploid spermatozoa. We report on a 46,XY/47,XXY Klinefelter patient whose spermatozoa were recovered from the ejaculate and used for intracytoplasmic sperm injection (ICSI). Fluorescence in-situ hybridization (FISH) analysis of the patient's spermatozoa and of spare preimplantation embryos with DNA probes specific for chromosomes X, Y and 18 revealed sex chromosome hyperploidy in 3.9% of the sperm nuclei… Show more

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Cited by 51 publications
(36 citation statements)
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“…To date 54 normal children have been born from 122 men with KS by ICSI with testicular (48 children, 118 patients) or ejaculated spermatozoa (six children from four patients) Tournaye et al, 1996Tournaye et al, , 1997Bourne et al, 1997;Hinney et al, 1997;Palermo et al, 1998;Reubinoff et al, 1998;Nodar et al, 1999;Ron-El et al, 1999, 2000aKitamura et al, 2000;Levron et al, 2000;Cruger et al, 2001;Friedler et al, 2001;Greco et al, 2001;Poulakis et al, 2001;Rosenlund et al, 2002;Yamamoto et al, 2002;Kahraman et al, 2003;Staessen et al, 2003;Tachdjian et al, 2003;Ulug et al, 2003). Three cases of chromosomally abnormal embryos (47,XXY) resulting in abortion have been reported (Reubinoff et al, 1998;Ron-El et al, 2000b;Friedler et al, 2001), and other studies reported a high number of aneuploidy embryos discovered by preimplantation genetic diagnosis (Bielanska et al, 2000;Kahraman et al, 2003;Staessen et al, 2003). Therefore, although the great majority of children born to fathers with KS are chromosomally normal, the risk of producing offspring with chromosome aneuploidies is significant, particularly the risk of fathering a 47,XXY or 47,XXX child (Reubinoff et al, 1998;Ron-El et al, 2000b).…”
Section: Klinefelter Syndromementioning
confidence: 99%
“…To date 54 normal children have been born from 122 men with KS by ICSI with testicular (48 children, 118 patients) or ejaculated spermatozoa (six children from four patients) Tournaye et al, 1996Tournaye et al, , 1997Bourne et al, 1997;Hinney et al, 1997;Palermo et al, 1998;Reubinoff et al, 1998;Nodar et al, 1999;Ron-El et al, 1999, 2000aKitamura et al, 2000;Levron et al, 2000;Cruger et al, 2001;Friedler et al, 2001;Greco et al, 2001;Poulakis et al, 2001;Rosenlund et al, 2002;Yamamoto et al, 2002;Kahraman et al, 2003;Staessen et al, 2003;Tachdjian et al, 2003;Ulug et al, 2003). Three cases of chromosomally abnormal embryos (47,XXY) resulting in abortion have been reported (Reubinoff et al, 1998;Ron-El et al, 2000b;Friedler et al, 2001), and other studies reported a high number of aneuploidy embryos discovered by preimplantation genetic diagnosis (Bielanska et al, 2000;Kahraman et al, 2003;Staessen et al, 2003). Therefore, although the great majority of children born to fathers with KS are chromosomally normal, the risk of producing offspring with chromosome aneuploidies is significant, particularly the risk of fathering a 47,XXY or 47,XXX child (Reubinoff et al, 1998;Ron-El et al, 2000b).…”
Section: Klinefelter Syndromementioning
confidence: 99%
“…Analysis of the meiotic products by sperm-FISH revealed an increase in the frequency of XY and XX spermatozoa in the sperm of some KS patients [Chevret et al, 1996;Martini et al, 1996;Guttenbach et al, 1997;Estop et al, 1998;Foresta et al, 1998;Kruse et al, 1998;Lim et al, 1999;Bielanska et al, 2000;Morel et al, 2000;Rives et al, 2000]. Some authors have suggested that the formation of these aneuploid gametes arises from abnormal meiosis of normal XY spermatogonia in a 'compromised testicular environment' [Mroz et al, 1999b].…”
Section: Discussionmentioning
confidence: 99%
“…Most meiotic studies carried out on non-mosaic Klinefelter patients concluded that XXY cells were unable to enter meiosis [Kjessler, 1966;Luciani et al, 1970;Dutrillaux et al, 1971;Laurent et al, 1973;Blanco et al, 2001;Sciurano et al, 2009]. However, the analysis of meiotic products by sperm-FISH revealed an increase in the frequency of XY and XX spermatozoa in the sperm of some patients [Chevret et al, 1996;Martini et al, 1996;Guttenbach et al, 1997;Estop et al, 1998;Foresta et al, 1998;Kruse et al, 1998;Lim et al, 1999;Bielanska et al, 2000;Morel et al, 2000;Rives et al, 2000]. The presence of 24,XY or 24,XX spermatozoa and distortion of the sex ratio suggests that XXY cells may enter and complete meiosis.…”
mentioning
confidence: 99%
“…The only one euploid embryo obtained was transferred and (Munné et al, 1998b). However, children of these patients also have high risk of sex chromosomal abnormalities (Bielanska et al, 2000). Clinical features of these patients can vary from germinal aplasia, sub-infertile, to nearly normal phenotypes.…”
Section: Discussionmentioning
confidence: 99%