2015
DOI: 10.1159/000442059
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Molecular Pathology of Cryptorchidism-Induced Infertility

Abstract: Cryptorchidism is the most common cause of non-obstructive azoospermia in man. In contrast to the general belief that temperature-dependent effects on the undescended gonad damage cryptorchid testes before sexual maturation is complete, molecular pathology strongly supports the theory that impaired mini-puberty is responsible for azoospermia and infertility in cryptorchidism. Molecular biological observations favor LH deficiency, with EGR4 as a master regulatory gene in Leydig cell dysgenesis, as the reason fo… Show more

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Cited by 28 publications
(23 citation statements)
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“…When boys with cryptorchidism were pre-treated with hCG, their response to a stimulation test was the same as that observed in a control population [22]. Thus, the cause of the lower testosterone response appeared to be at the pituitary or hypothalamic level; consequently, it may result from insufficient Leydig cell stimulation [23]. The first prospective study had a follow-up period of over 20 years.…”
Section: Discussionmentioning
confidence: 70%
“…When boys with cryptorchidism were pre-treated with hCG, their response to a stimulation test was the same as that observed in a control population [22]. Thus, the cause of the lower testosterone response appeared to be at the pituitary or hypothalamic level; consequently, it may result from insufficient Leydig cell stimulation [23]. The first prospective study had a follow-up period of over 20 years.…”
Section: Discussionmentioning
confidence: 70%
“…An interesting case of a homozygous genotype for a missense substitution in the MAMLD1 gene was found in a hypospadic horse, but its association with the observed abnormality was not confirmed [De Lorenzi et al, 2010]. Polymorphism studies of candidate genes for human hypospadias or cryptorchidism have been extensively done [Docampo and Hadziselimovic, 2015;Khan et al, 2018]. These genes included MAMLD1 , SRD5A2, and AR .…”
Section: Resultsmentioning
confidence: 99%
“…Among them, SRD5A2 (steroid 5 alpha-reductase 2), MAMLD1 (mastermind like domain containing 1), and AR (androgen receptor) have been studied in human cases of hypospadias [Bouty et al, 2015], while AR polymorphisms also showed an association with cryptorchidism [Docampo and Hadziselimovic, 2015]. Moreover, mutations of AR and SRD5A2 can be also responsible for penis underdevelopment [Cimador et al, 2015].…”
mentioning
confidence: 99%
“…Furthermore, it is important to note that we did not investigate the function of Ptbp2 in invitro germ cell and cryptorchidism patients, and we plan to do this in future research. Cryptorchidism-induced infertility is considered to be a disease with a complex etiology in humans [ 34 36 ], and further investigation in this field is needed.…”
Section: Discussionmentioning
confidence: 99%