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Reproduction, Fertility and Development Reproduction, Fertility and Development Society
Vertebrate reproductive science and technology
RESEARCH ARTICLE

ART do not increase the risk of Y-chromosome microdeletion in 19 candidate genes at AZF regions

Xiao-Hong Liu A B C D , Li-Ying Yan A B C , Cui-Ling Lu A B C , Rong Li A B C , Xiao-Hui Zhu A B C , Hong-Yan Jin A B C , Yan Zhang A B C , Wen-Xin Zhang A B C , Su-Hong Gao D and Jie Qiao A B C E
+ Author Affiliations
- Author Affiliations

A Center for Reproductive Medicine, Department of Obstetrics and Gynaecology, Peking University Third Hospital, No. 49, Huayuan North Road, Haidian District, Beijing 100191, China.

B Key Laboratory of Assisted Reproduction, Ministry of Education, No. 49, Huayuan North Road, Haidian District, Beijing 100191, China.

C Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproduction, No. 49, Huayuan North Road, Haidian District, Beijing 100191, China.

D Beijing Haidian Maternal and Child Health Hospital, No.33, Haidian South Road, Haidian District, Beijing 100080, China.

E Corresponding author. Email: jie.qiao@263.net

Reproduction, Fertility and Development 26(6) 778-786 https://doi.org/10.1071/RD13092
Submitted: 19 March 2013  Accepted: 11 May 2013   Published: 11 June 2013

Abstract

Y-chromosome microdeletions (YCMs) have been found at a much higher rate in infertile men than fertile controls. A specific deletion in the azoospermia factor locus (AZF) at Yq11 is significantly associated with male infertility. Whether assisted reproductive technology (ART) increases the risk of YCM in ART-derived offspring remains unclear. In this study the occurrence of YCM in 199 fathers and their 228 sons (Chinese, Han ethnicity), including 85 offspring conceived by IVF, 73 by intra-cytoplasmic sperm injection (ICSI) and 70 by natural conception, was investigated. Nineteen candidate genes related to YCM were analysed by multiplex ligation-dependent probe amplification. We identified one de novo YCM from 70 naturally-conceived offspring and none from 158 ART-conceived offspring and found no statistical significance between these two groups. There was no statistically-significant difference in the detection rate of the father’s Y-chromosome microdeletion group: IVF 10.7% (8/75), ICSI 3.2% (2/63), natural conception 8.2% (5/61). These results suggest that ART does not increase the risk of YCM in male offspring.

Additional keywords: assisted reproductive technology, ICSI, male infertility, outcomes.


References

Bocian, E., Kasprzycka, J., Jakubow-Durska, K., Luszczek, A., and Bernaciak, J. (2011). Usefulness of MLPA technique for rapid prenatal detection of aneuploidy. Results of 409 diagnostic studies. Ginekol. Pol. 82, 680–684.
| 22379928PubMed |

Bonduelle, M., Camus, M., De Vos, A., Staessen, C., Tournaye, H., Van Assche, E., Verheyen, G., Devroey, P., Liebaers, I., and Van Steirteghem, A. (1999). Seven years of intracytoplasmic sperm injection and follow-up of 1987 subsequent children. Hum. Reprod. 14, 243–264.
Seven years of intracytoplasmic sperm injection and follow-up of 1987 subsequent children.Crossref | GoogleScholarGoogle Scholar | 10573038PubMed |

Bonduelle, M., Liebaers, I., Deketelaere, V., Derde, M.-P., Camus, M., Devroey, P., and Van Steirteghem, A. (2002). Neonatal data on a cohort of 2889 infants born after ICSI (1991–1999) and of 2995 infants born after IVF (1983–1999). Hum. Reprod. 17, 671–694.
Neonatal data on a cohort of 2889 infants born after ICSI (1991–1999) and of 2995 infants born after IVF (1983–1999).Crossref | GoogleScholarGoogle Scholar | 11870121PubMed |

Buch, B., Galan, J. J., Lara, M., Real, L. M., Martinez-Moya, M., and Ruiz, A. (2004). Absence of de novo Y-chromosome microdeletions in male children conceived through intracytoplasmic sperm injection. Fertil. Steril. 82, 1679–1680.
Absence of de novo Y-chromosome microdeletions in male children conceived through intracytoplasmic sperm injection.Crossref | GoogleScholarGoogle Scholar | 15589879PubMed |

Cai, Z. M. (2010). Y chromosome microdeletion and male infertility: past, present and future. Zhonghua Nan Ke Xue 16, 387–394.
| 1:CAS:528:DC%2BC3cXhtFCis7jE&md5=f66a42f36b142335196aba2e9788e5e2CAS | 20684316PubMed |

Carvalho, B., Doria, S., Ramalho, C., Brandão, O., Sousa, M., Matias, A., Barros, A., and Carvalho, F. (2010). Aneuploidies detection in miscarriages and fetal deaths using multiplex ligation-dependent probe amplification: an alternative for speeding up results. Eur. J. Obstet. Gynecol. Reprod. Biol. 153, 151–155.
Aneuploidies detection in miscarriages and fetal deaths using multiplex ligation-dependent probe amplification: an alternative for speeding up results.Crossref | GoogleScholarGoogle Scholar | 20678855PubMed |

Cram, D. S., Ma, K., Bhasin, S., Ariasc, J., Pandjaitanc, M., Chu, B., Audrins, P., Saunders, D., Quinn, F., deKretser, D., and McLachlan, R. (2000). Y chromosome analysis of infertile men and their sons conceived through intracytoplasmic sperm injection: vertical transmission of deletions and rarity of de novo deletions. Fertil. Steril. 74, 909–915.
Y chromosome analysis of infertile men and their sons conceived through intracytoplasmic sperm injection: vertical transmission of deletions and rarity of de novo deletions.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3M%2Fkt12qsA%3D%3D&md5=7b40492e9cb72ea596d56e70aee132d5CAS | 11056231PubMed |

de Carvalho, C. M. B., Zuccherato, L. W., Fujisawa, M., Shirakawa, T., Ribeiro-dos-Santos, A. K. C., Santos, S. E. B., Pena, S. D. J., and Santos, F. R. (2006). Study of AZFc partial deletion gr/gr in fertile and infertile Japanese males. J. Hum. Genet. 51, 794–799.
Study of AZFc partial deletion gr/gr in fertile and infertile Japanese males.Crossref | GoogleScholarGoogle Scholar |

Ferlin, A., Tessari, A., Ganz, F., Marchina, E., Barlati, S., Garolla, A., Engl, B., and Foresta, C. (2005). Association of partial AZFc region deletions with spermatogenic impairment and male infertility. J. Med. Genet. 42, 209–213.
Association of partial AZFc region deletions with spermatogenic impairment and male infertility.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD2MXjtVersbs%3D&md5=ca93dd9bbbff592eb3f6609dd6b0bdacCAS | 15744033PubMed |

Fernandes, S., Paracchini, S., Meyer, L. H., Floridia, G., Tyler-Smith, C., and Vogt, P. H. (2004). A large AZFc deletion removes DAZ3/DAZ4 and nearby genes from men in Y haplogroup N. Am. J. Hum. Genet. 74, 180–187.
A large AZFc deletion removes DAZ3/DAZ4 and nearby genes from men in Y haplogroup N.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD2cXlvVOqsg%3D%3D&md5=5f7af30a03c744d64ac7ef7e132cde13CAS | 14639527PubMed |

Gerdes, T., Kirchhoff, M., Lind, A. M., Vestergaard, L. G., and Kjaergaard, S. (2008). Multiplex ligation-dependent probe amplification (MLPA) in prenatal diagnosis – experience of a large series of rapid testing for aneuploidy of chromosomes 13, 18, 21, X, and Y. Prenat. Diagn. 28, 1119–1125.
Multiplex ligation-dependent probe amplification (MLPA) in prenatal diagnosis – experience of a large series of rapid testing for aneuploidy of chromosomes 13, 18, 21, X, and Y.Crossref | GoogleScholarGoogle Scholar | 19003800PubMed |

Hansen, M., Bower, C., Milne, E., de Klerk, N., and Kurinczuk, J. J. (2005). Assisted reproductive technologies and the risk of birth defects – a systematic review. Hum. Reprod. 20, 328–338.
Assisted reproductive technologies and the risk of birth defects – a systematic review.Crossref | GoogleScholarGoogle Scholar | 15567881PubMed |

Helmerhorst, F. M., Perquin, D. A., Donker, D., and Keirse, M. J. (2004). Perinatal outcome of singletons and twins after assisted conception: a systematic review of controlled studies. BMJ 328, 261.
Perinatal outcome of singletons and twins after assisted conception: a systematic review of controlled studies.Crossref | GoogleScholarGoogle Scholar | 14742347PubMed |

Henegariu, O., Heerema, N. A., Dlouhy, S. R., Vance, G. H., and Vogt, P. H. (1997). Multiplex PCR: critical parameters and step-by-step protocol. Biotechniques 23, 504–511.
| 1:CAS:528:DyaK2sXmtVSnsrw%3D&md5=1793759c74f212e9ff336e489f8d13c1CAS | 9298224PubMed |

Jackson, R. A., Gibson, K. A., Wu, Y. W., and Croughan, M. S. (2004). Perinatal outcomes in singletons following in vitro fertilization: a meta-analysis. Obstet. Gynecol. 103, 551–563.
Perinatal outcomes in singletons following in vitro fertilization: a meta-analysis.Crossref | GoogleScholarGoogle Scholar | 14990421PubMed |

Jennings, L. J., Yu, M., Fitzpatrick, C., and Smith, F. A. (2011). Validation of multiplex ligation-dependent probe amplification for confirmation of array comparative genomic hybridization. Diagn. Mol. Pathol. 20, 166–174.
Validation of multiplex ligation-dependent probe amplification for confirmation of array comparative genomic hybridization.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC3MXhtVaktLbP&md5=6ff5ec7ff45e2d3b44a69b72d16bd3fcCAS | 21817904PubMed |

Jiang, Y., Wang, W. B., Guo, Q. W., Sha, Y. W., Ouyang, H. G., and Zhou, Y. L. (2012). Multiplex ligation-dependent probe amplification for detecting AZF microdeletions on the Y chromosome in infertile men with azoospermia or severe oligozoospermia. Zhonghua Nan Ke Xue 18, 115–121.
| 1:CAS:528:DC%2BC38XosFyqsLg%3D&md5=ad3e75821994907b14bcf1c5a11a50aeCAS | 22568206PubMed |

Katz, M. G., Chu, B., McLachlan, R., Alexopoulos, N. I., de Kretser, D. M., and Cram, D. S. (2002). Genetic follow-up of male offspring born by ICSI, using a multiplex fluorescent PCR-based test for Yq deletions. Mol. Hum. Reprod. 8, 589–595.
Genetic follow-up of male offspring born by ICSI, using a multiplex fluorescent PCR-based test for Yq deletions.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD38Xlt1Crtrc%3D&md5=02600b03e62f624581159a6268636c80CAS | 12029079PubMed |

Kent-First, M. G., Kol, S., Muallem, A., Ofir, R., Manor, D., Blazer, S., First, N., and Itskovitz-Eldor, J. (1996). The incidence and possible relevance of Y-linked microdeletions in babies born after intracytoplasmic sperm injection and their infertile fathers. Mol. Hum. Reprod. 2, 943–950.
The incidence and possible relevance of Y-linked microdeletions in babies born after intracytoplasmic sperm injection and their infertile fathers.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DyaK2sXhs1Okt7o%3D&md5=691266cd630e7559a9d68a3c06aad41dCAS | 9237238PubMed |

Kleiman, S. E., Yogev, L., Gamzu, R., Hauser, R., Botchan, A., Lessing, J. B., Paz, G., and Yavetz, H. (1999). Genetic evaluation of infertile men. Hum. Reprod. 14, 33–38.
Genetic evaluation of infertile men.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1Mzgt1ehsg%3D%3D&md5=b2aac55df4c869a33945fca19b4c86ebCAS | 10374090PubMed |

Komori, S., Kato, H., Kobayashi, S., Koyama, K., and Isojima, S. (2002). Transmission of Y chromosomal microdeletions from father to son through intracytoplasmic sperm injection. J. Hum. Genet. 47, 465–468.
Transmission of Y chromosomal microdeletions from father to son through intracytoplasmic sperm injection.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD38Xnt1WhsLo%3D&md5=673fcce9f900658a2a32d47199cb87cdCAS | 12202984PubMed |

Krausz, C., Quintana-Murci, L., Barbaux, S., Siffroi, J.-P., Rouba, H., Delafontaine, D., Souleyreau-Therville, N., Arvis, G., Antoine, J. M., Erdei, E., et al. (1999). A high frequency of Y-chromosome deletions in males with non-idiopathic infertility. J. Clin. Endocrinol. Metab. 84, 3606–3612.
A high frequency of Y-chromosome deletions in males with non-idiopathic infertility.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DyaK1MXms1OhtLs%3D&md5=75e8df84992ba36e55524cba89e22800CAS | 10523003PubMed |

Lee, S. H., Ahn, S. Y., Lee, K. W., Kwack, K., Jun, H. S., and Cha, K. Y. (2006). Intracytoplasmic sperm injection may lead to vertical transmission, expansion and de novo occurrence of Y-chromosome microdeletions in male fetuses. Fertil. Steril. 85, 1512–1515.
Intracytoplasmic sperm injection may lead to vertical transmission, expansion and de novo occurrence of Y-chromosome microdeletions in male fetuses.Crossref | GoogleScholarGoogle Scholar | 16566932PubMed |

Lin, Y.-M., Lin, Y.-H., Teng, Y.-N., Hsu, C.-C., Lin, J. S.-N., and Kuo, P.-L. (2002). Gene-based screening for Y-chromosome deletions in Taiwanese men presenting with spermatogenic failure. Fertil. Steril. 77, 897–903.
Gene-based screening for Y-chromosome deletions in Taiwanese men presenting with spermatogenic failure.Crossref | GoogleScholarGoogle Scholar | 12009341PubMed |

Luo, S. Q., Fan, X. P., Cai, R., Xiao, B., Tang, N., Wang, L. R., Yang, F. H., Liang, X., and Liu, J. Z. (2011). Application of multiplex ligation-dependent probe amplification to diagnosis and prenatal diagnosis of common aneuploidies. Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 28, 212–216.
Application of multiplex ligation-dependent probe amplification to diagnosis and prenatal diagnosis of common aneuploidies.Crossref | GoogleScholarGoogle Scholar | 21462138PubMed |

Ma, K., Inglis, J. D., Sharkey, A., Bickmore, W. A., Hill, R. E., Prosser, E. J., Speed, R. M., Thomson, E. J., Jobling, M., Taylor, K., Wolfe, J., Cooke, H. J., Hargreave, T. B., and Chandley, A. C. (1993). A Y-chromosome gene family with RNA-binding protein homology: candidates for the azoospermia factor AZF controlling human spermatogenesis. Cell 75, 1287–1295.
A Y-chromosome gene family with RNA-binding protein homology: candidates for the azoospermia factor AZF controlling human spermatogenesis.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DyaK2cXhvVChtLs%3D&md5=4e40447c45f0d96e0360df8a9caad025CAS | 8269511PubMed |

Martin, R. H. (1996). The risk of chromosomal abnormalities following ICSI. Hum. Reprod. 11, 924–925.
The risk of chromosomal abnormalities following ICSI.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK28zisVGlsA%3D%3D&md5=8728ef0a2a6402c920db76700bcc75d4CAS | 8671360PubMed |

Maurer, B., and Simoni, M. (2000). Y-chromosome microdeletion screening in infertile men. J. Endocrinol. Invest. 23, 664–670.
| 1:CAS:528:DC%2BD3cXos1yksL8%3D&md5=7ecfca7c0f683e918175883da82acd0eCAS | 11097431PubMed |

Oates, R. D., Silber, S., Brown, L. G., and Page, D. C. (2002). Clinical characterization of 42 oligospermic or azoospermic men with microdeletion of the AZFc region of the Y chromosome, and of 18 children conceived via ICSI. Hum. Reprod. 17, 2813–2824.
Clinical characterization of 42 oligospermic or azoospermic men with microdeletion of the AZFc region of the Y chromosome, and of 18 children conceived via ICSI.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD38XptFOrtb4%3D&md5=6922bebea3431cac3e419c784a76880aCAS | 12407032PubMed |

Oliva, R., Margarit, E., Ballesca, J. L., Carrió, A., Sánchez, A., Milà, M., Jiménez, L., Alvarez-Vijande, J.-R., and Ballesta, F. (1998). Prevalence of Y-chromosome microdeletions in oligospermic and azoospermic candidates for intracytoplasmic sperm injection. Fertil. Steril. 70, 506–510.
Prevalence of Y-chromosome microdeletions in oligospermic and azoospermic candidates for intracytoplasmic sperm injection.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1cvivVyntQ%3D%3D&md5=fd6cd1d43e8bb03a2409991ee0d786daCAS | 9757880PubMed |

Page, D. C., Silber, S., and Brown, L. G. (1999). Men with infertility caused by AZFc deletion can produce sons by intracytoplasmic sperm injection, but are likely to transmit the deletion and infertility. Hum. Reprod. 14, 1722–1726.
Men with infertility caused by AZFc deletion can produce sons by intracytoplasmic sperm injection, but are likely to transmit the deletion and infertility.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1MzjtVKmug%3D%3D&md5=d52c3467ee866b10ec3513a346c1b24bCAS | 10402375PubMed |

Pryor, J. L., Kent-First, M., Muallem, A., Van Bergen, A. H., Nolten, W. E., Meisner, L., and Roberts, K. P. (1997). Microdeletions in the Y chromosome of infertile men. N. Engl. J. Med. 336, 534–540.
Microdeletions in the Y chromosome of infertile men.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DyaK2sXhslOhu78%3D&md5=9d1b26359e09570fe232b201e13d9141CAS | 9023089PubMed |

Rauschendorf, M. A., Zimmer, J., Hanstein, R., Dickemann, C., and Vogt, P. H. (2011). Complex transcriptional control of the AZFa gene DDX3Y in human testis. Int. J. Androl. 34, 84–96.
Complex transcriptional control of the AZFa gene DDX3Y in human testis.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC3MXitlehurY%3D&md5=f299eb10db7936b85d58f7fcf97ee4f5CAS | 20374305PubMed |

Reijo, R., Alagappan, R. K., Patrizio, P., and Page, D. C. (1996). Severe oligozoospermia resulting from deletions of azoospermia factor gene on Y chromosome. Lancet 347, 1290–1293.
Severe oligozoospermia resulting from deletions of azoospermia factor gene on Y chromosome.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DyaK28Xjs1eksLc%3D&md5=2c83af09ff2ffa413fe70365dc6f9720CAS | 8622504PubMed |

Roberts, K. P. (1998). Y-chromosome deletions and male infertility: state of the art and clinical implications. J. Androl. 19, 255–259.
| 1:CAS:528:DyaK1cXkt1Sls78%3D&md5=15650151580928786f956b714b2714dfCAS | 9639042PubMed |

Saut, N., Terriou, P., Navarro, A., Levy, N., and Mitchell, M. J. (2000). The human Y chromosome genes BPY2, CDY1 and DAZ are not essential for sustained fertility. Mol. Hum. Reprod. 6, 789–793.
The human Y chromosome genes BPY2, CDY1 and DAZ are not essential for sustained fertility.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD3cXms1yrtr4%3D&md5=a3cfb9772f756534fc65685f68da8e91CAS | 10956550PubMed |

Schouten, J. P., McElgunn, C. J., Waaijer, R., Zwijnenburg, D., Diepvens, F., and Pals, G. (2002). Relative quantification of 40 nucleic acid sequences by multiplex ligation-dependent probe amplification. Nucleic Acids Res. 30, e57.
Relative quantification of 40 nucleic acid sequences by multiplex ligation-dependent probe amplification.Crossref | GoogleScholarGoogle Scholar | 12060695PubMed |

Silber, S. J. (2011). The Y chromosome in the era of intracytoplasmic sperm injection: a personal review. Fertil. Steril. 95, 2439–2448.
The Y chromosome in the era of intracytoplasmic sperm injection: a personal review.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC3MXot1aksb4%3D&md5=c29fcbd26a8d3c407cd98d6b00c2e260CAS | 21704208PubMed |

Silber, S. J., Alagappan, R., Brown, L. G., and Page, D. C. (1998). Y-chromosome deletions in azoospermic and severely oligozoospermic men undergoing intracytoplasmic sperm injection after testicular sperm extraction. Hum. Reprod. 13, 3332–3337.
Y-chromosome deletions in azoospermic and severely oligozoospermic men undergoing intracytoplasmic sperm injection after testicular sperm extraction.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DyaK1MXltFOmuw%3D%3D&md5=087f643ebcd61ddacba87a3334250dccCAS | 9886509PubMed |

Simoni, M., Bakker, E., and Krausz, C. (2004). EAA/EMQN best practice guidelines for molecular diagnosis of Y-chromosomal microdeletions. State of the art 2004. Int. J. Androl. 27, 240–249.
EAA/EMQN best practice guidelines for molecular diagnosis of Y-chromosomal microdeletions. State of the art 2004.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD2cXns1GmsLc%3D&md5=c52e87d6976c0b06b3bb53c0e5dfba5dCAS | 15271204PubMed |

Strömberg, B., Dahlquist, G., Ericson, A., Finnstrom, O., Koster, M., and Stjernqvist, K. (2002). Neurological sequelae in children born after in vitro fertilisation: a population-based study. Lancet 359, 461–465.
Neurological sequelae in children born after in vitro fertilisation: a population-based study.Crossref | GoogleScholarGoogle Scholar | 11853790PubMed |

Stuppia, L., Calabrese, G., Franchi, P. G., Mingarelli, R., Gatta, V., Palka, G., and Dallapiccola, B. (1996). Widening of a Y-chromosome interval-6 deletion transmitted from a father to his infertile son accounts for an oligozoospermia critical region distal to the RBM1 and DAZ genes. Am. J. Hum. Genet. 59, 1393–1395.
| 1:STN:280:DyaK2s%2FpsVWqug%3D%3D&md5=030bb23357f7dfcce51d74ce03eec7ffCAS | 8940286PubMed |

Teng, Y. N., Lin, Y. H., Tsai, Y. C., Hsu, C. C., Kuo, P. L., and Lin, Y. M. (2007). A simplified gene-specific screen for Y-chromosome deletions in infertile men. Fertil. Steril. 87, 1291–1300.
A simplified gene-specific screen for Y-chromosome deletions in infertile men.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD2sXnvFamsb0%3D&md5=82aeebba16effec642363818d66e4c21CAS | 17296183PubMed |

Vogt, P. H. (1997). Genetics of idiopathic male infertility: Y-chromosomal azoospermia factors (AZFa, AZFb, AZFc). Baillieres Clin. Obstet. Gynaecol. 11, 773–795.
Genetics of idiopathic male infertility: Y-chromosomal azoospermia factors (AZFa, AZFb, AZFc).Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1czlslSntA%3D%3D&md5=1584718b8fdc481a1f5f80a5c330a5d5CAS | 9692017PubMed |

Vogt, P. H. (1998). Human chromosome deletions in Yq11, AZF candidate genes and male infertility: history and update. Mol. Hum. Reprod. 4, 739–744.
Human chromosome deletions in Yq11, AZF candidate genes and male infertility: history and update.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DyaK1cXmtFWksbo%3D&md5=fdff9a4c0bde02125a90618a5b0e1697CAS | 9733430PubMed |

Vogt, P. H. (2004). Genomic heterogeneity and instability of the AZF locus on the human Y chromosome. Mol. Cell. Endocrinol. 224, 1–9.
Genomic heterogeneity and instability of the AZF locus on the human Y chromosome.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD2cXntlSnsbk%3D&md5=7141184bbaa34f132dfc38cf56a535acCAS | 15353175PubMed |

Vogt, P. H. (2005). AZF deletions and Y-chromosomal haplogroups: history and update based on sequence. Hum. Reprod. Update 11, 319–336.
AZF deletions and Y-chromosomal haplogroups: history and update based on sequence.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD2MXmvVaksLY%3D&md5=ab93860988d024d903e87e5a24981308CAS | 15890785PubMed |

Vogt, P. H., Edelmann, A., Kirsch, S., Henegariu, O., Hirschmann, P., Kiesewetter, F., Köhn, F. M., Schill, W. B., Farah, S., Ramos, C., et al. (1996). Human Y-chromosome azoospermia factors (AZF) mapped to different subregions in Yq11. Hum. Mol. Genet. 5, 933–943.
Human Y-chromosome azoospermia factors (AZF) mapped to different subregions in Yq11.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DyaK28Xkt1Cntrk%3D&md5=9aea19dab4fd66f8dc6deb6f3645d53bCAS | 8817327PubMed |

Yan, J. B., Xu, M., Xiong, C., Zhou, D.-W., Ren, Z.-R., Huang, Y., Mommersteeg, M., van Beuningen, R., Wang, Y.-T., Liao, S.-X., Zeng, F., Wu, Y., and Zeng, Y.-T. (2011). Rapid screening for chromosomal aneuploidies using array-MLPA. BMC Med. Genet. 12, 68.
Rapid screening for chromosomal aneuploidies using array-MLPA.Crossref | GoogleScholarGoogle Scholar | 21575262PubMed |

Yang, Y., Xiao, C. Y., A, Z. C., Zhang, S. Z., Li, X., and Zhang, S. X. (2006). DAZ1/DAZ2 cluster deletion mediated by gr/gr recombination per se may not be sufficient for spermatogenesis impairment: a study of Chinese normozoospermic men. Asian J. Androl. 8, 183–187.
DAZ1/DAZ2 cluster deletion mediated by gr/gr recombination per se may not be sufficient for spermatogenesis impairment: a study of Chinese normozoospermic men.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD28XjsFOmurY%3D&md5=4160ada0cb875684e0a52e0950b30d71CAS | 16491269PubMed |

Zhou, D.-W., Guan, Y. H., Xu, M., Yan, J.-B., Huang, Y., Zhang, J.-Z., and Ren, Z.-R. (2008). Preliminary application of MLPA-based array in detecting Y-chromosome abnormalities. Yi Chuan 30, 1629–1634.
Preliminary application of MLPA-based array in detecting Y-chromosome abnormalities.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD1MXhtV2jsrbP&md5=0d53b95201fa123c42e78876b36838c0CAS | 19073581PubMed |