Evidence map›Paper›PMID 32103742›Full record

ArticleBMC urology2020

Do partial AZFc deletions affect the sperm retrieval rate in non-mosaic Klinefelter patients undergoing microdissection testicular sperm extraction?

I-Shen Huang, Richard J Fantus, Wei-Jen Chen, James Wren, Wei-Tang Kao, Eric Yi-Hsiu Huang, Nelson E Bennett, Robert E Brannigan, William J Huang

Open access · goldAbstract read
In one paragraph

Article in BMC urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

I-Shen HuangDepartment of Physiology, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Richard J FantusSection of Urology, Department of Surgery, University of Chicago Medicine, 5841 S. Maryland Avenue, Chicago, IL, 60637, USA.
Wei-Jen ChenDepartment of Urology, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
James WrenDivision of Male Reproductive Surgery and Men's Health, Department of Urology, Northwestern University Feinberg School of Medicine, NMH/Arkes Family Pavilion Suite 2300, 676 N Saint Clair, Chicago, IL, 60611, USA.
Wei-Tang KaoDepartment of Urology, Shuang Ho Hospital, Taipei Medical University, No.291, Zhongzheng Rd., Zhonghe District, New Taipei City, 23561, Taiwan.
Eric Yi-Hsiu HuangDepartment of Urology, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Nelson E BennettDivision of Male Reproductive Surgery and Men's Health, Department of Urology, Northwestern University Feinberg School of Medicine, NMH/Arkes Family Pavilion Suite 2300, 676 N Saint Clair, Chicago, IL, 60611, USA.
Robert E BranniganDivision of Male Reproductive Surgery and Men's Health, Department of Urology, Northwestern University Feinberg School of Medicine, NMH/Arkes Family Pavilion Suite 2300, 676 N Saint Clair, Chicago, IL, 60611, USA.
William J HuangDepartment of Physiology, School of Medicine, National Yang-Ming University, Taipei, Taiwan. williamjshuang@gmail.com.
Northwestern University · USNational Yang Ming Chiao Tung University · TWTaipei Veterans General Hospital · TWTaipei Medical University-Shuang Ho Hospital · TWUniversity of Chicago · US

Funding

National Yang Ming University 108-VB-024
6 · The paper itself

Abstract

backgroundThe purpose of this study is to evaluate the prognostic factors for sperm retrieval and determine if Y chromosome deletion is associated with deleterious effects on spermatogenesis in non-mosaic Klinefelter patients. Whether Y chromosome deletion determines the sperm retrieval rate in non-mosaic Klinefelter patients has not yet been addressed.

methodsWe retrospectively collected medical records of azoospermic patients from Sep 2009 to Dec 2018, and enrolled 66 non-mosaic 47, XXY patients who were receiving mTESE. The predictive values of patients age, serum follicle-stimulating hormone (FSH), luteinizing hormone (LH), testosterone, prolactin, estradiol and Y chromosome deletion were assessed for successful sperm recovery.

resultsTesticular sperm recovery was successful in 24 (36.4%) of 66 men. The mean age (36.0 vs. 36.6 years), and levels of FSH (30.0 vs 36.9 IU/L), LH (17.7 vs 21.9 IU/L), testosterone (2.4 vs. 2.1 ng/ml), prolactin (9.1 vs. 8.8 ng/ml), and estradiol (19.4 vs. 22.3 pg/ml) did not show any significant difference when comparing patients with and without successful sperm retrieval. Partial deletion of azoospermic factor c (AZFc) was noted in 5 (20.8%) of 24 patients with successful sperm retrieval, including three b2/b3 and two gr/gr deletion cases, whereas 4 (9.5%) of 42 patients with unsuccessful sperm retrieval were noted to have AZFc partial deletion (one b2/b3, one sY1206 and two gr/gr deletion), though the difference was not statistically significant (p = 0.27).

conclusionAccording to present results, age and AZFc partial deletion status should not be a deterrent for azoospermic males with non-mosaic Klinefelter syndrome to undergo mTESE.

Indexed as

Chromosome DeletionSperm RetrievalAdultAzoospermiaHumansKlinefelter SyndromeMaleMicrodissectionRetrospective StudiesSpermatozoaTestisAgeAZFc deletionKlinefelterMicrodissection testicular sperm extraction

Identifiers

PMID32103742
PMCPMC7045574
OpenAlexW3009518470

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.