Case Report: Longitudinal follow-up and testicular sperm extraction in a patient with a pathogenic

azoospermia congenital disorder of sex development gonadal dysgenesis hypospadias male infertility spermatogenesis testicular sperm extraction

Journal

Frontiers in endocrinology
ISSN: 1664-2392
Titre abrégé: Front Endocrinol (Lausanne)
Pays: Switzerland
ID NLM: 101555782

Informations de publication

Date de publication:
2023
Historique:
received: 22 02 2023
accepted: 26 05 2023
medline: 7 7 2023
pubmed: 6 7 2023
entrez: 6 7 2023
Statut: epublish

Résumé

Steroidogenic factor 1 (SF-1), encoded by the nuclear receptor subfamily 5 group A member 1 ( The aim was to offer fertility preservation at the end of puberty in an The patient was born of non-consanguineous parents, with a disorder of sex development, a small genital bud, perineal hypospadias, and gonads in the left labioscrotal fold and the right inguinal region. Neither uterus nor vagina was detected. The karyotype was 46,XY. Anti-Müllerian hormone (AMH) and testosterone levels were low, indicating testicular dysgenesis. The child was raised as a boy. At 9 years old, he presented with precocious puberty treated by triptorelin. At puberty, follicle-stimulating hormone (FSH), luteinising hormone (LH), and testosterone levels increased, whereas AMH, inhibin B, and testicular volume were low, suggesting an impaired Sertoli cell function and a partially preserved Leydig cell function. A genetic study performed at almost 15 years old identified the new frameshift variant NM_004959.5: c.207del p.(Phe70Ser We report a case with a new

Sections du résumé

Background
Steroidogenic factor 1 (SF-1), encoded by the nuclear receptor subfamily 5 group A member 1 (
Objective
The aim was to offer fertility preservation at the end of puberty in an
Case report
The patient was born of non-consanguineous parents, with a disorder of sex development, a small genital bud, perineal hypospadias, and gonads in the left labioscrotal fold and the right inguinal region. Neither uterus nor vagina was detected. The karyotype was 46,XY. Anti-Müllerian hormone (AMH) and testosterone levels were low, indicating testicular dysgenesis. The child was raised as a boy. At 9 years old, he presented with precocious puberty treated by triptorelin. At puberty, follicle-stimulating hormone (FSH), luteinising hormone (LH), and testosterone levels increased, whereas AMH, inhibin B, and testicular volume were low, suggesting an impaired Sertoli cell function and a partially preserved Leydig cell function. A genetic study performed at almost 15 years old identified the new frameshift variant NM_004959.5: c.207del p.(Phe70Ser
Conclusion
We report a case with a new

Identifiants

pubmed: 37409232
doi: 10.3389/fendo.2023.1171822
pmc: PMC10319352
doi:

Substances chimiques

Anti-Mullerian Hormone 80497-65-0
Steroidogenic Factor 1 0
Testosterone 3XMK78S47O

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

1171822

Informations de copyright

Copyright © 2023 Teoli, Mallet, Renault, Gay, Labrune, Bretones, Giscard D’Estaing, Cuzin, Dijoud, Roucher-Boulez and Plotton.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Jordan Teoli (J)

Service de Biochimie et Biologie Moléculaire, Unité Médicale de Biologie Endocrinienne, Centre de Biologie et Pathologie Est, Hospices Civils de Lyon, Bron, France.
Département des sciences biomédicales B, Institut des sciences pharmaceutiques et biologiques, Université Claude Bernard Lyon 1, Lyon, France.
Institut Cellule Souche et Cerveau (SBRI), Unité de Institut national de la recherche médicale (INSERM) 1208, Centre de Recherche INSERM, Bron, France.

Delphine Mallet (D)

Service de Biochimie et Biologie Moléculaire, Unité Médicale de Biologie Endocrinienne, Centre de Biologie et Pathologie Est, Hospices Civils de Lyon, Bron, France.
Centre de Référence Maladies Rares du Développement Génital: du Fœtus à l'Adulte, Filière Maladies Rares Endocriniennes, Bron, France.

Lucie Renault (L)

Service de médecine de la reproduction, Hôpital Femme-Mère-Enfant, Hospices Civils de Lyon, Bron, France.

Claire-Lise Gay (CL)

Centre de Référence Maladies Rares du Développement Génital: du Fœtus à l'Adulte, Filière Maladies Rares Endocriniennes, Bron, France.
Service d'endocrinologie pédiatrique, Institut Saint-Pierre, Palavas-Les-Flots, France.

Elsa Labrune (E)

Institut Cellule Souche et Cerveau (SBRI), Unité de Institut national de la recherche médicale (INSERM) 1208, Centre de Recherche INSERM, Bron, France.
Service de médecine de la reproduction, Hôpital Femme-Mère-Enfant, Hospices Civils de Lyon, Bron, France.
Faculté de médecine, Université Claude Bernard Lyon 1, Lyon, France.

Patricia Bretones (P)

Centre de Référence Maladies Rares du Développement Génital: du Fœtus à l'Adulte, Filière Maladies Rares Endocriniennes, Bron, France.
Service d'endocrinologie pédiatrique, Hôpital Femme-Mère-Enfant, Hospices Civils de Lyon, Bron, France.

Sandrine Giscard D'Estaing (S)

Institut Cellule Souche et Cerveau (SBRI), Unité de Institut national de la recherche médicale (INSERM) 1208, Centre de Recherche INSERM, Bron, France.
Service de médecine de la reproduction, Hôpital Femme-Mère-Enfant, Hospices Civils de Lyon, Bron, France.
Faculté de médecine, Université Claude Bernard Lyon 1, Lyon, France.

Béatrice Cuzin (B)

Chirurgie Urologique, Centre Lyonnais d'Urologie Bellecour, Lyon, France.

Frédérique Dijoud (F)

Institut Cellule Souche et Cerveau (SBRI), Unité de Institut national de la recherche médicale (INSERM) 1208, Centre de Recherche INSERM, Bron, France.
Faculté de médecine, Université Claude Bernard Lyon 1, Lyon, France.
Service d'Anatomie Pathologique, Centre de Biologie et de Pathologie Est, Hospices Civils de Lyon, Bron, France.

Florence Roucher-Boulez (F)

Service de Biochimie et Biologie Moléculaire, Unité Médicale de Biologie Endocrinienne, Centre de Biologie et Pathologie Est, Hospices Civils de Lyon, Bron, France.
Centre de Référence Maladies Rares du Développement Génital: du Fœtus à l'Adulte, Filière Maladies Rares Endocriniennes, Bron, France.
Faculté de médecine, Université Claude Bernard Lyon 1, Lyon, France.
Institut Génétique, Reproduction & Développement (iGReD), Centre national de la recherche scientifique (CNRS), INSERM, Université Clermont Auvergne, Clermont-Ferrand, France.

Ingrid Plotton (I)

Service de Biochimie et Biologie Moléculaire, Unité Médicale de Biologie Endocrinienne, Centre de Biologie et Pathologie Est, Hospices Civils de Lyon, Bron, France.
Institut Cellule Souche et Cerveau (SBRI), Unité de Institut national de la recherche médicale (INSERM) 1208, Centre de Recherche INSERM, Bron, France.
Centre de Référence Maladies Rares du Développement Génital: du Fœtus à l'Adulte, Filière Maladies Rares Endocriniennes, Bron, France.
Service de médecine de la reproduction, Hôpital Femme-Mère-Enfant, Hospices Civils de Lyon, Bron, France.
Faculté de médecine, Université Claude Bernard Lyon 1, Lyon, France.

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Classifications MeSH