Table 2.
Clinical features of the patients positive for pre-diagnostic genes.
| Gene(s) | Clinical suspect | Sperm parameters1 | FSH serum levels (IU/ml) | Testicular volume (right and left)2 | Testicular histology | FSH responsiveness3 | |
|---|---|---|---|---|---|---|---|
| Subject 1 | DNAH11, DNAI1, GALNTL5 | Primary defects of spermatogenesis | Mild OAT | 6.6 | 9.6 ml and 14.9 ml | — | No |
| Subject 2 | DNAH5, AMELY | Primary defects of spermatogenesis | Azoospermia | 8.0 | 19.5 ml and 19.9 ml | NA | NA |
| Subject 3 | CCDC40 | Primary defects of spermatogenesis | OAT | 5.4 | 9.8 ml and 11.2 ml | — | NA |
| Subject 4 | DNAH10 | Primary defects of spermatogenesis | ? | ? | ? | ? | ? |
| Subject 5 | KLK4 | Primary defects of spermatogenesis | Mild OAT | 3.6 | 15.1 ml and 11.7 ml | — | NA |
| Subject 6 | DNAH10 | Primary defects of spermatogenesis | Mild OAT | 7.3 | 7.5 ml and 12.6 ml | — | No |
| Subject 7* | DNAH11 | Primary defects of spermatogenesis | Normozoospermia | 5.7 | 10.9 ml and 10.7 ml | — | Yes |
| Subject 8 | CFTR | Primary defects of spermatogenesis | OAT | 16.3 | 6.3 ml and 9.8 ml | — | — |
| Subject 9 | CATSPER2, KLK14 | Primary defects of spermatogenesis | Azoospermia | 32.7 | 6.7 ml and 8.7 ml | Sertoli cell only syndrome | — |
| Subject 10 | ADCY10 | Primary defects of spermatogenesis | OAT | 3.6 | 10.1 ml and 12.5 ml | — | No |
1Assessed using WHO 2010 guidelines.
2Evaluated by ultrasound (ml).
3FSH responsiveness was defined by the doubling of sperm concentration or total sperm count vs. pre-treatment values.
*The patient was diagnosed for reversal central hypogonadism. The values shown have been measured following 5 months from treatment withdrawal.
Severe oligozoospermia was defined for total sperm count <1.0 million; mild oligozoospermia was defined for total sperm count enclosed between 1.0 and 5.0 million; oligozoospermia for total sperm count enclosed between 5.0 and 39.0 million (21).
FSH, follicle-stimulating hormone; NA, not available; OAT, oligo-astheno-teratozoospermia.