Clinics Sao Paulo ; Recent clinical and experimental evidences have indeed suggested that epigenetic defects in the sperm DNA is associated with recurrent spontaneous abortions [ 4 , 31 ]. Thus, the fertility status is often a misleading parameter for association based studies and it is recommended to compare the data with sperm counts. However, no significant differences were noted when these parameters were compared in the group, where the male partner had PROGINS allele vs the wild type allele. Thus in the present study we aimed to study the PR gene variations determine and its association with male infertility.

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Comparing expression of progesterone and estrogen receptors in testicular tissue from men with obstructive and nonobstructive azoospermia.

This is not surprising as spermatogenesis is an complex developmental process involving multiple cell types and tightly regulated by endocrine, autocrine and paracrine mechanisms. Conceptualization of the project, Data analysis, Manuscript preparation, Overall coordination. Genetic causes of spermatogenic failure. J Assist Reprod Genet. J Clin Lab Anal. Growing body of evidences suggest that mature sperm provide appropriate epigenetic marks that drive specific genes toward activation and ac to the pluripotent state of the embryonic cells [ 19 ]; in addition it also provides several classes of non-coding RNAs including miRNAs, lncRNAs, novel elements and mRNAs that are likely to be essential for early development [ 636 ].

Sample collection, Data collection, Manuscript preparation Indira Hinduja: It has been shown that the status of PROGINS allele both in the mother and the fetus alter the risk of development of transient tachypnea [ 3 ]. Role of progesterone receptor polymorphisms in the recurrent spontaneous abortions: Molecular profiling of the human testis reveals stringent pathway-specific regulation of RNA expression following gonadotropin suppression and progestogen treatment.


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The pregnancy rates were half in the group with the T2 allele as compared to T1 allele. Conventional progesterone receptors PR B and PRA are ancc in human spermatozoa and may be involved in the pathophysiology of varicocoele: Wild type T1 is without insertion and polymorphic allele T2 is with insertion in progesterone receptor gene in fertile and infertile men.

Methylation analysis of idiopathic recurrent spontaneous miscarriage cases reveals aberrant imprinting at H19 ICR in normozoospermic individuals. As a consequence, the PROGINS variant displays decreased transactivation activity, the resulting protein has poor bioactivity and affects cell cycle in cultured endometrial cells [ 1133 ]. Syst Biol Reprod Med.

A maximum of three embryos were transferred per cycle. Results Progesterone receptor gene variations Sequencing for all the amc of PR gene carried out in infertile and controls identified four known SNPs. Published online Aug Briefly Grade 1 embryos were defined as blastomeres of equal size without cytoplasmic fragments.

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Thus, it is likely that there could be more than one genetic defect in the same individual which may compromise spermatogenesis in concert through epistatic interactions [ 10 ]. Levonorgestrel enhances spermatogenesis suppression by testosterone with greater alteration in testicular gene expression in men. These observations are definitive evidence to suggest that PR has a role in regulation of spermatogenesis and reduced PR expression is associated with defective spermatogenesis. Disrupted cell cycle control in cultured endometrial cells from patients with endometriosis harboring the progesterone receptor polymorphism PROGINS.


However, to the best of our knowledge, genetic changes, if any, in the PR gene of men with azoospermia or oligozoopsermia has not been investigated. Since this study is the first of its kind, one should await results from more populations of diverse ethnic and geographic backgrounds before making any conclusive statement on the role of PR in male fertility. Of these were normozoospermic fertile, 47 had oligozoospermia, 6 had azoospermia and 40 were normozoospermic infertile.

Genotypic and allelic frequencies of progesterone receptor gene polymorphisms in fertile and infertile men. Effect of tamoxifen treatment on global and insulin-like growth factor 2-H19 locus-specific DNA methylation in rat spermatozoa and its association with embryo loss.

An update on the clinical assessment of the infertile male.

Data of sperm counts, fertilization rate, embryo quality and pregnancy rate were available for subjects. Embryo quality was defined as Grade 1, Grade 2, Grade 3, Grade 4 and Grade 5 as described earlier [ 9 ]. Grade 4 embryos were defined as blastomeres of equal or unequal size with significant cytoplasmic fragmentation. It has been observed that co-administration of progestins in androgen based contraceptive regimens augment the induction of gonadotropin induced spermatogenic suppression [ 827 ].

World Health Organization, Geneva.