Decreased spermatogonial numbers in boys with severe haematological diseases

Atte K. Lahtinen*, Miriam Funke, Claudia Krallmann, Margot J. Wyrwoll, Andrea Jarisch, Yifan Yang, Ragnar Bjarnason, Patrik Romerius, Mikael Sundin, Ulrika Norén-Nyström, Cecilia Langenskiöld, Jann Frederik Cremers, Sabine Kliesch, Jan Bernd Stukenborg, Nina Neuhaus, Kirsi Jahnukainen*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

This study examines spermatogonial numbers in testicular samples from 43 prepubertal patients undergoing haematopoietic stem cell transplantation (HSCT). High-dose chemotherapy and/or radiation during HSCT can impact spermatogenesis requiring fertility preservation. Results show that 49% of patients have decreased and 19% severely depleted spermatogonial pool prior to HSCT. Patients with Fanconi anaemia exhibit significantly reduced spermatogonial numbers. Patients with immunodeficiency or aplastic anaemia generally present within the normal range, while results in patients with myelodysplastic syndrome or myeloproliferative neoplasm vary. The study emphasizes the importance of assessing spermatogonial numbers in patients with severe haematological diseases for informed fertility preservation decisions.

Original languageEnglish
Pages (from-to)229-235
Number of pages7
JournalBritish Journal of Haematology
Volume205
Issue number1
DOIs
Publication statusPublished - Jul 2024

Bibliographical note

Publisher Copyright:
© 2024 The Author(s). British Journal of Haematology published by British Society for Haematology and John Wiley & Sons Ltd.

Other keywords

  • bone marrow failure
  • fertility
  • immunodeficiency
  • MDS
  • myeloproliferative disease
  • stem cell transplantation

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