Decreased spermatogonial numbers in boys with severe haematological diseasesDivision of Stem Cell Transplantation and Immunology, Department of Children and Adolescent Medicine, University Hospital Frankfurt, Johann Wolfgang Goethe University, Frankfurt am Main, Germany.
NORDFERTIL Research Lab Stockholm, Department of Women's and Children's Health, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.
Children's Medical Center, Landspítali University Hospital, Reykjavik, Iceland; Department of Paediatrics, Faculty of Medicine, University of Iceland, Reykjavik, Iceland.
Department of Paediatric Oncology and Haematology, Clinical Sciences, Lund University, Barn-Och Ungdomssjukhuset Lund, Skånes Universitetssjukhus, Lund, Sweden.
Division of Paediatrics, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden; Section of Paediatric Haematology, Immunology and HCT, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.
Department of Paediatric Oncology, The Queen Silvia Children's Hospital, Gothenburg, Sweden.
Department of Clinical and Surgical Andrology, Centre of Reproductive Medicine and Andrology, University Hospital Münster, Munster, Germany.
Department of Clinical and Surgical Andrology, Centre of Reproductive Medicine and Andrology, University Hospital Münster, Munster, Germany.
NORDFERTIL Research Lab Stockholm, Department of Women's and Children's Health, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.
Centre of Reproductive Medicine and Andrology, Institute of Reproductive and Regenerative Biology, University Münster, Munster, Germany.
NORDFERTIL Research Lab Stockholm, Department of Women's and Children's Health, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden; New Children's Hospital, Pediatric Research Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
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2024 (English)In: British Journal of Haematology, ISSN 0007-1048, E-ISSN 1365-2141, Vol. 205, no 1, p. 229-235Article in journal (Refereed) Published
Abstract [en]
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.
Place, publisher, year, edition, pages
John Wiley & Sons, 2024. Vol. 205, no 1, p. 229-235
Keywords [en]
bone marrow failure, fertility, immunodeficiency, MDS, myeloproliferative disease, stem cell transplantation
National Category
Hematology
Identifiers
URN: urn:nbn:se:umu:diva-225847DOI: 10.1111/bjh.19572ISI: 001234200100001PubMedID: 38810989Scopus ID: 2-s2.0-85194578908OAI: oai:DiVA.org:umu-225847DiVA, id: diva2:1869811
Funder
German Research Foundation (DFG), CRU326Swedish Research Council, 2021- 02107Swedish Childhood Cancer Foundation, PR2022-0115Swedish Childhood Cancer Foundation, TJ2020-0023Swedish Childhood Cancer Foundation, KP2020-0012Swedish Childhood Cancer Foundation, KP2023-00302024-06-132024-06-132024-07-16Bibliographically approved