Impact of Hodgkin or non-Hodgkin lymphoma and their treatments on sperm aneuploidy: a prospective study by the French CECOS network

Lymphoma per se and its treatment have deleterious effects on sperm production and on sperm chromosomal abnormalities. The duration of sperm aneuploidy was treatment-type dependent.

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Volume 107, Issue 2, Pages 341–350

Authors:

Guillaume Martinez, Ph.D., Marie Walschaerts, Ph.D., Marine Le Mitouard, B.Sc., Remi Borye, M.Sc., Claire Thomas, M.D., Jacques Auger, M.D., Ph.D., Isabelle Berthaut, Ph.D., Florence Brugnon, M.D., Ph.D., Myriam Daudin, M.D., Nathalie Moinard, D.Pharm., Célia Ravel, M.D., Ph.D., Jacqueline Saias, M.D., Ethel Szerman, Ph.D., Nathalie Rives, M.D., Ph.D., Sylviane Hennebicq, M.D., Ph.D., Louis Bujan, M.D., Ph.D.

Abstract:

Objective

To assess sperm production and aneuploidy in Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL) before and after treatments.

Design

Multicenter, prospective, longitudinal study of lymphoma patients analyzed before treatment and after 3, 6, 12, and 24 months.

Setting

University hospitals.

Patient(s)

Forty-five HL and 13 NHL patients were investigated before and after treatment. Treatment regimens were classified in two groups: ABVD (doxorubicin, bleomycin, vinblastine, dacarbazine) with or without (±) radiotherapy, and CHOP (doxorubicin, cyclophosphamide, vincristine, prednisone)/MOPP-ABV (mechlorethamine, oncovin, procarbazine, prednisone–doxorubicin, bleomycin, vinblastine). A control group of 29 healthy men was also studied.

Intervention(s)

Semen analyses and aneuploidy study by FISH were performed at each time point.

Main Outcome Measure(s)

Comparison of mean sperm characteristics and percentage of sperm aneuploidy rates before and after treatment.

Result(s)

Before treatment, HL and NHL men had altered semen characteristics and higher sperm aneuploidy rates (median 0.76 [interquartile range 0.56–0.64]) than the control group (0.54 [0.46–0.74]). After treatment, sperm production was significantly lowered 3 and 6 months after ABVD ± radiotherapy or CHOP/MOPP-ABV. After ABVD ± radiotherapy, the aneuploidy rate increased significantly only at 3 months, and values obtained 1 or 2 years later were lower than pretreatment values. In contrast, in the CHOP/MOPP-ABV treatment group, semen characteristics and aneuploidy rate did not return to normal levels until 2 years after treatment.

Conclusion(s)

Lymphoma itself has consequences on sperm aneuploidy frequency before treatment. Moreover, lymphoma treatments have deleterious effects on sperm chromosomes related to treatment type and time since treatment. Patient counseling is essential concerning the transient but significant sperm aneuploidy induced by lymphoma and its treatments.


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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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