1. Bi-allelic variants in DNAH10 cause asthenoteratozoospermia and male infertility
- Author
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Xiaojin He, Yunxia Cao, Xiaoqing Ni, Qing Tan, Zhiguo Zhang, Hao Geng, Wen Yang, Mingrong Lv, Zhaolian Wei, Guanxiong Wang, Ran Huo, Kuokuo Li, Qunshan Shen, Dongdong Tang, Fei Tang, Fangbiao Tao, Yuping Xu, Huan Wu, Yang Gao, Tianjuan Wang, Chuan Xu, Jieyu Wang, Ping Zhou, Zhongmei Shao, Bing Song, and Hui Yu
- Subjects
Adult ,Male ,Population ,Haematoxylin ,Biology ,Immunofluorescence ,Compound heterozygosity ,Male infertility ,chemistry.chemical_compound ,Exome Sequencing ,Genetics ,medicine ,Humans ,education ,Infertility, Male ,Genetics (clinical) ,education.field_of_study ,medicine.diagnostic_test ,Dyneins ,Genetic Variation ,Obstetrics and Gynecology ,General Medicine ,Inner dynein arm ,medicine.disease ,Spermatozoa ,Molecular biology ,Sperm ,Staining ,Reproductive Medicine ,chemistry ,Asthenozoospermia ,Developmental Biology - Abstract
PURPOSE: Multiple morphological abnormalities in the sperm flagella (MMAF) comprise a severe phenotype of asthenoteratozoospermia with reduced or absent spermatozoa motility. Whereas dozens of candidate pathogenic genes for MMAF have been identified, the genetic cause in a large proportion of patients is unknown. We attempted to identify novel genetic explanations for MMAF. METHODS: We performed whole-exome sequencing of patients with MMAF to identify pathogenic variants. The phenotypes of spermatozoa in patients carrying DNAH10 variants were investigated using haematoxylin and eosin staining, scanning electron microscopy, and transmission electron microscopy. The expression and location of DNAH10 and other spermatozoa structure–related proteins were analyzed using immunofluorescence assays. RESULTS: We found one homozygous frameshift DNAH10 variant (NM_207437: c.2514delG:p.L839*) and one compound heterozygous DNAH10 variant (NM_207437: c.10820 T > C:p.M3607T; c.12692C > T:p.T4231I) in two patients with MMAF. These variants were absent or rare in the general population. Haematoxylin and eosin staining and scanning electron microscopy revealed the significant disruption of sperm flagella in the patients. In addition, ultrastructural analysis by transmission electron microscopy showed significant inner dynein arm (IDA) deficiency in sperm flagella. Using immunofluorescence assays, we found a significant reduction in IDA-related proteins including DNAH10 and DNAH1. CONCLUSIONS: We identified putative novel pathogenic variants in DNAH10 for MMAF, which might advance the genetic diagnosis and clinical genetic counselling for male infertility. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10815-021-02306-x.
- Published
- 2021