1. Patient with multiple morphological abnormalities of sperm flagella caused by a novel ARMC2 mutation has a favorable pregnancy outcome from intracytoplasmic sperm injection
- Author
-
Jiaxiong Wang, Xiaoran Liu, Ce Zhang, Yongle Xu, Weizhuo Wang, Hong Li, Shenmin Yang, and Jing Zhao
- Subjects
Male ,Pregnancy Outcome ,RNA-Binding Proteins ,Obstetrics and Gynecology ,Cell Cycle Proteins ,General Medicine ,Spermatozoa ,Reproductive Medicine ,Flagella ,Pregnancy ,Semen ,Sperm Tail ,Mutation ,Genetics ,Humans ,Abnormalities, Multiple ,Female ,Sperm Injections, Intracytoplasmic ,Infertility, Male ,Genetics (clinical) ,Developmental Biology - Abstract
PURPOSE: To investigate the potential genetic cause in a primary infertility patient with multiple morphological abnormalities of sperm flagella (MMAF). METHODS: The patient’s sperm was observed by light and electron microscopy. Whole-exome sequencing (WES) was carried out to identify candidate genes. Then, the mutation found by WES was verified by Sanger sequencing. The proteins interacting with ARMC2 were revealed by co-immunoprecipitation (co-IP) and mass spectrometry. Intracytoplasmic sperm injection (ICSI) was carried out to achieve successful pregnancy. RESULTS: Typical MMAF phenotype (absent, short, coiled, bent irregular flagella) was shown in the patient’s sperm. A novel homozygous mutation in ARMC2 (c.1264C > T) was identified. The proteins interacting with ARMC2 we found were CEP78, PGAM5, RHOA, FXR1, and SKIV2L2. The ICSI therapy was successful, and boy-girl twins were given birth. CONCLUSION: We found a novel mutation in ARMC2 which led to MMAF and male infertility. This is the first report of ICSI outcome of patient harboring ARMC2 mutation. The interacting proteins indicated that ARMC2 might be involved in multiple processes of spermatogenesis.
- Published
- 2022
- Full Text
- View/download PDF