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Association between the apolipoprotein B signal peptide gene insertion/deletion polymorphism and male infertility
1Division of Medical Genetics, University Medical Centre Ljubljana, Ljubljana, Slovenia. borut.peterlin@guest.arnes.si
Abstract:
In male mice heterozygous for a null apolipoprotein B (apoB), allele infertility was noticed. These data led us to investigate a possible role of APOB gene polymorphism and male infertility in humans. In this case-control study, we searched for an association between the insertion/deletion (I/D) polymorphism of the APOB gene and male infertility in 560 Slovene Caucasian men. The study group consisted of 310 infertile patients: 115 with azoospermia and 195 with oligoasthenoteratozoospermia (OAT) and a control group of 250 fertile men. We found a statistically significant difference in the genotype distribution between the two groups (chi2 = 6.315, P = 0.043). A separate analysis of azoospermic and OAT patients demonstrated that significant differences in genotype distribution were limited to the OAT group (chi2 = 7.011, P = 0.030). The presence of the D allele (DD or ID genotypes) conferred a 1.6 risk [chi2 = 6.089, P = 0.014, 95% confidence interval (95% CI) = 1.102-2.347] for male infertility in the OAT group of patients. We did not find a correlation between the I/D polymorphism genotypes and the clinical characteristics of infertile men: sperm concentration (P = 0.102), rapid progressive motility (P = 0.449), normal morphology (P = 0.085) and Johnsen score (P = 0.531). These data suggest that genetic variation in the signal peptide of the APOB gene (I/D polymorphism) might be a risk factor for the development of male infertility.
Insights
Genetic variations in the apolipoprotein B (APOB) gene
Area of Science:
- Human Genetics
- Reproductive Biology
- Molecular Biology
Background:
- Apolipoprotein B (ApoB) plays a crucial role in lipid metabolism.
- Previous studies in mice suggested a link between ApoB deficiency and male infertility.
- APOB gene polymorphisms may influence male reproductive health in humans.
Purpose of the Study:
- To investigate the association between the APOB gene insertion/deletion (I/D) polymorphism and male infertility in Slovene Caucasian men.
- To determine if specific APOB genotypes are risk factors for different types of male infertility.
- To explore correlations between APOB genotypes and clinical characteristics of infertile men.
Main Methods:
- Case-control study involving 560 Slovene Caucasian men.
- Study group: 310 infertile men (115 azoospermia, 195 oligoasthenoteratozoospermia - OAT).
- Control group: 250 fertile men.
- Genotyping for APOB I/D polymorphism using PCR.
- Statistical analysis including chi-squared tests and risk assessment.
Main Results:
- A significant difference in APOB I/D genotype distribution was observed between infertile and fertile men (P=0.043).
- This difference was primarily driven by the oligoasthenoteratozoospermia (OAT) group (P=0.030).
- Carriage of the D allele (DD or ID genotypes) increased the risk of male infertility in the OAT group by 1.6-fold (P=0.014).
- No significant correlation was found between APOB I/D genotypes and sperm concentration, motility, morphology, or Johnsen score.
Conclusions:
- The insertion/deletion (I/D) polymorphism in the signal peptide of the APOB gene is associated with male infertility, particularly OAT.
- APOB gene variation may represent a genetic risk factor for the development of male infertility.
- Further research is warranted to elucidate the precise mechanisms linking APOB polymorphism to male reproductive dysfunction.
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