A novel loss-of-function variant in PNLDC1 inducing oligo-astheno-teratozoospermia and male infertility
Si-Yi Zhao1, Lan-Lan Meng2,3, Zhao-Li Du4
1The First Clinical College of Guangzhou Medical University, Guangzhou 511436, China.
Abstract:
Male infertility is a major reproductive disorder, which is clinically characterized by highly heterogeneous phenotypes of abnormal sperm count or quality. To date, five male patients with biallelic loss-of-function (LOF) variants of PARN-like ribonuclease domain-containing exonuclease 1 ( PNLDC1 ) have been reported to experience infertility with nonobstructive azoospermia. The aim of this study was to identify the genetic cause of male infertility with oligo-astheno-teratozoospermia (OAT) in a patient from a Chinese Han family. Whole-exome and Sanger sequencing analyses identified a homozygous LOF variant (NM_173516.2, c.142C>T, p.Gln48Ter) in PNLDC1 . Hematoxylin and eosin staining revealed that the spermatozoa of the patient with OAT had an irregular head phenotype, including microcephaly, head tapering, and globozoospermia. Consistently, peanut agglutinin staining of the spermatozoa revealed a complete or partial loss of the acrosome. Furthermore, the disomy rate of chromosomes in the patient's spermatozoa was significantly increased compared with that of a fertile control sample. We reported an LOF variant of the PNLDC1 gene responsible for OAT.
Insights
A novel PNLDC1 gene variant causes male infertility with oligo-astheno-teratozoospermia (OAT). This study identifies a homozygous loss-of-function variant in PNLDC1, leading to abnormal sperm morphology and acrosome loss in affected individuals.
Area of Science:
- Genetics
- Reproductive Biology
- Molecular Biology
Background:
- Male infertility affects a significant portion of the reproductive-aged population.
- Abnormal sperm parameters, including count, motility, and morphology, are key indicators of male infertility.
- Genetic factors play a crucial role in the etiology of male infertility, with numerous genes identified.
Purpose of the Study:
- To investigate the genetic basis of male infertility presenting as oligo-astheno-teratozoospermia (OAT) in a Chinese Han family.
- To identify the specific genetic variant responsible for the observed phenotype in the affected patient.
Main Methods:
- Whole-exome sequencing and Sanger sequencing were employed to identify genetic variants.
- Sperm morphology was assessed using Hematoxylin and eosin staining.
- Acrosome integrity was evaluated via peanut agglutinin staining.
- Sperm chromosome disomy rates were analyzed.
Main Results:
- A homozygous loss-of-function (LOF) variant (c.142C>T, p.Gln48Ter) in the PNLDC1 gene was identified as the causative mutation.
- The patient's spermatozoa exhibited abnormal head morphology (microcephaly, tapering, globozoospermia) and acrosome defects.
- A significantly elevated rate of chromosome disomy was observed in the patient's spermatozoa compared to controls.
Conclusions:
- Loss-of-function variants in the PNLDC1 gene are implicated in male infertility with OAT.
- PNLDC1 plays a critical role in sperm development, acrosome formation, and chromosomal integrity.
- This finding expands the spectrum of PNLDC1-associated male infertility phenotypes.
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