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Updated: Jun 13, 2025

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Published on: September 7, 2017
D4Z4 Hypomethylation in Human Germ Cells.
Ramya Potabattula1, Jana Durackova1, Sarah Kießling1
1Institute of Human Genetics, Julius Maximilians University, 97074 Wuerzburg, Germany.
Facioscapulohumeral muscular dystrophy (FSHD) is linked to DUX4 expression. D4Z4 methylation is low in sperm but variable in oocytes, potentially impacting fertility and assisted reproduction outcomes.
Area of Science:
- Epigenetics and Molecular Biology
- Human Genetics and Reproductive Biology
Background:
- The double homeobox 4 (DUX4) transcription factor is epigenetically silenced after early embryogenesis.
- Ectopic DUX4 expression, caused by D4Z4 hypomethylation on chromosome 4q35, is associated with facioscapulohumeral muscular dystrophy (FSHD).
- D4Z4 methylation levels vary significantly in peripheral blood of healthy individuals and FSHD2 patients.
Purpose of the Study:
- To investigate D4Z4 methylation patterns in human germ cells (sperm and oocytes).
- To explore the relationship between D4Z4 methylation, DUX4 expression, and potential implications for fertility and assisted reproduction.
Main Methods:
- Deep bisulfite sequencing was employed to analyze D4Z4 methylation.
- Analysis was performed on peripheral blood samples from healthy individuals and FSHD2 patients.
- D4Z4 methylation was quantified in mature sperm and germinal vesicle (GV) oocytes.
Main Results:
- Mature sperm samples showed very low average D4Z4 methylation (2.5%), with 78% of cells exhibiting no methylation.
- Immature GV oocytes displayed significantly higher and more variable D4Z4 methylation (up to 74%) compared to sperm.
- Abnormal imprints (PEG3, GTL2) were also observed in immature oocytes.
Conclusions:
- D4Z4 is largely unmethylated in mature sperm, consistent with its role as an early transcribed gene.
- Immature oocytes exhibit epigenetic variability, including D4Z4 hypermethylation and imprinting defects.
- Lower D4Z4 methylation (<2.5%) in sperm and oocytes may correlate with higher pregnancy rates in assisted reproduction, warranting further investigation.
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