Novel mutations in NLRP2 and NLRP7 cause early embryonic arrest and female infertility

Ruyi Liu1, Shuwen Qiu1, Menghui Li1

  • 1Department of Assisted Reproduction, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Abstract

Insights

This study identified novel mutations in NLRP2 and NLRP7 genes in patients experiencing early embryonic arrest, offering a foundation for genetic diagnosis in recurrent in vitro fertilization/intracytoplasmic sperm injection failures.

Area of Science:

  • Genetics
  • Reproductive Biology

Background:

  • Recurrent in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) failures are often linked to early embryonic arrest.
  • Identifying genetic causes is crucial for understanding and diagnosing female infertility.

Purpose of the Study:

  • To identify pathogenic mutations in female infertility patients presenting with early embryonic arrest.
  • To expand the known spectrum of mutations and phenotypes associated with NLRP2 and NLRP7 genes.

Main Methods:

  • Whole-exome sequencing was employed to identify mutations in affected patients.
  • Sanger sequencing confirmed mutations in patients and their families.
  • Functional studies using HeLa cells (plasmid transfection, Western blot, immunofluorescent staining) assessed mutation effects.

Main Results:

  • Three novel homozygous mutations in NLRP2 (p.Arg81*, p.Lys312del, p.Val316Ala) were identified.
  • Compound heterozygous mutations in NLRP7 (p.Gln315Arg fs*5, p.Ile830Thr) were found.
  • Mutations significantly decreased NLRP2 and NLRP7 protein levels, affecting protein stability and localization.

Conclusions:

  • Novel mutations in NLRP2 and NLRP7 were identified, broadening their known mutational and phenotypic spectrum.
  • These findings provide a basis for genetic diagnosis in patients with recurrent IVF/ICSI failure due to early embryonic arrest.