bioRxiv · 10.1101/2021.02.27.433155
A de novo paradigm for male infertility
Abstract
IntroductionDe novo mutations (DNMs) are known to play a prominent role in sporadic disorders with reduced fitness1. We hypothesize that DNMs play an important role in male infertility and explain a significant fraction of the genetic causes of this understudied disorder. To test this hypothesis, we performed trio-based exome-sequencing in a unique cohort of 185 infertile males and their unaffected parents. Following a systematic analysis, 29 of 145 rare protein altering DNMs were classified as possibly causative of the male infertility phenotype. We observed a significant enrichment of Loss-of-Function (LoF) DNMs in LoF-intolerant genes (p-value=1.00x10-5) as well as predicted pathogenic missense DNMs in missense-intolerant genes (p-value=5.01x10-4). One DNM gene identified, RBM5, is an essential regulator of male germ cell pre-mRNA splicing2. In a follow-up study, 5 rare pathogenic missense mutations affecting this gene were observed in a cohort of 2,279 infertile patients, with no such mutations found in a cohort of 5,784 fertile men (p-value=0.009). Our results provide the first evidence for the role of DNMs in severe male infertility and point to many new candidate genes affecting fertility.
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Oud, M. S., Smits, R. M., Smith, H. E., Mastrorosa, F. K., Holt, G. S., Houston, B. J., de Vries, P. F., Alobaidi, B. K., Batty, L. E., Ismail, H., Greenwood, J., Sheth, H., Mikulasova, A., Astuti, G., Gilissen, C. S., McEleny, K., Turner, H., Coxhead, J., Cockell, S. J., Braat, D., Fleischer, K., D'Hauwers, K., Schaafsma, E., GEMINI Consortium,, Nagirnaja, L., Conrad, D., Friedrich, C., Kliesch, S., Aston, K. I., Riera-Escamilla, A., Krausz, C. G., Gonzaga-Jauregui, C., Santibanez-Koref, M., Elliott, D., Vissers, L., Tüttelmann, F., O'Bryan, M., Ramos, L., Xavier, M. J., van der Heijden, G. 2021-02-27. A de novo paradigm for male infertility. https://doi.org/10.1101/2021.02.27.433155
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