Abstract
Male infertility pertains to male’s inability to cause pregnancy in a fertile female. It accounts for 40–50% of infertility in human. In the study, presented here, a large consanguineous family of Pakistani origin segregating male infertility in autosomal recessive manner was investigated. Exome sequencing revealed a homozygous frameshift variant [NM_001040108: c.3632delA, p.(Asn1211Metfs*49)] in DNA mismatch repair gene MLH3 (MutL Homolog) that segregated with male infertility within the family. This is the first loss-of-function homozygous variant in the MLH3 gene causing severe oligozoospermia leading to male infertility. Previous studies have demonstrated association of infertility with gene knockout in the mice.
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Acknowledgements
We thank the family members for participating in this study.
Funding
This work was supported by the Pakistan Academy of Science, Pakistan (https://www.paspk.org) (PAS-171) to WA.
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SN designed the study, drafted the manuscript, and performed segregation analysis. SH performed exome data analysis. IU and MN performed the clinical tests. BSH and JN collected the samples and analyzed the clinical data. WA designed the study, provided funds, and edited, and finalized the manuscript. All the authors have approved the final manuscript.
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The authors declare that they have no conflict of interest.
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The study was approved by the Institutional Review Board (IRB) of Quaid-i-Azam University, Islamabad, Pakistan (IRB# QAU-171). The family, displaying male infertility, was ascertained from Khyber Pakhtunkhwa (KP) province of Pakistan. Informed written consent to carry out the study was obtained from family members.
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Nawaz, S., Ullah, M.I., Hamid, B.S. et al. A loss-of-function variant in DNA mismatch repair gene MLH3 underlies severe oligozoospermia. J Hum Genet 66, 725–730 (2021). https://doi.org/10.1038/s10038-021-00907-z
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DOI: https://doi.org/10.1038/s10038-021-00907-z