Abstract
Male infertility is a widespread population health concern, causing various degrees of adverse fertility outcomes. We determined the genetic cause of an infertile male from a consanguineous family, expanding the mutant spectrum of male infertility. A non-obstructive azoospermia (NOA) patient was recruited, and histological type of human testicular tissue of the patient categorized as maturation arrest. We identified a novel loss-of-function variant of syntaxin 2 (STX2) (c.142C>T:p.Gln48*) by performing Whole-exome sequencing (WES) on the NOA patient from a consanguineous Chinese family. Sanger sequencing confirmed the p.Gln48* variant was maternally and paternally inherited. The variant was predicted to be deleterious and resulted in aberrant changes to structure and function of STX2 by In silico analysis. In summary, we reported for the first time that a nonsense variant occurred in the exon region of STX2 in an infertile male presenting with NOA, which was beneficial for diagnosis and therapies of NOA.
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In our study, all data and materials are available from the corresponding author on reasonable request.
References
Carson SA, Kallen AN. Diagnosis and Management of Infertility: A Review. JAMA. 2021;326:65–76.
Troen P, Oshima H. The male factor. N Engl J Med. 1980;303:751–2.
Eisenberg ML, Esteves SC, Lamb DJ, Hotaling JM, Giwercman A, Hwang K, et al. Male infertility. Nat Rev Dis Prim. 2023;9:49.
Cioppi F, Rosta V, Krausz C. Genetics of Azoospermia. Int J Mol Sci. 2021;22:3264.
Meng Q, Shao B, Zhao D, Fu X, Wang J, Li H, et al. Loss of SUN1 function in spermatocytes disrupts the attachment of telomeres to the nuclear envelope and contributes to non-obstructive azoospermia in humans. Hum Genet. 2023;142:531–41.
Jiao SY, Yang YH, Chen SR. Molecular genetics of infertility: loss-of-function mutations in humans and corresponding knockout/mutated mice. Hum Reprod Update. 2021;27:154–89.
Krausz C, Cioppi F. Genetic Factors of Non-Obstructive Azoospermia: Consequences on Patients’ and Offspring Health. J Clin Med. 2021;10:4009.
Kherraf ZE, Cazin C, Bouker A, Fourati Ben Mustapha S, Hennebicq S, Septier A, et al. Whole-exome sequencing improves the diagnosis and care of men with non-obstructive azoospermia. Am J Hum Genet. 2022;109:508–17.
Arbel-Eden A, Simchen G. Elevated Mutagenicity in Meiosis and Its Mechanism. Bioessays. 2019;41:e1800235.
Ji Z, Yao C, Yang C, Huang C, Zhao L, Han X, et al. Novel Hemizygous Mutations of TEX11 Cause Meiotic Arrest and Non-obstructive Azoospermia in Chinese Han Population. Front Genet. 2021;12:741355.
Akiyama K, Akimaru S, Asano Y, Khalaj M, Kiyosu C, Masoudi AA, et al. A new ENU-induced mutant mouse with defective spermatogenesis caused by a nonsense mutation of the syntaxin 2/epimorphin (Stx2/Epim) gene. J Reprod Dev. 2008;54:122–8.
Fujiwara Y, Ogonuki N, Inoue K, Ogura A, Handel MA, Noguchi J, et al. t-SNARE Syntaxin2 (STX2) is implicated in intracellular transport of sulfoglycolipids during meiotic prophase in mouse spermatogenesis. Biol Reprod. 2013;88:141.
Wang Y, Wang L, Iordanov H, Swietlicki EA, Zheng Q, Jiang S, et al. Epimorphin(-/-) mice have increased intestinal growth, decreased susceptibility to dextran sodium sulfate colitis, and impaired spermatogenesis. J Clin Invest. 2006;116:1535–46.
Honke K, Hirahara Y, Dupree J, Suzuki K, Popko B, Fukushima K, et al. Paranodal junction formation and spermatogenesis require sulfoglycolipids. Proc Natl Acad Sci USA. 2002;99:4227–32.
Fujimoto H, Tadano-Aritomi K, Tokumasu A, Ito K, Hikita T, Suzuki K, et al. Requirement of seminolipid in spermatogenesis revealed by UDP-galactose: Ceramide galactosyltransferase-deficient mice. J Biol Chem. 2000;275:22623–6.
Nakamura S, Kobori Y, Ueda Y, Tanaka Y, Ishikawa H, Yoshida A, et al. STX2 is a causative gene for nonobstructive azoospermia. Hum Mutat. 2018;39:830–3.
Acknowledgements
We thank all participants in the study. This work was supported by Fundamental Research Funds for the Central Institutes (2023GJZD01).
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We adhered to the Code of Ethics of the World Medical Association (Declaration of Helsinki, revised in 2013), and the ethical committee of the National Research Institute for Family Planning approved this study. All family members participating in this study signed informed consent.
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Fang, Q., Ran, L., Bi, X. et al. A novel homozygous nonsense variant of STX2 underlies non-obstructive azoospermia in a consanguineous Chinese family. J Hum Genet (2024). https://doi.org/10.1038/s10038-024-01288-9
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DOI: https://doi.org/10.1038/s10038-024-01288-9