identification of a missense variant in cldn2 in obstructive azoospermia

Autor: Mehdi Totonchi, Razieh Karamzadeh, Naser Ansari-Pour, Masomeh Askari, Mohammad Ali Sadighi Gilani, Anahita Mohseni Meybodi, Anu Bashamboo, Mehdi Sadeghi, Ahmad Vosough Taghi Dizaj, Hamid Gourabi, Ken McElreavey, Navid Almadani, Mohammad Hossein Karimi-Jafari
Přispěvatelé: Royan Institute for Reproductive Biomedicine [Tehran, Iran], Academic Center for Education, Culture and Research (ACECR), Royan Institute for Stem Cell Biology and Technology, University of Tehran, University of Oxford [Oxford], Génétique du Développement humain - Human developmental genetics, Institut Pasteur [Paris]-Centre National de la Recherche Scientifique (CNRS), This work was supported in part by a grant from the Iran National Science Foundation (INSF), Royan Institute and the Institut Pasteur, Paris. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript., University of Oxford, Institut Pasteur [Paris] (IP)-Centre National de la Recherche Scientifique (CNRS)
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of Human Genetics
Journal of Human Genetics, Nature Publishing Group, 2019, 64 (10), pp.1023-1032. ⟨10.1038/s10038-019-0642-0⟩
Journal of Human Genetics, 2019, 64 (10), pp.1023-1032. ⟨10.1038/s10038-019-0642-0⟩
Microsoft Academic Graph
Datacite
ISSN: 1434-5161
1435-232X
DOI: 10.1038/s10038-019-0642-0⟩
Popis: International audience; Obstructive azoospermia (OA), defined as an obstruction in any region of the male genital tract, accounts for 40% of all azoospermia cases. Of all OA cases, ~30% are thought to have a genetic origin, however, hitherto, the underlying genetic etiology of the majority of these cases remain unknown. To address this, we took a family-based whole-exome sequencing approach to identify causal variants of OA in a multiplex family with epidydimal obstruction. A novel gain-of-function missense variant in CLDN2 (c.481G>C; p.Gly161Arg) was found to co-segregate with the phenotype, consistent with the X-linked inheritance pattern observed in the pedigree. To assess the pathogenicity of this variant, the wild and mutant protein structures were modeled and their potential for strand formation in multimeric form was assessed and compared. The results showed that dimeric and tetrameric arrangements of Claudin-2 were not only reduced, but were also significantly altered by this single residue change. We, therefore, envisage that this amino acid change likely forms a polymeric discontinuous strand, which may lead to the disruption of tight junctions among epithelial cells. This missense variant is thus likely to be responsible for the disruption of the blood-epididymis barrier, causing dislodged epithelial cells to clog the genital tract, hence causing OA. This study not only sheds light on the underlying pathobiology of OA, but also provides a basis for more efficient diagnosis in the clinical setting.
Databáze: OpenAIRE