Department of Biomedical Sciences and the Department of Molecular Biology and Genetics, Cornell University, Ithaca, NY 14853.
Biol Reprod. 2019 Aug 1;101(2):347-359. doi: 10.1093/biolre/ioz089.
A major challenge in medical genetics is to characterize variants of unknown significance (VUS). Doing so would help delineate underlying causes of disease and the design of customized treatments. Infertility has presented an especially difficult challenge with respect to not only determining if a given patient has a genetic basis, but also to identify the causative genetic factor(s). Though genome sequencing can identify candidate variants, in silico predictions of causation are not always sufficiently reliable so as to be actionable. Thus, experimental validation is crucial. Here, we describe the phenotype of mice containing a non-synonymous (proline-to-threonine at position 306) change in Spo11, corresponding to human SNP rs185545661. SPO11 is a topoisomerase-like protein that is essential for meiosis because it induces DNA double stranded breaks (DSBs) that stimulate pairing and recombination of homologous chromosomes. Although both male and female Spo11P306T/P306T mice were fertile, they had reduced sperm and oocytes, respectively. Spermatocyte chromosomes exhibited synapsis defects (especially between the X and Y chromosomes), elevated apoptotic cells, persistent markers of DSBs, and most importantly, fewer Type 1 crossovers that causes some chromosomes to have none. Spo11P306T/- mice were sterile and made fewer meiotic DSBs than Spo11+/- animals, suggesting that the Spo11P306T allele is a hypomorph and likely is delayed in making sufficient DSBs in a timely fashion. If the consequences are recapitulated in humans, it would predict phenotypes of premature ovarian failure, reduced sperm counts, and possible increased number of aneuploid gametes. These results emphasize the importance of deep phenotyping in order to accurately assess the impact of VUSs in reproduction genes.
医学遗传学的一个主要挑战是描述意义不明的变异(VUS)。这样做有助于阐明疾病的潜在原因,并设计定制的治疗方法。对于确定特定患者是否具有遗传基础,以及确定致病遗传因素,不孕不育带来了特别困难的挑战。尽管基因组测序可以识别候选变体,但基于计算机的因果预测并不总是足够可靠,因此无法采取行动。因此,实验验证至关重要。在这里,我们描述了含有 Spo11 中非同义(第 306 位脯氨酸到苏氨酸)变化的小鼠的表型,该变化对应于人类 SNP rs185545661。SPO11 是一种拓扑异构酶样蛋白,对于减数分裂是必不可少的,因为它诱导 DNA 双链断裂(DSB),从而刺激同源染色体的配对和重组。尽管雄性和雌性 Spo11P306T/P306T 小鼠均具有生育能力,但它们的精子和卵子分别减少。精母细胞染色体显示联会缺陷(特别是 X 和 Y 染色体之间),凋亡细胞增加,DSB 的持续标志物,最重要的是,较少的 1 型交叉,导致一些染色体没有。Spo11P306T/- 小鼠不育,减数分裂 DSB 比 Spo11+/- 动物少,表明 Spo11P306T 等位基因是一个低等位基因,并且可能在及时产生足够数量的 DSB 方面延迟。如果这些后果在人类中得到重现,那么可以预测卵巢早衰、精子数减少以及可能增加非整倍体配子数量的表型。这些结果强调了进行深入表型分析以准确评估 VUS 在生殖基因中的影响的重要性。