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一个新的 PANX1 杂合变异与卵母细胞死亡和女性不孕有关。

A novel heterozygous variant in PANX1 is associated with oocyte death and female infertility.

机构信息

Reproductive Medicine Center, Jiangxi Maternal and Child Health Hospital, Nanchang, Jiangxi, 330006, People's Republic of China.

JXHC Key Laboratory of Fertility Preservation, Jiangxi Maternal and Child Health Hospital, Nanchang, Jiangxi, 330006, People's Republic of China.

出版信息

J Assist Reprod Genet. 2022 Aug;39(8):1901-1908. doi: 10.1007/s10815-022-02566-1. Epub 2022 Jul 14.

Abstract

PURPOSE

Oocyte death is a severe clinical phenotype that causes female infertility and recurrent in vitro fertilization and intracytoplasmic sperm injection failure. We aimed to identify pathogenic variants in a female infertility patient with oocyte death phenotype.

METHODS

Sanger sequencing was performed to screen PANX1 variants in the affected patient. Western blot analysis was used to check the effect of the variant on PANX1 glycosylation pattern in vitro.

RESULTS

We identified a novel PANX1 variant (NM_015368.4 c.86G > A, (p. Arg29Gln)) associated with the phenotype of oocyte death in a non-consanguineous family. This variant displayed an autosomal dominant inheritance pattern with reduced penetrance. Western blot analysis confirmed that the missense mutation of PANX1 (c.86G > A) altered the glycosylation pattern in HeLa cells. Moreover, the mutation effects on the function of PANX1 were weaker than recently reported variants.

CONCLUSION

Our findings expand the inheritance pattern of PANX1 variants to an autosomal dominant mode with reduced penetrance and enrich the variational spectrum of PANX1. These results help us to better understand the genetic basis of female infertility with oocyte death.

摘要

目的

卵母细胞死亡是一种严重的临床表型,可导致女性不孕和反复体外受精及胞浆内单精子注射失败。本研究旨在鉴定卵母细胞死亡表型的女性不孕患者中的致病性变异。

方法

对先证者进行 PANX1 变异的 Sanger 测序。采用 Western blot 分析检测该变异对 PANX1 糖基化模式的体外影响。

结果

我们在一个非近亲结婚的家庭中发现了一个与卵母细胞死亡表型相关的新型 PANX1 变异(NM_015368.4 c.86G > A,(p.Arg29Gln))。该变异呈现常染色体显性遗传模式,具有不完全外显率。Western blot 分析证实,PANX1 的错义突变(c.86G > A)改变了 HeLa 细胞中的糖基化模式。此外,该突变对 PANX1 功能的影响弱于最近报道的变异。

结论

我们的研究结果将 PANX1 变异的遗传模式扩展为具有不完全外显率的常染色体显性遗传模式,并丰富了 PANX1 的变异谱。这些结果有助于我们更好地理解卵母细胞死亡导致的女性不孕的遗传基础。

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