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巴基斯坦男性不育队列中的外显子组测序:分子诊断、遗传异质性及诊断率的视角

Exome sequencing in a Pakistani male infertility cohort: perspective on molecular diagnosis, genetic heterogeneity, and diagnostic yield.

作者信息

Zhou Dapeng, Fatima Ambrin, Ahmed Afrasiab, Khan Afridi Tehseen Ullah, Khan Haq Nawaz, Ashraf Mussarat, Naeem Muhammad, Jamal Syed Babar, Hassan Ishtiaq, Davis Erica E, Zhang Feng, Rehman Rehana, Liu Chunyu, Khan Tahir N

机构信息

Soong Ching Ling Institute of Maternity and Child Health, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, China.

Shanghai Key Laboratory of Embryo Original Diseases, Shanghai, 200030, China.

出版信息

Mol Genet Genomics. 2025 Sep 4;300(1):87. doi: 10.1007/s00438-025-02286-y.

DOI:10.1007/s00438-025-02286-y
PMID:40906241
Abstract

Male infertility affects a significant number of couples worldwide, yet the precise causes and genetic mechanisms underlying this condition remain largely unknown. To investigate the monogenic causes of primary male infertility, we performed exome sequencing (ES) in a cohort of 100 unrelated Pakistani male patients with non-obstructive, non-syndromic primary infertility. ES identified potential causal variants in established infertility-associated genes in 17/100 patients, resulting in a diagnostic yield of 17%. This highlights the effectiveness of next-generation sequencing technologies, particularly the ES approach, in unraveling the genetic basis of male infertility. Overall, this study provides valuable insights into the genetic underpinnings of male infertility. Our findings explore the diagnostic potential of ES and expand the spectrum of causal variants underlying male infertility.

摘要

男性不育影响着全球大量的夫妇,但这种情况背后的确切原因和遗传机制在很大程度上仍不为人知。为了研究原发性男性不育的单基因病因,我们对100名无亲缘关系的巴基斯坦男性原发性非梗阻性、非综合征性不育患者进行了外显子组测序(ES)。ES在100名患者中的17名中鉴定出了已确定的与不育相关基因中的潜在致病变异,诊断率为17%。这突出了下一代测序技术,特别是ES方法在揭示男性不育遗传基础方面的有效性。总体而言,本研究为男性不育的遗传基础提供了有价值的见解。我们的研究结果探索了ES的诊断潜力,并扩大了男性不育潜在致病变异的范围。

相似文献

1
Exome sequencing in a Pakistani male infertility cohort: perspective on molecular diagnosis, genetic heterogeneity, and diagnostic yield.巴基斯坦男性不育队列中的外显子组测序:分子诊断、遗传异质性及诊断率的视角
Mol Genet Genomics. 2025 Sep 4;300(1):87. doi: 10.1007/s00438-025-02286-y.
2
Genetic determinants of testicular sperm extraction outcomes: insights from a large multicentre study of men with non-obstructive azoospermia.睾丸精子提取结果的遗传决定因素:来自一项针对非梗阻性无精子症男性的大型多中心研究的见解
Hum Reprod Open. 2025 Aug 29;2025(3):hoaf049. doi: 10.1093/hropen/hoaf049. eCollection 2025.
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本文引用的文献

1
Toward clinical exomes in diagnostics and management of male infertility.迈向男性不育诊断与治疗中的临床外显子组分析
Am J Hum Genet. 2024 May 2;111(5):877-895. doi: 10.1016/j.ajhg.2024.03.013. Epub 2024 Apr 12.
2
Genome sequencing of Pakistani families with male infertility identifies deleterious genotypes in SPAG6, CCDC9, TKTL1, TUBA3C, and M1AP.对患有男性不育症的巴基斯坦家庭进行基因组测序,在精子相关抗原6(SPAG6)、卷曲螺旋结构域蛋白9(CCDC9)、转酮醇酶样1(TKTL1)、微管蛋白α3C(TUBA3C)和精子鞭毛蛋白1相关蛋白(M1AP)中发现了有害基因型。
Andrology. 2023 Dec 10. doi: 10.1111/andr.13570.
3
2023 Canadian Urological Association guideline: Evaluation and management of azoospermia.
2023年加拿大泌尿外科学会指南:无精子症的评估与管理
Can Urol Assoc J. 2023 Aug;17(8):228-240. doi: 10.5489/cuaj.8445.
4
Diverse monogenic subforms of human spermatogenic failure.多种人类精子发生失败的单基因亚型。
Nat Commun. 2022 Dec 26;13(1):7953. doi: 10.1038/s41467-022-35661-z.
5
Whole-genome sequencing identifies new candidate genes for nonobstructive azoospermia.全基因组测序鉴定非梗阻性无精子症的新候选基因。
Andrology. 2022 Nov;10(8):1605-1624. doi: 10.1111/andr.13269. Epub 2022 Sep 7.
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Identification of deleterious variants in patients with male infertility due to idiopathic non-obstructive azoospermia.鉴定特发性非梗阻性无精子症导致男性不育患者的有害变异。
Reprod Biol Endocrinol. 2022 Apr 2;20(1):63. doi: 10.1186/s12958-022-00936-z.
7
WHO fact sheet on infertility gives hope to millions of infertile couples worldwide.世界卫生组织关于不孕症的情况说明书给全球数百万不孕夫妇带来了希望。
Facts Views Vis Obgyn. 2020 Jan 8;12(4):249-251.
8
Male Infertility Diagnosis: Improvement of Genetic Analysis Performance by the Introduction of Pre-Diagnostic Genes in a Next-Generation Sequencing Custom-Made Panel.男性不育症诊断:通过在下一代测序定制面板中引入预诊断基因来提高遗传分析性能。
Front Endocrinol (Lausanne). 2021 Jan 26;11:605237. doi: 10.3389/fendo.2020.605237. eCollection 2020.
9
Male infertility.男性不育症。
Lancet. 2021 Jan 23;397(10271):319-333. doi: 10.1016/S0140-6736(20)32667-2. Epub 2020 Dec 10.
10
Genetic dissection of spermatogenic arrest through exome analysis: clinical implications for the management of azoospermic men.通过外显子组分析对精子发生阻滞进行遗传剖析:对无精子症男性治疗的临床意义。
Genet Med. 2020 Dec;22(12):1956-1966. doi: 10.1038/s41436-020-0907-1. Epub 2020 Aug 3.