Novel STAG3 variant causes oligoasthenoteratozoospermia with high sperm aneuploidy rate.

IF 2.7 3区 医学 Q2 GENETICS & HEREDITY Journal of Assisted Reproduction and Genetics Pub Date : 2025-04-01 Epub Date: 2025-02-11 DOI:10.1007/s10815-025-03417-5
Polina N Tsabai, Nadezhda S Pavlova, Taras V Shatylko, Zaira Kh Kumykova, Olga K Stupko, Taisya O Kochetkova, Nataliia N Lobanova, Andrey Yu Goltsov, Olga O Leukhina, Jekaterina Shubina, Safar I Gamidov, Elena V Uvarova, Dmitry Yu Trofimov
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Abstract

Purpose: Premature ovarian insufficiency (POI) and non-obstructive azoospermia (NOA) are the most severe forms of infertility. Pathogenic variants in a number of genes cause both disorders in siblings. One of them is STAG3, which encodes a meiosis-specific subunit of a cohesin complex. Here, we searched for genetic cause of oligoasthenoteratozoospermia (OAT) and POI within one family.

Methods: The proband was a 16-year-old girl with secondary amenorrhea. She was diagnosed with hypergonadotropic hypogonadism and streak ovaries. She had normal karyotype 46,XX and no premutation in FMR1 gene. Her 28-year-old brother was diagnosed with severe oligoasthenoteratozoospermia (OAT) syndrome. The aneuploidy rate in his sperm was assessed by FISH assay and appeared to be extremely high with only 5% of morphologically normal spermatozoa being haploid. He had normal karyotype 46,XY and no AZF microdeletions.

Results: Whole exome sequencing identified two likely pathogenic heterozygous truncating variants in STAG3 gene, prevously described p.Arg926Ter and novel p.Glu1184Ter. Sanger sequencing showed that both the patient and her brother were compound heterozygotes.

Conclusion: In this study, we suggest the association of the identified variants in STAG3 gene with OAT syndrome and POI and describe the third familial case of STAG3-related infertility.

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新的STAG3变异导致精子非整倍率高的少弱异性精子症。
目的:卵巢功能不全(POI)和非阻塞性无精子症(NOA)是最严重的不孕症。许多基因的致病性变异会在兄弟姐妹中引起这两种疾病。其中之一是STAG3,它编码一个黏结蛋白复合体的减数分裂特异性亚基。在这里,我们在一个家庭中寻找少弱无异卵精子症(OAT)和POI的遗传原因。方法:先证者为16岁继发性闭经女生。她被诊断为促性腺功能亢进症和条纹卵巢。46、XX核型正常,无FMR1基因突变。她28岁的弟弟被诊断为严重少弱无畸形精子症(OAT)综合征。通过FISH测定,他的精子的非整倍体率似乎非常高,只有5%的形态正常精子是单倍体。46、XY核型正常,无AZF微缺失。结果:全外显子组测序鉴定出两个可能致病性的STAG3基因杂合截断变异体,先前描述的p.Arg926Ter和新的p.Glu1184Ter。桑格测序显示,患者和她的兄弟都是复合杂合子。结论:在本研究中,我们认为已鉴定的STAG3基因变异与OAT综合征和POI有关,并描述了第三例STAG3相关性不孕的家族性病例。
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来源期刊
CiteScore
5.70
自引率
9.70%
发文量
286
审稿时长
1 months
期刊介绍: The Journal of Assisted Reproduction and Genetics publishes cellular, molecular, genetic, and epigenetic discoveries advancing our understanding of the biology and underlying mechanisms from gametogenesis to offspring health. Special emphasis is placed on the practice and evolution of assisted reproduction technologies (ARTs) with reference to the diagnosis and management of diseases affecting fertility. Our goal is to educate our readership in the translation of basic and clinical discoveries made from human or relevant animal models to the safe and efficacious practice of human ARTs. The scientific rigor and ethical standards embraced by the JARG editorial team ensures a broad international base of expertise guiding the marriage of contemporary clinical research paradigms with basic science discovery. JARG publishes original papers, minireviews, case reports, and opinion pieces often combined into special topic issues that will educate clinicians and scientists with interests in the mechanisms of human development that bear on the treatment of infertility and emerging innovations in human ARTs. The guiding principles of male and female reproductive health impacting pre- and post-conceptional viability and developmental potential are emphasized within the purview of human reproductive health in current and future generations of our species. The journal is published in cooperation with the American Society for Reproductive Medicine, an organization of more than 8,000 physicians, researchers, nurses, technicians and other professionals dedicated to advancing knowledge and expertise in reproductive biology.
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