Abstract
Purpose
The purpose of this study was to identify mutations that cause non-syndromic male infertility using whole exome sequencing of family cases.
Methods
We recruited a consanguineous Turkish family comprising nine siblings with male triplets; two of the triplets were infertile as well as one younger infertile brother. Whole exome sequencing (WES) performed on two azoospermic brothers identified a mutation in the melanoma antigen family B4 (MAGEB4) gene which was confirmed via Sanger sequencing and then screened for on control groups and unrelated infertile subjects. The effect of the mutation on messenger RNA (mRNA) and protein levels was tested after in vitro cell transfection. Structural features of MAGEB4 were predicted throughout the conserved MAGE domain.
Results
The novel single-base substitution (c.1041A>T) in the X-linked MAGEB4 gene was identified as a no-stop mutation. The mutation is predicted to add 24 amino acids to the C-terminus of MAGEB4. Our functional studies were unable to detect any effect either on mRNA stability, intracellular localization of the protein, or the ability to homodimerize/heterodimerize with other MAGE proteins. We thus hypothesize that these additional amino acids may affect the proper protein interactions with MAGEB4 partners.
Conclusion
The whole exome analysis of a consanguineous Turkish family revealed MAGEB4 as a possible new X-linked cause of inherited male infertility. This study provides the first clue to the physiological function of a MAGE protein.
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Acknowledgements
We thank all patients for their participation and donation of samples. We would also like to thank Robert Drillien for his critical reading of the manuscript. We are grateful to the IGBMC platforms. We thank Anne-Lena Bröcher from the Institute of Human Genetics, University of Münster for her excellent technical support.
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The study was funded by Agence Nationale de la Recherché (ANR-11-BSV2-002 “TranspoFertil”), Fondation Maladies Rares (“High throughput sequencing and rare diseases”), and l’Agence de BioMédecine (“AMP, diagnostic prénatal et diagnostic génétique”). This work was supported by the French Centre National de la Recherche Scientifique (CNRS), Institut National de la Santé et de la Recherche Médicale (INSERM), the Ministère de l’Education Nationale et de l’Enseignement Supérieur et de la Recherche, the University of Strasbourg, and Strasbourg University Hospital. The study was also supported by the German Research Foundation (DFG) (TU298/1-2 to FT and AR).
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The authors declare that they have no conflict of interest.
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This project has been approved by the Comité de Protection de la Personne (CPP) of Strasbourg University Hospital, France (CPP 09/40—W AC-2008-438 1W DC-2009-I 002), the “Istanbul University, Faculty of Medicine, Ethics Committee for Clinical Research Faculty of Medicine” (2012/1671-1265), and the Ethics Committee of the Medical Faculty in Münster (2010-578-f-S).
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This article does not contain any studies with human or animal subjects performed by any of the authors.
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Frank Tüttelmann and STéphane Viville are co-last authors.
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Okutman, O., Muller, J., Skory, V. et al. A no-stop mutation in MAGEB4 is a possible cause of rare X-linked azoospermia and oligozoospermia in a consanguineous Turkish family. J Assist Reprod Genet 34, 683–694 (2017). https://doi.org/10.1007/s10815-017-0900-z
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DOI: https://doi.org/10.1007/s10815-017-0900-z