A common 1.6 mb Y-chromosomal inversion predisposes to subsequent deletions and severe spermatogenic failure in humans

Male infertility is a prevalent condition, affecting 5–10% of men. So far, few genetic factors have been described as contributors to spermatogenic failure. Here, we report the first re-sequencing study of the Y-chromosomal Azoospermia Factor c (AZFc) region, combined with gene dosage analysis of th...

Full description

Bibliographic Details
Main Authors: Pille Hallast, Laura Kibena, Margus Punab, Elena Arciero, Siiri Rootsi, Marina Grigorova, Rodrigo Flores, Mark A Jobling, Olev Poolamets, Kristjan Pomm, Paul Korrovits, Kristiina Rull, Yali Xue, Chris Tyler-Smith, Maris Laan
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2021-03-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/65420
_version_ 1828384553254780928
author Pille Hallast
Laura Kibena
Margus Punab
Elena Arciero
Siiri Rootsi
Marina Grigorova
Rodrigo Flores
Mark A Jobling
Olev Poolamets
Kristjan Pomm
Paul Korrovits
Kristiina Rull
Yali Xue
Chris Tyler-Smith
Maris Laan
author_facet Pille Hallast
Laura Kibena
Margus Punab
Elena Arciero
Siiri Rootsi
Marina Grigorova
Rodrigo Flores
Mark A Jobling
Olev Poolamets
Kristjan Pomm
Paul Korrovits
Kristiina Rull
Yali Xue
Chris Tyler-Smith
Maris Laan
author_sort Pille Hallast
collection DOAJ
description Male infertility is a prevalent condition, affecting 5–10% of men. So far, few genetic factors have been described as contributors to spermatogenic failure. Here, we report the first re-sequencing study of the Y-chromosomal Azoospermia Factor c (AZFc) region, combined with gene dosage analysis of the multicopy DAZ, BPY2, and CDYgenes and Y-haplogroup determination. In analysing 2324 Estonian men, we uncovered a novel structural variant as a high-penetrance risk factor for male infertility. The Y lineage R1a1-M458, reported at >20% frequency in several European populations, carries a fixed ~1.6 Mb r2/r3 inversion, destabilizing the AZFc region and predisposing to large recurrent microdeletions. Such complex rearrangements were significantly enriched among severe oligozoospermia cases. The carrier vs non-carrier risk for spermatogenic failure was increased 8.6-fold (p=6.0×10−4). This finding contributes to improved molecular diagnostics and clinical management of infertility. Carrier identification at young age will facilitate timely counselling and reproductive decision-making.
first_indexed 2024-12-10T05:05:11Z
format Article
id doaj.art-8edcf883b35d416381d5dc683d243d22
institution Directory Open Access Journal
issn 2050-084X
language English
last_indexed 2024-12-10T05:05:11Z
publishDate 2021-03-01
publisher eLife Sciences Publications Ltd
record_format Article
series eLife
spelling doaj.art-8edcf883b35d416381d5dc683d243d222022-12-22T02:01:16ZengeLife Sciences Publications LtdeLife2050-084X2021-03-011010.7554/eLife.65420A common 1.6 mb Y-chromosomal inversion predisposes to subsequent deletions and severe spermatogenic failure in humansPille Hallast0https://orcid.org/0000-0002-0588-3987Laura Kibena1Margus Punab2Elena Arciero3Siiri Rootsi4Marina Grigorova5Rodrigo Flores6Mark A Jobling7Olev Poolamets8Kristjan Pomm9Paul Korrovits10Kristiina Rull11Yali Xue12Chris Tyler-Smith13Maris Laan14https://orcid.org/0000-0002-8519-243XInstitute of Biomedicine and Translational Medicine, University of Tartu, Tartu, Estonia; Wellcome Genome Campus, Wellcome Sanger Institute, Hinxton, Cambridge, United KingdomInstitute of Biomedicine and Translational Medicine, University of Tartu, Tartu, EstoniaAndrology Unit, Tartu University Hospital, Tartu, Estonia; Institute of Clinical Medicine, University of Tartu, Tartu, EstoniaWellcome Genome Campus, Wellcome Sanger Institute, Hinxton, Cambridge, United KingdomInstitute of Genomics, Estonian Biocentre, University of Tartu, Tartu, EstoniaInstitute of Biomedicine and Translational Medicine, University of Tartu, Tartu, EstoniaInstitute of Genomics, Estonian Biocentre, University of Tartu, Tartu, EstoniaDepartment of Genetics & Genome Biology, University of Leicester, Leicester, United KingdomAndrology Unit, Tartu University Hospital, Tartu, EstoniaAndrology Unit, Tartu University Hospital, Tartu, EstoniaAndrology Unit, Tartu University Hospital, Tartu, EstoniaInstitute of Biomedicine and Translational Medicine, University of Tartu, Tartu, Estonia; Institute of Clinical Medicine, University of Tartu, Tartu, Estonia; Women’s Clinic, Tartu University Hospital, Tartu, EstoniaWellcome Genome Campus, Wellcome Sanger Institute, Hinxton, Cambridge, United KingdomWellcome Genome Campus, Wellcome Sanger Institute, Hinxton, Cambridge, United KingdomInstitute of Biomedicine and Translational Medicine, University of Tartu, Tartu, EstoniaMale infertility is a prevalent condition, affecting 5–10% of men. So far, few genetic factors have been described as contributors to spermatogenic failure. Here, we report the first re-sequencing study of the Y-chromosomal Azoospermia Factor c (AZFc) region, combined with gene dosage analysis of the multicopy DAZ, BPY2, and CDYgenes and Y-haplogroup determination. In analysing 2324 Estonian men, we uncovered a novel structural variant as a high-penetrance risk factor for male infertility. The Y lineage R1a1-M458, reported at >20% frequency in several European populations, carries a fixed ~1.6 Mb r2/r3 inversion, destabilizing the AZFc region and predisposing to large recurrent microdeletions. Such complex rearrangements were significantly enriched among severe oligozoospermia cases. The carrier vs non-carrier risk for spermatogenic failure was increased 8.6-fold (p=6.0×10−4). This finding contributes to improved molecular diagnostics and clinical management of infertility. Carrier identification at young age will facilitate timely counselling and reproductive decision-making.https://elifesciences.org/articles/65420idiopathic male infertilityy-chromosomal azfc regiongr/grb2/b3 deletionscomplex structural rearrangementsy haplogroup r1a1-m458
spellingShingle Pille Hallast
Laura Kibena
Margus Punab
Elena Arciero
Siiri Rootsi
Marina Grigorova
Rodrigo Flores
Mark A Jobling
Olev Poolamets
Kristjan Pomm
Paul Korrovits
Kristiina Rull
Yali Xue
Chris Tyler-Smith
Maris Laan
A common 1.6 mb Y-chromosomal inversion predisposes to subsequent deletions and severe spermatogenic failure in humans
eLife
idiopathic male infertility
y-chromosomal azfc region
gr/gr
b2/b3 deletions
complex structural rearrangements
y haplogroup r1a1-m458
title A common 1.6 mb Y-chromosomal inversion predisposes to subsequent deletions and severe spermatogenic failure in humans
title_full A common 1.6 mb Y-chromosomal inversion predisposes to subsequent deletions and severe spermatogenic failure in humans
title_fullStr A common 1.6 mb Y-chromosomal inversion predisposes to subsequent deletions and severe spermatogenic failure in humans
title_full_unstemmed A common 1.6 mb Y-chromosomal inversion predisposes to subsequent deletions and severe spermatogenic failure in humans
title_short A common 1.6 mb Y-chromosomal inversion predisposes to subsequent deletions and severe spermatogenic failure in humans
title_sort common 1 6 mb y chromosomal inversion predisposes to subsequent deletions and severe spermatogenic failure in humans
topic idiopathic male infertility
y-chromosomal azfc region
gr/gr
b2/b3 deletions
complex structural rearrangements
y haplogroup r1a1-m458
url https://elifesciences.org/articles/65420
work_keys_str_mv AT pillehallast acommon16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT laurakibena acommon16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT marguspunab acommon16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT elenaarciero acommon16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT siirirootsi acommon16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT marinagrigorova acommon16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT rodrigoflores acommon16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT markajobling acommon16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT olevpoolamets acommon16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT kristjanpomm acommon16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT paulkorrovits acommon16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT kristiinarull acommon16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT yalixue acommon16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT christylersmith acommon16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT marislaan acommon16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT pillehallast common16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT laurakibena common16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT marguspunab common16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT elenaarciero common16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT siirirootsi common16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT marinagrigorova common16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT rodrigoflores common16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT markajobling common16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT olevpoolamets common16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT kristjanpomm common16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT paulkorrovits common16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT kristiinarull common16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT yalixue common16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT christylersmith common16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans
AT marislaan common16mbychromosomalinversionpredisposestosubsequentdeletionsandseverespermatogenicfailureinhumans