Abstract
CBAVD syndrome is one of the common genetic causes of male infertility, associated with obstructive azoospermia, commonly resulting from pathogenic CFTR gene variants. We examined 72 Russian infertile men with CBAVD syndrome. Molecular analysis of the CFTR gene was performed to detect 22 common pathogenic variants using AFPL and MLPA. IVS8Tn polymorphism in intron 8 of the CFTR gene was analyzed by “nested” PCR. Pathogenic variants were detected in 47 of 72 (65.3%) patients. The most common CFTR gene variants were F508del, CFTRdele2,3(21kb), and W1282X, which are 54.2, 12.5, and 8.2% of all detected pathogenic variants in examined individuals, respectively. The allele 5T (IVS8-T5) variant was found in 39 (54.2%) patients. Totally, pathogenic variants and/or 5T (IVS8-5T) allele of the CFTR gene were detected in 59 of 72 (81.9%) Russian men with CBAVD syndrome. Two CBAVD-related CFTR gene variants, including the 5T allele, were revealed in 32 (44.4%) patients. The results show a high frequency of pathogenic variants and 5T allele (IVS8-T5) polymorphism of the CFTR gene among Russian men with CBAVD syndrome. Russian patients with CBAVD syndrome and cystic fibrosis share the spectrum of pathogenic gene variants, and the prevalence of the 5Т allele and CFTR genotypes are similar to CBAVD patients from other populations.
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REFERENCES
Claustres, M., Molecular pathology of the CFTR locus in male infertility, Reprod. Biomed. Online, 2005, vol. 10, no. 1, pp. 14—41.
Chen, H., Ruan, Y.C., Xu, W.M., et al., Regulation of male fertility by CFTR and implications in male infertility, Hum. Reprod. Update, 2012, vol. 18, pp. 703—713. https://doi.org/10.1093/humupd/dms027
Schwiebert, E.M., Benos, D.J., Egan, M.E., et al., CFTR is a conductance regulator as well as a chloride channel, Physiol. Rev., 1999, vol. 79, suppl. 1, pp. S145—S166. https://doi.org/10.1152/physrev.1999.79.1.S145
Riordan, J.R., Rommens, J.M., Kerem, B., et al., Identification of the cystic fibrosis gene: cloning and characterization of complementary DNA, Science, 1989, vol. 245, pp. 1066—1073.
Welsh, M.J. and Smith, A.E., Molecular mechanisms of CFTR chloride channel dysfunction in cystic fibrosis, Cell, 1993, vol. 73, pp. 1252—1254.
Chillon, M., Casals, T., Mercier, B., et al., Mutations in the cystic fibrosis gene in patients with congenital absence of the vas deferens, N. Eng. J. Med., 1995, vol. 332, pp. 1475—1480. https://doi.org/10.1056/NEJM199506013322204
Cuppens, H., Lin, W., Jaspers, M., et al., Polyvariant mutant cystic fibrosis transmembrane conductance regulator genes: the polymorphic (TG)m locus explains the partial penetrance of the T5 polymorphism as a disease mutation, J. Clin. Invest., 1998, vol. 101, pp. 487—196. https://doi.org/10.1172/JCI639
Yang, B., Wang, J., Zhang, W., et al., Pathogenic role of ADGRG2 in CBAVD patients replicated in Chinese population, Andrology, 2017, vol. 5, no. 5, pp. 954—957. https://doi.org/10.1111/andr.12407
Patat, O., Pagin, A., Siegfried, A., et al., Truncating mutations in the adhesion G protein-coupled receptor G2 gene ADGRG2 cause an X-Linked congenital bilateral absence of vas deferens, Am. J. Hum. Genet., 2016, vol. 99, no. 2, pp. 437—442. https://doi.org/10.1016/j.ajhg.2016.06.012
WHO Laboratory Manual for the Examination and Processing of Human Semen, Genova: WHO, 2010, 5th ed.
Chernykh, V.B., Stepanova, A.A., Beskorovainaya, T.S., et al., The frequency and spectrum of mutations and the IVS8-T polymorphism of the CFTR gene in Russian infertile men, Russ. J. Genet., 2010, vol. 46, no. 6, pp. 750—757. https://doi.org/10.1134/S1022795410060165
Dörk, T., Dworniczak, B., Aulehla-Scholz, М., et al., Distinct spectrum of CFTR gene mutations in congenital absence of vas deferens, Hum. Genet., 1997, vol. 100, nos. 3—4, pp. 365—377.
Casals, T., Bassas, L., Egozcue, S., et al., Heterogeneity for mutations in the CFTR gene and clinical correlations in patients with congenital absence of the vas deferens, Hum. Reprod., 2000, vol. 15, no. 7, pp. 1476—1483.
Claustres, M., Guittard, C., Bozon, D., et al., Spectrum of CFTR mutations in cystic fibrosis and in congenital absence of the vas deferens in France, Hum. Mutat., 2000, vol. 16, pp. 143—156. https://doi.org/10.1002/1098-1004(200008)16:2<143::AID-HUMU7>3.0.CO;2-J
Schwarzer, J.U. and Schwarz, M., Significance of CFTR gene mutations in patients with congenital aplasia of vas deferens with special regard to renal aplasia, Andrologia, 2012, vol. 44, no. 5, pp. 305—307. https://doi.org/10.1111/j.1439-0272.2012.01281.x
Wu, C.C., Hsieh-Li, H.M., Lin, Y.M., et al., Cystic fibrosis transmembrane conductance regulator gene screening and clinical correlation in Taiwanese males with congenital bilateral absence of the vas deferens, Hum. Reprod., 2004, vol. 19, no. 2, pp. 250—253.
Sharma, N., Acharya, N., Singh, S.K., et al., Heterogeneous spectrum of CFTR gene mutations in Indian patients with congenital absence of vas deferens, Hum. Reprod., 2009, vol. 24, no. 5, pp. 1229—1236. https://doi.org/10.1093/humrep/den500
Anzai, C., Morokawa, N., Okada, H., et al., CFTR gene mutations in Japanese individuals with congenital bilateral absence of the vas deferens, J. Cyst. Fibros., 2003, vol. 2, no. 1, pp. 141—148. https://doi.org/10.1016/S1569-1993(02)00144-3
Li, H., Wen, Q., Zhao, L., et al., Mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) in Chinese patients with congenital bilateral absence of vas deferens, J. Cyst. Fibros., 2012, vol. 11, no. 4, pp. 316—323. https://doi.org/10.1016/j.jcf.2012.01.005
Petrova, N.V., Timkovskaya, E.E., Zinchenko, R.A., and Ginter, E.K., Detection of frequent mutations of gene CFTR in cystic fibrosis patients from Central Russia, Med. Genet., 2006, no. 2, pp. 28—31.
Yu, J., Chen, Z., Ni, Y., and Li, Z., CFTR mutations in men with congenital bilateral absence of the vas deferens (CBAVD): a systemic review and meta-analysis, Hum. Reprod., 2012, vol. 27, no. 1, pp. 25—35. https://doi.org/10.1093/humrep/der377
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Statement of compliance with standards of research involving humans as subjects. All procedures performed in a study involving people comply with the ethical standards of the institutional and/or national committee on research ethics and the Helsinki Declaration of 1964 and its subsequent changes or comparable standards of ethics. All subjects signed an informed consent. The protocol of the study was approved at the ethics committee meeting of the Research Centre for Medical Genetics, Moscow, dated September 4, 2017, protocol no. 5/2.
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Marnat, E.G., Adyan, T.A., Stepanova, A.A. et al. CFTR Gene Variants and Genotypes in Russian Patients with CBAVD Syndrome. Russ J Genet 56, 496–501 (2020). https://doi.org/10.1134/S1022795420040055
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DOI: https://doi.org/10.1134/S1022795420040055