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Primary Ovarian Insufficiency and Azoospermia in Carriers of a Homozygous PSMC3IP Stop Gain Mutation

By:Al-Agha, AE (Al-Agha, Abdulmoein Eid)[ 1 ] ; Ahmed, IA (Ahmed, Ihab Abdulhamed)[ 1,8 ] ; Nuebel, E (Nuebel, Esther)[ 2,3 ] ; Moriwaki, M (Moriwaki, Mika)[4 ] ; Moore, B (Moore, Barry)[ 5 ] ; Peacock, KA (Peacock, Katherine A.)[ 4 ] ; Mosbruger, T (Mosbruger, Tim)[ 6 ] ; Neklason, DW (Neklason, Deborah

W.)[ 7 ] ; Jorde, LB (Jorde, Lynn B.)[ 5 ] ; Yandell, M (Yandell, Mark)[ 5 ] ...More

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM Volume: 103

Issue: 2

Pages: 555-563

DOI: 10.1210/jc.2017-01966 Published: FEB 2018 View Journal Impact

Abstract

Context: The etiology of primary ovarian insufficiency (POI) remains unknown in most cases. Objective:

We sought to identify the genes causing POI.

Design: The study was a familial genetic study.

Setting: The study was performed at two academic institutions.

Patients: We identified a consanguineous Yemeni family in which four daughters had POI. A brother had azoospermia.

Intervention: DNA was subjected to whole genome sequencing. Shared regions of homozygosity were identified using Truploidy and prioritized using the Variant Annotation, Analysis, and Search Tool with control data from 387 healthy subjects. Imaging and quantification of protein localization and

mitochondrial function were examined in cell lines.

Main Outcome: Homozygous recessive gene variants shared by the four sisters.

Results: The sisters shared a homozygous stop gain mutation in exon 6 of PSMC3IP (c.489 C > G, p.Tyr163Ter) and a missense variant in exon 1 of CLPP (c.100C > T, p.Pro34Ser). The affected brother

(2)

also carried the homozygous PSMC3IP mutation. Functional studies demonstrated mitochondrial fragmentation in cells infected with the CLPP mutation. However, no abnormality was found in mitochondrial targeting or respiration.

Conclusions: The PSMC3IP mutation provides additional evidence that mutations in meiotic homologous recombination and DNA repair genes result in distinct female and male reproductive phenotypes,

including delayed puberty and primary amenorrhea caused by POI (XX gonadal dysgenesis) in females but isolated azoospermia with normal pubertal development in males. The findings also suggest that the N-terminal missense mutation in CLPP does not cause substantial mitochondrial dysfunction or contribute to ovarian insufficiency in an oligogenic manner.

Keywords

KeyWords Plus:ESCHERICHIA-COLI CLPP; CHROMOSOMAL INSTABILITY; PERRAULT SYNDROME; GENETIC-VARIATION; HUMAN HOMOLOG; HOP2

PROTEIN; FAILURE; IDENTIFICATION; LOCALIZATION; DYSGENESIS

Author Information

Reprint Address: Welt, CK (reprint author)

Univ Utah, Eccles Inst Human Genet, Div Endocrinol Metab & Diabet, 15 North 2030 East, Salt Lake City, UT 84112 USA.

Addresses:

[ 1 ] King Abdulaziz Univ Hosp, Pediat Dept, Jeddah 21589, Saudi Arabia [ 2 ] Univ Utah, Howard Hughes Med Inst, Salt Lake City, UT 84112 USA [ 3 ] Univ Utah, Dept Biochem, Salt Lake City, UT 84112 USA

[ 4 ] Univ Utah, Div Endocrinol Metab & Diabet, Salt Lake City, UT 84112 USA

[ 5 ] Univ Utah, Dept Human Genet, UStar Ctr Genet Discovery, Salt Lake City, UT 84112 USA [ 6 ] Univ Utah, Huntsman Canc Inst, Bioinformat, Salt Lake City, UT 84112 USA

[ 7 ] Univ Utah, Dept Internal Med, Div Genet Epidemiol, Salt Lake City, UT 84112 USA [ 8 ] Zagazig Univ, Pediat Dept, Zagazig 44519, Egypt

E-mail Addresses:[email protected]

Funding

Funding Agency Grant Number

Utah Genome Project, Chan Soon-Shiong Family Foundation

USTAR Center for Genetic Discovery

National Cancer Institute to the Huntsman Cancer Institute Bioinformatics Core P30CA042014

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National Institute of Health

GM59290 GM104390 GM118335 View funding text

Publisher

OXFORD UNIV PRESS INC, JOURNALS DEPT, 2001 EVANS RD, CARY, NC 27513 USA

Categories / Classification

Research Areas:Endocrinology & Metabolism

Web of Science Categories:Endocrinology & Metabolism

Document Information

Document Type:Article Language:English

Accession Number: WOS:000424937300023 PubMed ID: 29240891

ISSN: 0021-972X eISSN: 1945-7197

Journal Information

Table of Contents: Current Contents Connect

Impact Factor: Journal Citation Reports

Other Information

IDS Number: FV9VG

Cited References in Web of Science Core Collection: 39 Times Cited in Web of Science Core Collection: 0

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