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Pasquini M, Chiani F, Gambadoro A, Di Pietro C, Paoletti R, Orsini T, Putti S, Scavizzi F, La Sala G, Ermakova O. The Odad3 Gene Is Necessary for Spermatozoa Development and Male Fertility in Mice. Cells 2024; 13:1053. [PMID: 38920681 PMCID: PMC11201558 DOI: 10.3390/cells13121053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2024] [Revised: 06/10/2024] [Accepted: 06/12/2024] [Indexed: 06/27/2024] Open
Abstract
Odad3 gene loss-of-function mutation leads to Primary Ciliary Dyskinesia (PCD), a disease caused by motile cilia dysfunction. Previously, we demonstrated that knockout of the Odad3 gene in mice replicates several features of PCD, such as hydrocephalus, defects in left-right body symmetry, and male infertility, with a complete absence of sperm in the reproductive tract. The majority of Odad3 knockout animals die before sexual maturation due to severe hydrocephalus and failure to thrive, which precludes fertility studies. Here, we performed the expression analysis of the Odad3 gene during gonad development and in adult testes. We showed that Odad3 starts its expression during the first wave of spermatogenesis, specifically at the meiotic stage, and that its expression is restricted to the germ cells in the adult testes, suggesting that Odad3 plays a role in spermatozoa formation. Subsequently, we conditionally deleted the Odad3 gene in adult males and demonstrated that even partial ablation of the Odad3 gene leads to asthenoteratozoospermia with multiple morphological abnormalities of sperm flagella (MMAF) in mice. The analysis of the seminiferous tubules in Odad3-deficient mice revealed defects in spermatogenesis with accumulation of seminiferous tubules at the spermiogenesis and spermiation phases. Furthermore, analysis of fertility in heterozygous Odad3+/- knockout mice revealed a reduction in sperm count and motility as well as abnormal sperm morphology. Additionally, Odad3+/- males exhibited a shorter fertile lifespan. Overall, these results suggest the important role of Odad3 and Odad3 gene dosage in male fertility. These findings may have an impact on the genetic and fertility counseling practice of PCD patients carrying Odad3 loss-of-function mutations.
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Affiliation(s)
- Miriam Pasquini
- Institute of Biochemistry and Cell Biology (IBBC), National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy; (M.P.); (F.C.); (A.G.); (C.D.P.); (R.P.); (T.O.); (S.P.); (F.S.)
- European Mouse Mutant Archive (EMMA), INFRAFRONTIER, Monterotondo Mouse Clinic, National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy
| | - Francesco Chiani
- Institute of Biochemistry and Cell Biology (IBBC), National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy; (M.P.); (F.C.); (A.G.); (C.D.P.); (R.P.); (T.O.); (S.P.); (F.S.)
- European Mouse Mutant Archive (EMMA), INFRAFRONTIER, Monterotondo Mouse Clinic, National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy
| | - Alessia Gambadoro
- Institute of Biochemistry and Cell Biology (IBBC), National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy; (M.P.); (F.C.); (A.G.); (C.D.P.); (R.P.); (T.O.); (S.P.); (F.S.)
- European Mouse Mutant Archive (EMMA), INFRAFRONTIER, Monterotondo Mouse Clinic, National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy
| | - Chiara Di Pietro
- Institute of Biochemistry and Cell Biology (IBBC), National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy; (M.P.); (F.C.); (A.G.); (C.D.P.); (R.P.); (T.O.); (S.P.); (F.S.)
- European Mouse Mutant Archive (EMMA), INFRAFRONTIER, Monterotondo Mouse Clinic, National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy
| | - Renata Paoletti
- Institute of Biochemistry and Cell Biology (IBBC), National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy; (M.P.); (F.C.); (A.G.); (C.D.P.); (R.P.); (T.O.); (S.P.); (F.S.)
| | - Tiziana Orsini
- Institute of Biochemistry and Cell Biology (IBBC), National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy; (M.P.); (F.C.); (A.G.); (C.D.P.); (R.P.); (T.O.); (S.P.); (F.S.)
- European Mouse Mutant Archive (EMMA), INFRAFRONTIER, Monterotondo Mouse Clinic, National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy
| | - Sabrina Putti
- Institute of Biochemistry and Cell Biology (IBBC), National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy; (M.P.); (F.C.); (A.G.); (C.D.P.); (R.P.); (T.O.); (S.P.); (F.S.)
- European Mouse Mutant Archive (EMMA), INFRAFRONTIER, Monterotondo Mouse Clinic, National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy
| | - Ferdinando Scavizzi
- Institute of Biochemistry and Cell Biology (IBBC), National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy; (M.P.); (F.C.); (A.G.); (C.D.P.); (R.P.); (T.O.); (S.P.); (F.S.)
- European Mouse Mutant Archive (EMMA), INFRAFRONTIER, Monterotondo Mouse Clinic, National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy
| | - Gina La Sala
- Institute of Biochemistry and Cell Biology (IBBC), National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy; (M.P.); (F.C.); (A.G.); (C.D.P.); (R.P.); (T.O.); (S.P.); (F.S.)
- European Mouse Mutant Archive (EMMA), INFRAFRONTIER, Monterotondo Mouse Clinic, National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy
| | - Olga Ermakova
- Institute of Biochemistry and Cell Biology (IBBC), National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy; (M.P.); (F.C.); (A.G.); (C.D.P.); (R.P.); (T.O.); (S.P.); (F.S.)
- European Mouse Mutant Archive (EMMA), INFRAFRONTIER, Monterotondo Mouse Clinic, National Research Council of Italy (CNR), Adriano Buzzati-Traverso Campus, Via Ramarini, 32, 00015 Monterotondo, Italy
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Liu Z, Wang C, Ni F, Li T, Yang F, Wei H, Li T, Huang C, Wang J, Wang B. Identification of a Homozygous Mutation of CCDC40 in a Chinese Infertile Man with MMAF and PCD-like Phenotypes. Genet Test Mol Biomarkers 2024. [PMID: 38837151 DOI: 10.1089/gtmb.2023.0263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2024] Open
Abstract
Aims: Asthenozoospermia is the most common factor of male infertility, mainly caused by multiple morphological abnormalities of the sperm flagella (MMAF) and primary ciliary dyskinesia (PCD). Previous studies have shown that genetic factors may contribute to MMAF and PCD. The study aimed to identify novel potentially pathogenic gene mutations in a Chinese infertile man with MMAF and PCD-like phenotypes. Methods: A Chinese infertile man with MMAF and PCD was enrolled in this study. Whole exome sequencing and Sanger sequencing were performed to identify potential causative genes and mutations. Results: A novel homozygous missense mutation (c.1450G>A; p.E484K) of CCDC40 was finally identified and Sanger sequencing confirmed that the patient carried the homozygous mutation, which was inherited from his parents. We reported the first homozygous missense CCDC40 mutation in infertile men with MMAF but had other milder PCD symptoms. Conclusion: Our findings not only broaden the disease-causing mutation spectrum of CCDC40 but also provide new insight into the correlation between CCDC40 mutations and MMAF.
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Affiliation(s)
- Zhonglin Liu
- Center of Reproductive Medicine, Affiliated hospital of Youjiang Medical University for Nationalities, Baise, China
| | - Chunyan Wang
- Graduate School of Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
- Center for Genetics, National Research Institute of Family Planning, Beijing, China
| | - Feng Ni
- Medicine Center, 901st hospital of PLA Joint Logistic Support Force, Hefei, China
| | - Tingshu Li
- Center of Reproductive Medicine, Affiliated hospital of Youjiang Medical University for Nationalities, Baise, China
| | - Fenglian Yang
- Industrial College of biomedicine and health industry, Youjiang Medical University for Nationalities, Baise, China
| | - Han Wei
- Graduate School of Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
- Center for Genetics, National Research Institute of Family Planning, Beijing, China
| | - Tengyan Li
- Center for Genetics, National Research Institute of Family Planning, Beijing, China
| | - Changhui Huang
- Department of Radiology, Affiliated hospital of Youjiang Medical University for Nationalities, Baise, China
| | - Junli Wang
- Center of Reproductive Medicine, Affiliated hospital of Youjiang Medical University for Nationalities, Baise, China
- Industrial College of biomedicine and health industry, Youjiang Medical University for Nationalities, Baise, China
| | - Binbin Wang
- Graduate School of Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
- Center for Genetics, National Research Institute of Family Planning, Beijing, China
- NHC Key Laboratory of Reproductive Health Engineering Technology Research (NRIFP), Beijing, China
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Oh J, Lee JS, Park MS, Kang YA, Cho HJ, Kim SY, Jung J, Yoon SO, Kim KW. Diagnosis of Primary Ciliary Dyskinesia via Whole Exome Sequencing and Histologic Findings. Yonsei Med J 2024; 65:48-54. [PMID: 38154480 PMCID: PMC10774650 DOI: 10.3349/ymj.2023.0238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 09/07/2023] [Accepted: 10/10/2023] [Indexed: 12/30/2023] Open
Abstract
PURPOSE To assess the diagnostic potential of whole-exome sequencing (WES) and elucidate the clinical and genetic characteristics of primary ciliary dyskinesia (PCD) in the Korean population. MATERIALS AND METHODS Forty-seven patients clinically suspected of having PCD were enrolled at a tertiary medical center. WES was performed in all patients, and seven patients received biopsy of cilia and transmission electron microscopy (TEM). RESULTS Overall, PCD was diagnosed in 10 (21.3%) patients: eight by WES (8/47, 17%), four by TEM. Among patients diagnosed as PCD based on TEM results, two patients showed consistent results with WES and TEM of PCD (2/4, 50%). In addition, five patients, who were not included in the final PCD diagnosis group, had variants of unknown significance in PCD-related genes (5/47, 10.6%). The most frequent pathogenic (P)/likely pathogenic (LP) variants were detected in DNAH11 (n=4, 21.1%), DRC1 (n=4, 21.1%), and DNAH5 (n=4, 21.1%). Among the detected 17 P/LP variants in PCD-related genes in this study, 8 (47.1%) were identified as novel variants. Regarding the genotype-phenotype correlation in this study, the authors experienced severe PCD cases caused by the LP/P variants in MCIDAS, DRC1, and CCDC39. CONCLUSION Through this study, we were able to confirm the value of WES as one of the diagnostic tools for PCD, which increases with TEM, rather than single gene tests. These results will prove useful to hospitals with limited access to PCD diagnostic testing but with relatively efficient in-house or outsourced access to genetic testing at a pre-symptomatic or early disease stage.
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Affiliation(s)
- Jiyoung Oh
- Division of Clinical Genetics, Department of Pediatrics, Yonsei University College of Medicine, Severance Children's Hospital, Seoul, Korea
| | - Jin-Sung Lee
- Center for Precision Medicine, Incheon Sejong Hospital, Seoul, Korea
| | - Moo Suk Park
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Young Ae Kang
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Hyung-Ju Cho
- Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea
| | - Song Yee Kim
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Jinsei Jung
- Department of Otorhinolaryngology, Graduate School of Medical Science, Brain Korea 21 Project, Yonsei University College of Medicine, Seoul, Korea
| | - Sun Och Yoon
- Department of Pathology, Yonsei University College of Medicine, Severance Hospital, Seoul, Korea
| | - Kyung Won Kim
- Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
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Liu Z, Yan W, Liu S, Liu Z, Xu P, Fang W. Regulatory network and targeted interventions for CCDC family in tumor pathogenesis. Cancer Lett 2023; 565:216225. [PMID: 37182638 DOI: 10.1016/j.canlet.2023.216225] [Citation(s) in RCA: 12] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 05/03/2023] [Accepted: 05/10/2023] [Indexed: 05/16/2023]
Abstract
CCDC (coiled-coil domain-containing) is a coiled helix domain that exists in natural proteins. There are about 180 CCDC family genes, encoding proteins that are involved in intercellular transmembrane signal transduction and genetic signal transcription, among other functions. Alterations in expression, mutation, and DNA promoter methylation of CCDC family genes have been shown to be associated with the pathogenesis of many diseases, including primary ciliary dyskinesia, infertility, and tumors. In recent studies, CCDC family genes have been found to be involved in regulation of growth, invasion, metastasis, chemosensitivity, and other biological behaviors of malignant tumor cells in various cancer types, including nasopharyngeal carcinoma, lung cancer, colorectal cancer, and thyroid cancer. In this review, we summarize the involvement of CCDC family genes in tumor pathogenesis and the relevant upstream and downstream molecular mechanisms. In addition, we summarize the potential of CCDC family genes as tumor therapy targets. The findings discussed here help us to further understand the role and the therapeutic applications of CCDC family genes in tumors.
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Affiliation(s)
- Zhen Liu
- Cancer Center, Integrated Hospital of Traditional Chinese Medicine, Southern Medical University, 510315, Guangzhou, China.
| | - Weiwei Yan
- Cancer Center, Integrated Hospital of Traditional Chinese Medicine, Southern Medical University, 510315, Guangzhou, China
| | - Shaohua Liu
- Department of General Surgery, Pingxiang People's Hospital, Pingxiang, Jiangxi, 337000, China
| | - Zhan Liu
- Department of Gastroenterology and Clinical Nutrition, The First Affiliated Hospital (People's Hospital of Hunan Province), Hunan Normal University, Changsha, 410002, China
| | - Ping Xu
- Cancer Center, Integrated Hospital of Traditional Chinese Medicine, Southern Medical University, 510315, Guangzhou, China; Respiratory Department, Peking University Shenzhen Hospital, Shenzhen, 518034, China.
| | - Weiyi Fang
- Cancer Center, Integrated Hospital of Traditional Chinese Medicine, Southern Medical University, 510315, Guangzhou, China.
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Yu H, Shi X, Shao Z, Geng H, Guo S, Li K, Gu M, Xu C, Gao Y, Tan Q, Duan Z, Wu H, Hua R, Guo R, Wei Z, Zhou P, Cao Y, He X, Li L, Zhang X, Lv M. Novel HYDIN variants associated with male infertility in two Chinese families. Front Endocrinol (Lausanne) 2023; 14:1118841. [PMID: 36742411 PMCID: PMC9889981 DOI: 10.3389/fendo.2023.1118841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Accepted: 01/03/2023] [Indexed: 01/19/2023] Open
Abstract
INTRODUCTION Infertility is a major disease affecting human life and health, among which male factors account for about half. Asthenoteratozoospermia accounts for the majority of male infertility. High-throughput sequencing techniques have identified numerous variants in genes responsible for asthenoteratozoospermia; however, its etiology still needs to be studied. METHOD In this study, we performed whole-exome sequencing on samples from 375 patients with asthenoteratozoospermia and identified two HYDIN compound heterozygous variants, a primary ciliary dyskinesia (PCD)-associated gene, in two unrelated subjects. H&E staining, SEM were employed to analyze the varies on sperm of patients, further, TEM was employed to determine the ultrastructure defects. And westernblot and immunostaining were chose to evaluate the variation of structural protein. ICSI was applied to assist the mutational patient to achieve offspring. RESULT We identified two HYDIN compound heterozygous variants. Patient AY078 had novel compound heterozygous splice variants (c.5969-2A>G, c.6316+1G>A), altering the consensus splice acceptor site of HYDIN. He was diagnosed with male infertility and PCD, presenting with decreased sperm progressive motility and morphological abnormalities, and bronchial dilatation in the inferior lobe. Compared to the fertile control, HYDIN levels, acrosome and centrosome markers (ACTL7A, ACROSIN, PLCζ1, and Centrin1), and flagella components (TOMM20, SEPT4, SPEF2, SPAG6, and RSPHs) were significantly reduced in HYDIN-deficient patients. Using intracytoplasmic sperm injection (ICSI), the patient successfully achieved clinical pregnancy. AY079 had deleterious compound heterozygous missense variants, c.9507C>G (p. Asn3169Lys) and c.14081G>A (p. Arg4694His), presenting with infertility; however, semen samples and PCD examination were unavailable. DISCUSSION Our findings provide the first evidence that the loss of HYDIN function causes asthenoteratozoospermia presenting with various defects in the flagella structure and the disassembly of the acrosome and neck. Additionally, ICSI could rescue this failure of insemination caused by immobile and malformed sperm induced by HYDIN deficiency.
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Affiliation(s)
- Hui Yu
- Department of Obstetrics and Gynecology, Fuyang Hospital of Anhui Medical University, Fuyang, China
- Reproductive Medicine Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Xiao Shi
- Department of Respiratory and Critical Care Medicine, Second Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Zhongmei Shao
- Department of Obstetrics and Gynecology, Fuyang Hospital of Anhui Medical University, Fuyang, China
- Reproductive Medicine Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Hao Geng
- Reproductive Medicine Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei, China
- National Health Commission (NHC) Key Laboratory of Study on Abnormal Gametes and Reproductive Tract (Anhui Medical University), Hefei, China
- Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Hefei, China
| | - Senzhao Guo
- Reproductive Medicine Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei, China
- National Health Commission (NHC) Key Laboratory of Study on Abnormal Gametes and Reproductive Tract (Anhui Medical University), Hefei, China
- Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Hefei, China
| | - Kuokuo Li
- Reproductive Medicine Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei, China
- National Health Commission (NHC) Key Laboratory of Study on Abnormal Gametes and Reproductive Tract (Anhui Medical University), Hefei, China
- Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Hefei, China
| | - Meng Gu
- Reproductive Medicine Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei, China
- National Health Commission (NHC) Key Laboratory of Study on Abnormal Gametes and Reproductive Tract (Anhui Medical University), Hefei, China
- Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Hefei, China
| | - Chuan Xu
- Reproductive Medicine Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei, China
- National Health Commission (NHC) Key Laboratory of Study on Abnormal Gametes and Reproductive Tract (Anhui Medical University), Hefei, China
- Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Hefei, China
| | - Yang Gao
- Reproductive Medicine Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei, China
- National Health Commission (NHC) Key Laboratory of Study on Abnormal Gametes and Reproductive Tract (Anhui Medical University), Hefei, China
- Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Hefei, China
| | - Qing Tan
- Reproductive Medicine Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei, China
- Anhui Provincial Human Sperm Bank, First Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Zongliu Duan
- Reproductive Medicine Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei, China
- National Health Commission (NHC) Key Laboratory of Study on Abnormal Gametes and Reproductive Tract (Anhui Medical University), Hefei, China
- Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Hefei, China
| | - Huan Wu
- Reproductive Medicine Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei, China
- National Health Commission (NHC) Key Laboratory of Study on Abnormal Gametes and Reproductive Tract (Anhui Medical University), Hefei, China
- Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Hefei, China
| | - Rong Hua
- National Health Commission (NHC) Key Laboratory of Study on Abnormal Gametes and Reproductive Tract (Anhui Medical University), Hefei, China
- Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Hefei, China
| | - Rui Guo
- National Health Commission (NHC) Key Laboratory of Study on Abnormal Gametes and Reproductive Tract (Anhui Medical University), Hefei, China
- Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Hefei, China
| | - Zhaolian Wei
- Reproductive Medicine Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei, China
- National Health Commission (NHC) Key Laboratory of Study on Abnormal Gametes and Reproductive Tract (Anhui Medical University), Hefei, China
- Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Hefei, China
| | - Ping Zhou
- Reproductive Medicine Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei, China
- National Health Commission (NHC) Key Laboratory of Study on Abnormal Gametes and Reproductive Tract (Anhui Medical University), Hefei, China
- Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Hefei, China
| | - Yunxia Cao
- Reproductive Medicine Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei, China
- National Health Commission (NHC) Key Laboratory of Study on Abnormal Gametes and Reproductive Tract (Anhui Medical University), Hefei, China
- Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Hefei, China
| | - Xiaojin He
- Reproductive Medicine Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei, China
- National Health Commission (NHC) Key Laboratory of Study on Abnormal Gametes and Reproductive Tract (Anhui Medical University), Hefei, China
- Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Hefei, China
| | - Liang Li
- Department of Obstetrics and Gynecology, Fuyang Hospital of Anhui Medical University, Fuyang, China
| | - Xiaoping Zhang
- Department of Obstetrics and Gynecology, Fuyang Hospital of Anhui Medical University, Fuyang, China
| | - Mingrong Lv
- Department of Obstetrics and Gynecology, Fuyang Hospital of Anhui Medical University, Fuyang, China
- Reproductive Medicine Center, Department of Obstetrics and Gynecology, First Affiliated Hospital of Anhui Medical University, Hefei, China
- National Health Commission (NHC) Key Laboratory of Study on Abnormal Gametes and Reproductive Tract (Anhui Medical University), Hefei, China
- Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Hefei, China
- *Correspondence: Mingrong Lv,
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