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Huang G, Zhang X, Yao G, Huang L, Wu S, Li X, Guo J, Wen Y, Wang Y, Shang L, Li N, Xu W. A loss-of-function variant in SSFA2 causes male infertility with globozoospermia and failed oocyte activation. Reprod Biol Endocrinol 2022; 20:103. [PMID: 35836265 PMCID: PMC9281110 DOI: 10.1186/s12958-022-00976-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Accepted: 06/29/2022] [Indexed: 11/10/2022] Open
Abstract
Globozoospermia (OMIM: 102530) is a rare type of teratozoospermia (< 0.1%). The etiology of globozoospermia is complicated and has not been fully revealed. Here, we report an infertile patient with globozoospermia. Variational analysis revealed a homozygous missense variant in the SSFA2 gene (NM_001130445.3: c.3671G > A; p.R1224Q) in the patient. This variant significantly reduced the protein expression of SSFA2. Immunofluorescence staining showed positive SSFA2 expression in the acrosome of human sperm. Liquid chromatography-mass spectrometry/mass spectrometry (LC-MS/MS) and Coimmunoprecipitation (Co-IP) analyses identified that GSTM3 and Actin interact with SSFA2. Further investigation revealed that for the patient, regular intracytoplasmic sperm injection (ICSI) treatment had a poor prognosis. However, Artificial oocyte activation (AOA) by a calcium ionophore (A23187) after ICSI successfully rescued the oocyte activation failure for the patient with the SSFA2 variant, and the couple achieved a live birth. This study revealed that SSFA2 plays an important role in acrosome formation, and the homozygous c.3671G > A loss-of-function variant in SSFA2 caused globozoospermia. SSFA2 may represent a new gene in the genetic diagnosis of globozoospermia, especially the successful outcome of AOA-ICSI treatment for couples, which has potential value for clinicians in their treatment regimen selections.
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Affiliation(s)
- Gelin Huang
- Department of Obstetrics/Gynecology, Key Laboratory of Obstetric, Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, Joint Lab for Reproductive Medicine(SCU-CUHK), West China Second University Hospital, Sichuan University, Chengdu, China
| | - Xueguang Zhang
- Department of Obstetrics/Gynecology, Key Laboratory of Obstetric, Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, Joint Lab for Reproductive Medicine(SCU-CUHK), West China Second University Hospital, Sichuan University, Chengdu, China
| | - Guanping Yao
- Department of Reproductive Medicine Center, The Affiliated Hospital of Zunyi Medical University, Zunyi, China
| | - Lin Huang
- Department of Obstetrics/Gynecology, Key Laboratory of Obstetric, Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, Joint Lab for Reproductive Medicine(SCU-CUHK), West China Second University Hospital, Sichuan University, Chengdu, China
| | - Sixian Wu
- Department of Obstetrics/Gynecology, Key Laboratory of Obstetric, Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, Joint Lab for Reproductive Medicine(SCU-CUHK), West China Second University Hospital, Sichuan University, Chengdu, China
| | - Xiaoliang Li
- Department of Reproductive Endocrinology of West China Second University Hospital, Key Laboratory of Obstetric, Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, Sichuan University, Chengdu, China
| | - Juncen Guo
- Department of Obstetrics/Gynecology, Key Laboratory of Obstetric, Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, Joint Lab for Reproductive Medicine(SCU-CUHK), West China Second University Hospital, Sichuan University, Chengdu, China
| | - Yuting Wen
- Department of Obstetrics/Gynecology, Key Laboratory of Obstetric, Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, Joint Lab for Reproductive Medicine(SCU-CUHK), West China Second University Hospital, Sichuan University, Chengdu, China
| | - Yan Wang
- Department of Reproductive Endocrinology of West China Second University Hospital, Key Laboratory of Obstetric, Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, Sichuan University, Chengdu, China
| | - Lijun Shang
- School of Human Sciences, London Metropolitan University, London, UK
| | - Na Li
- Laboratory of Medical Systems Biology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
| | - Wenming Xu
- Department of Obstetrics/Gynecology, Key Laboratory of Obstetric, Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, Joint Lab for Reproductive Medicine(SCU-CUHK), West China Second University Hospital, Sichuan University, Chengdu, China.
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