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07-12-2024 | Infertility | Genetics

Novel variants in PADI6 genes cause female infertility due to early embryo arrest

Authors: Juepu Zhou, Ruolin Mao, Limin Gao, Meng Wang, Rui Long, Xiangfei Wang, Zhou Li, Lei Jin, Lixia Zhu

Published in: Journal of Assisted Reproduction and Genetics | Issue 12/2024

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Abstract

Purpose

Early embryo arrest is characterized by premature termination of development in preimplantation embryos. Human subcortical maternal complex (SCMC) is a protein complex that is specifically expressed in mammalian oocytes and early embryos and is essential for embryonic cell division. Peptidyl arginine deiminase 6 (PADI6) is proven to be a member of SCMC. Variants in the PADI6 gene have been shown to induce early embryo arrest. In this study, we performed genetic analysis in patients with female infertility due to early embryo arrest to identify the disease-causing gene variants.

Methods

Whole-exome sequencing and Sanger sequencing were used to identify the variants in the patients and their families. Western blotting and immunofluorescence staining were used to check the effects of the variants on expression and function of PADI6.

Results

We identified a novel homozygous variant (c.358A > C [p.Thr120Pro]) and novel compound-heterozygous variants (c.2044C > T [p.Arg682Trp] and c.707dupT [p.Leu237Alafs*24]) in PADI6 in two infertile individuals with early embryo arrest. We found that these variants resulted in a decrease in the expression level of PADI6, which may lead to abnormal protein function. Immunofluorescence staining also suggested that these variants affected the expression of PADI6.

Conclusion

Our study expands the spectrum of genetic defects in female early embryo arrest and further supports the causality between PADI6 variants and female infertility.
Literature
1.
go back to reference Datta J, Palmer MJ, Tanton C, Gibson LJ, Jones KG, Macdowall W, et al. Prevalence of infertility and help seeking among 15 000 women and men. Hum Reprod. 2016;31(9):2108–18.CrossRefPubMedPubMedCentral Datta J, Palmer MJ, Tanton C, Gibson LJ, Jones KG, Macdowall W, et al. Prevalence of infertility and help seeking among 15 000 women and men. Hum Reprod. 2016;31(9):2108–18.CrossRefPubMedPubMedCentral
2.
go back to reference Xu Y, Wang R, Pang Z, Wei Z, Sun L, Li S, et al. Novel homozygous PADI6 variants in infertile females with early embryonic arrest. Front Cell Dev Biol. 2022;10:819667.CrossRefPubMedPubMedCentral Xu Y, Wang R, Pang Z, Wei Z, Sun L, Li S, et al. Novel homozygous PADI6 variants in infertile females with early embryonic arrest. Front Cell Dev Biol. 2022;10:819667.CrossRefPubMedPubMedCentral
3.
go back to reference Begemann M, Rezwan FI, Beygo J, Docherty LE, Kolarova J, Schroeder C, et al. Maternal variants in NLRP and other maternal effect proteins are associated with multilocus imprinting disturbance in offspring. J Med Genet. 2018;55(7):497–504.CrossRefPubMed Begemann M, Rezwan FI, Beygo J, Docherty LE, Kolarova J, Schroeder C, et al. Maternal variants in NLRP and other maternal effect proteins are associated with multilocus imprinting disturbance in offspring. J Med Genet. 2018;55(7):497–504.CrossRefPubMed
4.
go back to reference Wang X, Zhu H, He Y, Zeng J, Zhao J, Xia Q, et al. A novel homozygous mutation in the PADI6 gene causes early embryo arrest. Reprod Health. 2022;19(1):190.CrossRefPubMedPubMedCentral Wang X, Zhu H, He Y, Zeng J, Zhao J, Xia Q, et al. A novel homozygous mutation in the PADI6 gene causes early embryo arrest. Reprod Health. 2022;19(1):190.CrossRefPubMedPubMedCentral
5.
go back to reference Bebbere D, Masala L, Albertini DF, Ledda S. The subcortical maternal complex: multiple functions for one biological structure? J Assist Reprod Genet. 2016;33(11):1431–8.CrossRefPubMedPubMedCentral Bebbere D, Masala L, Albertini DF, Ledda S. The subcortical maternal complex: multiple functions for one biological structure? J Assist Reprod Genet. 2016;33(11):1431–8.CrossRefPubMedPubMedCentral
6.
go back to reference Bebbere D, Albertini DF, Coticchio G, Borini A, Ledda S. The subcortical maternal complex: emerging roles and novel perspectives. Mol Hum Reprod. 2021;27(7). Bebbere D, Albertini DF, Coticchio G, Borini A, Ledda S. The subcortical maternal complex: emerging roles and novel perspectives. Mol Hum Reprod. 2021;27(7).
7.
go back to reference Wang X, Song D, Mykytenko D, Kuang Y, Lv Q, Li B, et al. Novel mutations in genes encoding subcortical maternal complex proteins may cause human embryonic developmental arrest. Reprod Biomed Online. 2018;36(6):698–704.CrossRefPubMed Wang X, Song D, Mykytenko D, Kuang Y, Lv Q, Li B, et al. Novel mutations in genes encoding subcortical maternal complex proteins may cause human embryonic developmental arrest. Reprod Biomed Online. 2018;36(6):698–704.CrossRefPubMed
8.
go back to reference Mu J, Wang W, Chen B, Wu L, Li B, Mao X, et al. Mutations in NLRP2 and NLRP5 cause female infertility characterised by early embryonic arrest. J Med Genet. 2019;56(7):471–80.CrossRefPubMed Mu J, Wang W, Chen B, Wu L, Li B, Mao X, et al. Mutations in NLRP2 and NLRP5 cause female infertility characterised by early embryonic arrest. J Med Genet. 2019;56(7):471–80.CrossRefPubMed
9.
go back to reference Maddirevula S, Awartani K, Coskun S, AlNaim LF, Ibrahim N, Abdulwahab F, et al. A genomics approach to females with infertility and recurrent pregnancy loss. Hum Genet. 2020;139(5):605–13.CrossRefPubMed Maddirevula S, Awartani K, Coskun S, AlNaim LF, Ibrahim N, Abdulwahab F, et al. A genomics approach to females with infertility and recurrent pregnancy loss. Hum Genet. 2020;139(5):605–13.CrossRefPubMed
10.
go back to reference Xu Y, Qian Y, Liu Y, Wang Q, Wang R, Zhou Y, et al. A novel homozygous variant in NLRP5 is associate with human early embryonic arrest in a consanguineous Chinese family. Clin Genet. 2020;98(1):69–73.CrossRefPubMed Xu Y, Qian Y, Liu Y, Wang Q, Wang R, Zhou Y, et al. A novel homozygous variant in NLRP5 is associate with human early embryonic arrest in a consanguineous Chinese family. Clin Genet. 2020;98(1):69–73.CrossRefPubMed
11.
go back to reference Zheng W, Hu H, Dai J, Zhang S, Gu Y, Dai C, et al. Expanding the genetic and phenotypic spectrum of the subcortical maternal complex genes in recurrent preimplantation embryonic arrest. Clin Genet. 2021;99(2):286–91.CrossRefPubMed Zheng W, Hu H, Dai J, Zhang S, Gu Y, Dai C, et al. Expanding the genetic and phenotypic spectrum of the subcortical maternal complex genes in recurrent preimplantation embryonic arrest. Clin Genet. 2021;99(2):286–91.CrossRefPubMed
12.
go back to reference Zhou X, Zhu L, Hou M, Wu Y, Li Z, Wang J, et al. Novel compound heterozygous mutations in WEE2 causes female infertility and fertilization failure. J Assist Reprod Genet. 2019;36(9):1957–62.CrossRefPubMedPubMedCentral Zhou X, Zhu L, Hou M, Wu Y, Li Z, Wang J, et al. Novel compound heterozygous mutations in WEE2 causes female infertility and fertilization failure. J Assist Reprod Genet. 2019;36(9):1957–62.CrossRefPubMedPubMedCentral
13.
go back to reference Liu Z, Xi Q, Zhu L, Yang X, Jin L, Wang J, et al. TUBB8 mutations cause female infertility with large polar body oocyte and fertilization failure. Reprod Sci. 2021;28(10):2942–50.CrossRefPubMed Liu Z, Xi Q, Zhu L, Yang X, Jin L, Wang J, et al. TUBB8 mutations cause female infertility with large polar body oocyte and fertilization failure. Reprod Sci. 2021;28(10):2942–50.CrossRefPubMed
15.
go back to reference Yu X-J, Yi Z, Gao Z, Qin D, Zhai Y, Chen X, et al. The subcortical maternal complex controls symmetric division of mouse zygotes by regulating F-actin dynamics. Nat Commun. 2014;5:4887.CrossRefPubMed Yu X-J, Yi Z, Gao Z, Qin D, Zhai Y, Chen X, et al. The subcortical maternal complex controls symmetric division of mouse zygotes by regulating F-actin dynamics. Nat Commun. 2014;5:4887.CrossRefPubMed
16.
go back to reference Zheng P, Baibakov B, Wang X-H, Dean J. PtdIns(3,4,5)P3 is constitutively synthesized and required for spindle translocation during meiosis in mouse oocytes. J Cell Sci. 2013;126(Pt 3):715–21.PubMedPubMedCentral Zheng P, Baibakov B, Wang X-H, Dean J. PtdIns(3,4,5)P3 is constitutively synthesized and required for spindle translocation during meiosis in mouse oocytes. J Cell Sci. 2013;126(Pt 3):715–21.PubMedPubMedCentral
17.
go back to reference Zheng P, Dean J. Role of Filia, a maternal effect gene, in maintaining euploidy during cleavage-stage mouse embryogenesis. Proc Natl Acad Sci U S A. 2009;106(18):7473–8.CrossRefPubMedPubMedCentral Zheng P, Dean J. Role of Filia, a maternal effect gene, in maintaining euploidy during cleavage-stage mouse embryogenesis. Proc Natl Acad Sci U S A. 2009;106(18):7473–8.CrossRefPubMedPubMedCentral
18.
go back to reference Alazami AM, Awad SM, Coskun S, Al-Hassan S, Hijazi H, Abdulwahab FM, et al. TLE6 mutation causes the earliest known human embryonic lethality. Genome Biol. 2015;16:240.CrossRefPubMedPubMedCentral Alazami AM, Awad SM, Coskun S, Al-Hassan S, Hijazi H, Abdulwahab FM, et al. TLE6 mutation causes the earliest known human embryonic lethality. Genome Biol. 2015;16:240.CrossRefPubMedPubMedCentral
19.
go back to reference Cubellis MV, Pignata L, Verma A, Sparago A, Del Prete R, Monticelli M, et al. Loss-of-function maternal-effect mutations of PADI6 are associated with familial and sporadic Beckwith-Wiedemann syndrome with multi-locus imprinting disturbance. Clin Epigenetics. 2020;12(1):139.CrossRefPubMedPubMedCentral Cubellis MV, Pignata L, Verma A, Sparago A, Del Prete R, Monticelli M, et al. Loss-of-function maternal-effect mutations of PADI6 are associated with familial and sporadic Beckwith-Wiedemann syndrome with multi-locus imprinting disturbance. Clin Epigenetics. 2020;12(1):139.CrossRefPubMedPubMedCentral
20.
go back to reference Esposito G, Vitale AM, Leijten FPJ, Strik AM, Koonen-Reemst AMCB, Yurttas P, et al. Peptidylarginine deiminase (PAD) 6 is essential for oocyte cytoskeletal sheet formation and female fertility. Mol Cell Endocrinol. 2007;273(1–2):25–31.CrossRefPubMed Esposito G, Vitale AM, Leijten FPJ, Strik AM, Koonen-Reemst AMCB, Yurttas P, et al. Peptidylarginine deiminase (PAD) 6 is essential for oocyte cytoskeletal sheet formation and female fertility. Mol Cell Endocrinol. 2007;273(1–2):25–31.CrossRefPubMed
21.
go back to reference Williams JPC, Walport LJ. PADI6: what we know about the elusive fifth member of the peptidyl arginine deiminase family. Philos Trans R Soc Lond B Biol Sci. 1890;2023(378):20220242. Williams JPC, Walport LJ. PADI6: what we know about the elusive fifth member of the peptidyl arginine deiminase family. Philos Trans R Soc Lond B Biol Sci. 1890;2023(378):20220242.
22.
go back to reference Xu Y, Shi Y, Fu J, Yu M, Feng R, Sang Q, et al. Mutations in PADI6 cause female infertility characterized by early embryonic arrest. Am J Hum Genet. 2016;99(3):744–52.CrossRefPubMedPubMedCentral Xu Y, Shi Y, Fu J, Yu M, Feng R, Sang Q, et al. Mutations in PADI6 cause female infertility characterized by early embryonic arrest. Am J Hum Genet. 2016;99(3):744–52.CrossRefPubMedPubMedCentral
23.
go back to reference Fei C-F, Zhou L-Q. Gene mutations impede oocyte maturation, fertilization, and early embryonic development. BioEssays. 2022;44(10):e2200007.CrossRefPubMed Fei C-F, Zhou L-Q. Gene mutations impede oocyte maturation, fertilization, and early embryonic development. BioEssays. 2022;44(10):e2200007.CrossRefPubMed
24.
go back to reference Wright PW, Bolling LC, Calvert ME, Sarmento OF, Berkeley EV, Shea MC, et al. ePAD, an oocyte and early embryo-abundant peptidylarginine deiminase-like protein that localizes to egg cytoplasmic sheets. Dev Biol. 2003;256(1):73–88.CrossRefPubMed Wright PW, Bolling LC, Calvert ME, Sarmento OF, Berkeley EV, Shea MC, et al. ePAD, an oocyte and early embryo-abundant peptidylarginine deiminase-like protein that localizes to egg cytoplasmic sheets. Dev Biol. 2003;256(1):73–88.CrossRefPubMed
25.
go back to reference Yurttas P, Vitale AM, Fitzhenry RJ, Cohen-Gould L, Wu W, Gossen JA, et al. Role for PADI6 and the cytoplasmic lattices in ribosomal storage in oocytes and translational control in the early mouse embryo. Development. 2008;135(15):2627–36.CrossRefPubMed Yurttas P, Vitale AM, Fitzhenry RJ, Cohen-Gould L, Wu W, Gossen JA, et al. Role for PADI6 and the cytoplasmic lattices in ribosomal storage in oocytes and translational control in the early mouse embryo. Development. 2008;135(15):2627–36.CrossRefPubMed
26.
go back to reference Zhang T, Liu P, Yao G, Zhang X, Cao C. A complex heterozygous mutation in PADI6 causes early embryo arrest: a case report. Front Genet. 2022;13:1104085.CrossRefPubMed Zhang T, Liu P, Yao G, Zhang X, Cao C. A complex heterozygous mutation in PADI6 causes early embryo arrest: a case report. Front Genet. 2022;13:1104085.CrossRefPubMed
27.
go back to reference Cao G, Zhu X, Lin Y, Fang J, Shen X, Wang S, et al. A novel homozygous variant in PADI6 is associate with human cleavage-stage embryonic arrest. Front Genet. 2023;14:1243230.CrossRefPubMedPubMedCentral Cao G, Zhu X, Lin Y, Fang J, Shen X, Wang S, et al. A novel homozygous variant in PADI6 is associate with human cleavage-stage embryonic arrest. Front Genet. 2023;14:1243230.CrossRefPubMedPubMedCentral
28.
go back to reference Liu J, Tan Z, He J, Jin T, Han Y, Hu L, et al. Two novel mutations in PADI6 and TLE6 genes cause female infertility due to arrest in embryonic development. J Assist Reprod Genet. 2021;38(6):1551–9.CrossRefPubMedPubMedCentral Liu J, Tan Z, He J, Jin T, Han Y, Hu L, et al. Two novel mutations in PADI6 and TLE6 genes cause female infertility due to arrest in embryonic development. J Assist Reprod Genet. 2021;38(6):1551–9.CrossRefPubMedPubMedCentral
29.
go back to reference Qian J, Nguyen NMP, Rezaei M, Huang B, Tao Y, Zhang X, et al. Biallelic PADI6 variants linking infertility, miscarriages, and hydatidiform moles. Eur J Hum Genet. 2018;26(7):1007–13.CrossRefPubMedPubMedCentral Qian J, Nguyen NMP, Rezaei M, Huang B, Tao Y, Zhang X, et al. Biallelic PADI6 variants linking infertility, miscarriages, and hydatidiform moles. Eur J Hum Genet. 2018;26(7):1007–13.CrossRefPubMedPubMedCentral
30.
go back to reference Rezaei M, Suresh B, Bereke E, Hadipour Z, Aguinaga M, Qian J, et al. Novel pathogenic variants in NLRP7, NLRP5, and PADI6 in patients with recurrent hydatidiform moles and reproductive failure. Clin Genet. 2021;99(6):823–8.CrossRefPubMed Rezaei M, Suresh B, Bereke E, Hadipour Z, Aguinaga M, Qian J, et al. Novel pathogenic variants in NLRP7, NLRP5, and PADI6 in patients with recurrent hydatidiform moles and reproductive failure. Clin Genet. 2021;99(6):823–8.CrossRefPubMed
31.
go back to reference Monk D, Mackay DJG, Eggermann T, Maher ER, Riccio A. Genomic imprinting disorders: lessons on how genome, epigenome and environment interact. Nat Rev Genet. 2019;20(4):235–48.CrossRefPubMed Monk D, Mackay DJG, Eggermann T, Maher ER, Riccio A. Genomic imprinting disorders: lessons on how genome, epigenome and environment interact. Nat Rev Genet. 2019;20(4):235–48.CrossRefPubMed
32.
go back to reference Eggermann T, Kadgien G, Begemann M, Elbracht M. Biallelic PADI6 variants cause multilocus imprinting disturbances and miscarriages in the same family. Eur J Hum Genet. 2021;29(4):575–80.CrossRefPubMed Eggermann T, Kadgien G, Begemann M, Elbracht M. Biallelic PADI6 variants cause multilocus imprinting disturbances and miscarriages in the same family. Eur J Hum Genet. 2021;29(4):575–80.CrossRefPubMed
Metadata
Title
Novel variants in PADI6 genes cause female infertility due to early embryo arrest
Authors
Juepu Zhou
Ruolin Mao
Limin Gao
Meng Wang
Rui Long
Xiangfei Wang
Zhou Li
Lei Jin
Lixia Zhu
Publication date
07-12-2024
Publisher
Springer US
Published in
Journal of Assisted Reproduction and Genetics / Issue 12/2024
Print ISSN: 1058-0468
Electronic ISSN: 1573-7330
DOI
https://doi.org/10.1007/s10815-024-03332-1

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