Clinical phenotype and genetic analysis of patients with severe oligoasthenospermia carrying heterozygous SOHLH1 c.346-1G>A mutation

IntroductionSevere oligoasthenospermia (SOA) is a prevalent cause of male infertility. However, the underlying causes of most SOA cases remain unclear due to the complexity of germ cell development and the significant genetic heterogeneity associated with male infertility. Therefore, in this study,...

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Main Authors: Xiaojun Wen, Zhiming Li, Lizi Cheng, Jianhong Wei, Wenjuan Yu, Xiufeng Lin, Xiaowu Fang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Genetics
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Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2025.1531697/full
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author Xiaojun Wen
Zhiming Li
Lizi Cheng
Jianhong Wei
Wenjuan Yu
Xiufeng Lin
Xiufeng Lin
Xiaowu Fang
author_facet Xiaojun Wen
Zhiming Li
Lizi Cheng
Jianhong Wei
Wenjuan Yu
Xiufeng Lin
Xiufeng Lin
Xiaowu Fang
author_sort Xiaojun Wen
collection DOAJ
description IntroductionSevere oligoasthenospermia (SOA) is a prevalent cause of male infertility. However, the underlying causes of most SOA cases remain unclear due to the complexity of germ cell development and the significant genetic heterogeneity associated with male infertility. Therefore, in this study, we aimed to elucidate the genetic etiology of two cases of male infertility resulting from SOA and clarify the novel clinical phenotype associated with a heterozygous mutation at the c.346-1G>A site of the SOHLH1 gene.Methods and resultsThrough whole-exome sequencing, we found that patients with SOA carried heterozygous mutations at the c.346-1G>A site. This variant is classified as pathogenic based on disease database records and literature reports. Notably, our study demonstrated that patients with heterozygous mutations at the c.346-1G>A site exhibited severely reduced sperm counts, significantly impaired sperm motility, and pronounced morphological deformities. One patient underwent assisted reproductive treatment through an intracytoplasmic sperm injection and achieved a favorable outcome, resulting in a successful pregnancy.DiscussionIn conclusion, our study provides the first evidence that the heterozygous mutation at the c.346-1G>A site of SOHLH1 is associated with SOA, and elucidates the new clinical phenotype associated with this mutation.
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spelling doaj-art-04cd9564a79944249ef579f51d5df6572025-01-30T06:22:54ZengFrontiers Media S.A.Frontiers in Genetics1664-80212025-01-011610.3389/fgene.2025.15316971531697Clinical phenotype and genetic analysis of patients with severe oligoasthenospermia carrying heterozygous SOHLH1 c.346-1G>A mutationXiaojun Wen0Zhiming Li1Lizi Cheng2Jianhong Wei3Wenjuan Yu4Xiufeng Lin5Xiufeng Lin6Xiaowu Fang7Reproductive Medicine Center, Boai Hospital of Zhongshan, Zhongshan, Guangdong, ChinaReproductive Medicine Center, Boai Hospital of Zhongshan, Zhongshan, Guangdong, ChinaReproductive Medicine Center, Boai Hospital of Zhongshan, Zhongshan, Guangdong, ChinaReproductive Medicine Center, Boai Hospital of Zhongshan, Zhongshan, Guangdong, ChinaReproductive Medicine Center, Boai Hospital of Zhongshan, Zhongshan, Guangdong, ChinaReproductive Medicine Center, Boai Hospital of Zhongshan, Zhongshan, Guangdong, ChinaThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, ChinaReproductive Medicine Center, Boai Hospital of Zhongshan, Zhongshan, Guangdong, ChinaIntroductionSevere oligoasthenospermia (SOA) is a prevalent cause of male infertility. However, the underlying causes of most SOA cases remain unclear due to the complexity of germ cell development and the significant genetic heterogeneity associated with male infertility. Therefore, in this study, we aimed to elucidate the genetic etiology of two cases of male infertility resulting from SOA and clarify the novel clinical phenotype associated with a heterozygous mutation at the c.346-1G>A site of the SOHLH1 gene.Methods and resultsThrough whole-exome sequencing, we found that patients with SOA carried heterozygous mutations at the c.346-1G>A site. This variant is classified as pathogenic based on disease database records and literature reports. Notably, our study demonstrated that patients with heterozygous mutations at the c.346-1G>A site exhibited severely reduced sperm counts, significantly impaired sperm motility, and pronounced morphological deformities. One patient underwent assisted reproductive treatment through an intracytoplasmic sperm injection and achieved a favorable outcome, resulting in a successful pregnancy.DiscussionIn conclusion, our study provides the first evidence that the heterozygous mutation at the c.346-1G>A site of SOHLH1 is associated with SOA, and elucidates the new clinical phenotype associated with this mutation.https://www.frontiersin.org/articles/10.3389/fgene.2025.1531697/fullmale infertilitySOASOHLH1 genenovel clinical phenotypeintracytoplasmic sperm injection
spellingShingle Xiaojun Wen
Zhiming Li
Lizi Cheng
Jianhong Wei
Wenjuan Yu
Xiufeng Lin
Xiufeng Lin
Xiaowu Fang
Clinical phenotype and genetic analysis of patients with severe oligoasthenospermia carrying heterozygous SOHLH1 c.346-1G>A mutation
Frontiers in Genetics
male infertility
SOA
SOHLH1 gene
novel clinical phenotype
intracytoplasmic sperm injection
title Clinical phenotype and genetic analysis of patients with severe oligoasthenospermia carrying heterozygous SOHLH1 c.346-1G>A mutation
title_full Clinical phenotype and genetic analysis of patients with severe oligoasthenospermia carrying heterozygous SOHLH1 c.346-1G>A mutation
title_fullStr Clinical phenotype and genetic analysis of patients with severe oligoasthenospermia carrying heterozygous SOHLH1 c.346-1G>A mutation
title_full_unstemmed Clinical phenotype and genetic analysis of patients with severe oligoasthenospermia carrying heterozygous SOHLH1 c.346-1G>A mutation
title_short Clinical phenotype and genetic analysis of patients with severe oligoasthenospermia carrying heterozygous SOHLH1 c.346-1G>A mutation
title_sort clinical phenotype and genetic analysis of patients with severe oligoasthenospermia carrying heterozygous sohlh1 c 346 1g a mutation
topic male infertility
SOA
SOHLH1 gene
novel clinical phenotype
intracytoplasmic sperm injection
url https://www.frontiersin.org/articles/10.3389/fgene.2025.1531697/full
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