Genetics of teratozoospermia: Back to the head
Open accessAbstract
Spermatozoa are polarized cells with a head and a flagellum joined by the connecting piece. Head integrity is critical for normal sperm function, and head defects consistently lead to male infertility. Abnormalities of the sperm head are among the most severe and characteristic sperm defects. Patients presenting with a monomorphic head sperm defects such as globozoospermia or marcrozoospermia were analyzed permitting to identify several key genes for spermatogenesis such as AURKC and DPY19L2. The study of patients with other specific sperm head defects such as acephalic spermatozoa have also enabled the identification of new infertility genes such as SUN5. Here, we review the genetic causes leading to morphological defects of sperm head. Advances in the genetics of male infertility are necessary to improve the management of infertility and will pave the road towards future strategies of treatments, especially for patients with the most severe phenotype as sperm head defects.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Among all sperm morphological defects, head abnormalities are found to be the most severe form.
“Among all sperm morphological defects, head abnormalities are found to be the most severe form (38).”
From Isolated teratozoospermia: revisiting its relevance in male infertility: a narrative review (2024) · cites this paper as [38]
The Abstract says sperm-head abnormalities are “among the most severe” sperm defects. That supports their severity, but not the citing sentence’s stronger claim that they are the single most severe form among all sperm morphological defects. (LLM, conf=0.86)
Experimental — accuracy not yet measuredLive births after ICSI have been reported in acephalic/pinhead sperm syndrome, in particular when the few residual spermatozoa with a head and a tail were used.
“However, live births after ICSI have been reported, in particular when the few residual spermatozoa with a head and a tail were used, [50, 60, 61, 62, 63].”
From Recommendations for Human Sperm Morphology Assessment in 2025: An Expert Review From the French BLEFCO Group (2026) · cites this paper as [50]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Prevalence of infertility and help seeking among 15 000 women and men
Datta, J., Palmer, M. J., Tanton, C., Gibson, L. J., Jones, K. G., Macdowall, W., Glasier, A., Sonnenberg, P., Field, N., Mercer, C. H., et al. (2016) · Human Reproduction · doi:10.1093/humrep/dew123 · Cited by 471 · see citing works
Fang, J., Zhang, J., Zhu, F., Yang, X., Cui, Y., & Liu, J. (2018) · Human Reproduction · doi:10.1093/humrep/dex382 · Cited by 49 · see citing works
Chen, H., Zhu, Y., Zhu, Z., Zhi, E., Lu, K., Wang, X., Liu, F., Li, Z., & Xia, W. (2018) · Journal of Medical Genetics · doi:10.1136/jmedgenet-2016-104404 · Cited by 43 · see citing works
Flagged first, then by citations
Research works printed but not linked: 114
- Mascarenhas MN, Flaxman SR, Boerma T, et al. National, regional, and global trends in infertility prevalence since 1990: a systematic analysis of 277 health surveys. PLoS Med 2012;9:e1001356. https://doi.org/10.1371/journal.pmed.1001356. · DOI
- Tüttelmann F, Werny F, Cooper TG, et al. Clinical experience with azoospermia: aetiology and chances for spermatozoa detection upon biopsy. Int J Androl 2011;34:291-8. https://doi.org/10.1111/j.1365-2605.2010.01087.x. · DOI
- Jan SZ, Vormer TL, Jongejan A, et al. Unraveling transcriptome dynamics in human spermatogenesis. Development 2017;144:3659-73. https://doi.org/10.1242/dev.152413. * · DOI
- Krausz C, Riera-Escamilla A. Genetics of male infertility. Nat Rev Urol 2018;15:369-84. https://doi.org/10.1038/s41585-018-0003-3.[Key review on male infertility] * · DOI
- Coutton C, Escoffier J, Martinez G, et al.. Teratozoospermia: spotlight on the main genetic actors in the human. Hum Reprod Update 2015;21:455-85. https://doi.org/10.1093/humupd/dmv020. [Key review on teratozoospermia] * · DOI
- Ray PF, Toure A, Metzler-Guillemain C, et al.. Genetic abnormalities leading to qualitative defects of sperm morphology or function: Genetic abnormalities leading to qualitative sperm defects. Clin Genet 2017;91:217-32. https://doi.org/10.1111/cge.12905. [Key review on teratozoospermia] · DOI
- Yoshinaga K, Toshimori K. Organization and modifications of sperm acrosomal molecules during spermatogenesis and epididymal maturation. Microsc Res Tech 2003;61:39-45. https://doi.org/10.1002/jemt.10315. · DOI
- Stival C, Puga Molina L del C, Paudel B, et al.. Sperm Capacitation and Acrosome Reaction in Mammalian Sperm. Adv Anat Embryol Cell Biol 2016;220:93-106. https://doi.org/10.1007/978-3- 319-30567-7_5. · DOI
- Touré A, Martinez G, Kherraf Z-E, et al.. The genetic architecture of morphological abnormalities of the sperm tail. Hum Genet 2020. https://doi.org/10.1007/s00439-020-02113-x. · DOI
- Sen CGS, Holstein AF, Schirren C. über die Morphogenese rundköpfiger Spermatozoen des Menschen. Andrologia 1971;3:117-25. https://doi.org/10.1111/j.1439-0272.1971.tb02106.x. · DOI
- Dam AHDM, Feenstra I, Westphal JR, et al. Globozoospermia revisited. Hum Reprod Update 2007;13:63-75. https://doi.org/10.1093/humupd/dml047. · DOI
- Auger J, Jouannet P, Eustache F. Another look at human sperm morphology. Hum Reprod 2016;31:10-23. https://doi.org/10.1093/humrep/dev251. · DOI
- Dam AH, Ramos L, Dijkman HB, et al. Morphology of partial globozoospermia. J Androl 2011;32:199-206. https://doi.org/10.2164/jandrol.109.009530. · DOI
- Modarres P, Tavalaee M, Ghaedi K, Nasr-Esfahani MH. An Overview of The Globozoospermia as A Multigen-ic Identified Syndrome. IJFS 2018;12. https://doi.org/10.22074/ijfs.2019.5561. · DOI
- Oud MS, Okutman Ö, Hendricks L a. J, et al. Exome sequencing reveals novel causes as well as new candidate genes for human globozoospermia. Hum Reprod 2020;35:240-52. https://doi.org/10.1093/humrep/dez246. * · DOI
- Chemes HE. Phenotypic varieties of sperm pathology: Genetic abnormalities or environmental influences can result in different patterns of abnormal spermatozoa. Anim Reprod Sci 2018;194:41- 56. https://doi.org/10.1016/j.anireprosci.2018.04.074. [Key review on sperm morphological defects] · DOI
- Yassine S, Escoffier J, Martinez G, et al. Dpy19l2-deficient globozoospermic sperm display altered genome packaging and DNA damage that compromises the initiation of embryo development. Mol Hum Reprod 2015;21:169-85. https://doi.org/10.1093/molehr/gau099. · DOI
- Yoon S-Y, Jellerette T, Salicioni AM, et al. Human sperm devoid of PLC, zeta 1 fail to induce Ca(2+) release and are unable to initiate the first step of embryo development. J Clin Invest 2008;118:3671-81. https://doi.org/10.1172/JCI36942. · DOI
- Escoffier J, Yassine S, Lee HC, et al. Subcellular localization of phospholipase Cζ in human sperm and its absence in DPY19L2-deficient sperm are consistent with its role in oocyte activation. Mol Hum Reprod 2015;21:157-68. https://doi.org/10.1093/molehr/gau098. · DOI
- de Boer P, de Vries M, Ramos L. A mutation study of sperm head shape and motility in the mouse: lessons for the clinic. Andrology 2014. https://doi.org/10.1111/andr.300. · DOI
- Alvarez Sedó C, Rawe VY, Chemes HE. Acrosomal biogenesis in human globozoospermia: immunocytochemical, ultrastructural and proteomic studies. Hum Reprod 2012;27:1912-21. https://doi.org/10.1093/humrep/des126. · DOI
- Dam AHDM, Koscinski I, Kremer JAM, et al. Homozygous mutation in SPATA16 is associated with male infertility in human globozoospermia. Am J Hum Genet 2007;81:813-20. https://doi.org/10.1086/521314. · DOI
- Xu M, Xiao J, Chen J, et al. Identification and characterization of a novel human testis-specific Golgi protein, NYD-SP12. Mol Hum Reprod 2003;9:9-17. https://doi.org/10.1093/molehr/gag005. · DOI
- ElInati E, Fossard C, Okutman O, et al. A new mutation identified in SPATA16 in two globozoospermic patients. J Assist Reprod Genet 2016;33:815-20. https://doi.org/10.1007/s10815- 016-0715-3. · DOI
- Ghédir H, Braham A, Viville S, et al. Comparison of sperm morphology and nuclear sperm quality in SPATA16-and DPY19L2-mutated globozoospermic patients. Andrologia 2019;51:e13277. https://doi.org/10.1111/and.13277. * · DOI
- Harbuz R, Zouari R, Pierre V, et al. A Recurrent Deletion of DPY19L2 Causes Infertility in Man by Blocking Sperm Head Elongation and Acrosome Formation. American Journal of Human Genetics 2011;88:351. https://doi.org/10.1016/j.ajhg.2011.02.007. [Key study identifying gene in globozoospermia] * · DOI
- Pierre V, Martinez G, Coutton C, et al. Absence of Dpy19l2, a new inner nuclear membrane protein, causes globozoospermia in mice by preventing the anchoring of the acrosome to the nucleus. Development 2012;139:2955-65. https://doi.org/10.1242/dev.077982. [Key animal model of globozoospermia] · DOI
- Pasch E, Link J, Beck C, et al.. The LINC complex component Sun4 plays a crucial role in sperm head formation and fertility. Biology Open 2015;4:1792-802. https://doi.org/10.1242/bio.015768. · DOI
- Ray PF, Coutton C, Arnoult C. Sun proteins and Dpy19l2 forming LINC-like links are critical for spermiogenesis. Biology Open 2016;5:535. https://doi.org/10.1242/bio.016626. · DOI
- Abdelhedi F, Chalas C, Petit J-M, et al. Altered three-dimensional organization of sperm genome in DPY19L2-deficient globozoospermic patients. J Assist Reprod Genet 2019;36:69-77. https://doi.org/10.1007/s10815-018-1342-y. · DOI
- Pereira CD, Serrano JB, Martins F, et al. Nuclear envelope dynamics during mammalian spermatogenesis: new insights on male fertility. Biol Rev Camb Philos Soc 2019;94:1195-219. https://doi.org/10.1111/brv.12498. · DOI
- Guo Y, Jiang J, Zhang H, et al. Proteomic Analysis of Dpy19l2-Deficient Human Globozoospermia Reveals Multiple Molecular Defects. Proteomics Clin Appl 2019;13:e1900007. https://doi.org/10.1002/prca.201900007. · DOI
- Buettner FFR, Ashikov A, Tiemann B, et al. C. elegans DPY-19 is a C-mannosyltransferase glycosylating thrombospondin repeats. Mol Cell 2013;50:295-302. https://doi.org/10.1016/j.molcel.2013.03.003. · DOI
- Coutton C, Abada F, Karaouzene T, et al. Fine characterisation of a recombination hotspot at the DPY19L2 locus and resolution of the paradoxical excess of duplications over deletions in the general population. PLoS Genet 2013;9:e1003363. https://doi.org/10.1371/journal.pgen.1003363. · DOI
- Coutton C, Zouari R, Abada F, et al. MLPA and sequence analysis of DPY19L2 reveals point mutations causing globozoospermia. Hum Reprod 2012;27:2549-58. https://doi.org/10.1093/humrep/des160. · DOI
- Elinati E, Kuentz P, Redin C, et al. Globozoospermia is mainly due to DPY19L2 deletion via non- allelic homologous recombination involving two recombination hotspots. Hum Mol Genet 2012;21:3695-702. https://doi.org/10.1093/hmg/dds200. · DOI
- Zhu F, Gong F, Lin G, Lu G. DPY19L2 gene mutations are a major cause of globozoospermia: identification of three novel point mutations. Mol Hum Reprod 2013;19:395-404. https://doi.org/10.1093/molehr/gat018. · DOI
- Chianese C, Fino MG, Riera Escamilla A, et al. Comprehensive investigation in patients affected by sperm macrocephaly and globozoospermia. Andrology 2015;3:203-12. https://doi.org/10.1111/andr.12016. · DOI
- Modarres P, Tanhaei S, Tavalaee M, et al. Assessment of DPY19L2 Deletion in Familial and Non- Familial Individuals with Globozoospermia and DPY19L2 Genotyping. Int J Fertil Steril 2016;10:196-207. https://doi.org/10.22074/ijfs.2016.4910. · DOI
- Ghédir H, Ibala-Romdhane S, Okutman O, et al. Identification of a new DPY19L2 mutation and a better definition of DPY19L2 deletion breakpoints leading to globozoospermia. Mol Hum Reprod 2016;22:35-45. https://doi.org/10.1093/molehr/gav061. · DOI
- Shang Y-L, Zhu F-X, Yan J, et al. Novel DPY19L2 variants in globozoospermic patients and the overcoming this male infertility. Asian J Androl 2019;21:183-9. https://doi.org/10.4103/aja.aja_79_18. · DOI · Paper page
- Alimohammadi F, Ebrahimi Nasab M, Rafaee A, et al. Deletion of dpy-19 like 2 (DPY19L2) gene is associated with total but not partial globozoospermia. Reprod Fertil Dev 2020;32:727-37. https://doi.org/10.1071/RD19025. · DOI
- Celse T, Cazin C, Mietton F, et al. Assessment of DPY19L2 screening for a large cohort of men with globozoospermia and proposal for routine genetic diagnosis strategy. Human Genetics n.d.:in press.
- Li Y-H, Zhang N, Wang Y-N, et al. Multiple faces of protein interacting with C kinase 1 (PICK1): Structure, function, and diseases. Neurochem Int 2016;98:115-21. https://doi.org/10.1016/j.neuint.2016.03.001. · DOI
- Xiao N, Kam C, Shen C, et al. PICK1 deficiency causes male infertility in mice by disrupting acrosome formation. J Clin Invest 2009;119:802-12. https://doi.org/10.1172/JCI36230. · DOI
- He J, Xia M, Tsang WH, et al. ICA1L forms BAR-domain complexes with PICK1 and is crucial for acrosome formation in spermiogenesis. J Cell Sci 2015;128:3822-36. https://doi.org/10.1242/jcs.173534. · DOI
- Liu G, Shi Q-W, Lu G-X. A newly discovered mutation in PICK1 in a human with globozoospermia. Asian J Androl 2010;12:556-60. https://doi.org/10.1038/aja.2010.47. · DOI
- Yatsenko AN, O'Neil DS, Roy A, Arias-Mendoza PA, et al. Association of mutations in the zona pellucida binding protein 1 (ZPBP1) gene with abnormal sperm head morphology in infertile men. Mol Hum Reprod 2012;18:14-21. https://doi.org/10.1093/molehr/gar057. · DOI
- Lin Y-N, Roy A, Yan W, et al. Loss of zona pellucida binding proteins in the acrosomal matrix disrupts acrosome biogenesis and sperm morphogenesis. Mol Cell Biol 2007;27:6794-805. https://doi.org/10.1128/MCB.01029-07. · DOI
- Li Y, Li C, Lin S, et al. A nonsense mutation in Ccdc62 gene is responsible for spermiogenesis defects and male infertility in repro29/repro29 mice †. Biology of Reproduction 2017;96:587-97. https://doi.org/10.1095/biolreprod.116.141408. · DOI
- Wang J, Qi L, Huang S, et al. Quantitative phosphoproteomics analysis reveals a key role of insulin growth factor 1 receptor (IGF1R) tyrosine kinase in human sperm capacitation. Mol Cell Proteomics 2015;14:1104-12. https://doi.org/10.1074/mcp.M114.045468. · DOI
- Dávila Garza SA, Patrizio P. Reproductive outcomes in patients with male infertility because of Klinefelter's syndrome, Kartagener's syndrome, round-head sperm, dysplasia fibrous sheath, and "stump" tail sperm: an updated literature review. Curr Opin Obstet Gynecol 2013;25:229-46. https://doi.org/10.1097/GCO.0b013e32835faae5. · DOI
- Chansel-Debordeaux L, Dandieu S, Bechoua S, Jimenez C. Reproductive outcome in globozoospermic men: update and prospects. Andrology 2015;3:1022-34. https://doi.org/10.1111/andr.12081. · DOI · Paper page
- Tavalaee M, Nomikos M, Lai FA, Nasr-Esfahani MH. Expression of sperm PLCζ and clinical outcomes of ICSI-AOA in men affected by globozoospermia due to DPY19L2 deletion. Reprod Biomed Online 2018;36:348-55. https://doi.org/10.1016/j.rbmo.2017.12.013. · DOI
- Cheung S, Xie P, Parrella A, et al. Identification and treatment of men with phospholipase Cζ- defective spermatozoa. Fertil Steril 2020. https://doi.org/10.1016/j.fertnstert.2020.04.044. · DOI
- Palermo GD, Neri QV, Takeuchi T, Rosenwaks Z. ICSI: where we have been and where we are going. Semin Reprod Med 2009;27:191-201. https://doi.org/10.1055/s-0029-1202309. · DOI
- Kuentz P, Meerschaut FV, ElInati E, et al. Assisted oocyte activation overcomes fertilization failure in globozoospermic patients regardless of the DPY19L2 status. Hum Reprod 2013;28:1054-61. https://doi.org/10.1093/humrep/det005. · DOI
- van Blerkom J, Cohen J, Johnson M. A plea for caution and more research in the "experimental" use of ionophores in ICSI. Reprod Biomed Online 2015;30:323-4. https://doi.org/10.1016/j.rbmo.2015.02.002. · DOI
- Zaneveld L, Polakoski K. Collection and physical examination of the ejaculate. Techniques of human andrology. ESE Hafez, Elsevier/North-Holland Biomedical Press, Amsterdam, The Netherlands.; 1977, p. 147-72.
- Baccetti B, Burrini AG, Collodel G, et al. Morphogenesis of the decapitated and decaudated sperm defect in two brothers. Gamete Res 1989;23:181-8. https://doi.org/10.1002/mrd.1120230205. · DOI
- Chemes HE, Puigdomenech ET, Carizza C, et al. Acephalic spermatozoa and abnormal development of the head-neck attachment: a human syndrome of genetic origin. Hum Reprod 1999;14:1811-8. https://doi.org/10.1093/humrep/14.7.1811. * · DOI · Paper page
- Zhu F, Wang F, Yang X, et al. Biallelic SUN5 Mutations Cause Autosomal-Recessive Acephalic Spermatozoa Syndrome. Am J Hum Genet 2016;99:1405. https://doi.org/10.1016/j.ajhg.2016.11.002. [Key study identifying gene in ASS] · DOI · Paper page
- Elkhatib RA, Paci M, Longepied G, et al. Homozygous deletion of SUN5 in three men with decapitated spermatozoa. Hum Mol Genet 2017;26:3167-71. https://doi.org/10.1093/hmg/ddx200. · DOI
- Sha Y-W, Xu X, Ji Z-Y, et al. Genetic contribution of SUN5 mutations to acephalic spermatozoa in Fujian China. Gene 2018;647:221-5. https://doi.org/10.1016/j.gene.2018.01.035. · DOI
- Shang Y, Yan J, Tang W, et al. Mechanistic insights into acephalic spermatozoa syndrome-associated mutations in the human SUN5 gene. J Biol Chem 2018;293:2395-407. https://doi.org/10.1074/jbc.RA117.000861. · DOI
- Liu G, Wang N, Zhang H, et al. Novel mutations in PMFBP1, TSGA10 and SUN5: Expanding the spectrum of mutations that may cause acephalic spermatozoa. Clin Genet 2020;97:938-9. https://doi.org/10.1111/cge.13747. · DOI
- Frohnert C, Schweizer S, Hoyer-Fender S. SPAG4L/SPAG4L-2 are testis-specific SUN domain proteins restricted to the apical nuclear envelope of round spermatids facing the acrosome. Mol Hum Reprod 2011;17:207-18. https://doi.org/10.1093/molehr/gaq099. · DOI
- Yassine S, Escoffier J, Abi Nahed R, et al. Dynamics of Sun5 localization during spermatogenesis in wild type and Dpy19l2 knock-out mice indicates that Sun5 is not involved in acrosome attachment to the nuclear envelope. PLoS ONE 2015;10:e0118698. https://doi.org/10.1371/journal.pone.0118698. · DOI
- Tzur YB, Wilson KL, Gruenbaum Y. SUN-domain proteins: "Velcro" that links the nucleoskeleton to the cytoskeleton 2006. https://doi.org/10.1038/nrm2003. · DOI
- Shang Y, Zhu F, Wang L, et al. Essential role for SUN5 in anchoring sperm head to the tail. Elife 2017;6. https://doi.org/10.7554/eLife.28199. · DOI
- El Khouri E, Thomas L, Jeanson L, et al. Mutations in DNAJB13, Encoding an HSP40 Family Member, Cause Primary Ciliary Dyskinesia and Male Infertility. Am J Hum Genet 2016;99:489-500. https://doi.org/10.1016/j.ajhg.2016.06.022. · DOI
- Zhu F, Liu C, Wang F, et al. Mutations in PMFBP1 Cause Acephalic Spermatozoa Syndrome. Am J Hum Genet 2018;103:188-99. https://doi.org/10.1016/j.ajhg.2018.06.010. · DOI · Paper page
- Sha Y-W, Wang X, Xu X, et al. Biallelic mutations in PMFBP1 cause acephalic spermatozoa. Clinical Genetics 2019;95:277-86. https://doi.org/10.1111/cge.13461. · DOI
- Sha Y-W, Sha Y-K, Ji Z-Y, et al. TSGA10 is a novel candidate gene associated with acephalic spermatozoa. Clin Genet 2018;93:776-83. https://doi.org/10.1111/cge.13140. · DOI
- Ye Y, Wei X, Sha Y, et al. Loss-of-function mutation in TSGA10 causes acephalic spermatozoa phenotype in human. Mol Genet Genomic Med 2020:e1284. https://doi.org/10.1002/mgg3.1284. · DOI
- Modarressi MH, Cameron J, Taylor KE, Wolfe J. Identification and characterisation of a novel gene, TSGA10, expressed in testis. Gene 2001;262:249-55. https://doi.org/10.1016/s0378- 1119(00)00519-9. · DOI
- Sha Y-W, Sha Y-K, Ji Z-Y, et al. TSGA10 is a novel candidate gene associated with acephalic spermatozoa. Clin Genet 2018;93:776-83. https://doi.org/10.1111/cge.13140. · DOI
- Perotti ME, Giarola A, Gioria M. Ultrastructural study of the decapitated sperm defect in an infertile man. J Reprod Fertil 1981;63:543-9. https://doi.org/10.1530/jrf.0.0630543. · DOI
- Li L, Sha Y-W, Xu X, et al. DNAH6 is a novel candidate gene associated with sperm head anomaly. Andrologia 2018. https://doi.org/10.1111/and.12953. · DOI
- Li Y, Yagi H, Onuoha EO, et al. DNAH6 and Its Interactions with PCD Genes in Heterotaxy and Primary Ciliary Dyskinesia. PLoS Genet 2016;12:e1005821. https://doi.org/10.1371/journal.pgen.1005821. · DOI
- Gershoni M, Hauser R, Yogev L, et al. A familial study of azoospermic men identifies three novel causative mutations in three new human azoospermia genes. Genet Med 2017;19:998-1006. https://doi.org/10.1038/gim.2016.225. · DOI
- Tu C, Nie H, Meng L, et al. Identification of DNAH6 mutations in infertile men with multiple morphological abnormalities of the sperm flagella. Sci Rep 2019;9:15864. https://doi.org/10.1038/s41598-019-52436-7. · DOI
- Li L, Sha Y, Wang X, et al. Whole-exome sequencing identified a homozygous BRDT mutation in a patient with acephalic spermatozoa. Oncotarget 2017;8:19914-22. https://doi.org/10.18632/oncotarget.15251. · DOI
- Pivot-Pajot C, Caron C, Govin J, et al. Acetylation-dependent chromatin reorganization by BRDT, a testis-specific bromodomain-containing protein. Mol Cell Biol 2003;23:5354-65. https://doi.org/10.1128/mcb.23.15.5354-5365.2003. · DOI
- Zhang Y, Song B, Du W-D, et al. Genetic association study of RNF8 and BRDT variants with non- obstructive azoospermia in the Chinese Han population. Syst Biol Reprod Med 2015;61:26-31. https://doi.org/10.3109/19396368.2014.979513. · DOI
- Sha Y, Wang X, Yuan J, et al. Loss-of-function mutations in centrosomal protein 112 is associated with human acephalic spermatozoa phenotype. Clin Genet 2020;97:321-8. https://doi.org/10.1111/cge.13662. · DOI
- Yuan S, Stratton CJ, Bao J, et al. Spata6 is required for normal assembly of the sperm connecting piece and tight head-tail conjunction. Proc Natl Acad Sci USA 2015;112:E430-439. https://doi.org/10.1073/pnas.1424648112. · DOI
- Tokuhiro K, Isotani A, Yokota S, et al. OAZ-t/OAZ3 is essential for rigid connection of sperm tails to heads in mouse. PLoS Genet 2009;5:e1000712. https://doi.org/10.1371/journal.pgen.1000712. · DOI
- Mendoza-Lujambio I, Burfeind P, Dixkens C, et al. The Hook1 gene is non-functional in the abnormal spermatozoon head shape ( azh ) mutant mouse. Hum Mol Genet 2002;11:1647-58. https://doi.org/10.1093/hmg/11.14.1647. · DOI
- Yang K, Meinhardt A, Zhang B, et al. The small heat shock protein ODF1/HSPB10 is essential for tight linkage of sperm head to tail and male fertility in mice. Mol Cell Biol 2012;32:216-25. https://doi.org/10.1128/MCB.06158-11. · DOI
- Ito C, Akutsu H, Yao R, et al. Odf2 haploinsufficiency causes a new type of decapitated and decaudated spermatozoa, Odf2-DDS, in mice. Sci Rep 2019;9:14249. https://doi.org/10.1038/s41598-019-50516-2. · DOI
- Nie H, Tang Y, Qin W. Beyond Acephalic Spermatozoa: The Complexity of Intracytoplasmic Sperm Injection Outcomes. Biomed Res Int 2020;2020:6279795. https://doi.org/10.1155/2020/6279795. · DOI
- Nistal M, Paniagua R, Herruzo A. Multi-tailed spermatozoa in a case with asthenospermia and teratospermia. Virchows Arch B Cell Pathol 1977;26:111-8.
- Perrin A, Morel F, Moy L, et al. M. Study of aneuploidy in large-headed, multiple-tailed spermatozoa: case report and review of the literature. Fertil Steril 2008;90:1201.e13-17. https://doi.org/10.1016/j.fertnstert.2007.09.013. · DOI · Paper page
- Guthauser B, Vialard F, Dakouane M, et al. Chromosomal analysis of spermatozoa with normal- sized heads in two infertile patients with macrocephalic sperm head syndrome. Fertil Steril 2006;85:750.e5-750.e7. https://doi.org/10.1016/j.fertnstert.2005.07.1334. · DOI · Paper page
- Brahem S, Mehdi M, Elghezal H, Saad A. Study of aneuploidy rate and sperm DNA fragmentation in large-headed, multiple-tailed spermatozoa. Andrologia 2012;44:130-5. https://doi.org/10.1111/j.1439-0272.2010.01115.x. * · DOI
- Dieterich K, Soto Rifo R, et al. Homozygous mutation of AURKC yields large-headed polyploid spermatozoa and causes male infertility. Nat Genet 2007;39:661-5. https://doi.org/10.1038/ng2027. [Key study identifying gene in macrozoospermia] · DOI
- Willems E, Dedobbeleer M, Digregorio M, et al. The functional diversity of Aurora kinases: a comprehensive review. Cell Div 2018;13:7. https://doi.org/10.1186/s13008-018-0040-6. · DOI
- Magnaghi-Jaulin L, Eot-Houllier G, Gallaud E, Giet R. Aurora A Protein Kinase: To the Centrosome and Beyond. Biomolecules 2019;9. https://doi.org/10.3390/biom9010028. · DOI
- Slattery SD, Moore RV, Brinkley BR, Hall RM. Aurora-C and Aurora-B share phosphorylation and regulation of CENP-A and Borealin during mitosis. Cell Cycle 2008;7:787-95. https://doi.org/10.4161/cc.7.6.5563. · DOI
- Seeling JM, Farmer AA, Mansfield A, et al. Differential Selective Pressures Experienced by the Aurora Kinase Gene Family. Int J Mol Sci 2017;19. https://doi.org/10.3390/ijms19010072. · DOI
- Quartuccio SM, Schindler K. Functions of Aurora kinase C in meiosis and cancer. Front Cell Dev Biol 2015;3:50. https://doi.org/10.3389/fcell.2015.00050. · DOI
- Hindriksen S, Meppelink A, Lens SMA. Functionality of the chromosomal passenger complex in cancer. Biochem Soc Trans 2015;43:23-32. https://doi.org/10.1042/BST20140275. · DOI
- Ben Khelifa M, Coutton C, Blum MGB, et al. Identification of a new recurrent aurora kinase C mutation in both European and African men with macrozoospermia. Hum Reprod 2012;27:3337- 46. https://doi.org/10.1093/humrep/des296. · DOI
- Ortega V, Oyanedel J, Fleck-Lavergne D, et al. Macrozoospermia associated with mutations of AURKC gene: First case report in Latin America and literature review. Rev Int Androl 2019. https://doi.org/10.1016/j.androl.2019.04.004. · DOI
- Fellmeth JE, Ghanaim EM, Schindler K. Characterization of macrozoospermia-associated AURKC mutations in a mammalian meiotic system. Hum Mol Genet 2016;25:2698-711. https://doi.org/10.1093/hmg/ddw128. * · DOI
- Dieterich K, Zouari R, Harbuz R, et al. The Aurora Kinase C c.144delC mutation causes meiosis I arrest in men and is frequent in the North African population. Human Molecular Genetics 2009;18:1301-9. https://doi.org/10.1093/hmg/ddp029. [Key study identifying physiopathological mechanism in macrozoospermia linked to AURKC mutations] · DOI
- Kimmins S, Crosio C, Kotaja N, et al. Differential functions of the Aurora-B and Aurora-C kinases in mammalian spermatogenesis. Mol Endocrinol 2007;21:726-39. https://doi.org/10.1210/me.2006-0332. · DOI
- Ben Khelifa M, Zouari R, Harbuz R, et al. A new AURKC mutation causing macrozoospermia: implications for human spermatogenesis and clinical diagnosis. Molecular Human Reproduction 2011;17:762-8. https://doi.org/10.1093/molehr/gar050. · DOI
- Hua J, Wan Y-Y. Whole-exome sequencing identified a novel mutation of AURKC in a Chinese family with macrozoospermia. J Assist Reprod Genet 2019;36:529-34. https://doi.org/10.1007/s10815-018-1374-3. · DOI
- Ounis L, Zoghmar A, Coutton C, et al. Mutations of the aurora kinase C gene causing macrozoospermia are the most frequent genetic cause of male infertility in Algerian men. Asian J Androl 2015;17:68-73. https://doi.org/10.4103/1008-682X.136441. · DOI · Paper page
- Carmignac V, Dupont J-M, Fierro RC, et al. Diagnostic genetic screening for assisted reproductive technologies patients with macrozoospermia. Andrology 2017;5:370-80. https://doi.org/10.1111/andr.12311. · DOI · Paper page
- Meienberg J, Bruggmann R, Oexle K, Matyas G. Clinical sequencing: is WGS the better WES? Hum Genet 2016;135:359-62. https://doi.org/10.1007/s00439-015-1631-9. * · DOI
- Kherraf Z-E, Conne B, Amiri-Yekta A, et al. Creation of knock out and knock in mice by CRISPR/Cas9 to validate candidate genes for human male infertility, interest, difficulties and feasibility. Mol Cell Endocrinol 2018;468:70-80. https://doi.org/10.1016/j.mce.2018.03.002. [Key review on CRISPR mouse model in male infertility] · DOI
Cited by
Sorted by citations
Isolated teratozoospermia: revisiting its relevance in male infertility: a narrative review
Atmoko, W., Savira, M., Shah, R., Chung, E., & Agarwal, A. (2024) · Translational Andrology and Urology · doi:10.21037/tau-23-397 · Cited by 23 · see citing works
“Among all sperm morphological defects, head abnormalities are found to be the most severe form (38).”
Cazin, C., Boumerdassi, Y., Martinez, G., Fourati Ben Mustapha, S., Whitfield, M., Coutton, C., Thierry-Mieg, N., Di Pizio, P., Rives, N., Arnoult, C., et al. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22042187 · Cited by 16 · see citing works
Self-citationGatimel, N., Barbotin, A., Mery, L., Beauvillard, D., Bendayan, M., Boursier, A., Boueilh, T., Pereira, B., Chammas, J., Jacquet, J., et al. (2026) · Andrology · doi:10.1111/andr.70134 · Cited by 2 · see citing works
- Authors
- Beurois, J., Cazin, C., Kherraf, Z.-E., Martinez, G., Celse, T., Touré, A., Arnoult, C., Ray, P. F., & Coutton, C.
- Affiliations
- Centre National de la Recherche Scientifique (FR)
- Corresponding author
- Coutton, Charles
- ORCID
- Venue
- Best Practice & Research Clinical Endocrinology & Metabolism
- Publisher
- Elsevier BV
- Published
- 2020-12
- Volume
- 34
- Issue
- 6
- Pages
- 101473
- ISSN
- 1521-690X (ISSN-L)
- OpenAlex
- W3096795973
- Cited by
- 71
- References
- 3
- Citations by year
- 2026: 5 · 2025: 11 · 2024: 18 · 2023: 18 · 2022: 11 · 2021: 8
- FWCI
- 1.37
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Best Practice & Research Clinical Endocrinology & Metabolism (acceptedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion, cc-by-nc)
- Funders
- Agence Nationale de la Recherche (ANR-19-CE17-0014)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Physiology › Reproductive biology and impacts on aquatic species
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Biology and Fertility
- Keywords
- teratozoospermia, sperm head abnormalities, male infertility, globozoospermia, AURKC, DPY19L2, spermatogenesis genes
- MeSH terms
- Teratozoospermia, Humans, Infertility, Male, Male, Membrane Proteins, Sperm Head, Spermatogenesis, Spermatozoa, Aurora Kinase C
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review