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Mutations in CFAP43 and CFAP44 cause male infertility and flagellum defects in Trypanosoma and human
Open accessAbstract
Spermatogenesis defects concern millions of men worldwide, yet the vast majority remains undiagnosed. Here we report men with primary infertility due to multiple morphological abnormalities of the sperm flagella with severe disorganization of the sperm axoneme, a microtubule-based structure highly conserved throughout evolution. Whole-exome sequencing was performed on 78 patients allowing the identification of 22 men with bi-allelic mutations in DNAH1 ( n = 6), CFAP43 ( n = 10), and CFAP44 ( n = 6). CRISPR/Cas9 created homozygous CFAP43 / 44 male mice that were infertile and presented severe flagellar defects confirming the human genetic results. Immunoelectron and stimulated-emission-depletion microscopy performed on CFAP43 and CFAP44 orthologs in Trypanosoma brucei evidenced that both proteins are located between the doublet microtubules 5 and 6 and the paraflagellar rod. Overall, we demonstrate that CFAP43 and CFAP44 have a similar structure with a unique axonemal localization and are necessary to produce functional flagella in species ranging from Trypanosoma to human.
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“CFAP43 (orthologous to CG17687) is mutated in patients with multiple morphological abnormalities of the sperm flagella (MMAF), and CFAP52 (orthologous to CG10064) is mutated in laterality disorder, a condition caused by defects in ciliary beating during development [45,46].”
From Functional unknomics: Systematic screening of conserved genes of unknown function (2023) · cites this paper as [45]
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The role of genes in sperm motility and their association with male infertility — a narrative review
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BDE-209 toxicity: From spermiogenesis to sexual maturity in F1 male mice
Gao, X., Zheng, Q., Chen, S., He, H., Wei, Y., Zhang, T., Wang, Y., Wang, B., Huang, D., Zhang, S., et al. (2025) · Ecotoxicology and Environmental Safety · doi:10.1016/j.ecoenv.2025.118231 · Cited by 2
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LRRC56 deficiency cause motile ciliopathies in humans and mice
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The Potential of CRISPR/Cas Gene Editing to Correct Male Infertility
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Metadata
- Authors
- Coutton, C., Vargas, A. S., Amiri-Yekta, A., Kherraf, Z.-E., Ben Mustapha, S. F., Le Tanno, P., Wambergue-Legrand, C., Karaouzène, T., Martinez, G., Crouzy, S., Daneshipour, A., Hosseini, S. H., Mitchell, V., Halouani, L., Marrakchi, O., Makni, M., Latrous, H., Kharouf, M., Deleuze, J.-F., Boland, A., Hennebicq, S., Satre, V., Jouk, P.-S., Thierry-Mieg, N., Conne, B., Dacheux, D., Landrein, N., Schmitt, A., Stouvenel, L., Lorès, P., El Khouri, E., Bottari, S. P., Fauré, J., Wolf, J.-P., Pernet-Gallay, K., Escoffier, J., Gourabi, H., Robinson, D. R., Nef, S., Dulioust, E., Zouari, R., Bonhivers, M., Touré, A., Arnoult, C., & Ray, P. F.
- Affiliations
- Centre National de la Recherche Scientifique (FR)
- Royan Institute (IR)
- Commissariat à l'Énergie Atomique et aux Énergies Alternatives (FR)
- Centre Hospitalier Universitaire de Grenoble (FR)
- Inserm (FR)
- Sorbonne Paris Cité (FR)
- University of Geneva (CH)
- Corresponding author
- Ray, Pierre F.
- ORCID
- Coutton, Charles
- Vargas, Alexandra S.
- Amiri-Yekta, Amir
- Kherraf, Zine-Eddine
- Martinez, Guillaume
- Crouzy, Serge
- Hosseini, Seyedeh Hanieh
- Deleuze, Jean-François
- Boland, Anne
- Hennebicq, Sylviane
- Satre, Véronique
- Jouk, Pierre-Simon
- Dacheux, Denis
- Landrein, Nicolas
- Schmitt, Alain
- Lorès, Patrick
- Bottari, Serge P.
- Fauré, Julien
- Wolf, Jean-Philippe
- Escoffier, Jessica
- Gourabi, Hamid
- Robinson, Derrick R.
- Nef, Serge
- Bonhivers, Mélanie
- Touré, Aminata
- Arnoult, Christophe
- Ray, Pierre F.
- Venue
- Nature Communications
- Published
- 2018-02-15
- Volume
- 9
- Issue
- 1
- Pages
- 686-686
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC5814398
- OpenAlex
- W2806261901
- Cited by
- 245
- References
- 63
- Citations by year
- 2026: 22 · 2025: 19 · 2024: 30 · 2023: 34 · 2022: 35 · 2021: 27 · 2020: 31 · 2019: 29 · 2018: 18
- FWCI
- 28.16
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Nature Communications (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (publishedVersion, other-oa)
- HAL (submittedVersion, cc-by)
- Oskar-Bordeaux (Universite de Bordeaux) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
- Greater South Information System
- Funders
- Fondation Maladies Rares
- University of Oxford
- Agence Nationale de la Recherche (ANR-15-CE17-0008, 10-INBS-04, ANR‐10_INBS‐04, ANR-11-LABX-0024, ANR-10, ANR-10-INBS-0004, ANR-14-CE15-0002)
- Institut National de la Santé et de la Recherche Médicale (ANR-10-INBS-04)
- Centre National de la Recherche Scientifique (ANR-10-INBS-04)
- Université de Genève
- Direction Générale de l’offre de Soins (PRTS 2014)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cystic Fibrosis Research Advances
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Kidney Cyst Diseases
- Keywords
- DNAH1, male infertility, axoneme, paraflagellar rod, doublet microtubules, spermatogenesis, Trypanosoma brucei, axonemal proteins, CRISPR/Cas9 mouse model
- MeSH terms
- Exome Sequencing, Adult, Animals, Cytoskeletal Proteins, Fertility, Flagella, Homozygote, Humans, Infertility, Male, Male, Microtubule Proteins, Middle Aged, Mutation, Nuclear Proteins, Peptide Hydrolases, Sperm Motility, Spermatozoa, Trypanosoma, Cohort Studies, Microscopy, Immunoelectron, Mice, Knockout, Mice, Axoneme, Clustered Regularly Interspaced Short Palindromic Repeats
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