Evidence map›Paper›PMID 32170493›Full record

ArticleJournal of assisted reproduction and genetics2020

Novel DNAAF6 variants identified by whole-exome sequencing cause male infertility and primary ciliary dyskinesia.

Ying Wang, Chaofeng Tu, Hongchuan Nie, Lanlan Meng, Dongyan Li, Weili Wang, Huan Zhang, Guangxiu Lu, Ge Lin, Yue-Qiu Tan and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  3. Case Report: Minigene assays reveal a novelFrontiers in genetics · 2025
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  8. Identification ofFrontiers in genetics · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Ying WangInstitute of Reproductive and Stem Cell Engineering, School of Basic Medical Science, Central South University, Changsha, 410078, Hunan, China.
Chaofeng TuInstitute of Reproductive and Stem Cell Engineering, School of Basic Medical Science, Central South University, Changsha, 410078, Hunan, China.
Hongchuan NieInstitute of Reproductive and Stem Cell Engineering, School of Basic Medical Science, Central South University, Changsha, 410078, Hunan, China.
Lanlan MengReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China.
Dongyan LiInstitute of Reproductive and Stem Cell Engineering, School of Basic Medical Science, Central South University, Changsha, 410078, Hunan, China.
Weili WangInstitute of Reproductive and Stem Cell Engineering, School of Basic Medical Science, Central South University, Changsha, 410078, Hunan, China.
Huan ZhangReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China.
Guangxiu LuInstitute of Reproductive and Stem Cell Engineering, School of Basic Medical Science, Central South University, Changsha, 410078, Hunan, China.
Ge LinInstitute of Reproductive and Stem Cell Engineering, School of Basic Medical Science, Central South University, Changsha, 410078, Hunan, China.
Yue-Qiu TanReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China. tanyueqiu@csu.edu.cn.
Juan DuReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China. tandujuan@csu.edu.cn.ORCID https://orcid.org/0000-0002-5701-6703
Central South University · CNReproductive & Genetic Hospital CITIC-Xiangya · CN

Funding

Fundamental Research Funds for Central Universities of the Central South University (CN) 2019zzts998the China Postdoctoral Science Foundation Funded Project 2019M662786the National Key Research & Developmental Program of China 2018YFC1004900the National Natural Science Foundation of China 81771645 and 81971447the science and technology major project of the Ministry of Science and Technology of Hunan Province 2017SK1030
6 · The paper itself

Abstract

purposeTo identify the genetic cause of patients with primary ciliary dyskinesia (PCD) and male infertility from two unrelated Han Chinese families.

methodsWe conducted whole-exome sequencing of three individuals with PCD and male infertility from two unrelated Chinese families, and performed a targeted look-up for DNAAF6 variants in our previously reported cohort of 442 individuals (219 with isolated oligoasthenospermia and 223 fertile controls). Ultrastructural and immunostaining analyses of patients' spermatozoa were performed. The pathogenicity of the variants was validated using patient's spermatozoa and HEK293T cells. Intracytoplasmic sperm injection (ICSI) treatment was conducted in two patients.

resultsWe identified one novel hemizygous frameshift variant (NM_173494, c.319_329del: p.R107fs) of DNAAF6 gene (previously named PIH1D3) in family 1 and one novel hemizygous missense variant (c.290G>T: p.G97V) in family 2. No hemizygous deleterious variants in DNAAF6 were detected in the control cohort of 442 individuals. Ultrastructural and immunostaining analyses of patients' spermatozoa showed the absence of outer and inner dynein arms in sperm flagella. Both variants were proven to lead to DNAAF6 protein degradation in HEK293T cells. Both patients carrying DNAAF6 variants underwent one ICSI cycle and delivered one healthy child each.

conclusionWe identified novel DNAAF6 variants causing male infertility and PCD in Han Chinese patients. This finding extended the spectrum of variants in DNAAF6 and revealed new light on the impact of DNAAF6 variants in sperm flagella.

Indexed as

Exome SequencingAdultAxonemeCiliary Motility DisordersExomeFemaleFlagellaFrameshift MutationHEK293 CellsHemizygoteHumansInfertility, MaleIntracellular Signaling Peptides and ProteinsMaleSpermatozoaSperm Injections, IntracytoplasmicDNAAF6 protein, humanIntracellular Signaling Peptides and ProteinsAsthenozoospermiaDNAAF6 variantDynein armsPrimary ciliary dyskinesiaSperm flagella

Identifiers

PMID32170493
PMCPMC7183028
OpenAlexW3011995474

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.