Evidence map›Paper›PMID 36572685›Full record

ArticleNature communications2022

Diverse monogenic subforms of human spermatogenic failure.

Liina Nagirnaja, Alexandra M Lopes, Wu-Lin Charng, Brian Miller, Rytis Stakaitis, Ieva Golubickaite, Alexandra Stendahl, Tianpengcheng Luan, Corinna Friedrich, Eisa Mahyari and 39 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
12.6field-weighted citation impact, top 1% 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

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
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  13. Mutation Severity ofHuman mutation · 2026
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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

49 authors at 20 institutions in 13 countries.

Liina NagirnajaDivision of Genetics, Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, OR, USA.ORCID 0000-0003-1948-2495
Alexandra M Lopesi3S - Instituto de Investigação e Inovação em Saúde, University of Porto, Porto, Portugal.
Wu-Lin CharngDepartment of Neurology, Washington University, St. Louis, MO, USA.
Brian MillerDivision of Genetics, Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, OR, USA.
Rytis StakaitisDepartment of Growth and Reproduction, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0001-5946-1731
Ieva GolubickaiteDepartment of Growth and Reproduction, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0003-2739-8576
Alexandra StendahlDivision of Genetics, Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, OR, USA.ORCID 0000-0002-2977-4806
Tianpengcheng LuanSchool of BioSciences, Faculty of Science, The University of Melbourne, Parkville, VIC, Australia.
Corinna FriedrichInstitute of Reproductive Genetics, University of Münster, Münster, Germany.
Eisa MahyariDivision of Genetics, Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, OR, USA.
Eloise FadialDivision of Genetics, Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, OR, USA.ORCID 0000-0001-8889-6718
Laura KasakInstitute of Biomedicine and Translational Medicine, University of Tartu, Tartu, Estonia.ORCID 0000-0003-4182-2396
Katinka Vigh-ConradDivision of Genetics, Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, OR, USA.
Manon S OudDepartment of Human Genetics, Radboud University Medical Centre, Nijmegen, Netherlands.ORCID 0000-0001-9513-3030
Miguel J XavierBiosciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle-upon-Tyne, UK.ORCID 0000-0003-0709-7223
Samuel R CheersSchool of BioSciences, Faculty of Science, The University of Melbourne, Parkville, VIC, Australia.
Emma R JamesAndrology and IVF Laboratory, Department of Surgery (Urology), University of Utah School of Medicine, Salt Lake City, UT, USA.
Jingtao GuoAndrology and IVF Laboratory, Department of Surgery (Urology), University of Utah School of Medicine, Salt Lake City, UT, USA.ORCID 0000-0002-0159-5021
Timothy G JenkinsAndrology and IVF Laboratory, Department of Surgery (Urology), University of Utah School of Medicine, Salt Lake City, UT, USA.
Antoni Riera-EscamillaAndrology Department, Fundació Puigvert, Universitat Autònoma de Barcelona, Instituto de Investigaciones Biomédicas Sant Pau (IIB-Sant Pau), Barcelona, Catalonia, Spain.
Alberto Barrosi3S - Instituto de Investigação e Inovação em Saúde, University of Porto, Porto, Portugal.
Filipa Carvalhoi3S - Instituto de Investigação e Inovação em Saúde, University of Porto, Porto, Portugal.
Susana Fernandesi3S - Instituto de Investigação e Inovação em Saúde, University of Porto, Porto, Portugal.
João GonçalvesDepartamento de Genética Humana, Instituto Nacional de Saúde Dr. Ricardo Jorge, Lisboa, Portugal.
Christina A GurnettDepartment of Neurology, Washington University, St. Louis, MO, USA.
Niels JørgensenDepartment of Growth and Reproduction, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Davor JezekDepartment of Histology and Embryology, University of Zagreb School of Medicine, Zagreb, Croatia.ORCID 0000-0002-1528-5462
Emily S JungheimDepartment of Obstetrics and Gynecology at Northwestern University, Division of Reproductive Endocrinology, Chicago, IL, USA.
Sabine KlieschDepartment of Clinical and Surgical Andrology, Centre of Reproductive Medicine and Andrology, University Hospital Münster, Münster, Germany.
Robert I McLachlanHudson Institute of Medical Research and the Department of Obstetrics and Gynecology, Monash University, Clayton, VIC, Australia.
Kenan R OmurtagDepartment of Obstetrics and Gynecology at Washington University, Division of Reproductive Endocrinology, St. Louis, MO, USA.
Adrian PilatzClinic for Urology, Pediatric Urology and Andrology, Justus Liebig University, Giessen, Germany.
Jay I SandlowDepartment of Urology, Medical College of Wisconsin, Milwaukee, WI, USA.
James SmithDepartment of Urology, University California San Francisco, San Francisco, CA, USA.
Michael L EisenbergDepartment of Urology, Stanford University School of Medicine, Stanford, CA, USA.
James M HotalingAndrology and IVF Laboratory, Department of Surgery (Urology), University of Utah School of Medicine, Salt Lake City, UT, USA.
Keith A JarviDivision of Urology, Department of Surgery, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-6966-9114
Margus PunabAndrology Center, Tartu University Hospital, Tartu, Estonia.
Ewa Rajpert-De MeytsDepartment of Growth and Reproduction, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0002-5946-7559
Douglas T CarrellAndrology and IVF Laboratory, Department of Surgery (Urology), University of Utah School of Medicine, Salt Lake City, UT, USA.
Csilla KrauszDepartment of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy.
Maris LaanInstitute of Biomedicine and Translational Medicine, University of Tartu, Tartu, Estonia.ORCID 0000-0002-8519-243X
Moira K O'BryanSchool of BioSciences, Faculty of Science, The University of Melbourne, Parkville, VIC, Australia.ORCID 0000-0001-7298-4940
Peter N SchlegelDepartment of Urology, Weill Cornell Medicine, New York, NY, USA.
Frank TüttelmannInstitute of Reproductive Genetics, University of Münster, Münster, Germany.ORCID 0000-0003-2745-9965
Joris A VeltmanBiosciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle-upon-Tyne, UK.ORCID 0000-0002-3218-8250
Kristian AlmstrupDepartment of Growth and Reproduction, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0002-1832-0307
Kenneth I AstonAndrology and IVF Laboratory, Department of Surgery (Urology), University of Utah School of Medicine, Salt Lake City, UT, USA.
Donald F ConradDivision of Genetics, Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, OR, USA. conradon@ohsu.edu.ORCID 0000-0003-3828-8970
Oregon National Primate Research Center · USUniversity of Utah · USUniversidade do Porto · PTCopenhagen University Hospital · DKWashington University in St. Louis · USLithuanian University of Health Sciences · LTNewcastle University · GBThe University of Melbourne · AUUniversity of Münster · DEUniversity of Tartu · EECornell University · USHudson Institute of Medical Research · AUJustus-Liebig-Universität Gießen · DEMedical College of Wisconsin · USMonash University · AUMount Sinai Hospital · CANational Institute of Health Dr. Ricardo Jorge · PTNorthwestern University · USRadboud University Nijmegen · NLStanford University · US

Funding

Project IIIP50HD096723 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Kyle Edwin Orwig · 2019 to 2026
$15.0M
GENOMICS OF SPERMATOGENIC IMPAIRMENTR01HD078641 · NICHD · WASHINGTON UNIVERSITY · PI Kenneth Ivan Aston, DONALD F. CONRAD · 2014 to 2026
$6.3M
Training in the Genetics and Molecular Biology of Mental DisordersT32MH014677 · NIMH · WASHINGTON UNIVERSITY · PI RICE, JOHN P. · 1985 to 2020
$3.6M
NICHD NIH HHS P50 HD096723NICHD NIH HHS R01 HD078641NIMH NIH HHS T32 MH014677Wellcome Trust 209451/Z/17/Z
6 · The paper itself

Abstract

Non-obstructive azoospermia (NOA) is the most severe form of male infertility and typically incurable. Defining the genetic basis of NOA has proven challenging, and the most advanced classification of NOA subforms is not based on genetics, but simple description of testis histology. In this study, we exome-sequenced over 1000 clinically diagnosed NOA cases and identified a plausible recessive Mendelian cause in 20%. We find further support for 21 genes in a 2-stage burden test with 2072 cases and 11,587 fertile controls. The disrupted genes are primarily on the autosomes, enriched for undescribed human "knockouts", and, for the most part, have yet to be linked to a Mendelian trait. Integration with single-cell RNA sequencing data shows that azoospermia genes can be grouped into molecular subforms with synchronized expression patterns, and analogs of these subforms exist in mice. This analysis framework identifies groups of genes with known roles in spermatogenesis but also reveals unrecognized subforms, such as a set of genes expressed across mitotic divisions of differentiating spermatogonia. Our findings highlight NOA as an understudied Mendelian disorder and provide a conceptual structure for organizing the complex genetics of male infertility, which may provide a rational basis for disease classification.

Indexed as

AzoospermiaInfertility, MaleAnimalsHumansMaleMiceSpermatogenesisTestis

Identifiers

PMID36572685
PMCPMC9792524
OpenAlexW4312220023

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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.