Evidence map›Paper›PMID 41556312›Full record

ArticleBiology of reproduction2026

Fertilization with Protamine-2 deficient sperm triggers abnormal pronucleus development and zygotic cleavage†.

Shannon R Rainsford, Kevin Tse, Benjamin William Walters, Jong-Nam Oh, Kaelyn Sumigray, Bluma J Lesch, Zachary D Smith

Abstract read
In one paragraph

Article in Biology of reproduction, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Shannon R RainsfordDepartment of Genetics, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-4176-4918
Kevin TseDepartment of Genetics, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0009-0004-3633-5037
Benjamin William WaltersDepartment of Genetics, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0003-3375-8590
Jong-Nam OhDepartment of Cell & Molecular Physiology, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0001-9026-3725
Kaelyn SumigrayDepartment of Genetics, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-1267-7559
Bluma J LeschDepartment of Genetics, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-6689-0240
Zachary D SmithDepartment of Genetics, Yale School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0002-9283-1957

Funding

GENETICS AND GENOMICS OF HUMAN DISEASET32HD007149 · NICHD · YALE UNIVERSITY · PI James P Noonan · 1985 to 2026
$8.2M
Epigenetic and environmental impact on early embryonic developmentDP2HD108774 · NICHD · YALE UNIVERSITY · PI SMITH, ZACHARY DYLAN · 2021 to 2024
$2.5M
High Performance Computing Instrumentation for the Yale Center for Genome AnalysisS10OD030363 · OD · YALE UNIVERSITY · PI MANE, SHRIKANT M · 2022 to 2022
$1.2M
Mathers Foundation, the Chen Innovation Award, and the NIH Director's New Innovator Award DP2HD108774National Institute of Child Health and Human Development R01HD098128 and R21HD110843NICHD NIH HHS T32 HD007149NIGMS NIH HHS 1S10OD030363-01A1NIH HHS S10 OD030363
6 · The paper itself

Abstract

Spermatozoan DNA is hyper-condensed by protamines, which are essential for sperm motility and function. Since defects in this process impact natural fertilization, little is known about how changes to protamine-mediated condensation impact the oocyte's ability to recognize and reprogram the paternal genetic material for the early stages of embryogenesis. Here, we performed intracytoplasmic sperm injection (ICSI) with sperm lacking Protamine 2 (Prm2 KO) and tracked preimplantation development in mice. We found that ICSI with Prm2 KO sperm leads to embryo fragmentation and arrest at the 2-cell stage. Surprisingly, injected Prm2 KO sperm DNA is rapidly depleted from the oocyte during the completion of maternal meiosis II, leading to a zygote with one morphologically abnormal pronucleus. Direct induction of DNA damage in wild type sperm did not recapitulate the pronuclear abnormalities found in Prm2 KO-derived zygotes. Co-injection with wild type sperm failed to rescue these defects, indicating that they were not caused by absence of a normally protaminated paternal genome. Finally, we find that testicular Prm2 KO sperm support progression to the blastocyst stage, suggesting a model where fertility-compromising factors are acquired during epididymal maturation. Our results demonstrate that Protamine 2 is necessary for correct maturation of epididymal sperm and essential for their ability to form a functional zygote at fertilization.

Indexed as

Cell NucleusFertilizationProtaminesSpermatozoaZygoteAnimalsEmbryonic DevelopmentFemaleMaleMiceMice, KnockoutSperm Injections, IntracytoplasmicSperm Proteinsprotamine 2ProtaminesSperm Proteinsinfertilityintracytoplasmic sperm injectionprotaminespermzygote

Identifiers

PMID41556312
PMCPMC13079458

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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.