X Chromosomal Mutations and Spermatogenic Failure☆
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View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Elsevier - Publisher Connector Biochimica et Biophysica Acta 1822 (2012) 1864–1872 Contents lists available at SciVerse ScienceDirect Biochimica et Biophysica Acta journal homepage: www.elsevier.com/locate/bbadis Review X chromosomal mutations and spermatogenic failure☆ Katrien Stouffs ⁎, Willy Lissens Center for Medical Genetics, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium Research Group Reproduction and Genetics, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium article info abstract Article history: The X and Y chromosomes, the sex chromosomes, are important key players in germ cell development. Both Received 6 November 2011 chromosomes contain genes that are uniquely expressed in male spermatogenesis. Furthermore, these chromo- Received in revised form 24 February 2012 somes are special because men only have a single copy of them. These features make the sex chromosomes in- Accepted 14 May 2012 teresting for studying in view of spermatogenesis defects. The role of the Y chromosome, together with the Available online 23 May 2012 presence of Yq microdeletions, in male infertility is well established. Less well-understood are the X-linked genes, their expression patterns and potential impact on male infertility. This review provides an overview of Keywords: X chromosome the current knowledge on potential spermatogenesis genes that are located on the mouse and human X chromo- Spermatogenesis somes. A summary is given on knock-out mice models in which X-linked genes have been shown to alter sper- Infertility matogenesis, and on genes that have been studied in humans. Finally, new research areas like miRNA analysis, Genome Wide Association Studies (GWAS) and array comparative genomic hybridisation (CGH) studies are dis- cussed. This article is part of a Special Issue entitled: Molecular Genetics of Human Reproductive Failure. © 2012 Elsevier B.V. All rights reserved. 1. Introduction — why study the X chromosome? that the X chromosome is associated with syndromes involving men- tal retardation or muscle disorders. The X and Y chromosomes, the sex chromosomes, are special Typically, X-linked disorders are more common in men. One of the since men only have a single copy of these chromosomes. most common X-linked recessive disorders, is congenital color blind- Women, on the other hand, have two copies of the X chromosome ness, affecting ~8% of males, but only 0.5% of females [4]. The increased and lack the Y chromosome. These sex chromosomes are derived frequency of recessive disorders in males is caused by hemizygous ex- from an autosomal chromosome pair 300 myr ago [1]. While the posure: men only have a single copy of the X chromosome, and there- Y chromosome decreased to ~one third the size of the X chromo- fore compensation by a second, normal allele is not possible. some, the X chromosome remained more or less stable in size. Keeping in mind the hemizygous presence of the X chromosome However,thegenecontentoftheXchromosomehaschanged in men, it is also interesting to study this chromosome in view of largely. Under various selection processes, the sex chromosomes male infertility. Changes in X-linked spermatogenesis genes can be have obtained their current content. It is well known that both passed on through women for several generations: the “effect” or sex chromosomes play a pivotal role in sex determination. The phenotype will only become visible in males. Since infertility is affect- major functions of the Y chromosome are related to sex determina- ing 10–15% of couples, and a male factor is responsible for about half tion and spermatogenesis. Mutations of, or alterations in the SRY of the cases, it is worthwhile to study the origin of male infertility. For gene on the short arm of the Y chromosome lead (in most cases) infertile men producing a few spermatozoa, intracytoplasmic sperm to sex reversal [2]. The long arm of the Y chromosome is involved injection (ICSI) with the patient's own sperm might be a solution to in male infertility: deletions of one or more azoospermia factor overcome the fertility problems. In many cases where genetic causes (AZF) regions lead to spermatogenic failure. of infertility would be selected out naturally, the introduction of arti- Abnormalities in/of X linked genes are causing a much wider range ficial reproductive technologies such as ICSI might circumvent this of diseases/syndromes. The X chromosome is enriched for genes natural selection, and consequently genetic alterations might be expressed in brain, skeletal muscle, and as explained later, in sex- transmitted to subsequent generations. Therefore it is important to and reproduction-related tissues [3]. Therefore, it is not surprising identify genetic causes of male infertility for both diagnostic purposes and genetic counseling. ☆ This article is part of a Special Issue entitled: Molecular Genetics of Human Repro- 2. Testicular genes on the X chromosome ductive Failure. ⁎ Corresponding author at: Center for Medical Genetics, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium. Tel.: +32 2 4749149; fax: +32 2 4776860. There has been, and still is, much debate on the gene content of the E-mail address: [email protected] (K. Stouffs). X chromosome. While some authors claim that the X chromosome has 0925-4439/$ – see front matter © 2012 Elsevier B.V. All rights reserved. doi:10.1016/j.bbadis.2012.05.012 K. Stouffs, W. Lissens / Biochimica et Biophysica Acta 1822 (2012) 1864–1872 1865 a small number of male-specific genes, others believe that the X chro- presence of inverted repeats on the X chromosome could protect mosome is rather enriched for spermatogenesis genes. The gain/loss genes in these regions from X inactivation [14]. The X chromosome of male-specific genes can be explained by different evolutionary carries 24 of these repeats, containing a large part of the cancer-testis strategies. (CT) genes [13]. These genes are in normal conditions only expressed Evolutionary selection processes that are leading to demasculinization in testis, but are also detected in multiple cancers (Table 2). of the X chromosome (i.e. causing a decrease in the number of spermato- Based on these ‘characteristics’, the genes on the X chromosome genesis genes on the X chromosome) include the sexual antagonism driv- can be subdivided into two major groups: single copy and multicopy en X inactivation (SAXI) hypothesis and meiotic sex chromosome genes (Table 1 and Table 2). One further group of genes that we will inactivation (MSCI). MSCI, also referred to as meiotic silencing of consider here are X-linked genes with a homologue on the Y chromo- unsynapsed chromatin (MSUC), is a process through which the X chro- some (Table 4). mosome is inactivated during male meiosis. The process behind this inac- tivation is not well understood. MSCI is different from X chromosome 3. Differences between mice and humans inactivation (lyonization) in women by which one of the X chromosomes is inactivated, and is independent of the XIST gene. Due to the MSCI, the From Tables 1 and 2, it is obvious that especially for multicopy majority of genes on the X chromosome are repressed from meiosis on- genes, large differences are observed between mice and humans. wards. This makes the X chromosome an unlikely place for meiotic and This can probably be explained by the fact that these genes arose post-meiotic genes. As a consequence, part of the genes involved in late in evolution and are presumably still actively changing. Further- meiosis has changed their location by retroposition from the X to an auto- more, part of the human ‘single’ copy genes is present in multiple somal chromosome [5]. The SAXI hypothesis suggests that sexual antago- copies in mice and vice versa (Table 2). Gmcl1 and Zfp161-rs1 are lo- nism is determining the chromosomal localization of genes: since the X cated on the X chromosome in mice, but are autosomal in humans. chromosome is present twice as much in females, X-linked mutations The Tsga8 gene is a testis-specific gene expressed in post-meiotic that are of benefit to females are much more likely to accumulate, even germ cells. This gene is present only in mice, although a potential ho- if they are deleterious for men. mologue was found in rat [15,16]. It has been shown, however, that In contrast to the SAXI theory, the hemizygous exposure theory this gene is evolving rapidly, even within different mouse subspecies. predicts an accumulation of spermatogenesis genes on the X chromo- It should be noted that the list of CT genes is increasing rapidly, and some. This theory suggests that recessive mutations with a positive or that probably not all CT genes are listed in Table 2. Presumably, the beneficial effect for men will accumulate on the X chromosome. Men number of genes having different copy numbers in human and have only one copy of the X chromosome, and therefore the beneficial mouse will also increase as more genomic research will be performed. effect will immediately become visible. For women, two mutations For part of these genes, a more specific function in spermatogene- would then be necessary in order to be beneficial. If deleterious for sis or a role in male infertility has already been reported. These results women, these effects would initially be masked since two mutations are described in the next paragraphs. We focus on X-linked genes that need to be present in women in order to have a negative effect. This are uniquely or preferentially expressed in testicular tissues. would lead to masculinization of the X chromosome. This theory is also referred to as Rice's hypothesis [6]. 4. X-linked testis-specific or testis-enriched genes studied by The origin of the different theories concerning the gene content of generating knock-out mice (Tables 1 and 2) the X chromosome is a result of the selection of the species under examination and the gene pool studied.