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Characterising human gametogenesis arrest from gene to protein

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Infertility is considered a global public health issue since it affects more than 50 million couples worldwide. Current assisted reproductive technologies (ARTs) have minimal requirements for gametes that are competent for fertilisation and subsequent embryo development. In cases where genetic abnormalities lead to arrested gametogenesis and the production of immature, defective or degraded gametes, treatment is not usually possible. Identifying the molecular causes of these types of infertility is crucial for developing new strategies to treat affected couples. Moreover, these patients represent a unique opportunity to discover new actors of oogenesis and spermatogenesis and to decipher the molecular pathways involved in the production of competent gametes.Genetic analysis of cohorts of infertile patients with shared ancestry can allow the identification of inherited genetic variants as possible causal factors. Using whole exome sequencing, we identified a homozygous pathogenic variant of the gene PATL2 in a cohort of patients with a phenotype of arrested oogenesis due to oocyte meiotic deficiency (OMD). OMD is a rare pathology characterised by the recurrent ovulation of immature oocytes. PATL2 encodes an oocyte ribonucleoprotein whose amphibian orthologue had been shown to be involved in oocyte translational control and whose function in mammals was poorly characterised. We also identified a pathogenic variant of the gene SPINK2 in a familial case of azoospermia. SPINK2 encodes a serine protease inhibitor essential for the neutralisation of acrosin activity during sperm acrosome formation.We showed, through generation of Patl2 and Spink2 knockout (KO) mice and Patl2 tagged mice (the latter using CRISPR-Cas9), that both corresponding proteins play essential respective roles in gametogenesis. We demonstrated that Patl2 is strongly expressed in growing mouse oocytes and that its absence leads to the dysregulation of numerous transcripts necessary for oocyte growth, meiotic maturation and preimplantation embryo development. This was accompanied by a phenotype of subfertility in KO females in natural mating, a large proportion of ovulated oocytes lacking a polar body (immature) and/or displaying spindle assembly defects in immunostaining, and high rate of oocytes with an aberrant response to fertilisation in IVF experiments. In Spink2 KO mice, we demonstrated that absence of Spink2 protein, which is located in the acrosome of maturing and mature spermatozoa, leads to arrested spermiogenesis and azoospermia due to autophagy at the round-spermatid stage. This is plausibly due to aberrant acrosin activity in the absence of its inhibitor, corroborated by fragmentation of the Golgi and absence of the acrosome in immunostaining.We have thus characterised two genetic subtypes of human infertility associated with mutation of these two genes. In doing so, we have furthered our understanding of the respective roles of these crucial actors of mammalian gametogenesis, potentially paving the way for improvement of current ARTs and development of new, personalised therapies.
The CRISPR/Cas9 system for genome editing. 1) The Cas9 endonuclease is directed to the targeted sequence by base pairing between the specific sgRNA (orange) and its target within the genomic DNA sequence. A "NGG" PAM sequence (Green NGG) located immediately downstream from the target sequence in the non-complementary strand is required for Cas9 recognition. 2) The Cas9 induces a DSB (red arrow-head) within the sgRNA targeted genomic DNA (orange box), normally between the third and the fourth bases from the PAM (orange box). 3) The error-prone NHEJ repair mechanism induces unpredictable insertions or deletions (InDels) represented by a red box, close to the initial DSB and usually within the sgRNA targeted sequence (orange box). The majority of InDels (which are not a multiple of 3 nucleotides) induce a frameshift that introduces a premature stop codon (black rectangle) which induces mRNA degradation (by non-sense mediated mRNA decay) and/or give a truncated non-functional protein. In most cases a null allele is obtained. 4) Co-injection of a ssDNA template homologous to the targeted sequence permits to repair the ds break by homology directed repair (HDR). Here the ssDNA template contains a small sequence (27 bp) coding for an HA-tag (yellow box) inserted immediately at the end of the protein of interest just before the stop codon (black box) to add a 9 amino acid tag to the targeted protein to facilitate its detection in-vivo. Compared to the targeted sequence, the ssDNA is also modified at the PAM sequence, the NGG (green box) is replaced by a TTG (blue box) to prevent new targeting by the sgDNA and ds breaks of the modified allele.
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