PMID- 37594251 OWN - NLM STAT- MEDLINE DCOM- 20240214 LR - 20240214 IS - 2047-2927 (Electronic) IS - 2047-2919 (Linking) VI - 12 IP - 3 DP - 2024 Mar TI - Scrutinizing the human TEX genes in the context of human male infertility. PG - 570-584 LID - 10.1111/andr.13511 [doi] AB - BACKGROUND: Infertility affects around 15% of all couples worldwide and is increasingly linked to variants in genes specifically expressed in the testis. Well-established causes of male infertility include pathogenic variants in the genes TEX11, TEX14, and TEX15, while few studies have recently reported variants in TEX13B, TEX13C, FAM9A (TEX39A), and FAM9B (TEX39B). OBJECTIVES: We aimed at screening for novel potential candidate genes among the human TEX ("testis expressed") genes as well as verifying previously described disease associations in this set of genes. MATERIALS AND METHODS: To this end, we screened the exome sequencing data of 1305 men, including 1056 crypto- and azoospermic individuals, and determined cell-specific expression by analyzing testis-specific single-cell RNA sequencing data for genes with identified variants. To investigate the overarching role in male fertility, we generated testis-specific knockdown (KD) models of all 10 orthologous TEX genes in Drosophila melanogaster. RESULTS: We detected rare potential disease-causing variants in TEX10, TEX13A, TEX13B, TEX13C, TEX13D, ZFAND3 (TEX27), TEX33, FAM9A (TEX39A), and FAM9B (TEX39B), in 28 infertile men, of which 15 men carried variants in TEX10, TEX27, and TEX33. The KD of TEX2, TEX9, TEX10, TEX13, ZFAND3 (TEX27), TEX28, TEX30, NFX1 (TEX42), TEX261, and UTP4 (TEX292) in Drosophila resulted in normal fertility. DISCUSSION: Based on our findings, the autosomal dominant predicted genes TEX10 and ZFAND3 (TEX27) and the autosomal recessive predicted gene TEX33, which all three are conceivably required for germ cell maturation, were identified as novel potential candidate genes for human non-obstructive azoospermia. We additionally identified hemizygous loss-of-function (LoF) variants in TEX13B, TEX13C, and FAM9A (TEX39A) as unlikely monogenic culprits of male infertility as LoF variants were also found in control men. CONCLUSION: Our findings concerning the X-linked genes TEX13B, TEX13C, and FAM9A (TEX39A) contradict previous reports and will decrease false-positive reports in genetic diagnostics of azoospermic men. CI - (c) 2023 The Authors. Andrology published by Wiley Periodicals LLC on behalf of American Society of Andrology and European Academy of Andrology. FAU - Sieper, Marie H AU - Sieper MH AD - Institute of Reproductive Genetics, University of Munster, Munster, Germany. FAU - Gaikwad, Avinash S AU - Gaikwad AS AD - Institute of Reproductive Genetics, University of Munster, Munster, Germany. FAU - Fros, Marion AU - Fros M AD - Institute of Reproductive Genetics, University of Munster, Munster, Germany. FAU - Weber, Philipp AU - Weber P AD - Institute of Reproductive Genetics, University of Munster, Munster, Germany. FAU - Di Persio, Sara AU - Di Persio S AD - Centre of Reproductive Medicine and Andrology, University Hospital Munster, Munster, Germany. FAU - Oud, Manon S AU - Oud MS AUID- ORCID: 0000-0001-9513-3030 AD - Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, Netherlands. FAU - Kliesch, Sabine AU - Kliesch S AUID- ORCID: 0000-0002-7561-4870 AD - Centre of Reproductive Medicine and Andrology, University Hospital Munster, Munster, Germany. FAU - Neuhaus, Nina AU - Neuhaus N AD - Centre of Reproductive Medicine and Andrology, University Hospital Munster, Munster, Germany. FAU - Stallmeyer, Birgit AU - Stallmeyer B AUID- ORCID: 0000-0003-2745-9965 AD - Institute of Reproductive Genetics, University of Munster, Munster, Germany. FAU - Tuttelmann, Frank AU - Tuttelmann F AD - Institute of Reproductive Genetics, University of Munster, Munster, Germany. FAU - Wyrwoll, Margot J AU - Wyrwoll MJ AD - Institute of Reproductive Genetics, University of Munster, Munster, Germany. LA - eng PT - Journal Article DEP - 20230818 PL - England TA - Andrology JT - Andrology JID - 101585129 RN - 0 (Cell Cycle Proteins) RN - 0 (TEX14 protein, human) RN - 0 (Transcription Factors) RN - 0 (TEX10 protein, human) RN - 0 (Nuclear Proteins) SB - IM MH - Animals MH - Humans MH - Male MH - *Azoospermia/genetics MH - Drosophila melanogaster MH - Cell Cycle Proteins/genetics MH - *Infertility, Male/metabolism MH - Testis/metabolism MH - Transcription Factors/metabolism MH - Nuclear Proteins/genetics OTO - NOTNLM OT - TEX genes OT - TEX10 OT - TEX13B OT - TEX27 OT - TEX33 OT - azoospermia OT - genetics OT - male infertility EDAT- 2023/08/18 12:42 MHDA- 2024/02/14 12:47 CRDT- 2023/08/18 08:52 PHST- 2023/07/12 00:00 [revised] PHST- 2023/03/06 00:00 [received] PHST- 2023/08/06 00:00 [accepted] PHST- 2024/02/14 12:47 [medline] PHST- 2023/08/18 12:42 [pubmed] PHST- 2023/08/18 08:52 [entrez] AID - 10.1111/andr.13511 [doi] PST - ppublish SO - Andrology. 2024 Mar;12(3):570-584. doi: 10.1111/andr.13511. Epub 2023 Aug 18.