Abstract
Purpose
The aim of this study was to identify the disease-causing mutations found in three infertile female patients who were diagnosed with abnormal zona pellucida (ZP) and empty follicle syndrome (EFS).
Methods
We performed whole-exome sequencing and Sanger sequencing to identify and verify the disease-causing mutations. Additionally, we performed Western blotting and mini-gene splicing assay to assess the effects of the mutations.
Results
We identified two novel compound heterozygous mutations in the ZP2 gene, a patient with an abnormal ZP carrying a novel compound heterozygous mutation (c.1695-2A>G and c.1831G>T, p.V611F) and a patient with EFS carrying a novel compound heterozygous mutation (c.1695-2A>G and c.1924 C>T, p.R642*). Furthermore, we identified a patient with typical abnormal ZP carrying a novel heterozygous mutation (c.400G>T, p.A134S) in the ZP3 gene. The splice site mutation (c.1695-2A>G) can cause abnormal pre-mRNA splicing that inserts an extra sequence of 61 bp in the mRNA of ZP2, and the missense mutation (c.1831G>T) can cause a decrease of ZP2 protein in HEK293 cells.
Conclusion
We identified three novel mutations in the ZP2 gene and the ZP3 gene in three Chinese female patients with infertility. Our study expands the spectrum of ZP gene mutations and phenotypes and thus is beneficial in the genetic diagnosis of infertility in females.
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Research data are not shared.
References
Zegers-Hochschild F, et al. The international glossary on infertility and fertility care, 2017. Fertil Steril. 2017;108(3):393–406.
Dai C, et al. ZP2 pathogenic variants cause in vitro fertilization failure and female infertility. Genet Med. 2019;21(2):431–40.
Moros-Nicolás C, et al. New insights into the Mammalian Egg Zona Pellucida. Int J Mol Sci. 2021:22(6).
Lefièvre L, et al. Four zona pellucida glycoproteins are expressed in the human. Hum Reprod. 2004;19(7):1580–6.
Gupta SK. The human egg’s zona pellucida. Curr Top Dev Biol. 2018;130:379–411.
Conner SJ, et al. Cracking the egg: increased complexity in the zona pellucida. Hum Reprod. 2005;20(5):1148–52.
Ganguly A, et al. ‘ZP domain’ of human zona pellucida glycoprotein-1 binds to human spermatozoa and induces acrosomal exocytosis. Reprod Biol Endocrinol. 2010;8:110.
Litscher ES, Wassarman PM. Zona Pellucida Proteins, Fibrils, and Matrix. Annu Rev Biochem. 2020;89:695–715.
Zhou Z, et al. Novel mutations in ZP1, ZP2, and ZP3 cause female infertility due to abnormal zona pellucida formation. Hum Genet. 2019;138(4):327–37.
Chen T, et al. A recurrent missense mutation in ZP3 causes empty follicle syndrome and female infertility. Am J Hum Genet. 2017;101(3):459–65.
Sauerbrun-Cutler MT, et al. Oocyte zona pellucida dysmorphology is associated with diminished in-vitro fertilization success. J Ovarian Res. 2015;8:5.
Coulam CB, Bustillo M, Schulman JD. Empty follicle syndrome. Fertil Steril. 1986;46(6):1153–5.
Cohen J, et al. Implantation enhancement by selective assisted hatching using zona drilling of human embryos with poor prognosis. Hum Reprod. 1992;7(5):685–91.
Wang M, et al. The relationship between a novel evaluation parameter of premature luteinization and IVF outcomes. Reprod Biomed Online. 2021;42(2):323–31.
Cooper TG, et al. World Health Organization reference values for human semen characteristics. Hum Reprod Update. 2010;16(3):231–45.
Jia W, et al. A novel UBE2A mutation in a Chinese family with X-linked intellectual disability. J Gene Med. 2020;22(8):e3191.
Luo G, et al. Novel mutations in ZP1 and ZP2 cause primary infertility due to empty follicle syndrome and abnormal zona pellucida. J Assist Reprod Genet. 2020;37(11):2853–60.
Gupta SK. Human zona pellucida glycoproteins: binding characteristics with human spermatozoa and induction of acrosome reaction. Front Cell Dev Biol. 2021;9:619868.
Monné M, Jovine L. A structural view of egg coat architecture and function in fertilization. Biol Reprod. 2011;85(4):661–9.
Rankin TL, et al. Defective zonae pellucidae in Zp2-null mice disrupt folliculogenesis, fertility and development. Development. 2001;128(7):1119–26.
Liu C, et al. Targeted disruption of the mZP3 gene results in production of eggs lacking a zona pellucida and infertility in female mice. Proc Natl Acad Sci U S A. 1996;93(11):5431–6.
Yuan P, et al. Novel mutation in the ZP1 gene and clinical implications. J Assist Reprod Genet. 2019;36(4):741–7.
Dai C, et al. ZP1 mutations are associated with empty follicle syndrome: evidence for the existence of an intact oocyte and a zona pellucida in follicles up to the early antral stage. A case report. Hum Reprod. 2019;34(11):2201–7.
Sun L, et al. Compound heterozygous ZP1 mutations cause empty follicle syndrome in infertile sisters. Hum Mutat. 2019;40(11):2001–6.
Liu M, et al. Novel biallelic loss-of-function variants in ZP1 identified in an infertile female with empty follicle syndrome. J Assist Reprod Genet. 2020;37(9):2151–7.
Xu Q, et al. A novel homozygous nonsense ZP1 variant causes human female infertility associated with empty follicle syndrome (EFS). Mol Genet Genomic Med. 2020;8(7):e1269.
Yang P, et al. The critical role of ZP genes in female infertility characterized by empty follicle syndrome and oocyte degeneration. Fertil Steril. 2021;115(5):1259–69.
Wang J, et al. A novel homozygous nonsense mutation in zona pellucida 1 (ZP1) causes human female empty follicle syndrome. J Assist Reprod Genet. 2021;38(6):1459–68.
Huang HL, et al. Mutant ZP1 in familial infertility. N Engl J Med. 2014;370(13):1220–6.
Cao Q, et al. Heterozygous mutations in ZP1 and ZP3 cause formation disorder of ZP and female infertility in human. J Cell Mol Med. 2020;24(15):8557–66.
Okutman Ö, et al. Homozygous splice site mutation in ZP1 causes familial oocyte maturation defect. Genes (Basel). 2020:11(4).
Yang P, et al. Novel zona pellucida gene variants identified in patients with oocyte anomalies. Fertil Steril. 2017;107(6):1364–9.
Wei X, et al. Mutations in ZP4 are associated with abnormal zona pellucida and female infertility. J Clin Pathol. 2021.
Liu W, et al. Dosage effects of ZP2 and ZP3 heterozygous mutations cause human infertility. Hum Genet. 2017;136(8):975–85.
Barbaux S, El Khattabi L, Ziyyat A. ZP2 heterozygous mutation in an infertile woman. Hum Genet. 2017;136(11-12):1489–91.
Liu W, et al. Additive-effect pattern of both ZP2 and ZP3 in human and mouse. Hum Genet. 2017;136(11-12):1493–5.
Chen Y, et al. Case report: a novel heterozygous ZP3 deletion associated with empty follicle syndrome and abnormal follicular development. Front Genet. 2021;12:690070.
Sun Y, et al. A novel homozygous variant in ZP2 causes abnormal zona pellucida formation and female infertility. J Assist Reprod Genet. 2021;38(5):1239–45.
Zhang D, et al. A novel mutation in ZP3 causes empty follicle syndrome and abnormal zona pellucida formation. J Assist Reprod Genet. 2021;38(1):251–9.
Siristatidis, C., et al., Empty zona pellucida only case: a critical review of the literature. Int J Environ Res Public Health, 2021. 18(17).
Metwalley A, et al. Role of diagnostic intracytoplasmic sperm injection (ICSI) in the management of genetically determined zona pellucida-free oocytes during in vitro fertilization: a case report. Zygote. 2020;28(6):519–23.
Acknowledgements
We would like to thank Sang Qing and Lei Wang from Fudan University for kindly providing the gift of ZP2 and ZP3 plasmids. And, we thank the family members for their enthusiastic participation in this study.
Funding
This work was supported by The National Natural Science Foundation of China (81000079, 81170165 and 81870959 to X.Z.), supported by The Program for HUST Academic Frontier Youth Team (2016QYTD02), and supported by The Fundamental Research Funds for the Central Universities (HUST: 2019JYCXJJ035).
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the ethics committee on human subject research at Huazhong University of Science and Technology (2019S1160) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
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Supplementary Fig. 1
Sanger sequencing of the PCR products from the cells transfected with mutant-type ZP2 mini gene (PNG 771 kb)
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Jia, W., Xi, Q., Zhu, L. et al. Novel mutations in ZP2 and ZP3 cause female infertility in three patients. J Assist Reprod Genet 39, 1205–1215 (2022). https://doi.org/10.1007/s10815-022-02466-4
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DOI: https://doi.org/10.1007/s10815-022-02466-4