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      Female infertility from oocyte maturation arrest: assembling the genetic puzzle

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          Abstract

          Assisted reproduction procedures often encounter an issue called oocyte maturation arrest (OMA), which is manifested as failed IVF/ICSI attempts using oocytes from some infertile women. In this issue of EMBO Molecular Medicine, Wang et al identify infertile women bearing novel DNA sequence variants in a gene called PABPC1L, which is essential for translation of maternal mRNAs. By conducting a series of in vitro and in vivo experiments, they demonstrated certain variants as being causal for OMA, confirming a conserved requirement for PABPC1L in human oocyte maturation. This study offers a promising therapeutic target for treating OMA patients.

          Abstract

          J. Schimenti and X. Ding discuss the study by Weijie Wang et al (in this issue of EMBO Mol Med) that reports novel pathogenic variants in PABPC1L that cause oocyte maturation arrest and female infertility.

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          Most cited references10

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          Biallelic Mutations in PATL2 Cause Female Infertility Characterized by Oocyte Maturation Arrest

          Oocyte maturation arrest results in female infertility, but the genetic determinants of human oocyte maturation arrest remain largely unknown. Previously, we identified TUBB8 mutations responsible for human oocyte maturation arrest, indicating the important role of genetic factors in the disorder. However, TUBB8 mutations account for only around 30% of individuals with oocyte maturation arrest; thus, the disorder is likely to involve other genetic factors that are as yet unknown. Here, we initially identified a homozygous nonsense mutation of PATL2 (c.784C>T [p.Arg262∗]) in a consanguineous family with a phenotype characterized by human oocyte germinal vesicle (GV) arrest. Subsequent mutation screening of PATL2 in a cohort of 179 individuals identified four additional independent individuals with compound-heterozygous PATL2 mutations with slight phenotypic variability. A genetic burden test further confirmed the genetic contribution of PATL2 to human oocyte maturation arrest. By western blot in HeLa cells, identification of splicing events in affected individuals' granulosa cells, and immunostaining in affected individuals' oocytes, we provide evidence that mutations in PATL2 lead to decreased amounts of protein. These findings suggest an important role for PATL2 mutations in oocyte maturation arrest and expand our understanding of the genetic basis of female infertility.
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            Mutant ZP1 in familial infertility.

            The human zona pellucida is composed of four glycoproteins (ZP1, ZP2, ZP3, and ZP4) and has an important role in reproduction. Here we describe a form of infertility with an autosomal recessive mode of inheritance, characterized by abnormal eggs that lack a zona pellucida. We identified a homozygous frameshift mutation in ZP1 in six family members. In vitro studies showed that defective ZP1 proteins and normal ZP3 proteins colocalized throughout the cells and were not expressed at the cell surface, suggesting that the aberrant ZP1 results in the sequestration of ZP3 in the cytoplasm, thereby preventing the formation of the zona pellucida around the oocyte.
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              ZP2 pathogenic variants cause in vitro fertilization failure and female infertility

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                Author and article information

                Contributors
                jcs92@cornell.edu
                Journal
                EMBO Mol Med
                EMBO Mol Med
                10.1002/(ISSN)1757-4684
                EMMM
                embomm
                EMBO Molecular Medicine
                John Wiley and Sons Inc. (Hoboken )
                1757-4676
                1757-4684
                19 April 2023
                June 2023
                : 15
                : 6 ( doiID: 10.1002/emmm.v15.6 )
                : e17729
                Affiliations
                [ 1 ] Department of Biomedical Sciences, College of Veterinary Medicine Cornell University Ithaca NY USA
                Author notes
                [*] [* ]Corresponding author. E‐mail: jcs92@ 123456cornell.edu
                Author information
                https://orcid.org/0000-0001-5941-4898
                https://orcid.org/0000-0002-7294-1876
                Article
                EMMM202317729
                10.15252/emmm.202317729
                10245026
                37073822
                9c8e283c-bdb7-472b-b64a-2c19d2e41aab
                © 2023 The Authors. Published under the terms of the CC BY 4.0 license

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 04 April 2023
                : 06 April 2023
                Page count
                Figures: 2, Tables: 0, Pages: 3, Words: 1814
                Funding
                Funded by: HHS | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
                Award ID: R01HD082568
                Award ID: P50HD096723
                Categories
                News & Views
                News & Views
                Custom metadata
                2.0
                07 June 2023
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.2.8 mode:remove_FC converted:07.06.2023

                Molecular medicine
                genetics, gene therapy & genetic disease,urogenital system
                Molecular medicine
                genetics, gene therapy & genetic disease, urogenital system

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