HGG Advances (Jan 2024)

Mosaic variegated aneuploidy syndrome with tetraploid, and predisposition to male infertility triggered by mutant CEP192

  • Jihong Guo,
  • Wen-Bin He,
  • Lei Dai,
  • Fen Tian,
  • Zhenqing Luo,
  • Fang Shen,
  • Ming Tu,
  • Yu Zheng,
  • Liu Zhao,
  • Chen Tan,
  • Yongteng Guo,
  • Lan-Lan Meng,
  • Wei Liu,
  • Mei Deng,
  • Xinghan Wu,
  • Yu Peng,
  • Shuju Zhang,
  • Guang-Xiu Lu,
  • Ge Lin,
  • Hua Wang,
  • Yue-Qiu Tan,
  • Yongjia Yang

Journal volume & issue
Vol. 5, no. 1
p. 100256

Abstract

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Summary: In this study, we report on mosaic variegated aneuploidy (MVA) syndrome with tetraploidy and predisposition to infertility in a family. Sequencing analysis identified that the CEP192 biallelic variants (c.1912C>T, p.His638Tyr and c.5750A>G, p.Asn1917Ser) segregated with microcephaly, short stature, limb-extremity dysplasia, and reduced testicular size, while CEP192 monoallelic variants segregated with infertility and/or reduced testicular size in the family. In 1,264 unrelated patients, variant screening for CEP192 identified a same variant (c.5750A>G, p.Asn1917Ser) and other variants significantly associated with infertility. Two lines of Cep192 mice model that are equivalent to human variants were generated. Embryos with Cep192 biallelic variants arrested at E7 because of cell apoptosis mediated by MVA/tetraploidy cell acumination. Mice with heterozygous variants replicated the predisposition to male infertility. Mouse primary embryonic fibroblasts with Cep192 biallelic variants cultured in vitro showed abnormal morphology, mitotic arresting, and disruption of spindle formation. In patient epithelial cells with biallelic variants cultured in vitro, the number of cells arrested during the prophase increased because of the failure of spindle formation. Accordingly, we present mutant CEP192, which is a link for the MVA syndrome with tetraploidy and the predisposition to male infertility.

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