CFTR Exon 10 deleterious mutations in patients with congenital bilateral absence of vas deferens in a cohort of Pakistani patients

Submitted: March 16, 2024
Accepted: April 5, 2024
Published: October 2, 2024
Abstract Views: 228
PDF: 64
Supplementary: 43
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Congenital bilateral absence of vas deferens (CBAVD) is a urological syndrome of Wolffian ducts and is responsible for male infertility and obstructive azoospermia. This study is designed to explore the integrity of exon 10 of CFTR and its role in male infertility in a cohort of CBVAD patients in Pakistan. Genomic DNA was extracted from 17 male patients with CBAVD having clinical symptoms, and 10 healthy controls via phenol-chloroform method. Exon 10 of the CFTR gene was amplified, using PCR with specific primers and DNA screening was done by Sanger sequencing. Sequencing results were analyzed using freeware Serial Cloner, SnapGene, BioEdit and FinchTV. Furthermore, bioinformatics tools were used to analyze the mutations and their impact on the protein function and stability. We have identified 4 mutations on exon 10 of CFTR in 6 out of 17 patients. Two of the mutations were missense variants V456A, K464E, and the other two were silent mutations G437G, S431S. The identified variant V456A was present in 4 of the studied patients. Whereas, the presence of K464E in our patients further weighs on the crucial importance for its strategic location to influence the gene function at post-transcriptional and protein level. Furthermore, Polyphen-2 and SIFT analyze the mutations as harmful and deleterious. The recurrence of V456A and tactically conserved locality of K464E are evidence of their potential role in CBAVD patients and in male infertility. The data can contribute in developing genetic testing and treatment of CBAVD.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Cai H, Qing X, Niringiyumukiza JD, et al. CFTR variants and renal abnormalities in males with congenital unilateral absence of the vas deferens (CUAVD): a systematic review and meta-analysis of observational studies. Genet Med. 2019;21:826-36.
Halder A, Pandey D. CFTR gene variants in Indian congenital bilateral absence of vas deferens & its relevance in genetic counselling. Indian J Med Res. 2020;152:535-7.
Cai Z, Li H. Congenital bilateral absence of the vas deferens. Front Genet. 2022;13:775123.
Ferlin A, Dipresa S, Delbarba A, et al. Contemporary genetics-based diagnostics of male infertility. Expert Rev Mol Diagn. 2019;19:623-33.
Daudin M, Bieth E, Bujan L, et al. Congenital bilateral absence of the vas deferens: clinical characteristics, biological parameters, cystic fibrosis transmembrane conductance regulator gene mutations, and implications for genetic counseling. Fertil Steril. 2000;74:1164-74.
Mieusset R, Bieth E, Daudin M, et al. Male partners of infertile couples with congenital unilateral absence of the vas deferens are mainly non-azoospermic. Andrology. 2020;8:645-53.
Bieth E, Hamdi SM, Mieusset R. Genetics of the congenital absence of the vas deferens. Hum Genet. 2021;140:59-76.
Casals T, Bassas L, Egozcue S, et al. Heterogeneity for mutations in the CFTR gene and clinical correlations in patients with congenital absence of the vas deferens. Hum Reprod. 2000;15:1476-83.
Akinsal EC, Baydilli N, Dogan ME, Ekmekcioglu O. Comorbidity of the congenital absence of the vas deferens. Andrologia. 2018;50:e12994.
Li C-Y, Jiang L-Y, Chen W-Y, et al. CFTR is essential for sperm fertilizing capacity and is correlated with sperm quality in humans. Human Reprod. 2010;25:317-27.
Gaillard DA, Carre-Pigeon F, Lallemand A. Normal vas deferens in fetuses with cystic fibrosis. J Urol. 1997;158:1549-52.
Hwang TC, Yeh JT, Zhang J, et al. Structural mechanisms of CFTR function and dysfunction. J Gen Physiol. 2018;150:539-70.
Shishido H, Yoon JS, Yang Z, Skach WR. CFTR trafficking mutations disrupt cotranslational protein folding by targeting biosynthetic intermediates. Nat Commun. 2020;11:4258.
Morris-Rosendahl DJ, Edwards M, McDonnell MJ, et al. Whole-gene sequencing of CFTR reveals a high prevalence of the intronic variant c.3874-4522A>G in cystic fibrosis. Am J Respir Crit Care Med. 2020;201:1438-41.
Indika NLR, Vidanapathirana DM, Dilanthi HW, et al. Phenotypic spectrum and genetic heterogeneity of cystic fibrosis in Sri Lanka. BMC Med Genet. 2019;20:89.
Ferlin A, Stuppia L. Diagnostics of CFTR-negative patients with congenital bilateral absence of vas deferens: which mutations are of most interest? Expert Rev Mol Diagn. 2020;20:265-7.
Gupta N, Sarkar S, Mehta P, et al. Polymorphisms in the HSF2, LRRC6, MEIG1 and PTIP genes correlate with sperm motility in idiopathic infertility. Andrologia. 2022;54:e14517.
Ashkenazy H, Abadi S, Martz E, et al. ConSurf 2016: an improved methodology to estimate and visualize evolutionary conservation in macromolecules. Nucleic Acids Res. 2016;44:W344-50.
Venselaar H, Te Beek TA, Kuipers RK, et al. Protein structure analysis of mutations causing inheritable diseases. An e-Science approach with life scientist friendly interfaces. BMC Bioinformatics. 2010;11:548.
Giordano SH. Breast cancer in men. N Engl J Med. 2018;378:2311-20.
Flanagan SE, Patch AM, Ellard S. Using SIFT and PolyPhen to predict loss-of-function and gain-of-function mutations. Genet Test Mol Biomarkers. 2010;14:533-7.
Soegaard M, Kjaer SK, Cox M, et al. BRCA1 and BRCA2 mutation prevalence and clinical characteristics of a population-based series of ovarian cancer cases from Denmark. Clin Cancer Res. 2008;14:3761-7.
Adzhubei I, Jordan DM, Sunyaev SR. Predicting functional effect of human missense mutations using PolyPhen-2. Curr Protoc Hum Genet. 2013;Chapter 7:Unit7.20.
Pulumati A, Pulumati A, Dwarakanath BS, et al. Technological advancements in cancer diagnostics: Improvements and limitations. Cancer Rep (Hoboken). 2023;6:e1764.
Pires DE, Ascher DB, Blundell TL. mCSM: predicting the effects of mutations in proteins using graph-based signatures. Bioinformatics. 2014;30:335-42.
Lewis HA, Zhao X, Wang C, et al. Impact of the deltaF508 mutation in first nucleotide-binding domain of human cystic fibrosis transmembrane conductance regulator on domain folding and structure. J Biol Chem. 2005;280:1346-53.
Ehrhardt A, Chung WJ, Pyle LC, et al. Channel gating regulation by the cystic fibrosis transmembrane conductance regulator (CFTR) first cytosolic loop. J Biol Chem. 2016;291:1854-65.
Uppaluri L, England S, Scanlin T. Clinical evidence that V456A is a cystic fibrosis causing mutation in South Asians. J Cyst Fibros. 2012;11:312-5.
Ziedalski TM, Kao PN, Henig NR, et al. Prospective analysis of cystic fibrosis transmembrane regulator mutations in adults with bronchiectasis or pulmonary nontuberculous mycobacterial infection. Chest. 2006;130:995-1002.
McCormick J, Green MW, Mehta G, et al. Demographics of the UK cystic fibrosis population: implications for neonatal screening. Eur J Hum Genet. 2002;10:583-90.
Tsui LC, Dorfman R. The cystic fibrosis gene: a molecular genetic perspective. Cold Spring Harb Perspect Med. 2013;3:a009472.
Lukacs GL, Verkman AS. CFTR: folding, misfolding and correcting the DeltaF508 conformational defect. Trends Mol Med. 2012;18:81-91.
Veit G, Avramescu RG, Chiang AN, et al. From CFTR biology toward combinatorial pharmacotherapy: expanded classification of cystic fibrosis mutations. Mol Biol Cell. 2016;27:424-33.
Lakshminarayan R, Phillips BP, Binnian IL, et al. Pre-emptive quality control of a misfolded membrane protein by ribosome-driven effects. Curr Biol. 2020;30:854-64 e5.
Ikuma M, Welsh MJ. Regulation of CFTR Cl- channel gating by ATP binding and hydrolysis. Proc Natl Acad Sci USA. 2000;97:8675-80.

How to Cite

Bakhat , K., Mateen, I., Saif, H., Anwar, K., Sarfraz, S., Javaid, S., ur Rehman , K., Arshad, A., & Mustafa, M. (2024). CFTR Exon 10 deleterious mutations in patients with congenital bilateral absence of vas deferens in a cohort of Pakistani patients. Archivio Italiano Di Urologia E Andrologia, 96(3). https://doi.org/10.4081/aiua.2024.12464