空军军医大学学报2024,Vol.45Issue(6) :639-644,649.DOI:10.13276/j.issn.2097-1656.2024.06.006

常染色体显性遗传2型多囊肾病基因参与精子尾部组装的作用研究

Study on the role of autosomal dominant polycystic kidney disease gene 2 in sperm tail assembly

高婷 刘博 熊明祥 李田田 续功权 唐启胜 李臻
空军军医大学学报2024,Vol.45Issue(6) :639-644,649.DOI:10.13276/j.issn.2097-1656.2024.06.006

常染色体显性遗传2型多囊肾病基因参与精子尾部组装的作用研究

Study on the role of autosomal dominant polycystic kidney disease gene 2 in sperm tail assembly

高婷 1刘博 2熊明祥 1李田田 1续功权 3唐启胜 3李臻1
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作者信息

  • 1. 空军军医大学基础医学院人体解剖与组织胚胎学教研室,陕西西安 710032
  • 2. 空军军医大学基础医学院人体解剖与组织胚胎学教研室,陕西西安 710032;解放军中部战区空军医院泌尿外科,山西大同 037000
  • 3. 空军军医大学唐都医院泌尿外科,陕西西安 710038
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摘要

目的 研究常染色体显性遗传2型多囊肾病基因(PKD2)在精子尾部组装过程中的作用.方法 回顾分析1例携带PKD2基因突变的非梗阻性无精症(NOA)患者的临床资料,Sanger测序验证该基因突变,对睾丸组织进行HE和免疫荧光染色;通过对正常人精子涂片进行免疫荧光染色观察PKD2在精子的定位,利用人视网膜色素上皮(hRPE)细胞检测PKD2在纤毛发育过程中的定位.结果 该NOA患者PKD2基因存在c.1571T>A(P.I524N)杂合突变,其精子细胞尾部发育缺陷;PKD2主要定位于精子鞭毛起始部,与参与精子尾部组装及发育的重要蛋白Ac-Tubulin及γ-Tubulin存在共定位,在hRPE细胞纤毛发育过程中PKD2主要定位于纤毛的基体.结论 本研究报道了1例全新的PKD2杂合突变的NOA患者病例,结果提示PKD2可能参与精子尾部的起始组装,为进一步研究精子鞭毛组装的机制提供了基础,PKD2基因c.1571T>A(P.I524N)杂合突变可能是无精症诊疗的新靶点.

Abstract

Objective To investigate the role of autosomal dominant polycystic kidney disease gene 2(PKD2)in the process of sperm tail assembly.Methods A retrospective analysis of the clinical data of a patient with non-obstructive azoospermia(NOA)carrying a mutation of PKD2 gene was conducted,and his gene mutation was verified by Sanger sequencing.The testicular tissue was stained by HE and immunofluorescence.The localization of PKD2 in human sperm was observed through immunofluorescence staining.Human retinal pigment epithelial(hRPE)cells were used to detect the localization of PKD2 in ciliogenesis.Results A novel heterozygous mutation of c.1571T>A(P.1524N)in the PKD2 gene was found in the NOA patient with defective sperm tail development.PKD2 was primarily located in the initiation of the sperm flagellum,and it co-localized with Ac-Tubulin and γ-Tubulin,which were vital proteins involved in the assembly and development of the sperm tail.During the ciliogenesis of hRPE cells,PKD2 was primarily located at the basal body of the elongating cilia.Conclusion In this study,we report a novel case of NOA patient with a heterozygous mutation of PKD2.This finding suggests that PKD2 may be involved in the initial assembly of sperm tail,which provides a basis for further investigation into the mechanism of sperm flagellum assembly.The heterozygous mutation of c.1571T>A(P.1524N)in the PKD2 gene may be a new target for the diagnosis and treatment of azoospermia.

关键词

多囊肾病/非梗阻性无精症/基因突变/精子鞭毛

Key words

polycystic kidney disease/non-obstructive azoospermia/gene mutations/sperm flagella

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基金项目

陕西省卫生健康科研项目(2022A012)

陕西省自然科学基金(2023-JC-QN-0940)

出版年

2024
空军军医大学学报
第四军医大学

空军军医大学学报

CHSSCD
影响因子:0.372
ISSN:2097-1656
参考文献量20
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