Genome-wide association study implicates testis-sperm specific FKBP6 as a susceptibility locus for impaired acrosome reaction in stallions
Impaired acrosomal reaction (IAR) of sperm causes male subfertility in humans and animals. Despite compelling evidence about the genetic control over acrosome biogenesis and function, the genomics of IAR is as yet poorly understood, providing no molecular tools for diagnostics. Here we conducted Equ...
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creator | Raudsepp, Terje McCue, Molly E Das, Pranab J Dobson, Lauren Vishnoi, Monika Fritz, Krista L Schaefer, Robert Rendahl, Aaron K Derr, James N Love, Charles C Varner, Dickson D Chowdhary, Bhanu P |
description | Impaired acrosomal reaction (IAR) of sperm causes male subfertility in humans and animals. Despite compelling evidence about the genetic control over acrosome biogenesis and function, the genomics of IAR is as yet poorly understood, providing no molecular tools for diagnostics. Here we conducted Equine SNP50 Beadchip genotyping and GWAS using 7 IAR-affected and 37 control Thoroughbred stallions. A significant (PA and g.11040379C>A (p.166H>N) in exon 4 that were significantly associated with the IAR phenotype both in the GWAS cohort (n = 44) and in a large multi-breed cohort of 265 horses. All IAR stallions were homozygous for the A-alleles, while this genotype was found only in 2% of controls. The equine FKBP6 was exclusively expressed in testis and sperm and had 5 different transcripts, of which 4 were novel. The expression of this gene in AC/AG heterozygous controls was monoallelic, and we observed a tendency for FKBP6 up-regulation in IAR stallions compared to controls. Because exon 4 SNPs had no effect on the protein structure, it is likely that FKBP6 relates to the IAR phenotype via regulatory or modifying functions. In conclusion, FKBP6 was considered a susceptibility gene of incomplete penetrance for IAR in stallions and a candidate gene for male subfertility in mammals. FKBP6 genotyping is recommended for the detection of IAR-susceptible individuals among potential breeding stallions. Successful use of sperm as a source of DNA and RNA propagates non-invasive sample procurement for fertility genomics in animals and humans. |
doi_str_mv | 10.1371/journal.pgen.1003139 |
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Despite compelling evidence about the genetic control over acrosome biogenesis and function, the genomics of IAR is as yet poorly understood, providing no molecular tools for diagnostics. Here we conducted Equine SNP50 Beadchip genotyping and GWAS using 7 IAR-affected and 37 control Thoroughbred stallions. A significant (P<6.75E-08) genotype-phenotype association was found in horse chromosome 13 in FK506 binding protein 6 (FKBP6). The gene belongs to the immunophilins FKBP family known to be involved in meiosis, calcium homeostasis, clathrin-coated vesicles, and membrane fusions. Direct sequencing of FKBP6 exons in cases and controls identified SNPs g.11040315G>A and g.11040379C>A (p.166H>N) in exon 4 that were significantly associated with the IAR phenotype both in the GWAS cohort (n = 44) and in a large multi-breed cohort of 265 horses. All IAR stallions were homozygous for the A-alleles, while this genotype was found only in 2% of controls. The equine FKBP6 was exclusively expressed in testis and sperm and had 5 different transcripts, of which 4 were novel. The expression of this gene in AC/AG heterozygous controls was monoallelic, and we observed a tendency for FKBP6 up-regulation in IAR stallions compared to controls. Because exon 4 SNPs had no effect on the protein structure, it is likely that FKBP6 relates to the IAR phenotype via regulatory or modifying functions. In conclusion, FKBP6 was considered a susceptibility gene of incomplete penetrance for IAR in stallions and a candidate gene for male subfertility in mammals. FKBP6 genotyping is recommended for the detection of IAR-susceptible individuals among potential breeding stallions. Successful use of sperm as a source of DNA and RNA propagates non-invasive sample procurement for fertility genomics in animals and humans.</description><identifier>ISSN: 1553-7404</identifier><identifier>ISSN: 1553-7390</identifier><identifier>EISSN: 1553-7404</identifier><identifier>DOI: 10.1371/journal.pgen.1003139</identifier><identifier>PMID: 23284302</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acrosome Reaction - genetics ; Alleles ; Animals ; Biology ; Biosynthesis ; Confidence intervals ; Cytogenetics ; Genes ; Genetic aspects ; Genetic Predisposition to Disease ; Genetics ; Genome-Wide Association Study ; Genomes ; Genomics ; Genotype & phenotype ; Haplotypes ; Health aspects ; Homeostasis ; Homozygote ; Horse Diseases - genetics ; Horse Diseases - physiopathology ; Horses ; Horses - genetics ; Humans ; Infertility, Male - genetics ; Infertility, Male - physiopathology ; Infertility, Male - veterinary ; Male ; Meiosis ; Physiological aspects ; Polymorphism, Single Nucleotide ; Proteins ; Sperm ; Spermatozoa ; Spermatozoa - metabolism ; Spermatozoa - pathology ; Tacrolimus Binding Proteins - genetics ; Tacrolimus Binding Proteins - metabolism ; Testis ; Testis - metabolism ; Testis - pathology</subject><ispartof>PLoS genetics, 2012-12, Vol.8 (12), p.e1003139-e1003139</ispartof><rights>COPYRIGHT 2012 Public Library of Science</rights><rights>2012 Raudsepp et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited: Raudsepp T, McCue ME, Das PJ, Dobson L, Vishnoi M, et al. (2012) Genome-Wide Association Study Implicates Testis-Sperm Specific FKBP6 as a Susceptibility Locus for Impaired Acrosome Reaction in Stallions. PLoS Genet 8(12): e1003139. doi:10.1371/journal.pgen.1003139</rights><rights>2012 Raudsepp et al 2012 Raudsepp et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c726t-78d74aa169cbd0d354ea144202f45256a5160446b55e4d29f82b6d84e19779ab3</citedby><cites>FETCH-LOGICAL-c726t-78d74aa169cbd0d354ea144202f45256a5160446b55e4d29f82b6d84e19779ab3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3527208/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3527208/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23284302$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Raudsepp, Terje</creatorcontrib><creatorcontrib>McCue, Molly E</creatorcontrib><creatorcontrib>Das, Pranab J</creatorcontrib><creatorcontrib>Dobson, Lauren</creatorcontrib><creatorcontrib>Vishnoi, Monika</creatorcontrib><creatorcontrib>Fritz, Krista L</creatorcontrib><creatorcontrib>Schaefer, Robert</creatorcontrib><creatorcontrib>Rendahl, Aaron K</creatorcontrib><creatorcontrib>Derr, James N</creatorcontrib><creatorcontrib>Love, Charles C</creatorcontrib><creatorcontrib>Varner, Dickson D</creatorcontrib><creatorcontrib>Chowdhary, Bhanu P</creatorcontrib><title>Genome-wide association study implicates testis-sperm specific FKBP6 as a susceptibility locus for impaired acrosome reaction in stallions</title><title>PLoS genetics</title><addtitle>PLoS Genet</addtitle><description>Impaired acrosomal reaction (IAR) of sperm causes male subfertility in humans and animals. Despite compelling evidence about the genetic control over acrosome biogenesis and function, the genomics of IAR is as yet poorly understood, providing no molecular tools for diagnostics. Here we conducted Equine SNP50 Beadchip genotyping and GWAS using 7 IAR-affected and 37 control Thoroughbred stallions. A significant (P<6.75E-08) genotype-phenotype association was found in horse chromosome 13 in FK506 binding protein 6 (FKBP6). The gene belongs to the immunophilins FKBP family known to be involved in meiosis, calcium homeostasis, clathrin-coated vesicles, and membrane fusions. Direct sequencing of FKBP6 exons in cases and controls identified SNPs g.11040315G>A and g.11040379C>A (p.166H>N) in exon 4 that were significantly associated with the IAR phenotype both in the GWAS cohort (n = 44) and in a large multi-breed cohort of 265 horses. All IAR stallions were homozygous for the A-alleles, while this genotype was found only in 2% of controls. The equine FKBP6 was exclusively expressed in testis and sperm and had 5 different transcripts, of which 4 were novel. The expression of this gene in AC/AG heterozygous controls was monoallelic, and we observed a tendency for FKBP6 up-regulation in IAR stallions compared to controls. Because exon 4 SNPs had no effect on the protein structure, it is likely that FKBP6 relates to the IAR phenotype via regulatory or modifying functions. In conclusion, FKBP6 was considered a susceptibility gene of incomplete penetrance for IAR in stallions and a candidate gene for male subfertility in mammals. FKBP6 genotyping is recommended for the detection of IAR-susceptible individuals among potential breeding stallions. Successful use of sperm as a source of DNA and RNA propagates non-invasive sample procurement for fertility genomics in animals and humans.</description><subject>Acrosome Reaction - genetics</subject><subject>Alleles</subject><subject>Animals</subject><subject>Biology</subject><subject>Biosynthesis</subject><subject>Confidence intervals</subject><subject>Cytogenetics</subject><subject>Genes</subject><subject>Genetic aspects</subject><subject>Genetic Predisposition to Disease</subject><subject>Genetics</subject><subject>Genome-Wide Association Study</subject><subject>Genomes</subject><subject>Genomics</subject><subject>Genotype & phenotype</subject><subject>Haplotypes</subject><subject>Health aspects</subject><subject>Homeostasis</subject><subject>Homozygote</subject><subject>Horse Diseases - genetics</subject><subject>Horse Diseases - physiopathology</subject><subject>Horses</subject><subject>Horses - genetics</subject><subject>Humans</subject><subject>Infertility, Male - genetics</subject><subject>Infertility, Male - physiopathology</subject><subject>Infertility, Male - veterinary</subject><subject>Male</subject><subject>Meiosis</subject><subject>Physiological aspects</subject><subject>Polymorphism, Single Nucleotide</subject><subject>Proteins</subject><subject>Sperm</subject><subject>Spermatozoa</subject><subject>Spermatozoa - metabolism</subject><subject>Spermatozoa - pathology</subject><subject>Tacrolimus Binding Proteins - genetics</subject><subject>Tacrolimus Binding Proteins - metabolism</subject><subject>Testis</subject><subject>Testis - metabolism</subject><subject>Testis - pathology</subject><issn>1553-7404</issn><issn>1553-7390</issn><issn>1553-7404</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqVk9tu1DAQhiMEoqXwBggsISG4yBLHp80NUqloWVFRxOnWmjjOrisnDnYC7Cvw1DjdtNqgXoCixJbzzf_bM54keYyzBSYCv7p0g2_BLrq1bhc4ywgmxZ3kEDNGUkEzendvfpA8COEyMmxZiPvJQU7yJSVZfpj8PtOta3T601QaQQhOGeiNa1Hoh2qLTNNZo6DXAcW3NyENnfYNil9laqPQ6fs3H3kMRIDCEJTuelMaa_otsk4NAdXOjyJgvK4QKO9CdENeg7pyMaMRWBvn4WFyrwYb9KNpPEq-nr79cvIuPb84W50cn6dK5LxPxbISFADzQpVVVhFGNWBK8yyvKcsZB4Z5RikvGdO0yot6mZe8WlKNCyEKKMlR8nSn21kX5JTGIHFMICNCCBaJ1Y6oHFzKzpsG_FY6MPJqwfm1BN8bZbWkghOuywKXRXSrC1DAeaV4nekaCB_dXk9uQ9noSum292BnovM_rdnItfshCctFni2jwItJwLvvQyyCbExMtLXQajfEfeeCYE4IHvf97C_09tNN1BriAUxbu-irRlF5TDBlnLICR2pxCxWfSjdGuVbXJq7PAl7OAiLT61_9GoYQ5Orzp_9gP_w7e_Ftzj7fYzcabL8Jzg7jXQtzkO7A8UYGr-ubguBMju11nTk5tpec2iuGPdkv5k3QdT-RP0FoIMY</recordid><startdate>20121201</startdate><enddate>20121201</enddate><creator>Raudsepp, Terje</creator><creator>McCue, Molly E</creator><creator>Das, Pranab J</creator><creator>Dobson, Lauren</creator><creator>Vishnoi, Monika</creator><creator>Fritz, Krista L</creator><creator>Schaefer, Robert</creator><creator>Rendahl, Aaron K</creator><creator>Derr, James N</creator><creator>Love, Charles C</creator><creator>Varner, Dickson D</creator><creator>Chowdhary, Bhanu P</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISN</scope><scope>ISR</scope><scope>3V.</scope><scope>7QP</scope><scope>7QR</scope><scope>7SS</scope><scope>7TK</scope><scope>7TM</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20121201</creationdate><title>Genome-wide association study implicates testis-sperm specific FKBP6 as a susceptibility locus for impaired acrosome reaction in stallions</title><author>Raudsepp, Terje ; McCue, Molly E ; Das, Pranab J ; Dobson, Lauren ; Vishnoi, Monika ; Fritz, Krista L ; Schaefer, Robert ; Rendahl, Aaron K ; Derr, James N ; Love, Charles C ; Varner, Dickson D ; Chowdhary, Bhanu P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c726t-78d74aa169cbd0d354ea144202f45256a5160446b55e4d29f82b6d84e19779ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Acrosome Reaction - genetics</topic><topic>Alleles</topic><topic>Animals</topic><topic>Biology</topic><topic>Biosynthesis</topic><topic>Confidence intervals</topic><topic>Cytogenetics</topic><topic>Genes</topic><topic>Genetic aspects</topic><topic>Genetic Predisposition to Disease</topic><topic>Genetics</topic><topic>Genome-Wide Association Study</topic><topic>Genomes</topic><topic>Genomics</topic><topic>Genotype & phenotype</topic><topic>Haplotypes</topic><topic>Health aspects</topic><topic>Homeostasis</topic><topic>Homozygote</topic><topic>Horse Diseases - genetics</topic><topic>Horse Diseases - physiopathology</topic><topic>Horses</topic><topic>Horses - genetics</topic><topic>Humans</topic><topic>Infertility, Male - genetics</topic><topic>Infertility, Male - physiopathology</topic><topic>Infertility, Male - veterinary</topic><topic>Male</topic><topic>Meiosis</topic><topic>Physiological aspects</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Proteins</topic><topic>Sperm</topic><topic>Spermatozoa</topic><topic>Spermatozoa - metabolism</topic><topic>Spermatozoa - pathology</topic><topic>Tacrolimus Binding Proteins - genetics</topic><topic>Tacrolimus Binding Proteins - metabolism</topic><topic>Testis</topic><topic>Testis - metabolism</topic><topic>Testis - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Raudsepp, Terje</creatorcontrib><creatorcontrib>McCue, Molly E</creatorcontrib><creatorcontrib>Das, Pranab J</creatorcontrib><creatorcontrib>Dobson, Lauren</creatorcontrib><creatorcontrib>Vishnoi, Monika</creatorcontrib><creatorcontrib>Fritz, Krista L</creatorcontrib><creatorcontrib>Schaefer, Robert</creatorcontrib><creatorcontrib>Rendahl, Aaron K</creatorcontrib><creatorcontrib>Derr, James N</creatorcontrib><creatorcontrib>Love, Charles C</creatorcontrib><creatorcontrib>Varner, Dickson D</creatorcontrib><creatorcontrib>Chowdhary, Bhanu P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Canada</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection (ProQuest)</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - 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Despite compelling evidence about the genetic control over acrosome biogenesis and function, the genomics of IAR is as yet poorly understood, providing no molecular tools for diagnostics. Here we conducted Equine SNP50 Beadchip genotyping and GWAS using 7 IAR-affected and 37 control Thoroughbred stallions. A significant (P<6.75E-08) genotype-phenotype association was found in horse chromosome 13 in FK506 binding protein 6 (FKBP6). The gene belongs to the immunophilins FKBP family known to be involved in meiosis, calcium homeostasis, clathrin-coated vesicles, and membrane fusions. Direct sequencing of FKBP6 exons in cases and controls identified SNPs g.11040315G>A and g.11040379C>A (p.166H>N) in exon 4 that were significantly associated with the IAR phenotype both in the GWAS cohort (n = 44) and in a large multi-breed cohort of 265 horses. All IAR stallions were homozygous for the A-alleles, while this genotype was found only in 2% of controls. The equine FKBP6 was exclusively expressed in testis and sperm and had 5 different transcripts, of which 4 were novel. The expression of this gene in AC/AG heterozygous controls was monoallelic, and we observed a tendency for FKBP6 up-regulation in IAR stallions compared to controls. Because exon 4 SNPs had no effect on the protein structure, it is likely that FKBP6 relates to the IAR phenotype via regulatory or modifying functions. In conclusion, FKBP6 was considered a susceptibility gene of incomplete penetrance for IAR in stallions and a candidate gene for male subfertility in mammals. FKBP6 genotyping is recommended for the detection of IAR-susceptible individuals among potential breeding stallions. Successful use of sperm as a source of DNA and RNA propagates non-invasive sample procurement for fertility genomics in animals and humans.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23284302</pmid><doi>10.1371/journal.pgen.1003139</doi><oa>free_for_read</oa></addata></record> |
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subjects | Acrosome Reaction - genetics Alleles Animals Biology Biosynthesis Confidence intervals Cytogenetics Genes Genetic aspects Genetic Predisposition to Disease Genetics Genome-Wide Association Study Genomes Genomics Genotype & phenotype Haplotypes Health aspects Homeostasis Homozygote Horse Diseases - genetics Horse Diseases - physiopathology Horses Horses - genetics Humans Infertility, Male - genetics Infertility, Male - physiopathology Infertility, Male - veterinary Male Meiosis Physiological aspects Polymorphism, Single Nucleotide Proteins Sperm Spermatozoa Spermatozoa - metabolism Spermatozoa - pathology Tacrolimus Binding Proteins - genetics Tacrolimus Binding Proteins - metabolism Testis Testis - metabolism Testis - pathology |
title | Genome-wide association study implicates testis-sperm specific FKBP6 as a susceptibility locus for impaired acrosome reaction in stallions |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-13T08%3A24%3A26IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Genome-wide%20association%20study%20implicates%20testis-sperm%20specific%20FKBP6%20as%20a%20susceptibility%20locus%20for%20impaired%20acrosome%20reaction%20in%20stallions&rft.jtitle=PLoS%20genetics&rft.au=Raudsepp,%20Terje&rft.date=2012-12-01&rft.volume=8&rft.issue=12&rft.spage=e1003139&rft.epage=e1003139&rft.pages=e1003139-e1003139&rft.issn=1553-7404&rft.eissn=1553-7404&rft_id=info:doi/10.1371/journal.pgen.1003139&rft_dat=%3Cgale_plos_%3EA314564591%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1313537775&rft_id=info:pmid/23284302&rft_galeid=A314564591&rft_doaj_id=oai_doaj_org_article_47636eb91b9e4df9aca66dc6f0efa36b&rfr_iscdi=true |