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HLA-DPB1*04:01 allele is associated with non-obstructive azoospermia in Japanese patients

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Abstract

Azoospermia is defined by absence of sperm in the semen and can either be caused by obstruction of the seminal tract (obstructive azoospermia) or by defects in spermatogenesis (non-obstructive azoospermia, NOA). Previous studies reported that specific alleles and single nucleotide polymorphisms (SNPs) in the human leukocyte antigen (HLA) region were associated with NOA in East Asians. We attempt to expand upon previous findings by genotyping more HLA genes and to replicate SNP associations by focusing on Japanese NOA patients. HLA typing of six genes (HLA-A, -B, -C, -DRB1, -DQB1, and -DPB1) was done on 355 NOA patients using SSO-Luminex assay while genotyping of two previously reported SNPs (rs498422 and rs3129878) was done on 443 patients and 544 fertile males using TaqMan assay. Association between the HLA alleles and SNP with NOA was assessed with Chi squared and logistic regression tests. We found that HLA-DPB1*04:01 [corrected p value, P c 7.13 × 10−6; odds ratio (OR) 2.52], DRB1*13:02 (P c 4.93 × 10−4, OR 1.97), DQB1*06:04 (P c 8.94 × 10−4, OR 1.91) and rs3129878 (p value 3.98 × 10−4; OR 1.32) showed significant association with NOA, however, these loci are in linkage disequilibrium with each other. The conditional logistic regression tests showed that DPB1*04:01 is independently associated with NOA, confirming the involvement of the HLA region in the etiology of NOA in Japanese patients.

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References

  • Colorado IA, Acquatella H, Catalioti F, Fernandez MT, Layrisse Z (2000) HLA class II DRB1, DQB1, DPB1 polymorphism and cardiomyopathy due to Trypanosoma cruzi chronic infection. Hum Immunol 61:320–325

    Article  PubMed  CAS  Google Scholar 

  • Excoffier L, Lischer HEL (2010) Arlequin suite ver 3.5: a new series of programs to perform population genetics analyses under Linux and Windows. Mol Ecol Resour 10:564–567

    Article  PubMed  Google Scholar 

  • Excoffier L, Laval G, Balding D (2003) Gametic phase estimation over large genomic regions using an adaptive window approach. Hum Genomics 1:7–19

    Article  PubMed  CAS  Google Scholar 

  • Gonzalez-Galarza FF, Christmas S, Middleton D, Jones AR (2011) Allele frequency net: a database and online repository for immune gene frequencies in worldwide populations. Nucl Acid Res 39:D913–D919

    Article  CAS  Google Scholar 

  • Gough SCL, Simmonds MJ (2007) The HLA region and autoimmune disease: associations and mechanisms of action. Curr Genomics 8:453–465

    Article  PubMed  CAS  Google Scholar 

  • Ha H, Howard CA, Yeom YI, Abe K, Uehara H, Artzt K, Bennett D (1991) Several testis-expressed genes in the mouse t-complex have expression differences between wild-type and t-mutant mice. Dev Genet 12:318–332

    Article  PubMed  CAS  Google Scholar 

  • Hamada AJ, Esteves SC, Agarwal A (2013) A comprehensive review of genetics and genetic testing in azoospermia. Clinics 68(Suppl 1):39–60

    Article  PubMed  Google Scholar 

  • Hu Z, Xia Y, Guo X, Dai J, Li H, Hu H, Jiang Y, Lu F, Wu Y, Yang X, Li H, Yao B, Lu C, Xiong C, Li Z, Gui Y, Liu J, Zhou Z, Shen H, Wang X, Sha J (2011) A genome-wide association study in Chinese men identifies three risk loci for non-obstructive azoospermia. Nat Genet 44:183–186

    Article  PubMed  Google Scholar 

  • Jamsai D, Grealy A, Stahl PJ, Schlegel PN, McLachlan RI, Morand E, O’Bryan MK (2013) Genetic variants in the human glucocorticoid-induced leucine zipper (GILZ) gene in fertile and infertile men. Andrology 1:451–455

    Article  PubMed  CAS  Google Scholar 

  • Jarow JP, Espeland MA, Lipshultz LI (1989) Evaluation of the azoospermic patient. J Urol 142:62–65

    PubMed  CAS  Google Scholar 

  • Kauppi L, Sajantila A, Jeffreys AJ (2003) Recombination hotspots rather than population history dominate linkage disequilibrium in the MHC class II region. Hum Mol Genet 12:33–40

    Article  PubMed  CAS  Google Scholar 

  • Khattri A, Bhushan SS, Sireesha V, Gupta NJ, Chakravarty BN, Deendayal M, Prasad S, Singh L, Thangaraj K (2011) The TNP1 haplotype—GCG is associated with azoospermia. Int J Androl 34:173–182

    Article  PubMed  CAS  Google Scholar 

  • Klein J, Sato A (2000) The HLA system. N Engl J Med 343:702–709

    Article  PubMed  CAS  Google Scholar 

  • Lee JY, Dada R, Sabanegh E, Carpi A, Agarwal A (2011) Role of genetics in azoospermia. Urology 77:598–601

    Article  PubMed  Google Scholar 

  • Luo H, Chen M, Cui Z, Yang R, Xu PC, Zhou XJ, Zhao MH (2011) The association of HLA-DQB1, -DQA1 and -DPB1 alleles with anti- glomerular basement membrane (GBM) disease in Chinese patients. BMC Nephrol 12:21

    Article  PubMed  Google Scholar 

  • Male Infertility Best Practice Policy Committee of the American Urological Association; Practice Committee of the American Society for Reproductive Medicine (2001) Infertility: report on evaluation of the azoospermic male. American Urological Association, American Society for Reproductive Medicine

  • Matsuzaka Y, Makino S, Okamoto K, Oka A, Tsujimura A, Matsumiya K, Takahara S, Okuyama A, Sada M, Gotoh R, Nakatani T, Ota M, Katsuyama Y, Tamiya G, Inoko H (2002) Susceptibility locus for non-obstructive azoospermia is localized within the HLA-DR/DQ subregion: primary role of DQB1*0604. Tissue Antigens 60:53–63

    Article  PubMed  CAS  Google Scholar 

  • Mazarakis ND, Nelki D, Lyon MF, Ruddy S, Evans EP, Freemont P, Dudley K (1991) Isolation and characterization of a testis expressed developmentally regulated gene from the distal inversion of the mouse t-complex. Development 111:561–571

    PubMed  CAS  Google Scholar 

  • Mitsunaga S, Suzuki Y, Kuwana M, Sato S, Kaneko Y, Homma Y, Narita A, Kashiwase K, Okudaira Y, Inoue I, Kulski JK, Inoko H (2012) Associations between six classical HLA loci and rheumatoid arthritis: a comprehensive analysis. Tissue Antigens 80:16–25

    Article  PubMed  CAS  Google Scholar 

  • Miura H, Tsujimura A, Nishimura K, Kitamura M, Kondoh N, Takeyama M, Fujioka H, Sada M, Tsuji T, Matsumiya K, Takahara S, Okuyama A (1998) Susceptibility to non-obstructive azoospermia in Japanese men is linked to HLA class I antigen. J Urol 159:1939–1941

    Article  PubMed  CAS  Google Scholar 

  • Nakaoka H, Mitsunaga S, Hosomichi K, Shyh-Yuh L, Sawamoto T, Fujiwara T, Tsutsui N, Suematsu K, Shinagawa A, Inoko H, Inoue I (2013) Detection of ancestry informative HLA alleles confirms the admixed origins of Japanese population. PLoS ONE 8:e60793

    Article  PubMed  CAS  Google Scholar 

  • Okada H, Tajima A, Shichiri K, Tanaka A, Tanaka K, Inoue I (2008) Genome-wide expression of azoospermia testes demonstrates a specific profile and implicates ART3 in genetic susceptibility. PLoS Genet 4:e26

    Article  PubMed  Google Scholar 

  • Pelliccione F, d’Angeli A, Cinque B, Falone S, Micillo A, Francavilla F, Amicarelli F, Gandini L, Francavilla S (2011) Activation of the immune system and sperm DNA fragmentation are associated with idiopathic oligoasthenoteratospermia in men with couple subfertility. Fertil Steril 95:2676–2679

    Article  PubMed  CAS  Google Scholar 

  • Reijo R, Lee TY, Salo P, Alagappan R, Brown LG, Rosenberg M, Rozen S, Jaffe T, Straus D, Hovatta O, de la Chapelle A, Silber S, Page DC (1995) Diverse spermatogenic defects in humans caused by Y chromosome deletions encompassing a novel RNA-binding protein gene. Nat Genet 10:383–393

    Article  PubMed  CAS  Google Scholar 

  • Robinson J, Waller MJ, Parham P, de Groot N, Bontrop R, Kennedy LJ, Stoehr P, Marsh SGE (2003) IMGT/HLA and IMGT/MHC: sequence databases for the study of the major histocompatibility complex. Nucl Acids Res 31:311–314

    Article  PubMed  CAS  Google Scholar 

  • Takao T, Tsujimura A, Sada M, Goto R, Koga M, Miyagawa Y, Matsumiya K, Yamada K, Takahara S, Okuyama A (2004) Susceptibility gene for non-obstructive azoospermia in the HLA class II region: correlations with Y chromosome microdeletion and spermatogenesis. Int J Androl 27:37–41

    Article  PubMed  CAS  Google Scholar 

  • Tsujimura A, Ota M, Katsuyama Y, Sada M, Miura H, Matsumiya K, Gotoh R, Nakatani T, Okuyama A, Takahara S (2002) Susceptibility gene for non-obstructive azoospermia located near HLA-DR and -DQ loci in the HLA class II region. Hum Genet 110:192–197

    Article  PubMed  CAS  Google Scholar 

  • Tsujimura A, Fujita K, Komori K, Tanjapatkul P, Miyagawa Y, Takada S, Matsumiya K, Sada M, Katsuyama Y, Ota M, Okuyama A (2006) Associations of homologous RNA-binding motif gene on the X chromosome (RBMX) and its like sequence on chromosome 9 (RBMXL9) with non-obstructive azoospermia. Asian J Androl 8:213–218

    Article  PubMed  CAS  Google Scholar 

  • Zhao H, Xu J, Zhang H, Sun J, Sun Y, Wang Z, Liu J, Ding Q, Lu S, Shi R, You L, Qin Y, Zhao X, Lin X, Li X, Feng J, Wang L, Trent JM, Xu C, Gao Y, Zhang B, Gao X, Hu J, Chen H, Li G, Zhao J, Zou S, Jiang H, Hao C, Zhao Y, Ma J, Zheng SL, Chen ZJ (2012) A genome-wide association study reveals that variants within the HLA region are associated with risk for nonobstructive azoospermia. Am J Hum Genet 90:900–906

    Article  PubMed  CAS  Google Scholar 

  • Zhou DX, Zhang J, Wang HX, Wang XF, Tian Z, Zhao WB, Han SP, Zhang J, Huo YW, Tian H (2011) Association study of HLA-B alleles with idiopathic male infertility in Han population of China. J Assist Reprod Genet 28:979–985

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors would like to thank to Ms. Satoh (NIG) and Ms. Okudaira (Tokai University) for their technical assistances. This work was supported by the Grant-in-Aid for Scientific Research on Innovative Areas (22133002), and “Genome Science” (No.221S0002) from Ministry of Education, Culture, Sports, Science and Technology of Japan (K.H, I.I).

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Correspondence to Ituro Inoue.

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Jinam, T.A., Nakaoka, H., Hosomichi, K. et al. HLA-DPB1*04:01 allele is associated with non-obstructive azoospermia in Japanese patients. Hum Genet 132, 1405–1411 (2013). https://doi.org/10.1007/s00439-013-1347-7

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  • DOI: https://doi.org/10.1007/s00439-013-1347-7

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