Table 1 Clinical evaluation of NOA patients carrying biallelic mutations in MCM9.

From: MCM9 deficiency impairs DNA damage repair during spermatogenesis, leading to Sertoli cell-only syndrome in humans

 

Patients

AN013

AN020

Genetics analysis

cDNA mutationa

c.1151-1 G > A

c.1891C>T

Protein alterationb

NA

p.Gln631X

Exon

Exon7

Exon11

Mutation type

Splicing

Nonsense

Allele frequency

 1KGP

NA

NA

 ExAC

NA

NA

 gnomAD

0

NA

Deleterious prediction

 Mutation Taster

D

D

 CADD

28.6

42

Clinical characteristics

Age (years)

32

34

Semen parameters

 Semen volume (mL)

3.5

2.0

 Semen PH

7.2

7.2

 Sperm concentration (106/mL)

0

0

Testicular volume (mL)

 Right side

5.0

8.0

 Left side

5.0

5.0

Sex hormone levels

 FSH (mIU/mL)

18.81

24.05

 LH (mIU/mL)

3.16

13.25

 T (nmol/L)

8.65

9.45

 E2 (pmol/L)

55.0

18.35

 PRL (ng/mL)

7.93

15.50

Karyotype

46, XY

46, XY

AZF deletion

Undetectable

Undetectable

Sperm retrieval outcomes

micro-TESE

No

No

  1. a, The GenBank accession numbers of MCM9 is NM_001029860; b, Full length protein has 708 amino acids.
  2. Abbreviations: NOA, non-obstructive azoospermia; 1KGP, 1000 Genomes Project; ExAC, Exome Aggregation Consortium; gnomAD, Genome Aggregation Database; NA, not available; D, disease causing; FSH, follicle stimulating hormone; LH, luteinizing hormone; T, testosterone; E2, estradiol; PRL, prolactin; AZF, azoospermia factor; micro-TESE, microdissection testicular sperm extraction.