Globozoospermia: History
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Globozoospermia is a condition that affects only males. It is characterized by abnormal sperm and leads to an inability to father biological children (infertility).

  • genetic conditions

1. Introduction

Normal sperm cells have an oval-shaped head with a cap-like covering called the acrosome. The acrosome contains enzymes that break down the outer membrane of an egg cell, allowing the sperm to fertilize the egg. The sperm cells of males with globozoospermia, however, have a round head and no acrosome. The abnormal sperm are unable to fertilize an egg cell, leading to infertility.

2. Frequency

Globozoospermia is a rare condition that is estimated to affect 1 in 65,000 men. It is most common in North Africa, where it accounts for approximately 1 in 100 cases of male infertility.

3. Causes

Globozoospermia is most commonly caused by mutations in the DPY19L2 gene, which are found in about 70 percent of men with this condition. Mutations in other genes likely also cause globozoospermia.

The DPY19L2 gene provides instructions for making a protein that is found in developing sperm cells. The DPY19L2 protein is involved in the development of the acrosome and elongation of the sperm head, which are integral steps in sperm cell maturation. Mutations in the DPY19L2 gene result in a loss of functional DPY19L2 protein. As a result, sperm cells have no acrosome and do not elongate properly. Without an acrosome, the abnormal sperm are unable to get through the outer membrane of an egg cell to fertilize it, leading to infertility in affected men. Researchers have described other characteristics of the abnormal sperm cells that make fertilization of an egg cell difficult, although it is not clear how changes in the DPY19L2 gene are involved in development of these characteristics.

4. Inheritance

This condition is inherited in an autosomal recessive pattern, which means both copies of the gene in each cell have mutations. The parents of an individual with an autosomal recessive condition each carry one copy of the mutated gene, but they typically do not show signs and symptoms of the condition.

5. Other Names for This Condition

  • acrosome malformation of spermatozoa

  • round-headed spermatozoa

  • spermatogenic failure 9

This entry is adapted from the peer-reviewed paper https://medlineplus.gov/genetics/condition/globozoospermia

References

  1. Coutton C, Zouari R, Abada F, Ben Khelifa M, Merdassi G, Triki C, Escalier D, Hesters L, Mitchell V, Levy R, Sermondade N, Boitrelle F, Vialard F, Satre V,Hennebicq S, Jouk PS, Arnoult C, Lunardi J, Ray PF. MLPA and sequence analysis ofDPY19L2 reveals point mutations causing globozoospermia. Hum Reprod. 2012Aug;27(8):2549-58. doi: 10.1093/humrep/des160.
  2. Escoffier J, Yassine S, Lee HC, Martinez G, Delaroche J, Coutton C, KaraouzèneT, Zouari R, Metzler-Guillemain C, Pernet-Gallay K, Hennebicq S, Ray PF, Fissore R, Arnoult C. Subcellular localization of phospholipase Cζ in human sperm and itsabsence in DPY19L2-deficient sperm are consistent with its role in oocyteactivation. Mol Hum Reprod. 2015 Feb;21(2):157-68. doi: 10.1093/molehr/gau098.
  3. Harbuz R, Zouari R, Pierre V, Ben Khelifa M, Kharouf M, Coutton C, Merdassi G,Abada F, Escoffier J, Nikas Y, Vialard F, Koscinski I, Triki C, Sermondade N,Schweitzer T, Zhioua A, Zhioua F, Latrous H, Halouani L, Ouafi M, Makni M, JoukPS, Sèle B, Hennebicq S, Satre V, Viville S, Arnoult C, Lunardi J, Ray PF. Arecurrent deletion of DPY19L2 causes infertility in man by blocking sperm headelongation and acrosome formation. Am J Hum Genet. 2011 Mar 11;88(3):351-61. doi:10.1016/j.ajhg.2011.02.007.
  4. Koscinski I, Elinati E, Fossard C, Redin C, Muller J, Velez de la Calle J,Schmitt F, Ben Khelifa M, Ray PF, Kilani Z, Barratt CL, Viville S. DPY19L2deletion as a major cause of globozoospermia. Am J Hum Genet. 2011 Mar11;88(3):344-50. doi: 10.1016/j.ajhg.2011.01.018. Erratum in: Am J Hum Genet.2011 Apr 8;88(4):517. Ray, Pierre [corrected to Ray, Pierre F].
  5. Ounis L, Zoghmar A, Coutton C, Rouabah L, Hachemi M, Martinez D, Martinez G,Bellil I, Khelifi D, Arnoult C, Fauré J, Benbouhedja S, Rouabah A, Ray PF.Mutations of the aurora kinase C gene causing macrozoospermia are the mostfrequent genetic cause of male infertility in Algerian men. Asian J Androl. 2015 Jan-Feb;17(1):68-73. doi: 10.4103/1008-682X.136441.
  6. Perrin A, Coat C, Nguyen MH, Talagas M, Morel F, Amice J, De Braekeleer M.Molecular cytogenetic and genetic aspects of globozoospermia: a review.Andrologia. 2013 Feb;45(1):1-9. doi: 10.1111/j.1439-0272.2012.01308.x.
  7. Pierre V, Martinez G, Coutton C, Delaroche J, Yassine S, Novella C,Pernet-Gallay K, Hennebicq S, Ray PF, Arnoult C. Absence of Dpy19l2, a new inner nuclear membrane protein, causes globozoospermia in mice by preventing theanchoring of the acrosome to the nucleus. Development. 2012 Aug;139(16):2955-65. doi: 10.1242/dev.077982.
  8. Yassine S, Escoffier J, Martinez G, Coutton C, Karaouzène T, Zouari R, RavanatJL, Metzler-Guillemain C, Lee HC, Fissore R, Hennebicq S, Ray PF, Arnoult C.Dpy19l2-deficient globozoospermic sperm display altered genome packaging and DNA damage that compromises the initiation of embryo development. Mol Hum Reprod.2015 Feb;21(2):169-85. doi: 10.1093/molehr/gau099.
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