RT Journal Article T1 Common genetic variation in KATNAL1 non-coding regions is involved in the susceptibility to severe phenotypes of male infertility. A1 Cerván-Martín, Miriam A1 Bossini-Castillo, Lara A1 Guzmán-Jiménez, Andrea A1 Rivera-Egea, Rocío A1 Garrido, Nicolás A1 Lujan, Saturnino A1 Romeu, Gema A1 Santos-Ribeiro, Samuel A1 IVIRMA Group, A1 Lisbon Clinical Group, A1 Castilla, José Antonio A1 Gonzalvo, María Del Carmen A1 Clavero, Ana A1 Maldonado, Vicente A1 Vicente, Francisco Javier A1 Burgos, Miguel A1 Jiménez, Rafael A1 González-Muñoz, Sara A1 Sánchez-Curbelo, Josvany A1 López-Rodrigo, Olga A1 Pereira-Caetano, Iris A1 Marques, Patricia Isabel A1 Carvalho, Filipa A1 Barros, Alberto A1 Bassas, Lluís A1 Seixas, Susana A1 Gonçalves, João A1 Larriba, Sara A1 Lopes, Alexandra Manuel A1 Palomino-Morales, Rogelio Jesús A1 Carmona, Francisco David K1 KATNAL1 K1 SNP K1 male infertility K1 spermatogenesis K1 splicing AB Previous studies in animal models evidenced that genetic mutations of KATNAL1, resulting in dysfunction of its encoded protein, lead to male infertility through disruption of microtubule remodelling and premature germ cell exfoliation. Subsequent studies in humans also suggested a possible role of KATNAL1 single-nucleotide polymorphisms in the development of male infertility as a consequence of severe spermatogenic failure. The main objective of the present study is to evaluate the effect of the common genetic variation of KATNAL1 in a large and phenotypically well-characterised cohort of infertile men because of severe spermatogenic failure. A total of 715 infertile men because of severe spermatogenic failure, including 210 severe oligospermia and 505 non-obstructive azoospermia patients, as well as 1058 unaffected controls were genotyped for three KATNAL1 single-nucleotide polymorphism taggers (rs2077011, rs7338931 and rs2149971). Case-control association analyses by logistic regression assuming different models and in silico functional characterisation of risk variants were conducted. Genetic associations were observed between the three analysed taggers and different severe spermatogenic failure groups. However, in all cases, the haplotype model (rs2077011*C | rs7338931*T | rs2149971*A) better explained the observed associations than the three risk alleles independently. This haplotype was associated with non-obstructive azoospermia (adjusted p = 4.96E-02, odds ratio = 2.97), Sertoli-cell only syndrome (adjusted p = 2.83E-02, odds ratio = 5.16) and testicular sperm extraction unsuccessful outcomes (adjusted p = 8.99E-04, odds ratio = 6.13). The in silico analyses indicated that the effect on severe spermatogenic failure predisposition could be because of an alteration of the KATNAL1 splicing pattern. Specific allelic combinations of KATNAL1 genetic polymorphisms may confer a risk of developing severe male infertility phenotypes by favouring the overrepresentation of a short non-functional transcript isoform in the testis. YR 2022 FD 2022-07-08 LK http://hdl.handle.net/10668/19906 UL http://hdl.handle.net/10668/19906 LA en DS RISalud RD Apr 10, 2025