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. 2018 Aug 2;103(2):200–212. doi: 10.1016/j.ajhg.2018.07.005

Table 3.

Supportive Information from Literature and Databases for the Relevance of FANCM Variants in Infertility

FANCM Function32

interstrand cross-link removal, anti-crossover function in mitotic cells
replication fork repair by catalyzing fork regression
regulation of meiotic crossovers in D. melanogaster, A. thaliana, and S. cerevisiae

FANCM Expression in Human

GTEx, HPA: Testis enhanced (RNA tissue category)
protein present in the nuclei of oogonia, stronger in pachytene stage oocytes in human fetal ovaries37

FANCM Expression Data in Mouse36

Fancm mRNA expression levels in testicular germ cells increase through all the post-natal development and maintain high during adulthood
Fancm protein localizes in the cytoplasm of Sertoli cells, the cytoplasm, and Golgi of spermatogonia through to early pachytene spermatocytes, immunostaining faint or absent beyond pachytene spermatocytes

FANCM-Deficient Male Micea(MGI)45

Abnormal spermatogonia and seminiferous tubule morphology
Azoospermia; some seminiferous tubules lack spermatogonia and contain no sperm
Small testes, hypogonadism, Leydig cell hyperplasia
Elevated mitotic sister chromatid exchange
Reduced overall and tumor-free survival

FANCM-Mutant Male Miceb,42

Near Sertoli cell-only-like phenotype in many tubules
Reduced germ cells in neonates and progressive loss of germ cells in adult males
Elevated level of meiotic DNA damage and spontaneous sister chromatid exchange
Reduced testis size
Premature senescence and increased tumor susceptibility

FANCM-Mutant Female Mice (MGI)45, 46

Abnormal ovary morphology
Depletion of primordial follicles and decreased mature ovarian follicle number
Transmission ratio distortion: fewer than expected females
Reduced overall and tumor-free survival

FANCM Loss-of-Function Mutation in Females37

irregular cycles, hot flashes, spaniomenorrhea
high FSH and low AMH levels
primary ovarian insufficiency

Abbreviations: GTEx, The Genotype-Tissue Expression; HPA, The Human Protein Atlas; MGI, Mouse Genome Informatics; FSH, follicle-stimulating hormone; AMH, anti-müllerian hormone.

a

Homozygous deletion of exon 2, leading to frameshift and premature stop in exon 3.

b

Homozygous p.Cys142Arg mutation in conserved DEXDc domain.