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. 2022 Mar 17;28(3):313–345. doi: 10.1093/humupd/dmac002

Table II.

Transcription factor mutations reported to be associated with human infertility.

Disease Associated transcription factors Description References
Disorders of sex development
Swyer syndrome SRY Mutations in the SRY gene are the cause of 15% to 20% of cases of Swyer syndrome. Arboleda et al. (2014); Baxter and Vilain (2013)
Sex reversal
  • SOX9

  • SOX3

Copy number variants or mutations in the regulatory regions of the genes lead to human sex reversal.
Denys-Drash syndrome WT1 Heterozygous mutations in the zinc finger domain of WT1 gene cause Denys-Drash syndrome. Pelletier et al. (1991)
Frasier syndrome WT1 A mutation in a splice donor site in WT1 leads to Frasier syndrome. Klamt et al. (1998);
Gonadal dysgenesis
  • NR5A1

  • GATA4

  • FOG2

  • CBX2

  • DMRT1/2

Mutations in these transcription factors are associated with gonadal dysgenesis. El-Khairi and Achermann (2012)
Cryptorchidism HOXD13, SOX2, ESR1, NR5A1, ZNF214, ZNF215, ARX Single gene mutations are associated with cryptorchidism. Tannour-Louet et al. (2010)
Male infertility
NOA DMRT1, PRDM9, ESR2, AR, KDM5D, NR0B1, NR5A1, SOX9, NPAS2, PGR The paper screened OMIM database and identified genes related to human male infertility- and NOA - Wang et al. (2018)
NOA SOHLH1 SOHLH1 mutations are associated with loss of testicular reproductive capacity. Nakamura et al. (2017)
NOA SOX8 SOX8 mutations were found at increased frequency in oligozoospermic men as compared with fertile/normospermic control populations.
SCOS, MA YBX1, YBX2 YBX1 and YBX2 protein was markedly downregulated in SCOS and MA samples. Alikhani et al. (2017)
Female infertility
POI* FOXL2 Foxl2 appears predominantly in the ovary and was first identified as mutated in a syndrome involving risk of POI.
POI* LHX8 Preferentially expressed in germ cells and critical for mammalian oogenesis. Qin et al. (2007)
POI* FOXO3A, FOXO1A Potentially causal mutations for POI.
POI* FIGLA Two plausible mutations in the FIGLA gene were identified among 100 POI cases (2%), whereas none were present among 304 ethnically matched controls. Zhao et al. (2008)
POI* AIRE Mutations in AIRE gene are likely cause polyglandular syndrome, which is associated with POI. McLaren et al. (2003)
POI* NOBOX Homeobox mutation causes POI. Qin et al. (2007)
POI* SALL4 Two novel variants (c.541G>A (p. Val181Met) and c. 2449A>G (p. Thr817Ala)) might be POI-associated gene variants. Wang et al. (2009)
POI* WT1 Two novel heterozygous mutations p. P126S and p. R370H were identified to be involved in POI. Wang et al. (2015)
POI* ESR1 ESR1 gene variants are associated with both age at natural menopause and premature ovarian failure.
POI TP63 The combination of TP63 and BMP15 alterations contributes to the ovarian dysgenesis and early onset POI. Bestetti et al. (2021)
POI LHX8, NOBOX, FOXL2, SOHLH1, FIGLA Combined functional and bibliographic analyses identified several novel or recurrent deleterious heterozygous mutations in POI patients. Bouilly et al. (2016)
*

MA, maturation arrest; NOA, non-obstructive azoospermia; POI, premature ovarian insufficiency (also known as premature ovarian failure); SCOS, Sertoli cell-only syndrome.