“…These head defects can actually be explained by the molecular function of the genes studied: CFAP43 is involved in intra-manchette transport ( Yu et al, 2021 ) and it has been previously shown through the study of several genes such as Azh ( Mendoza-Lujambio et al, 2002 ), Clip170 ( Akhmanova et al, 2005 ), Rim-bp3 ( Zhou et al, 2009 ), or Azil ( Hall et al, 2013 ), that manchette modifications impact the head shape of the sperm. The implication of ARMC2 in intraflagellar transport has also recently been shown ( Lechtreck et al, 2022 ) and several previous reports associated sperm head malformations with IFT genes, like IFT20 ( Zhang et al, 2016 ), IFT25 ( Liu et al, 2017 ), IFT27 ( Zhang et al, 2017 ), or IFT88 ( San Agustin et al, 2015 ). Finally, CCDC146 was described as a centriolar proteins ( Firat-Karalar et al, 2014 ) and other centriolar proteins are known to induce sperm head defects ( Hwang et al, 2021 ).…”