“…Indeed, many different studies have demonstrated the presence of an altered expression of protamines in some infertile patients (Balhorn et al, 1988;Bach et al, 1990;Blanchard et al, 1990;Belokopytova et al, 1993;de Yebra et al, , 1998Bench et al, 1998;Mengual et al, 2003;Aoki et al, 2005Aoki et al, , 2006aMitchell et al, 2005;Oliva, 2006;Torregrosa et al, 2006;Carrell et al, 2007;de Mateo et al, 2008;Steger et al, 2008;de Mateo et al, 2010). Furthermore, it has been shown in mice that protamine or transition protein haplo-insufficiency results in infertility, abnormal chromatin packaging, DNA damage and altered sperm morphology (Cho et al, 2001; in infertile patients in search of mutations in the protamine genes that could explain the abnormalities found in protamine expression Queralt et al, , 1995Schlicker et al, 1994;Schnulle et al, 1994;Kramer et al, 1997;Adroer & Oliva, 1998;Van Den Bussche et al, 2002;Tanaka et al, 2003;Aoki et al, 2006a;Iguchi et al, 2006;Hammoud et al, 2007;Ravel et al, 2007;Gázquez et al, 2008;Kichine et al, 2008;Imken et al, 2009;Tüttelmann et al, 2010). We initiated the present work to perform a review of the literature of all mutations and polymorphisms reported so far and to contribute further with additional data by performing a mutational study of the protamine 1 and 2 genes in the Spanish and Swedish populations.…”