2021
DOI: 10.1111/cge.13941
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Novel pathogenic variants in NLRP7, NLRP5, and PADI6 in patients with recurrent hydatidiform moles and reproductive failure

Abstract: Recurrent hydatidiform moles (RHMs) are human pregnancies with abnormal embryonic development and hyperproliferating trophoblast. Biallelic mutations in NLRP7 and KHDC3L, members of the subcortical maternal complex (SCMC), explain the etiology of RHMs in only 60% of patients. Here we report the identification of seven functional variants in a recessive state in three SCMC members, five in NLRP7, one in NLRP5, and one in PADI6. In NLRP5, we report the first patient with RHMs and biallelic mutations. In

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Cited by 25 publications
(8 citation statements)
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“…During oogenesis, PADI6 functions by catalyzing the deamination of arginine residues in proteins, potentially contributing to cytoskeletal reorganization in oocytes and preimplantation embryos. Studies on Padi6 -deficient mice have shown that these animals are infertile due to developmental defects in preimplantation embryos, highlighting the crucial role of PADI6 in female fertility ( Rezaei et al, 2021 ). Furthermore, previous research has linked PADI6 to other reproductive deficiencies, strengthening the association between PADI6 and infertility, miscarriages, and molar pregnancies ( Qian et al, 2018 ; Maddirevula et al, 2017 ).…”
Section: Discussionmentioning
confidence: 99%
“…During oogenesis, PADI6 functions by catalyzing the deamination of arginine residues in proteins, potentially contributing to cytoskeletal reorganization in oocytes and preimplantation embryos. Studies on Padi6 -deficient mice have shown that these animals are infertile due to developmental defects in preimplantation embryos, highlighting the crucial role of PADI6 in female fertility ( Rezaei et al, 2021 ). Furthermore, previous research has linked PADI6 to other reproductive deficiencies, strengthening the association between PADI6 and infertility, miscarriages, and molar pregnancies ( Qian et al, 2018 ; Maddirevula et al, 2017 ).…”
Section: Discussionmentioning
confidence: 99%
“…The other patient, with a homozygous mutation producing I599N PADI6, had a total of seven pregnancies that ended with three miscarriages and the formation of four HMs. Two of these molar pregnancies reached as late as 15 and 32 weeks gestation [19]. The extended duration and altered phenotype of these pregnancies have been attributed to the differences in mutation severity, specifically the effects of missense mutations versus premature truncations.…”
Section: (A) Padi6 Mutations In Womenmentioning
confidence: 99%
“…Of the PADI family, PADI6 was the last to be identified and is the least well-characterized. Predominantly expressed in the oocyte and early embryo, PADI6 is crucial for early embryonic development and female fertility in both humans and mice [7,[11][12][13][14][15][16][17][18][19][20][21][22][23][24]. However, the molecular mechanisms responsible for this role are unclear, and notably there is currently no reported catalytic activity of PADI6.…”
Section: Introductionmentioning
confidence: 99%
“…Second, PADI6 is one of the genes encoding the subcortical maternal complex (SCMC), which is necessary for oocyte maturation and early embryonic development. Therefore, the loss and mutation of PADI6 destabilizes SCMC, resulting in abnormal oocyte maturation, fertilization failure, early embryonic developmental arrest, multilocus imprinting disorder, molar pregnancy, miscarriage, and female infertility (32,(190)(191)(192)(193)(194)(195)(196)(197)(198)(199)(200)(201)(202)(203)(204)(205)(206)(207).…”
Section: The Padi Family and Reproductive Development-related Diseasesmentioning
confidence: 99%