Liina Nagirnaja, Nina Mørup, John E Nielsen, Rytis Stakaitis, Ieva Golubickaite, Manon S Oud, Sofia B Winge, Filipa Carvalho, Kenneth I Aston, Francesca Khani, Godfried W van der Heijden, C Joana Marques, Niels E Skakkebaek, Ewa Rajpert-De Meyts, Peter N Schlegel, Niels Jørgensen, Joris A Veltman, Alexandra M Lopes, Donald F Conrad, Kristian Almstrup
BACKGROUND: P-element-induced wimpy testis (PIWI)-interacting RNAs (piRNAs) are short (21 to 35 nucleotides in length) and noncoding and are found almost exclusively in germ cells, where they regulate aberrant expression of transposable elements and postmeiotic gene expression. Critical to the processing of piRNAs is the protein poly(A)-specific RNase-like domain containing 1 (PNLDC1), which trims their 3' ends and, when disrupted in mice, causes azoospermia and male infertility. METHODS: We performed exome sequencing on DNA samples from 924 men who had received a diagnosis of nonobstructive azoospermia...
August 19, 2021: New England Journal of Medicine