NR5A1 gene variants in infertile Senegalese men: Discovery of a novel missense variant and genotype-phenotype correlation
Year: 2025
Type: article
Study design: Observational Study
Abstract: The NR5A1 gene, encoding Steroidogenic Factor 1 (SF-1), plays a critical role in sex differentiation and spermatogenesis. However, data on NR5A1 variants in sub-Saharan African populations remain limited. This exploratory pilot study aimed to identify and characterize NR5A1 variants in infertile Senegalese men and to assess genotype-phenotype correlations. We conducted a cross-sectional study in 23 infertile Senegalese men, and exons 2 -7 of NR5A1 were sequenced using the Sanger method. Detected variants were analyzed with in silico prediction tools and filtered for rarity (minor allele frequency < 1 %) using the gnomAD database. Genotype-phenotype associations were analyzed using Fisher's exact test. Eighty-three percent of patients harbored at least one NR5A1 variant. A novel heterozygous missense variant, c.584C > T (p.Ser195Phe), located in the hinge region of SF-1, was identified in three unrelated individuals presenting with micropenis, testicular hypotrophy, and azoospermia. Several previously described variants were also detected. Genotype-phenotype correlation analysis revealed significant associations between NR5A1 variants and spermatogenic failure, the most common clinical feature (60.8 %). These findings demonstrate substantial genetic variability in NR5A1 among Senegalese men with infertility, and identify a novel missense variant. Our study highlights the relevance of NR5A1 in male infertility screening and emphasizes the importance of incorporating African populations into reproductive genetics research.
Authors: Adji Dieynaba Diallo, Adji Dieynaba Diallo, Arame Ndiaye, Ndiaga Diop, Fatou Diop Gueye, Mame Venus Gueye, Yacouba Dia, Amath Thiam, Abdoulaye Séga Diallo, Abdoulaye Séga Diallo, Rokhaya Ndiaye, Oumar Faye, Mama Sy
Institutions: Hôpital Aristide Le Dantec, Cheikh Anta Diop University
Language: English
Subfield: Reproductive Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,000
OpenAlex ID: W4414569095
