Assessment of the association between sperm DNA fragmentation and pathogenic NBN gene variants in oligozoospermic men: a turkish case–control study
摘要
Sperm DNA fragmentation (SDF) is a clinically relevant marker of male reproductive potential and is frequently elevated in men with oligozoospermia. Impairment of DNA damage response and repair pathways has been implicated in increased SDF. The NBN (nibrin) gene, a core component of the MRE11–RAD50–NBN (MRN) complex, plays a critical role in the detection and repair of DNA double-strand breaks. However, the contribution of pathogenic NBN variants to sperm DNA integrity in oligozoospermic men remains unclear. This study aimed to evaluate whether increased SDF in oligozoospermia is associated with pathogenic variants in the NBN gene.
MethodsIn this case–control study, 50 infertile men with oligozoospermia and 50 age-matched fertile normozoospermic controls were enrolled. SDF and chromatin condensation abnormalities were assessed using the TUNEL assay and aniline blue staining, respectively. Targeted Next-generation sequencing (NGS) was performed on peripheral blood–derived genomic DNA to analyse all coding regions and exon–intron boundaries of the NBN gene. Identified variants were classified according to American College of Medical Genetics and Genomics guidelines.
ResultsMen with oligozoospermia exhibited significantly higher levels of SDF and chromatin condensation defects compared with fertile controls (p < 0.001). No pathogenic or likely pathogenic variants in the NBN gene were identified in either group. Common benign variants were observed but did not correlate with semen parameters or DNA fragmentation levels.
ConclusionsThese findings suggest that no significant association was detected between increased SDF and pathogenic NBN gene variants within this specific cohort. The results argue against a major independent role of NBN in isolated oligozoospermia-associated sperm DNA damage and suggest that alternative DNA repair pathways, epigenetic mechanisms, or non-genetic factors may contribute to impaired sperm DNA integrity. Assessment of SDF may therefore provide clinically relevant information beyond conventional semen analysis in the evaluation of male infertility.