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Int J Biol Sci 2022; 18(5):1933-1943. doi:10.7150/ijbs.67843 This issue Cite

Review

Alterations in synaptonemal complex coding genes and human infertility

Fengguo Zhang, Mengfei Liu, Jinmin Gao

Institute of Biomedical Sciences, College of Life Sciences, Key Laboratory of Animal Resistance Biology of Shandong Province, Shandong Normal University, Jinan, Shandong, 250014, China.

✉ Corresponding author: E-mail: jinmingaoedu.cn (Jinmin Gao); Phone: +86-531-8618-2518.

Abstract

About 10% of reproductive-aged couples suffer from infertility. However, the genetic causes of human infertility cases are largely unknown. Meiosis produces haploid gametes for fertilization and errors in meiosis are associated with human infertility in both males and females. Successful meiosis relies on the assembly of the synaptonemal complex (SC) between paired homologous chromosomes during the meiotic prophase. The SC is ultrastructurally and functionally conserved, promoting inter-homologous recombination and crossover formation, thus critical for accurate meiotic chromosome segregation. With whole-genome/exome sequencing and mouse models, a list of mutations in SC coding genes has been linked to human infertility. Here we summarize those findings. We also analyzed SC gene variants present in the general population and presented complex interaction networks associated with SC components. Whether a combination of genetic variations and environmental factors causes human infertility demands further investigations.

Keywords: Meiosis, synaptonemal complex, premature ovarian insufficiency, non-obstructive azoospermia, infertility

Introduction

It is estimated that about 8% to 12% of reproductive-aged couples worldwide suffer from infertility [1, 2]. Among these affected couples, the incidence of disorders seems to distribute equally between males and females [3, 4]. Azoospermia is a major cause of male infertility, affecting about 10-15% of infertile men [5-7]. Azoospermia contains two subcategories, obstructive azoospermia (OA) and non-obstructive azoospermia (NOA). Patients with the former may have normal spermatogenesis in the testis, but the excurrent ducts between the rete testis and the ejaculatory ducts are obstructed, causing the absence of sperm in the semen. In patients with NOA, testicular spermatogenesis is abnormal, and sperm cannot be produced [8]. Ovulation disorders account for most cases of female infertility. Premature ovarian failure (POF), also referred to as premature ovarian insufficiency (POI), is characterized by absent menarche (primary amenorrhea) or premature depletion of ovarian follicles before the age of 40 (secondary amenorrhea) [9]. Although the causes of infertility can be highly heterogeneous, genetic factors likely contribute a lot. Indeed, studies of infertile pedigrees and cohorts revealed the genetic causes of infertility in males [10-12] and females [9, 13].

Meiotic cell division is required for all sexually reproductive organisms to generate haploid gametes, i.e., sperm and eggs. Defects or failure in meiosis can cause NOA or POI in humans [14, 15]. To produce haploid gametes, DNA is replicated only once, and the cell undergoes two consecutive divisions, meiosis I (separation of homologous chromosomes) and meiosis II (separation of sister chromatids) [16]. To set the ordered meiotic chromosome segregation process, a series of critical meiosis-specific events occur during meiotic prophase, including the formation of double-strand break (DSB), homologous pairing, synapsis, inter-homologous recombination, and crossover formation. Chromosomes undergo dramatic dynamic changes during the prophase. According to their morphology, the meiotic prophase can be divided into five substages: leptotene, zygotene, pachytene, diplotene, and diakinesis. During the early meiotic prophase (leptotene and zygotene), homologs pair and synapse. A proteinaceous structure called the synaptonemal complex (SC) starts to assemble between the paired homologous chromosomes. The completion of SC formation along the entire lengths of the homolog pairs allows the cells to progress into pachytene. During diplotene, chromosomes desynapse, and the SC starts to disassemble [17]. For more comprehensive information, we refer the interested readers to recent reviews focusing on various aspects of meiosis, including the organization and regulation of the SC [18-20], meiotic recombination and crossover control [21-23].

 Figure 1 

Diagram of the tripartite SC structure and its components in humans. SC proteins are mainly composed of α-helixes and intrinsically disordered regions, and their percentages are indicated for each protein. The locations of the N- and C-termini of SYCP1 are labeled. CE, central elements; LE, lateral elements; TFs, transverse filaments; IDR, intrinsically disordered region.

Studies from various organisms have revealed the critical roles of the SC in meiotic progression. A list of SC gene mutations has been identified in infertile patients, which show NOA or POF/POI phenotypes. In this review, we focus on the role of the SC in meiosis and summarize how mutations in SC coding genes are linked to human infertility.

The tripartite structure and self-assembly properties of the SC

The chromosomes are organized as loop-axis structures during the meiotic prophase. The formation of chromosome axis provides the framework for SC assembly, and the axis is then referred to as lateral elements (LEs). The fully assembled SC consists of two parallel LEs, a central element (CE) in the middle and the bridging transverse filaments (TFs) (Figure 1). The CE and TFs are together called the central region. In mammals, eight meiosis-specific proteins have been identified as the SC components, including two LE components, SYCP2 and SYCP3, five CE proteins SYCE1, SYCE2, SYCE3, TEX12, and C14ORF39/SIX6OS1, and one TF component SYCP1 [17].

The formation of the SC lateral elements likely requires the self-assembly property of SYCP proteins in mammals. Structural analyses showed that human SYCP3 forms tetramers, which can further assemble into filamentous structures and have DNA binding properties [24, 25]. Co-purification and biochemical analysis suggest SYCP3 and the C-terminal coiled-coil region of SYCP-2 form hetero-tetramers, which can oligomerize to form the LEs core [26].

Human SC central region proteins also exhibit self-assembly properties. TF protein SYCP1 serves as the core architecture of the SC. X-ray crystallographic and biophysical studies showed that SYCP1 has an obligate tetrameric structure, and through two self-assembly sites, assembles into a zipper-like lattice, in which the N-terminal sites assemble in the midline, and the C-terminal tails face towards the chromosome axis [27]. Central element proteins SYCE2 and TEX12 can form 2:2 and 4:4 building blocks, which further assemble into 2-nm and 4-nm fibers or bundled fibers through end-to-end association [28]. Multivalent interactions apparently mediate the assembly of the SC central elements. SYCE1 can self-dimerize [29], and this self-dimerization property can be altered to form 1:1 heterodimer with C14ORF39/SIX6OS1 [30]. Mutations disrupting SYCE1-C14ORF39 interactions have been linked to infertility in humans and mice [30, 31]. SYCE3 also exhibits a self-assembly property [32], and interaction with SYCE1 has also been revealed [33]. However, it remains to be determined how SYCE1 can alter SYCE3 self-assembly property. Moreover, it will be essential to examine the SC self-assembly properties when all components are provided.

The highly ordered SC structure and the self-assembly properties of SC components have promoted the hypothesis that SC structure is static. However, studies from model organisms suggest that the SC is dynamic [18]. Its components consistently come on and off from chromosomes during early meiotic prophase, and this dynamic property can be modulated by meiotic recombination and crossover (CO) designation [34, 35]. Moreover, polycomplexes formed by SC central region proteins in axis defective mutants in the nematode Caenorhabditis elegans also exhibit dynamic properties [36]. However, due to technical difficulties, the dynamic property of the SC has not been able to be directly examined in mammalian meiosis.

The SC has conserved roles in meiotic recombination and CO regulation

The tripartite proteinaceous ultrastructure of the SC provides the spatial scaffold for homologous recombination and CO formation. Studies from multiple organisms showed that SC components play important roles in various steps of meiotic recombination, including recombination initiation, feedback control of DSB formation, choice of DSB repair pathways, and the control of CO number and distribution [18, 37]. For example, meiotic chromosome axial components HTP-3 in C. elegans, and Sycp2 in zebrafish, are required for recombination initiation [38, 39]. DSB repair proteins and pro crossover factors can be recruited to the SC in C. elegans [40]. Homolog engagement and synapsis, in turn, inhibit further DSB formation by removing DSB machinery from the chromosomes in C. elegans and yeast [35, 41]. The occurrence of a CO at one locus is accompanied by a decreased probability that a second CO will occur nearby, a conserved phenomenon that is referred to as CO interference [42]. Interestingly, the meiotic chromosomal axis length is inversely correlated to CO rates across species [43-45]. Proteins that regulate meiotic chromosome axis length also regulate CO frequencies [46, 47]. Although the chromosome axis was considered the major compartment controlling recombination event number and distribution [21, 37], recent findings suggest that the SC central region also plays an essential role. For example, in budding yeast, SC central region components are involved in modulating CO pathways and feedback control of DSB formation [41, 48]. In C. elegans, SC central region promotes the recruitment of pro-CO factors, and the intact SC is required for wild-type level of CO interference [40, 49]. Moreover, in Arabidopsis, SC TFs are required to regulate CO rates and probably interference [50, 51]. These observations established the conserved functions of the SC in controlling CO formation. However, it is still not fully understood how each SC component contributes to such CO control in humans.

Unconventional functions of SC components

In addition to controlling homologous recombination and CO formation during early meiotic prophase, SC proteins may also have additional roles during meiosis. Studies from various organisms suggest that SC components do not dissociate from the chromosomes simultaneously upon pachytene exit. Instead, some components are retained until late meiotic prophase or metaphase I [18, 52]. Studies in worms suggest that the maintenance of the SC on chromosome subdomains during late prophase is required for chromosome remodeling [53], and HORMA domain proteins are required for proper centriole engagement during spermatocyte meiosis [54]. The transverse filament protein Zip1 in yeast was found promoting centromere pairing [55]. In mouse spermatocytes, SC components also promote centromere pairing. A tripartite SC structure was observed at the centromere persisting until diplotene, and LE protein SYCP3 remains associated with the sister centromeres until anaphase I or telophase I [56-58]. The centromere retention of SYCP3 was also suggested to promote monopolar orientation of sister kinetochores during meiosis I [58]. Moreover, shugoshin can promote centromere pairing and segregation of nonexchange homolog chromosomes, potentially by protecting the centromeric SC [59]. These observations suggest SC components may have multiple functions during meiosis.

Synapsis defects and infertility

While synapsis and meiotic recombination are essential for establishing chiasmata and preventing aneuploidy, synapsis defects during early meiotic prophase can cause meiotic arrest and apoptosis, which are more directly associated with infertility in mammals. Meiotic sex chromosome inactivation (MSCI) is an essential process in mammalian male germline development, and the failure to initiate MSCI causes the complete arrest and elimination of germ cells during the mid pachytene stage [60, 61]. Consistently, epigenetic dysregulation was observed in mammalian male meiosis with synapsis and recombination defects [62]. Mechanistically, meiotic arrest caused by SC mutations can be attributed to the failure to repair programmed DSBs, defects in MSCI, and/or meiotic silencing of unsynapsed chromosomes [63, 64].

So far, mutant mouse models are available for all known SC components, and their phenotypes are summarized in Table 1. Null mutants for SC central region components show infertility in both males and females. However, null mutations of LEs (SYCP2 and SYCP3) cause different phenotypes between the genders. While the males are infertile, females are subfertile and have a reduced number of offspring [65, 66]. Although the detailed mechanism underlying such difference requires further investigation, it may be related to different stringencies of checkpoint activation in male and female meiosis.

Infertility-related SC gene mutations in humans

Given the conserved roles of the SC in meiosis and infertility phenotypes observed for mice carrying SC mutations, it is expected that mutations in SC coding genes are linked to human infertility. Indeed, with whole-genome/exome sequencing and the creation of mouse models, a list of SC coding gene mutations has been identified and linked to human infertility. So far, infertility-related mutations have been identified in four SC coding genes, including SYCP2, SYCP3, SYCE1, and C14ORF39 (Table 2).

SYCP2 and SYCP3 are the core axis proteins in mammals and have a direct interaction [26, 67]. SYCP2 has 47 exons and encodes a 1350 amino acid protein product, while SYCP3 has 8 exons and encodes a 236 amino acid protein product. Several studies revealed that mutations in their coding genes are associated with human infertility in both males and females. Through exome sequencing (ES) in a cohort of 627 male patients with diverse infertility phenotypes, three heterozygous SYCP2 frameshift mutations were identified in three azoospermia patients. Such frequency is significantly higher than that in the general population, suggesting the tight association between SYCP2 mutations and male infertility [68, 69]. SYCP3 also shows a high mutation frequency in infertile patients. In a mixed ethnic origin of 23 couples with recurrent miscarriages, a heterozygous change c.548T>C was detected in SYCP3, which caused a missense mutation in the coiled-coil domain of SYCP3 [70]. In a separate study, two out of 26 women with recurrent pregnancy loss of unknown cause were found to carry independent heterozygous mutations in SYCP3, i.e., c.553-16_19del and c.657T>C, both of which disrupt normal splicing and possibly result in C-terminally truncated proteins [71]. By analyzing a small group of 19 azoospermic patients with maturation arrest, a 1bp deletion (643delA) in SYCP3 that results in a premature stop codon and truncation of its C-terminal coiled-coil region was identified in two patients [72]. These identified mutations mainly disrupt the C-terminus of SYCP3, and their co-expression with their wild-type counterpart interfered with SYCP3 fiber formation in cultured cells [71, 72].

Mutations in two SC central element genes have also been linked to human infertility, i.e., C14ORF39 and SYCE1. Interestingly, protein interaction analysis suggests their protein products form heterodimers [31], which may be critical for SC functions in vivo. So far, six mutations in C14ORF39 were identified in infertile males and females by whole-exome sequencing [73-75]. These mutations include a frameshift mutation (c.204_205del) from an NOA/POI family, a nonsense mutation (c.958G>T) and a splicing mutation (c.1180-3C>G) from two unrelated individuals with meiotic arrest [73], a nonsense mutation (c.508C>T) from a sporadic POI patient and a frameshift mutation (c.135_136del) from a sporadic NOA patient [75], and a frameshift mutation (c.207_210delTGAG) from POI patients [74]. These mutations were predicted to destroy C14ORF39-SYCE1 polycomplex formation [73] or significantly accelerate protein degradation [75].

A growing list of pathogenic mutations has also been identified in SYCE1. Two splicing mutations of SYCE1 were identified in two independent autosomal recessive NOA families [30, 76, 77]. SYCE1 protein could not be detected in patients carrying c.197-2 A > G mutation in the testicular tissue. Another mutation c.375-2A>G was predicted to result in the deletion of SYCE1 126-155 amino acid region, which locates in its coiled-coil core. Moreover, a nonsense SYCE1 mutation c.613C>T was identified in a consanguineous Israeli Arab family with POI [78]. This nonsense mutation and the splicing mutation c.375-2A>G were predicted to interrupt the binding interfaces between SYCE1 and C14ORF39/SIX6OS1 [30], highlighting the importance of their interactions. Indeed, mice carrying the analogous mutations exhibit synapsis defects and are infertile for both females and males [79]. In addition to these mutations, recent studies have identified a missense mutation (c.475G>A), two frameshift mutations (c.689_690del and c.658_662delGAGGG) in POI patients [74, 75], and a splicing mutation (c.271+2T>C) in sporadic NOA patients [75].

In addition to mutations within SC genes, copy number variants and translocation-mediated gene dysregulation may also be linked to human infertility. For example, multiple groups have revealed the associations of POI with deletions or duplications of chromosome regions encompassing SYCE1 [80-85]. Moreover, a homozygous deletion of the whole SYCE1 gene was detected in a targeted next-generation sequencing study of 668 Chinese NOA patients [86]. While the pathogenicity remains to be determined, duplication of SYCE1 has also been observed in POI patients [82]. Furthermore, translocation-mediated SYCP2 overexpression has been suggested to cause male infertility [68].

Interestingly, although mutations in both LE and CE coding genes can cause infertility, most identified mutations in LE genes have a dominant-negative effect, while mutations in CE genes are generally homozygous recessive mutations [87]. Such differences may be related to haploid insufficiency and/or the incorporation of mutated proteins into the SC. The mutated form of LE proteins, which are mostly C-terminally truncated, may still be incorporated into the meiotic chromosome axis, interfering with normal synapsis. In another scenario, a single copy of wild-type LE gene expression may not provide enough protein product required for normal synapsis and meiotic progression, exhibiting haploid insufficiency. Regarding CE proteins, mutations may directly disrupt its binding with other SC proteins, or SC protein complexes/subunits containing the mutated forms fail to be incorporated into the SC in heterozygous mutants, thus having little impact on normal synapsis. Meiosis may be more tolerant to changes in central region protein levels than to changes in LE protein levels. So far, infertility-related SC gene mutations are limited to four SC genes (SYCP2, SYCP3, C14ORF39, and SYCE1). However, given the critical roles of the other SC components in meiotic progression, it would not be surprising to identify infertility-related mutations in the other SC genes as the number of studied cases increases. Moreover, although most infertility-related SC mutations were reported only for a specific gender, mutations within the same SC gene were usually found in both male and female infertile patients. Those reported infertility-related SC mutations may cause infertility in both genders.

Frequencies of SC gene mutations in the general population

SC genes only express in the germline during meiosis, and they are unlikely to be required for normal human development [88]. Moreover, some SC gene mutations might be recessive, and they do not cause infertility when they are carried in heterozygotes. These facts imply that the general population may carry a certain number of infertility-related SC mutations. To assess this, we examined the allele frequencies of SC gene variants in the Genome aggregation database (gnomAD, https://gnomad.broadinstitute.org), which includes WES data of 123,136 individuals and WGS data of 15,496 individuals of different ethnic origins [89], and may serve as a genome database for the general population regarding fertility.

SC genes have significant differences in exon counts and protein product sizes, resulting in the differences in their expected numbers of loss-of-function (LoF) or missense variants (Figure 2A), which were determined with a depth corrected mutation probability [89]. Four genes with the most observed LoF variants are SYCE1, C14ORF39, SYCP2, and SYCP3, corresponding to the four reported genes with infertility-related mutations. The ratio of observed/expected (OE) number of variants measures how tolerant a gene is to a certain class of variation, and low OE values indicate strong intolerance. Surprisingly, SC genes likely have distinct LoF intolerance levels (Figure 2B). LE coding gene SYCP2 and TF coding gene SYCP1 have significantly lower OE values than the other SC genes, suggesting that they may be more intolerant to LoF than other SC genes. It will be interesting to understand why different SC genes have different LoF intolerance. The low tolerance to LoF of SYCP2 and SYCP1 may have several causes. One explanation is that some of their functional domains are located near the C-terminal, making most truncated proteins unfunctional. Additionally, the function of these proteins in SC formation cannot be easily compensated by other SC components. Moreover, they may not only participate in SC formation but also have other functions (e.g., centromere paring).

 Figure 2 

SC gene variants in the general population. SC gene variants data was collected from the gnomAD database [69]. (A) A table summarizes SC gene exon counts, protein product lengths, and the expected number of loss-of-function (LoF) or missense variants. (B) The ratio of the observed/expected number of LoF variants in SC genes. Error bars represent a 90% confidence interval. The numbers of observed LoF variants are indicated on the top. (C) The ratio of the observed/expected number of missense variants in SC genes. Error bars represent a 90% confidence interval. The numbers of observed missense variants and their distribution in α-helix or IDR regions (shown as percentages in parentheses) are indicated on the top. The expected variant numbers and ratio of observed/expected variants with confidence intervals were determined with a depth corrected mutation probability reported in [89].

 Figure 3 

Interaction networks of the SC proteins. (A) Functional protein association networks of the SC proteins were obtained from the STRING database (https://string-db.org). Presented are known interactions, which were sourced from curated databases or were experimentally determined. (B) SC protein interaction networks mapped in the human reference interactome database (www.interactome-atlas.org). Proteins not expressed in the testis or ovary were removed. Proteins confirmed or predicted to be required for meiosis or gametogenesis are indicated by red boxes. Interaction networks were visualized by Cytoscape.

Compared to LoF, missense OE values show less variation among the SC genes (Figure 2C). SYCP2 and C14ORF39 have slightly higher OE values than the other SC genes. Interestingly, proteins encoded by these two genes contain the longest intrinsically disordered regions (IDRs), and the majority of the missense variants locate in their IDRs. SC IDRs are likely more tolerant than helix regions to missense mutations. This is consistent with the observation that helix regions of the SC proteins usually mediate stable protein-protein interactions and are thus critical for SC functions. However, recent findings have also highlighted the important roles of IDRs in SC regulation in C. elegans [53, 90]. Further studies are required to identify elements in IDRs that are critical for SC regulations in various organisms, including in humans.

SC protein interaction networks

Cellular activities are mediated by complex interactome networks of physical, biochemical, and functional interactions of the proteins [91]. Complex biological interactions and cellular networks underlie most genotype to phenotype relationships [92]. More and more studies have revealed physical and functional associations between the SC and other nuclear proteins. STRING database presents known and predicted protein-protein interactions, which include direct physical and indirect functional associations. Analysis of the SC protein interaction networks in STRING revealed their connections with cohesin complexes, proteins involved in DNA repair, telomere capping, ubiquitination, etc. (Figure 3A). Combined gene variants within this interaction network may cause severe impacts on human fertility.

The study in humans and model organisms has provided insights into how internal interactions between SC components mediate SC formation. However, it remains to be explored how SC assembly and functions are regulated by non-structural proteins, and what biological processes are regulated by SC components. Available protein interaction databases may provide clues about how SC proteins interact with the rest of the proteome. To this end, we extracted an SC binary interaction network from the human reference interactome, which covers about 90% of the protein-coding genome [93] (Figure 3B). Interactome analysis revealed that SC proteins vary a lot regarding the number of binding partners, with the central element proteins SYCE1 having the most binding partners. Interestingly, LoF mutations in SYCE1 are most frequent in the general population, and the associations between SYCE1 mutations and infertility are also well established. Thus, it will be essential to evaluate how disruption of SYCE1 interactome may contribute to human infertility.

Within the SC interactome, several proteins are potentially involved in meiotic cell division or gametogenesis, including the spindle and kinetochore-associated protein 1(SKA1) [94], nuclear RNA export factor 1 (NXF1) [95], cell division cycle 37 (CDC37) [96], the coiled-coil alpha-helical rod protein 1 (CCHCR1) [97], intraflagellar transport protein 20 (IFT20) [98], spermatogenesis and centriole-associated 1 like (SPATC1L) [99], and hook microtubule tethering protein 1 (HOOK1) [100]. It will be important to confirm whether these interactions exist in vivo and whether abnormal interactions between them may contribute to human infertility.

It is well established that SYCP2 and SYCP3 form the LE core, and the C-terminus of SYCP1 faces towards LEs. Thus, the C-terminus of SYCP1 was expected to interact with LEs. However, direct interactions between SYCP1 and LEs have not been able to be detected. This raises the possibility that SC central region proteins may interact with the LEs through multivalent weak interactions, which may not be detected by conventional methods. Remarkably, SC central region proteins are evolutionarily divergent. The application of multivalent weak interactions to mediate synapsis may underlie the rapid evolution of SC components [101].

Future perspectives

Infertility remains a severe problem affecting couples wishing to have children. It is ranked third in major diseases after tumors and cardiovascular diseases. The cause of infertility is very complicated. For about one-fifth of the cases, the causes are still unknown. Genome or exome sequencing for infertile patients combined with mouse models will still be a powerful strategy to identify the genetic causes of at least some types of infertility. The SC plays an essential role during meiosis to produce the haploid gametes for fertilization. Understanding how alterations in SC genes are linked to infertility will improve the diagnosis, prevention, and treatment of this disease. Addressing the following outstanding questions will help us to make a better connection between the SC and human fertility.

Have all human SC components been identified? Functional redundancy may hinder the discovery of new SC components through phenotype analysis. Given the conservation of SC components in mammals, proteomic analysis in mice or primates will help to identify new SC components or its binding proteins.

How is the SC assembled into the functional tripartite structure? Although structural and biochemical studies have provided insights into the self-assembly properties of SC subcomplexes, how the entire SC is assembled remains not fully understood. For example, how are the SC central region proteins organized when all components are present? How do the SC central region proteins interact with the lateral elements? What are the roles of the IDRs in SC assembly? Characterizing the precise interaction network in the SC will help identify the critical sequence elements essential for SC formation.

Does the human SC have dynamic properties? While the dynamic properties of the SC have been observed in multiple organisms, whether the SC in humans has the same properties remain to be determined. Addressing this will help to understand how the SC performs its conserved functions in crossover regulation.

Can combined gene variants produce synergistic effects? Attention should be paid when multiple genetic variants are observed in physically or functionally associated components, although the single variant might not look harmful. Importantly, with a growing set of individual genomes available, humans are likely emerging as a direct biological model to study rare genetic variations and combinations, which are actually more difficult to explore in other systems.

Can SC gene variants combine with internal or external factors to cause infertility? Some SC gene mutations have been shown to cause severe meiotic defects only when grown at suboptimal temperatures in worms [90]. Human infertility might be caused by a combination of SC gene variants with internal or external factors, such as diseases, aging, chemical exposure, and extreme temperatures. Clarifying their associations with human infertility will be of great significance to reproductive health.

Abbreviations

SC: synaptonemal complex; OA: obstructive azoospermia; NOA: non-obstructive azoospermia; POF: premature ovarian failure; POI: premature ovarian insufficiency; LE: lateral element; CE: central element; TF: transverse filament; CO: crossover; LoF: loss-of-function; IDR: intrinsically disordered region.

Acknowledgements

We appreciate the helpful comments provided by reviewers. This work was supported by grants from the National Natural Science Foundation of China (32022018, 31871360, and 31701176 to J.G.).

Author Contributions

F.Z., M.L. and J.G. wrote the manuscript. J.G. prepared the figures. All authors read and approved the manuscript.

Competing Interests

The authors have declared that no competing interest exists.

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Corresponding author: E-mail: jinmingaoedu.cn (Jinmin Gao); Phone: +86-531-8618-2518.

Received 2021-10-10
Accepted 2022-2-7
Published 2022-2-21

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