A Homozygous Variant in DMRTB1 Is Associated With Non-Obstructive Azoospermia in Humans.
YuHang Li, Shuai Lu, Xun Wang et al.
✦ AI-curated · Sources linked
Case in brief
A patient with non-obstructive azoospermia was found by whole-exome sequencing to carry a homozygous DMRTB1 variant, c.792-797del (p.265-266del). The variant was rare in public databases and classified as likely pathogenic under ACMG guidelines. Testicular histology showed seminiferous tubules without mature sperm. Structural modeling predicted localized perturbations involving residues 254-266, which may alter protein function. The authors considered the variant closely associated with the patient’s NOA and as genetic evidence relevant to its diagnosis.
What made this case unusual
The report links a homozygous DMRTB1 variant to human NOA, with testicular histology showing complete absence of mature sperm and modeling predicting localized structural changes.
Diagnostic / clinical pearl
In NOA, genetic evaluation may identify a potentially relevant DMRTB1 variant; interpret the finding alongside testicular histology and the limits of structural modeling.