Human MLH1/3 variants causing aneuploidy, pregnancy loss, and premature reproductive aging

Nat Commun. 2021 Aug 18;12(1):5005. doi: 10.1038/s41467-021-25028-1.

Abstract

Embryonic aneuploidy from mis-segregation of chromosomes during meiosis causes pregnancy loss. Proper disjunction of homologous chromosomes requires the mismatch repair (MMR) genes MLH1 and MLH3, essential in mice for fertility. Variants in these genes can increase colorectal cancer risk, yet the reproductive impacts are unclear. To determine if MLH1/3 single nucleotide polymorphisms (SNPs) in human populations could cause reproductive abnormalities, we use computational predictions, yeast two-hybrid assays, and MMR and recombination assays in yeast, selecting nine MLH1 and MLH3 variants to model in mice via genome editing. We identify seven alleles causing reproductive defects in mice including female subfertility and male infertility. Remarkably, in females these alleles cause age-dependent decreases in litter size and increased embryo resorption, likely a consequence of fewer chiasmata that increase univalents at meiotic metaphase I. Our data suggest that hypomorphic alleles of meiotic recombination genes can predispose females to increased incidence of pregnancy loss from gamete aneuploidy.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Abortion, Spontaneous / genetics*
  • Abortion, Spontaneous / metabolism
  • Abortion, Spontaneous / physiopathology
  • Alleles
  • Aneuploidy*
  • Animals
  • Crossing Over, Genetic
  • DNA Mismatch Repair
  • Embryo Loss / genetics*
  • Embryo Loss / physiopathology
  • Female
  • Homologous Recombination
  • Humans
  • Litter Size
  • Male
  • Meiosis
  • Mice
  • MutL Protein Homolog 1 / genetics*
  • MutL Protein Homolog 1 / metabolism
  • MutL Proteins / genetics*
  • MutL Proteins / metabolism
  • Pregnancy
  • Reproduction
  • Saccharomyces cerevisiae / genetics
  • Saccharomyces cerevisiae / metabolism

Substances

  • Mlh1 protein, mouse
  • Mlh3 protein, mouse
  • MutL Protein Homolog 1
  • MutL Proteins