{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T22:31:34Z","timestamp":1757543494925,"version":"3.41.0"},"reference-count":25,"publisher":"Scientific Scholar","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:sec>\n            <jats:title>Background &amp; objectives:<\/jats:title>\n            <jats:p>Due to limited information available on the frequency and spectrum of cystic fibrosis (CF) transmembrane conductance regulator (<jats:italic toggle=\"yes\">CFTR<\/jats:italic>) gene mutations in congenital bilateral absence of vas deferens (CBAVD) in Indian population, it is difficult to provide accurate genetic counselling to couples. The present study was undertaken to investigate the spectrum and frequency of <jats:italic toggle=\"yes\">CFTR<\/jats:italic> gene mutations in Indian men with CBAVD and to determine the female CF carrier status.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>Direct DNA sequencing of the <jats:italic toggle=\"yes\">CFTR<\/jats:italic> gene was carried out in eighty CBAVD men, their female partners and fifty controls from the general population. Pathological significance of the identified novel <jats:italic toggle=\"yes\">CFTR<\/jats:italic> gene variants was carried out using <jats:italic toggle=\"yes\">in silico<\/jats:italic> tools. Appropriate genetic counselling was provided to the couples prior to intracytoplasmic sperm injection (ICSI).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>A significant association was observed for <jats:italic toggle=\"yes\">CFTR<\/jats:italic> gene variants in Indian CBAVD men versus controls (odds ratio: 12.1; 95% confidence interval: 4.8-30.4; <jats:italic toggle=\"yes\">P<\/jats:italic>&lt;0.0001). A total of 20 <jats:italic toggle=\"yes\">CFTR<\/jats:italic> gene variants were identified in 53 CBAVD men. Eight novel missense <jats:italic toggle=\"yes\">CFTR<\/jats:italic> gene variants (L214V, A238P, E379V, L578I, F587L, L926W, R1325K and R1453Q); two novel splice-site gene variants (c.1-30C&gt;G and IVS1+2T&gt;G) and ten previously reported mutations (R75Q, c.1210-12[5], F508del, A309G, R334W, I444T, R668C, R709X, A1285V and Q1352H) were detected in CBAVD men. The novel and reported <jats:italic toggle=\"yes\">CFTR<\/jats:italic> gene mutations were L926W (2.5%, <jats:italic toggle=\"yes\">P<\/jats:italic>=0.26), R1453Q (2.5%, <jats:italic toggle=\"yes\">P<\/jats:italic>=0.26), F508del (8.75%, <jats:italic toggle=\"yes\">P<\/jats:italic>=0.03) and c.1210-12[5] (42.5%, <jats:italic toggle=\"yes\">P<\/jats:italic>=0.002). A total of 13 (16.2%) female partners were found to be a CF carrier. Nine couples had a risk of transmitting mutant CFTR allele to the offspring.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Interpretation &amp; conclusions:<\/jats:title>\n            <jats:p>The heterogeneous spectrum of <jats:italic toggle=\"yes\">CFTR<\/jats:italic> gene in Indian population suggests the necessity of screening CBAVD men and female partners for accurate genetic counselling prior to undergoing ICSI.<\/jats:p>\n          <\/jats:sec>","DOI":"10.4103\/ijmr.ijmr_906_18","type":"journal-article","created":{"date-parts":[[2021,12,20]],"date-time":"2021-12-20T14:00:10Z","timestamp":1640008810000},"page":"575-583","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Cystic fibrosis transmembrane conductance regulator-related male 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