During spermatogenesis, a range of processes occurs in a timely manner and precise order in the supporting cells of the testis, including proliferation and differentiation of spermatogonia, meiosis of spermatocytes, and drastic morphological changes in haploid cells [1] . It has been reported that many functional genes are predominantly expressed in the testis, and defects in their expression cause male infertility [2] . Mouse Haspin (also known as GSG2), encoding a germ cell-specific protein kinase, was cloned from a subtracted cDNA library constructed from mouse testis [3] . Genomic analyses revealed that mouse Haspin is an intron-less gene located within the 26^th intron of the integrin alpha E (Itgae) gene on chromosome 6, which is conserved in rats and humans [4] [5] . However, in contrast to humans, rats, and mice, an intron is present in the Haspin genes of other organisms [5] . Analysis of the Haspin promoter element showed that a 193-nucleotide (nt) genomic fragment of the Haspin promoter specifically, bidirectionally, and synchronously induced transcription of both Haspin and Aed (an alternative transcript of Itgae [6] ) in haploid germ cells of the testis [7] [8] .

It was shown that human HASPIN phosphorylates histone H3 at threonine 3 and is required for this phosphorylation event in mitotic cells [9] [10] . HASPIN is found at the centrosomes and spindles during mitosis, where it integrates the regulation of chromosome and spindle function during mitosis and meiosis [9] [10] . Recently, in a kinase inhibitor screen using a histone H3 assay with a high-throughput radiometric enzymatic HASPIN kinase, the CHR-6494 compound was identified as a HASPIN kinase inhibitor. CHR-6494 was shown to exhibit antitumor activity [11] . In addition, disordered HASPIN expression was found to arrest cell division [12] [13] . These results indicate that HASPIN kinetics in cells is important for the regulation of cell cycle progression.

In Japan, more than 20% of married couples undergo infertility treatment (http://www.ipss.go.jp/ps-doukou/j/doukou14/doukou14.pdf: 14th birth trend survey, National Institute of Population of Social Security Research, Japan). Infertility may be due to problems with the female, male, or both [14] . More than half of all cases of infertility involve a problem with the male, and in about half of all cases of male infertility the cause is idiopathic [14] . To understand infertility, research has focused on identifying genetic mutations involved in human male infertility. We assessed the prevalence of single nucleotide polymorphisms (SNPs) in germ cell-specific genes by the direct sequencing of PCR amplified DNA from male patients undergoing fertility evaluation [15] . Current data indicate that some SNPs related with male infertility exist in germ cell-specific genes [16] [17] ; however, many of the SNPs in these genes are not associated with male infertility [18] - [23] .

Building on this earlier work, the present study assessed whether HASPIN is a cause of infertility in Japanese males. Specifically, the presence of polymorphisms in the coding sequence (CDS) of HASPIN was assessed by direct sequencing of polymerase chain reaction (PCR)-amplified DNA from male patients. This approach led to the identification of potentially important variations in the HASPIN CDS associated with male infertility.

We investigated whether genetic variation in HASPIN is associated with male infertility. DNA samples from 282 infertile male patients and 192 fertile male volunteers were screened for HASPIN genetic variations (Table 1, Figure 1). Among the polymorphisms identified in the HASPIN CDS, there were six nt changes causing an amino acid substitution, one insertion (TCCCGACGA) leading to the addition of three amino acids (aspartic acid- aspartic acid-proline: DDP) (Figure 2(a)), and three silent mutations. There were no correlations among the polymer-

phisms in terms of their co-occurrence. Three single nucleotide polymorphisms (SNPs) (c365C > A, c560T > C, and c2205A > G) and the insertion resulting in three additional amino acids (c204-/TCCCGACGA) were identified in Japanese males for the first time. Unexpectedly, c2143G > A (rs376754182) was present only in homozygous form in the infertile group (Figure 2(b)). Other SNPs reported in the NCBI dbSNP were not identified in the Japanese males of this study.

The silent SNP c566T > C (rs201447225) was found in heterozygous form in both the fertile and infertile groups, but minor homozygous SNPs were not found. Although c244C > T (rs9907144), c611G > A (rs220462), c983T > C (rs220461), and c1133T > C (rs3809806) cause an amino acid substitution, both forms of these four variants were found to be homozygous in the fertile and infertile groups, suggesting that these SNPs are not associated with male fertility. However, five other polymorphisms were found only in the infertile group. Among these, the c365C > A and c2143G > A SNPs affect the amino acid sequences around the basic region and protein kinase domain of HASPIN, respectively.

Recent studies have shown that HASPIN is an important molecule involved in cell division [9] [10] [12] [13] and is conserved from yeast to animals and plants [24] [25] . The entire CDS of HASPIN in humans (NCBI reference sequence NP_114171.2), rats, and mice (Figure 1) is intron-less, although it contains an intron in other organisms. Defects in HASPIN associated with spermatogenesis are easily identified, as HASPIN is predominantly expressed in the testis [3] [5] .

As the expression profile of HASPIN, it is possible that disorder of HASPIN activity due to genetic polymorphisms in HASPIN may cause some impairment of spermiogenesis and/or sperm function and result in male infertility. In this study, the 5 genetic polymorphisms observed only in infertile patients. Insertion of the TCCCGACGA sequence results in the introduction of three amino acids (DDP) within the DDP-repeat region of HASPIN. These three different polymorphisms influence the function of HASPIN. In addition, two nonsynonymous SNPs (c560T > C and c2205A > G) were identified. Nonetheless, the fact that all five of these polymorphisms were found only in the infertile group suggests their potential association with male infertility, by influencing transcription and/or translation. Four genetic polymorphisms were not found in NCBI dbSNP database although many SNPs in the NCBI dbSNP database were registered. These results may be due to race differences.

In this study, significant differences in the frequencies of the genotypes associated with HASPIN genetic polymorphisms in the infertile subjects were not identified (P > 0.05). Nonetheless, as this is the first analysis of HASPIN genetic polymorphisms in males with nonobstructive azoospermia, these results will contribute significantly to future large-scale studies on the genetic background of infertility in Japanese males and on functional analyses of the role of HASPIN in cell cycle progression.

Hiromitsu Tanaka,Akira Tsujimura,Yasushi Miyagawa,Dakyo Oh,Damin Choi,Morimasa Wada,Hiromi Nishimura,Yoshitake Nishimune, (2016) Genetic Variation in the Testis-Specific HASPIN Gene Encoding a Serine/Threonine Protein Kinase in Infertile Japanese Males. Advances in Sexual Medicine,06,19-25. doi: 10.4236/asm.2016.63003