Establishing that CFAP58 is a flagellar structural protein required for sperm flagellogenesis resolved its basic biological role: loss of CFAP58 causes axonemal and mitochondrial sheath malformations and reduces key axonemal (SPAG6, SPEF2) and mitochondrial sheath (HSP60) markers, while biallelic mutations cause MMAF in humans.
Evidence Immunofluorescence, TEM, CRISPR/Cas9 knockout mice, and whole-exome sequencing in human MMAF patients and independent replication cohorts
- Precise molecular mechanism by which CFAP58 organizes axonemal and mitochondrial sheath components was unknown
- Direct binding partners within the axoneme were not identified
- Whether CFAP58 functions beyond the flagellum (e.g. in motile or primary cilia) was unresolved