%0 Journal Article %T Mutations in PIH1D3 Cause X-Linked Primary Ciliary Dyskinesia with Outer and Inner Dynein Arm Defects %A Anja Matter %A Claudius Werner %A Eric G. Haarman %A Erik A. Sistermans %A Gerard Pals %A Gerard W. Dougherty %A Heike Olbrich %A Heymut Omran %A Inga M. H£¿ben %A Isabella Aprea %A Johannes M.A. Daniels %A J£¿rg Gro£¿e-Onnebrink %A Kaman Wu %A Miriam Schmidts %A Natalija Bogunovic %A Niki T. Loges %A Tamara Paff %A Zeineb Bakey %J Archive of "American Journal of Human Genetics". %D 2017 %R 10.1016/j.ajhg.2016.11.019 %X Defects in motile cilia and sperm flagella cause primary ciliary dyskinesia (PCD), characterized by chronic airway disease, infertility, and left-right body axis disturbance. Here we report maternally inherited and de novo mutations in PIH1D3 in four men affected with PCD. PIH1D3 is located on the X chromosome and is involved in the preassembly of both outer (ODA) and inner (IDA) dynein arms of cilia and sperm flagella. Loss-of-function mutations in PIH1D3 lead to absent ODAs and reduced to absent IDAs, causing ciliary and flagellar immotility. Further, PIH1D3 interacts and co-precipitates with cytoplasmic ODA/IDA assembly factors DNAAF2 and DNAAF4. This result has clinical and genetic counseling implications for genetically unsolved male case subjects with a classic PCD phenotype that lack additional phenotypes such as intellectual disability or retinitis pigmentosa %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5223094/