RT Journal Article SR Electronic T1 The complement system supports normal postnatal development and gonadal function in both sexes JF bioRxiv FD Cold Spring Harbor Laboratory SP 233825 DO 10.1101/233825 A1 Arthur S. Lee A1 Jannette Rusch A1 Abul Usmani A1 Ana C. Lima A1 Wendy S.W. Wong A1 Ni Huang A1 Maarja Lepamets A1 Katinka A. Vigh-Conrad A1 Ronald E. Worthington A1 Reedik Mägi A1 John E. Niederhuber A1 Xiaobo Wu A1 John P. Atkinson A1 Rex A. Hess A1 Donald F. Conrad YR 2017 UL http://biorxiv.org/content/early/2017/12/14/233825.abstract AB Male and female infertility are clinically managed and classified as distinct diseases, and relatively little is known about mechanisms of gonadal function common to both sexes. We used genome-wide genetic analysis on 74,896 women and men to find rare genetic variants that modulate gonadal function in both sexes. This uncovered an association with variants disrupting CSMD1, a complement regulatory protein located on 8p23, in a genomic region with an exceptional evolution. We found that Csmd1 knockout mice display a diverse array of gonadal defects in both sexes, and in females, impaired mammary gland development that leads to increased offspring mortality. The complement pathway is significantly disrupted in Csmd1 mice, and further disruption of the complement pathway from joint inactivation of C3 leads to more extreme reproductive defects. Our results can explain a novel human genetic association with infertility and implicate the complement system in the normal development of postnatal tissues.