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Dynein axonemal heavy chain 1 (DNAH1) is a large motor protein that forms part of the inner dynein arm complex in sperm flagella and motile cilia. It is crucial for generating the force required for flagellar and ciliary motion by hydrolyzing ATP to move along microtubules and supports structural integrity between radial spokes and outer doublet microtubules. Mutations in DNAH1 disrupt the axoneme structure, resulting in multiple morphological abnormalities of sperm flagella (MMAF), asthenozoospermia, and male infertility. DNAH1-related dysfunction also causes primary ciliary dyskinesia in some cases, but patients may present variation based on mutation specifics. DNAH1 is not currently a direct therapeutic target and there are no known small-molecule drugs that modulate its function.
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