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Dynamics of extracellular vesicle-coupled microRNAs in equine follicular fluid associated with follicle selection and ovulation. 马卵泡液中与卵泡选择和排卵相关的细胞外囊泡偶联microrna的动力学。
IF 4 2区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2023-04-03 DOI: 10.1093/molehr/gaad009
Samuel Gebremedhn, Ahmed Gad, Ghassan M Ishak, Nico G Menjivar, Melba O Gastal, Jean M Feugang, Radek Prochazka, Dawit Tesfaye, Eduardo L Gastal

Innumerable similarities in reproductive cyclicity and hormonal alterations highlight the considerable utility of the mare to study aspects of follicular dynamics and reproductive function in view of the largely constricted, human research subjects. The bi-directional communication between the growing oocyte and the surrounding somatic cells embodies the hallmark of mammalian follicular development, partially mediated by extracellular vesicles (EVs) encapsulated with microRNAs (miRNAs) and present in the follicular fluid (FF). Here, we aimed to decipher the dynamics of the miRNAs in EVs from equine FF aspirated in vivo during different stages of follicular development, namely, predeviation (PreDev; 18-20 mm), deviation (Dev; 22-25 mm), postdeviation (PostDev; 26-29 mm), preovulatory (PreOV; 30-35 mm), and impending ovulation (IMP; ∼40 mm). Approximately 176 known miRNAs were found in all groups with 144 mutually detected among all groups. Cluster analysis exhibited 15 different expression patterns during follicular development. Among these patterns, a group of 22 miRNAs (including miR-146b-5p, miR-140, and miR-143) exhibited a sharp reduction in expression from the PreDev until the PreOV stage. Another cluster of 23 miRNAs (including miR-106b, miR-199a-5p, and miR-125a-5p) exhibited a stable expression pattern at the PreDev stage until the PostDev stage, with a significant increase at the PreOV stage followed by a significant decrease at the IMP stage. In conclusion, this study provides greater insights into the stage-specific expression dynamics of FF EV-miRNAs during equine follicular development, which may propose novel approaches to improve ART and provide new biomarkers to facilitate the assessment of ovarian pathophysiological conditions.

生殖周期和激素变化的无数相似之处突出了母马在研究卵泡动力学和生殖功能方面的相当大的效用,因为人类研究对象很大程度上受到限制。生长中的卵母细胞与周围体细胞之间的双向交流体现了哺乳动物卵泡发育的特征,部分由存在于卵泡液(FF)中被microRNAs (miRNAs)包裹的细胞外囊泡(ev)介导。在这里,我们的目的是破译从马FF体内抽吸的EVs中提取的mirna在卵泡发育的不同阶段的动态,即预偏离(PreDev;18- 20mm),偏差(Dev;22- 25mm),后偏差(PostDev;26-29 mm),排卵期前(PreOV;30-35 mm)和即将排卵(IMP;∼40毫米)。在所有组中发现了大约176个已知的mirna,其中144个在所有组中相互检测到。聚类分析显示在卵泡发育过程中有15种不同的表达模式。在这些模式中,一组22种mirna(包括miR-146b-5p, miR-140和miR-143)从PreDev到PreOV阶段表达急剧减少。另一组23个mirna(包括miR-106b、miR-199a-5p和miR-125a-5p)在pre - dev阶段至post - dev阶段表现出稳定的表达模式,在PreOV阶段显著增加,在IMP阶段显著减少。总之,本研究对马卵泡发育过程中FF ev - mirna的分期特异性表达动态有了更深入的了解,这可能为改善ART提供新的方法,并为评估卵巢病理生理状况提供新的生物标志物。
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引用次数: 1
Basolateral secretions of human endometrial epithelial organoids impact stromal cell decidualization. 人子宫内膜上皮类器官基底外侧分泌物影响间质细胞脱胞。
IF 4 2区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2023-04-03 DOI: 10.1093/molehr/gaad007
Harriet C Fitzgerald, Andrew M Kelleher, Chaman Ranjit, Danny J Schust, Thomas E Spencer

Uterine glands and, by inference, their secretions impact uterine receptivity, blastocyst implantation, stromal cell decidualization, and placental development. Changes in gland function across the menstrual cycle are primarily governed by the steroid hormones estrogen (E2) and progesterone (P4) but can also be influenced by extrinsic factors from the stroma. Using a human endometrial epithelial organoid system, transcriptome and proteome analyses identified distinct responses of the organoids to steroid hormones and prostaglandin E2 (PGE2). Notably, P4 and PGE2 modulated the basolateral secretion of organoid proteins, particularly cystatin C (CST3), serpin family A member 3 (SERPINA3), and stanniocalcin 1 (STC1). CST3, but not SERPINA3 or STC1, attenuated the in vitro stromal decidualization response to steroid hormones and PGE2. These findings provide evidence that uterine gland-derived factors impact stromal cell decidualization, which has implications for pregnancy establishment and fertility in women.

子宫腺及其分泌物影响子宫容受性、囊胚着床、间质细胞脱胞和胎盘发育。在整个月经周期中,腺体功能的变化主要由类固醇激素雌激素(E2)和孕酮(P4)控制,但也可能受到来自基质的外部因素的影响。利用人子宫内膜上皮类器官系统,转录组和蛋白质组分析确定了类器官对类固醇激素和前列腺素E2 (PGE2)的不同反应。值得注意的是,P4和PGE2调节类器官蛋白的基底外侧分泌,特别是胱抑素C (CST3)、蛇形蛋白家族A成员3 (SERPINA3)和斯坦钙素1 (STC1)。CST3,而不是SERPINA3或STC1,减弱了体外基质对类固醇激素和PGE2的去细胞化反应。这些发现提供了子宫腺源性因子影响间质细胞脱胞的证据,这对妇女的妊娠建立和生育能力有影响。
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引用次数: 5
Men who inject opioids exhibit altered tRNA-Gly-GCC isoforms in semen. 注射阿片类药物的男性精液中的 tRNA-Gly-GCC 同工酶发生了改变。
IF 3.6 2区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2023-02-28 DOI: 10.1093/molehr/gaad003
Germán Gornalusse, Ryan M Spengler, Erin Sandford, Yeseul Kim, Claire Levy, Muneesh Tewari, Florian Hladik, Lucia Vojtech

In addition to their role in protein translation, tRNAs can be cleaved into shorter, biologically active fragments called tRNA fragments (tRFs). Specific tRFs from spermatocytes can propagate metabolic disorders in second generations of mice. Thus, tRFs in germline cells are a mechanism of epigenetic inheritance. It has also been shown that stress and toxins can cause alterations in tRF patterns. We were therefore interested in whether injecting illicit drugs, a major stressor, impacts tRFs in germline cells. We sequenced RNA from spermatocytes and from semen-derived exosomes from people who inject illicit drugs (PWID) and from non-drug using controls, both groups of unknown fertility status. All PWID injected opioids daily, but most also used other illicit drugs. The tRF cleavage products from Gly-GCC tRNA were markedly different between spermatocytes from PWID compared to controls. Over 90% of reads in controls mapped to shorter Gly-GCC tRFs, while in PWID only 45% did. In contrast, only 4.1% of reads in controls mapped to a longer tRFs versus 45.6% in PWID. The long/short tRF ratio was significantly higher in PWID than controls (0.23 versus 0.16, P = 0.0128). We also report differential expression of a group of small nucleolar RNAs (snoRNAs) in semen-derived exosomes, including, among others, ACA14a, U19, and U3-3. Thus, PWID exhibited an altered cleavage pattern of tRNA-Gly-GCC in spermatocytes and an altered cargo of snoRNAs in semen-derived exosomes. Participants were not exclusively using opioids and were not matched with controls in terms of diet, chronic disease, or other stressors, so our finding are not conclusively linked to opioid use. However, all individuals in the PWID group did inject heroin daily. Our study indicates a potential for opioid injection and/or its associated multi-drug use habits and lifestyle changes to influence epigenetic inheritance.

tRNA 除了在蛋白质翻译中发挥作用外,还能被裂解成较短的、具有生物活性的片段,称为 tRNA 片段(tRFs)。来自精原细胞的特异性 tRFs 可在小鼠的第二代中传播代谢紊乱。因此,生殖细胞中的 tRFs 是一种表观遗传机制。研究还表明,压力和毒素可导致 tRF 模式的改变。因此,我们对注射非法药物(一种主要的压力源)是否会影响生殖细胞中的 tRF 感兴趣。我们对精母细胞和精液外泌体中的 RNA 进行了测序,这些 RNA 来自注射非法药物者(PWID)和未使用药物的对照组,两组的生育状况均不明。所有注射吸毒者都每天注射阿片类药物,但大多数人也使用其他非法药物。与对照组相比,PWID精母细胞中Gly-GCC tRNA的tRF裂解产物明显不同。对照组中超过 90% 的读数映射到较短的 Gly-GCC tRF,而在 PWID 中只有 45% 的读数映射到较短的 Gly-GCC tRF。相反,对照组中只有 4.1% 的读数映射到较长的 tRFs 上,而在 PWID 中则为 45.6%。在 PWID 中,长/短 tRF 比值明显高于对照组(0.23 对 0.16,P = 0.0128)。我们还报告了一组小核RNA(snoRNA)在精液衍生的外泌体中的不同表达,其中包括ACA14a、U19和U3-3。因此,吸毒者精子细胞中 tRNA-Gly-GCC 的裂解模式发生了改变,精液外泌体中的 snoRNA 也发生了改变。参与者并非完全使用阿片类药物,而且在饮食、慢性疾病或其他压力因素方面与对照组不匹配,因此我们的发现与阿片类药物的使用并无必然联系。不过,所有吸毒者群体中的人每天都会注射海洛因。我们的研究表明,注射阿片类药物和/或与之相关的多种药物使用习惯和生活方式的改变有可能影响表观遗传。
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引用次数: 0
Editor's note on 'Various protein kinases regulate human sperm acrosome reaction and the associated phosphorylation of Tyr residues and of the Thr-Glu-Tyr motif'. 编者注:各种蛋白激酶调节人类精子顶体反应和相关的Tyr残基磷酸化以及Thr-Glu-Tyr基序。
IF 4 2区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2023-02-28 DOI: 10.1093/molehr/gaad008
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引用次数: 0
Multiomics approach to profiling Sertoli cell maturation during development of the spermatogonial stem cell niche. 用多组学方法剖析精原干细胞龛发育过程中的Sertoli细胞成熟。
IF 4 2区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2023-02-28 DOI: 10.1093/molehr/gaad004
A L Voigt, R Dardari, N L M Lara, T He, H Steele, A Dufour, K E Orwig, I Dobrinski

Spermatogonial stem cells (SSCs) are the basis of spermatogenesis, a complex process supported by a specialized microenvironment, called the SSC niche. Postnatal development of SSCs is characterized by distinct metabolic transitions from prepubertal to adult stages. An understanding of the niche factors that regulate these maturational events is critical for the clinical application of SSCs in fertility preservation. To investigate the niche maturation events that take place during SSC maturation, we combined different '-omics' technologies. Serial single cell RNA sequencing analysis revealed changes in the transcriptomes indicative of niche maturation that was initiated at 11 years of age in humans and at 8 weeks of age in pigs, as evident by Monocle analysis of Sertoli cells and peritubular myoid cell (PMC) development in humans and Sertoli cell analysis in pigs. Morphological niche maturation was associated with lipid droplet accumulation, a characteristic that was conserved between species. Lipidomic profiling revealed an increase in triglycerides and a decrease in sphingolipids with Sertoli cell maturation in the pig model. Quantitative (phospho-) proteomics analysis detected the activation of distinct pathways with porcine Sertoli cell maturation. We show here that the main aspects of niche maturation coincide with the morphological maturation of SSCs, which is followed by their metabolic maturation. The main aspects are also conserved between the species and can be predicted by changes in the niche lipidome. Overall, this knowledge is pivotal to establishing cell/tissue-based biomarkers that could gauge stem cell maturation to facilitate laboratory techniques that allow for SSC transplantation for restoration of fertility.

精原干细胞(SSCs)是精子发生的基础,精子发生是一个复杂的过程,需要一个专门的微环境(SSC niche)的支持。精原干细胞产后发育的特点是从青春期前到成年阶段的不同代谢转变。了解调控这些成熟事件的生态位因素对于将造血干细胞用于生育力保存的临床应用至关重要。为了研究SSC成熟过程中发生的生态位成熟事件,我们结合了不同的 "组学 "技术。连续的单细胞RNA测序分析显示,转录组的变化表明,人在11岁时和猪在8周龄时就开始了龛成熟,这在人的Sertoli细胞和管周肌细胞(PMC)发育的Monocle分析和猪的Sertoli细胞分析中得到了证明。形态龛的成熟与脂滴的积累有关,这一特征在不同物种之间是一致的。脂质体分析表明,随着猪模型中Sertoli细胞的成熟,甘油三酯增加,鞘磷脂减少。定量(磷酸化)蛋白质组学分析检测到猪 Sertoli 细胞成熟激活了不同的通路。我们在此表明,龛位成熟的主要方面与 SSCs 的形态成熟相吻合,随后是它们的代谢成熟。这些主要方面在不同物种之间也是一致的,并且可以通过生态位脂质组的变化进行预测。总之,这些知识对于建立基于细胞/组织的生物标志物至关重要,这些生物标志物可以衡量干细胞的成熟度,从而促进实验室技术的发展,使干细胞移植能够恢复生育能力。
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引用次数: 0
Testis-specific actin-like 7A (ACTL7A) is an indispensable protein for subacrosomal-associated F-actin formation, acrosomal anchoring, and male fertility. 睾丸特异性肌动蛋白样7A (ACTL7A)是顶体下相关f -肌动蛋白形成、顶体锚定和男性生育不可缺少的蛋白质。
IF 4 2区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2023-02-28 DOI: 10.1093/molehr/gaad005
P Ferrer, S Upadhyay, M Ikawa, T M Clement

Formation of the acrosome during spermiogenesis is an essential process for creating fertilization-competent sperm. Of the numerous aspects required for acrosome biogenesis, adherence of the acrosomal outer membrane to the nuclear surface is mediated by the subacrosomal perinuclear theca. However, the cellular dynamics and congruent functions pertaining to these acrosomal anchoring factors are not well understood despite many of them being implicated as potential causes for human male infertility. Actin-like 7A (ACTL7A) is one such factor for which deleterious polymorphisms have recently been shown to cause human male infertility. It is thought that acrosomal attachment is coordinated by cytoskeletal associations between the acrosome and nucleus via the acroplaxome. To further illuminate the mechanistic underpinnings of ACTL7A for essential acrosome associations, in this study, we investigated its dynamic localization in the developing germline, molecular associations with other cytoskeletal components, and the cellular consequences of ablation. Our intracellular localization data show ACTL7A to be dynamically present within the nucleus and subacrosomal space and later associated with postacrosomal regions of developing spermatids. Through the generation of an Actl7a knock-out mouse model, we consistently observed disruption of acrosomal biogenesis with abnormal migration of the acrosomal granule and peeling acrosomes during spermatid elongation. Significantly, we found a complete loss of subacrosomal filamentous actin (F-actin) structures in knock-out spermatids suggesting a regulatory role for subacrosomal F-actin. Considering our reported data together with existing literature, we propose a mechanistic model explaining the essential role of ACTL7A for acroplaxome-associated F-actin, acrosomal attachment integrity, and male fertility.

精子发生过程中顶体的形成是产生具有受精能力的精子的必要过程。在顶体生物发生所需的众多方面中,顶体外膜粘附到核表面是由顶体下核周膜介导的。然而,与这些顶体锚定因子相关的细胞动力学和一致功能尚未得到很好的理解,尽管它们中的许多被认为是人类男性不育的潜在原因。肌动蛋白样7A (ACTL7A)就是这样一个有害的多态性最近被证明会导致人类男性不育的因素。顶体附着被认为是通过顶体和细胞核之间的细胞骨架联系来协调的。为了进一步阐明ACTL7A与顶体关联的机制基础,本研究中,我们研究了它在发育中的种系中的动态定位,与其他细胞骨架成分的分子关联,以及消融对细胞的影响。我们的细胞内定位数据显示,ACTL7A动态存在于细胞核和顶体下间隙内,随后与发育中的精子顶体后区域相关。通过产生Actl7a敲除小鼠模型,我们一致观察到顶体生物发生中断,顶体颗粒异常迁移,顶体在精子延伸过程中脱落。值得注意的是,我们发现敲除精子中顶体下丝状肌动蛋白(F-actin)结构完全缺失,这表明顶体下F-actin具有调节作用。考虑到我们报道的数据和现有的文献,我们提出了一个机制模型来解释ACTL7A在顶体相关的f -肌动蛋白、顶体附着完整性和男性生育能力中的重要作用。
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引用次数: 4
Preconception paternal alcohol exposure decreases IVF embryo survival and pregnancy success rates in a mouse model. 在小鼠模型中,受孕前父亲接触酒精会降低体外受精胚胎存活率和妊娠成功率。
IF 4 2区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2023-01-31 DOI: 10.1093/molehr/gaad002
Alexis N Roach, Katherine N Zimmel, Kara N Thomas, Alison Basel, Sanat S Bhadsavle, Michael C Golding

Increasingly, couples struggling with fertility turn to assisted reproductive techniques, including IVF, to have children. Despite the demonstrated influence of periconception male health and lifestyle choices on offspring development, studies examining IVF success rates and child health outcomes remain exclusively focused on maternal factors. Using a physiologically relevant mouse model, we tested the hypothesis that chronic paternal preconception alcohol intake adversely affects IVF success and negatively impacts IVF offspring fetoplacental growth. Using a voluntary, binge-like mouse model, we exposed sexually mature C57BL/6J males to three preconception treatments (0% (Control), 6% EtOH or 10% EtOH) for 6 weeks, isolated and cryopreserved caudal sperm from treated males, and then used these samples to fertilize oocytes before assessing IVF embryo developmental outcomes. We found that preconception paternal alcohol use reduced IVF embryo survival and pregnancy success rates in a dose-dependent manner, with the pregnancy success rate of the 10% EtOH treatment falling to half those of the Controls. Mechanistically, we found that preconception paternal alcohol exposure disrupts embryonic gene expression, including Fgf4 and Egfr, two critical regulators of trophectoderm stem cell growth and placental patterning, with lasting impacts on the histological organization of the late-term placenta. The changes in placental histoarchitecture were accompanied by altered regulation of pathways controlling mitochondrial function, oxidative phosphorylation and some imprinted genes. Our studies indicate that male alcohol use may significantly impede IVF success rates, increasing the couple's financial burden and emotional stress, and highlights the need to expand prepregnancy messaging to emphasize the reproductive dangers of alcohol use by both parents.

越来越多有生育问题的夫妇转向辅助生殖技术(包括试管婴儿)来生育子女。尽管受孕前男性健康和生活方式选择对后代发育的影响已得到证实,但有关试管婴儿成功率和儿童健康结果的研究仍然只关注母体因素。我们利用与生理相关的小鼠模型,检验了父亲在受孕前长期摄入酒精会对试管婴儿的成功率产生不利影响,并对试管婴儿后代的胎盘生长产生负面影响的假设。我们使用一种自愿的、类似狂欢的小鼠模型,将性成熟的 C57BL/6J 雄性暴露于三种孕前处理(0%(对照组)、6% EtOH 或 10% EtOH)中长达 6 周,从处理过的雄性小鼠身上分离并冷冻保存尾部精子,然后用这些样本使卵母细胞受精,再评估试管婴儿胚胎发育结果。我们发现,受孕前父亲饮酒会以剂量依赖的方式降低体外受精胚胎存活率和妊娠成功率,10% EtOH 处理的妊娠成功率降至对照组的一半。从机理上讲,我们发现孕前父亲饮酒会破坏胚胎基因表达,包括Fgf4和Egfr,它们是滋养层干细胞生长和胎盘形态形成的两个关键调节因子,对晚期胎盘的组织学结构产生持久影响。在胎盘组织结构发生变化的同时,控制线粒体功能、氧化磷酸化和一些印记基因的通路的调控也发生了改变。我们的研究表明,男性酗酒可能会严重影响试管婴儿的成功率,增加夫妇的经济负担和精神压力,并强调有必要扩大孕前宣传,强调父母双方酗酒对生育的危害。
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引用次数: 0
Pre-implantation mouse embryo movement under hormonally altered conditions. 激素改变条件下植入前小鼠胚胎的运动。
IF 4 2区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2023-01-31 DOI: 10.1093/molehr/gaac043
Hannah Lufkin, Diana Flores, Zachary Raider, Manoj Madhavan, Madeline Dawson, Anna Coronel, Dhruv Sharma, Ripla Arora

Pre-implantation embryo movement is crucial to pregnancy success, but the role of ovarian hormones in modulating embryo movement is not understood. We ascertain the effects of altered hormonal environment on embryo location using two delayed implantation mouse models: natural lactational diapause (ND); and artificially induced diapause (AD), a laboratory version of ND generated by ovary removal and provision of supplemental progesterone (P4). Previously, we showed that embryos in a natural pregnancy (NP) first display unidirectional clustered movement, followed by bidirectional scattering and spacing movement. In the ND model, we discovered that embryos are present as clusters near the oviductal-uterine junction for ∼24 h longer than NP, followed by locations consistent with a unidirectional scattering and spacing movement. Intriguingly, the AD model resembles embryo location in NP and not ND. When measuring serum hormone levels, unlike the popular paradigm of reduced estrogen (E2) levels in diapause, we observed that E2 levels are comparable across NP, ND and AD. P4 levels are reduced in ND and highly increased in AD when compared to NP. Further, exogenous administration of E2 or P4 modifies embryo location during the unidirectional phase, while E2 treatment also affects embryo location in the bidirectional phase. Taken together, our data suggest that embryo movement can be modulated by both P4 and E2. Understanding natural hormonal adaptation in diapause provides an opportunity to determine key players that regulate embryo location, thus impacting implantation success. This knowledge can be leveraged to understand pregnancy survival and implantation success in hormonally altered conditions in the clinic.

胚胎着床前的运动对妊娠成功至关重要,但卵巢激素在调节胚胎运动中的作用尚不清楚。我们通过两种延迟着床小鼠模型确定激素环境改变对胚胎定位的影响:自然哺乳滞育(ND);人工诱导滞育(AD),这是一种实验室版的ND,由卵巢切除和补充黄体酮产生(P4)。在此之前,我们发现自然妊娠(NP)胚胎首先表现为单向聚集运动,然后是双向散射和间隔运动。在ND模型中,我们发现胚胎在输卵管-子宫交界处附近以簇状存在的时间比NP长约24小时,其次是与单向散射和间隔运动一致的位置。有趣的是,AD模型类似于NP中的胚胎定位,而不是ND中的胚胎定位。当测量血清激素水平时,不同于滞育期间雌激素(E2)水平降低的流行范式,我们观察到E2水平在NP, ND和AD之间具有可比性。与NP相比,ND患者P4水平降低,AD患者P4水平升高。此外,外源给药E2或P4会改变胚胎在单向期的位置,而E2处理也会影响胚胎在双向期的位置。综上所述,我们的数据表明胚胎运动可以由P4和E2调节。了解滞育过程中自然激素的适应为确定调节胚胎位置从而影响着床成功的关键因素提供了机会。这些知识可以用来了解临床中激素改变条件下的妊娠存活和植入成功。
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引用次数: 0
Comprehensive molecular analysis identifies eight novel variants in XY females with disorders of sex development. 综合分子分析确定了XY女性性发育障碍的八个新变体。
IF 4 2区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2023-01-31 DOI: 10.1093/molehr/gaad001
Vinayak Kulkarni, Selvaa Kumar Chellasamy, Somprakash Dhangar, Jagdeeshwar Ghatanatti, Babu Rao Vundinti

Disorders of sex development (DSD) are a group of clinical conditions with variable presentation and genetic background. Females with or without development of secondary sexual characters and presenting with primary amenorrhea (PA) and a 46,XY karyotype are one of the classified groups in DSD. In this study, we aimed to determine the genetic mutations in 25 females with PA and a 46,XY karyotype to show correlations with their phenotypes. Routine Sanger sequencing with candidate genes like SRY, AR, SRD5A2, and SF1, which are mainly responsible for 46,XY DSD in adolescent females, was performed. In a cohort of 25 patients of PA with 46,XY DSD, where routine Sanger sequencing failed to detect the mutations, next-generation sequencing of a targeted gene panel with 81 genes was used for the molecular diagnosis. The targeted sequencing identified a total of 21 mutations including 8 novel variants in 20 out of 25 patients with DSD. The most frequently identified mutations in our series were in AR (36%), followed by SRD5A2 (20%), SF1 (12%), DHX37 (4%), HSD17B3 (4%), and DMRT2 (4%). We could not find any mutation in the DSD-related genes in five (20%) patients due to complex molecular mechanisms in 46,XY DSD, highlighting the possibility of new DSD genes which are yet to be discovered in these disorders. In conclusion, genetic testing, including cytogenetics and molecular genetics, is important for the diagnosis and management of 46,XY DSD cases.

性发育障碍(DSD)是一组具有不同表现和遗传背景的临床疾病。有或没有第二性征发育并以原发性闭经(PA)为表现,核型为46,xy的女性是DSD的分类群体之一。在这项研究中,我们旨在确定25名PA和46,XY核型女性的基因突变,以显示与其表型的相关性。对SRY、AR、SRD5A2和SF1等候选基因进行常规Sanger测序,这些基因主要负责青春期女性46,xy DSD。在25例PA合并46,xy DSD的患者队列中,常规Sanger测序未能检测到突变,使用包含81个基因的靶基因面板的下一代测序进行分子诊断。靶向测序在25例DSD患者中有20例共鉴定出21个突变,包括8个新变体。我们的系列中最常见的突变是AR(36%),其次是SRD5A2 (20%), SF1 (12%), DHX37 (4%), HSD17B3(4%)和DMRT2(4%)。由于46,XY型DSD的分子机制复杂,我们在5例(20%)患者中未发现DSD相关基因的突变,这表明在这些疾病中可能存在尚未发现的新的DSD基因。综上所述,基因检测,包括细胞遗传学和分子遗传学,对46,xy DSD病例的诊断和治疗具有重要意义。
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引用次数: 1
In vivo promotion of primordial follicle activation by stem cell factor treatment in mice with premature ovarian insufficiency and advanced age. 干细胞因子治疗对卵巢功能不全和高龄小鼠体内原始卵泡活化的促进作用。
IF 4 2区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2022-12-28 DOI: 10.1093/molehr/gaac041
Yibo Wang, Jiawei Zhang, Jing Liang, Longzhong Jia, Shudong Niu, Kaixin Cheng, Chen Yang, Zining Lu, Lu Mu, Xuebing Yang, Yan Zhang, Hua Zhang

Dormant primordial follicles (PFs) are the most abundant reproductive resource in mammalian ovaries. With advances in the mechanism of study of the regulation of PF activation, PFs have been used to improve fertility in clinical practice. As a central controlling element of follicle activation signaling, the pre-granulosa cell-secreted stem cell factor (SCF; also known as KIT ligand, KITL), which initiates the growth of dormant oocytes, is an ideal natural activator that stimulates follicle activation. However, no systematic study has been conducted to identify the activating effect of SCF in vivo and in vitro. In this study, by combining an in vitro whole ovary culture system and several mouse models, we provide a series of experimental evidence that SCF is an efficient activator for improving PF activation in mouse ovaries. Our in vitro study showed that SCF increased phosphatidylinositol 3-kinase (PI3K) signaling and PF activation ratio in neonatal ovaries. In vivo ovarian non-invasive topical administrations of SCF to the ovaries efficiently improved follicle activation and development, oocyte retrieval ratio and fertility in inducible premature ovarian insufficiency mouse models and aged mice. Our study suggests that SCF is an efficient growth factor that can be applied to improve PF activation.

休眠原始卵泡是哺乳动物卵巢中最丰富的生殖资源。随着对PF活化调控机制研究的不断深入,PF已在临床上用于提高生育能力。作为卵泡激活信号的中心控制元件,颗粒前细胞分泌干细胞因子(SCF;也被称为KIT配体,KITL),它启动休眠卵母细胞的生长,是一种理想的天然激活剂,刺激卵泡激活。然而,目前还没有系统的研究来确定SCF在体内和体外的激活作用。本研究通过体外全卵巢培养系统和几种小鼠模型相结合,提供了一系列实验证据,证明SCF是一种有效的激活剂,可以改善小鼠卵巢中PF的激活。我们的体外研究表明,SCF增加了新生儿卵巢中磷脂酰肌醇3-激酶(PI3K)信号传导和PF激活率。体外无创卵巢外用SCF有效改善了诱导性卵巢早衰小鼠模型和老年小鼠的卵泡激活和发育、卵母细胞回收率和生育能力。我们的研究表明,SCF是一种有效的生长因子,可以用于改善PF的激活。
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Molecular human reproduction
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