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Front & Back Matter 正面和背面
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2022-11-01 DOI: 10.1159/000527896
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引用次数: 0
The Use of Genetics for Reaching a Diagnosis in XY DSD 遗传学在XY型DSD诊断中的应用
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2022-05-30 DOI: 10.1159/000524881
S. Ahmed, Malika Alimusina, R. Batista, S. Domenice, Nathalia Lisboa Gomes, R. McGowan, Supitcha Patjamontri, B. Mendonca
Reaching a firm diagnosis is vital for the long-term management of a patient with a difference or disorder of sex development (DSD). This is especially the case in XY DSD where the diagnostic yield is particularly low. Molecular genetic technology is playing an increasingly important role in the diagnostic process, and it is highly likely that it will be used more often at an earlier stage in the diagnostic process. In many cases of DSD, the clinical utility of molecular genetics is unequivocally clear, but in many other cases there is a need for careful exploration of the benefit of genetic diagnosis through long-term monitoring of these cases. Furthermore, the incorporation of molecular genetics into the diagnostic process requires a careful appreciation of the strengths and weaknesses of the evolving technology, and the interpretation of the results requires a clear understanding of the wide range of conditions that are associated with DSD.
对于性发育差异或障碍(DSD)患者的长期管理来说,获得明确的诊断至关重要。在XY DSD中尤其如此,其中诊断产率特别低。分子遗传技术在诊断过程中发挥着越来越重要的作用,它很可能在诊断过程的早期阶段被更频繁地使用。在许多DSD病例中,分子遗传学的临床应用是明确的,但在许多其他病例中,需要通过长期监测这些病例来仔细探索基因诊断的益处。此外,将分子遗传学纳入诊断过程需要仔细评估不断发展的技术的优势和劣势,而对结果的解释需要清楚地了解与DSD相关的广泛条件。
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引用次数: 5
CBX2 in DSD: The Quirky Kid on the Block DSD中的CBX2:块上的古怪孩子
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2022-03-09 DOI: 10.1159/000522164
D. Hart, D. Rodríguez Gutiérrez, A. Biason-Lauber
Sex development is an intricate and crucial process in all vertebrates that ensures the continued propagation of genetic diversity within a species, and ultimately their survival. Perturbations in this process can manifest as disorders/differences of sex development (DSD). Various transcriptional networks have been linked to development of the gonad into either male or female, which is actively driven by a set of genes that function in a juxtaposed manner and is maintained through the developmental stages to preserve the final sexual identity. One such identified gene is Chromobox homolog 2 (CBX2), an important ortholog of the Polycomb group (PcG) proteins, that functions as both chromatin modifier and highly dynamic transactivator. CBX2 was shown to be an essential factor for gonadal development in mammals, as genetic variants or loss-of-function of CBX2 can cause sex reversal in mice and humans. Here we will provide an overview of CBX2, its biological functions at molecular level, and the CBX2-dependent transcriptional landscape in gonadal development and DSD.
在所有脊椎动物中,性发育是一个复杂而关键的过程,它确保了一个物种内遗传多样性的持续传播,并最终确保了它们的生存。这一过程中的扰动可以表现为性发育障碍/差异(DSD)。各种转录网络与性腺发育成男性或女性有关,这是由一组基因积极驱动的,这些基因以并列的方式发挥作用,并在发育阶段保持最终的性别身份。其中一个已确定的基因是Chromobox homolog 2 (CBX2),它是Polycomb group (PcG)蛋白的重要同源基因,既可以作为染色质修饰因子,也可以作为高度动态的转录激活因子。CBX2被证明是哺乳动物性腺发育的重要因素,因为CBX2的遗传变异或功能丧失可以导致小鼠和人类的性别逆转。在这里,我们将提供CBX2的概述,其在分子水平上的生物学功能,以及CBX2在性腺发育和DSD中的依赖转录景观。
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引用次数: 1
Inactivation of the Anti-Müllerian Hormone Receptor Type 2 (amhrII) Gene in Northern Pike (Esox lucius) Results in Male-To-Female Sex Reversal. 北梭鱼抗<s:1> lererian激素受体2型(amhrII)基因失活导致雄性向雌性的性别逆转。
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2022-01-01 DOI: 10.1159/000521003
Qiaowei Pan, Amaury Herpin, Yann Guiguen

Background: The anti-müllerian hormone (Amh) pathway is crucial for sexual development in teleosts. A male-specific duplicate of anti-müllerian hormone (amhby) was previously identified as the northern pike (Esox lucius) master sex determination gene. However, the role of its putative cognate receptor, i.e., the anti-müllerian hormone receptor type 2 (amhrII) was unclear in this species.

Objective: Here, we investigated the role of amhrII during sexual development of northern pike.

Method: We generated stable mutants with deletions in exon 9 of amhrII, inactivating the AmhrII protein using a CRISPR-Cas9-mediated gene knockout strategy.

Result: The inactivation of amhrII in northern pike results in a high level of male-to-female sex reversal.

Conclusion: This result demonstrates that amhrII is necessary for male sexual development in northern pike and supports the idea that AmhrII is a conserved regulator of the teleosts sex differentiation network.

背景:抗勒氏激素(Amh)通路对硬骨鱼的性发育至关重要。一种雄性特异性的抗m勒氏激素(amhby)重复基因先前被确定为北梭子鱼(Esox lucius)的主性别决定基因。然而,其假定的同源受体,即抗勒氏杆菌激素受体2型(amhrII)在该物种中的作用尚不清楚。目的:研究amhrII在北梭子鱼性发育过程中的作用。方法:利用crispr - cas9介导的基因敲除策略,生成amhrII外显子9缺失的稳定突变体,使amhrII蛋白失活。结果:北梭鱼amhrII基因失活导致高水平的雌雄转换。结论:该结果表明amhrII在硬骨鱼雄性分化网络中起着重要的调节作用,并支持amhrII在硬骨鱼性别分化网络中的保守调节作用。
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引用次数: 2
Pathogenic Variants in MAP3K1 Cause 46,XY Gonadal Dysgenesis: A Review. MAP3K1致病变异导致46,xy性腺发育不良:综述。
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2022-01-01 DOI: 10.1159/000522428
Harry Ostrer

Pathogenic variants in the MAP3K1 gene are an important cause of 46,XY non-syndromic partial and complete gonadal dysgenesis, accounting for at least 4% of cases. Inheritance occurs in a sex-limited, autosomal dominant fashion with virtually complete penetrance in 46,XY individuals. 46,XX carriers appear to have normal fertility and no developmental abnormalities. Pathogenic variants occur almost exclusively within known domains of the MAP3K1 protein, facilitating annotation when identified. Where studied, these variants have been modeled to alter the local MAP3K1 folding and surface domains and have been shown to alter interactions with known binding partners. The net effect of these variants is to increase phosphorylation of downstream targets ERK1, ERK2, and p38, resulting in multiple gain-of-function effects interfering with testis determination and enabling ovarian determination.

MAP3K1基因的致病性变异是46,xy非综合征性部分和完全性腺发育不良的重要原因,至少占病例的4%。遗传发生在性别限制,常染色体显性的方式,几乎完全外显率在46,xy个体。46、XX携带者生育能力正常,无发育异常。致病变异几乎完全发生在MAP3K1蛋白的已知结构域内,便于识别时的注释。在研究中,这些变异已被建模为改变局部MAP3K1折叠和表面结构域,并已显示改变与已知结合伙伴的相互作用。这些变异的净效应是增加下游靶标ERK1、ERK2和p38的磷酸化,导致多重功能获得效应干扰睾丸测定,使卵巢测定成为可能。
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引用次数: 2
Trends in Time Regarding Sex Assignment of Patients with Disorders of Sex Development: Experience of an Interdisciplinary Service. 性发育障碍患者性别分配的时间趋势:跨学科服务的经验。
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2022-01-01 DOI: 10.1159/000520704
Julia P Vicentin, Mayra de Souza El Beck, Carlos W Germano, Juliana G R Andrade, Beatriz A Barros, Roberto B de Paive E Silva, Marcio L Miranda, Nilma L Viguetti-Campos, Tarsis A P Vieira, Tais N Mazzola, Mara S Guaragna, Helena Fabbri-Scallet, Maricilda P Mello, Antonia P Marques-de-Faria, Andrea T Maciel-Guerra, Gil Guerra-Junior

Introduction: The aim of this retrospective study was to verify the association between the time of diagnosis and initial and final sex assignment in a disorder of sex development (DSD) diagnostic group, looking at the age of the patients at first visit, severity of genital ambiguity, and karyotype.

Methods: The time of diagnosis was divided into 3 groups: before 2000, between 2000 and 2006, and after 2006. Data were categorized and analyzed using the χ2 test with α < 0.05.

Results: A total of 567 cases were analyzed; 307 were assigned as male, 135 as female, and 125 remained undefined at the first visit. After clinical and laboratory evaluations, 369 patients were male and 198 were female. Neither initial nor final sex assignment proportions changed over time, but there were significant differences in the age at first visit, with referral occurring at an earlier age, as well as more severe genital ambiguity presentations, a higher proportion of sex chromosome aberrations, and a lower frequency of 46,XX DSD cases. This occurred both in the sample as a whole (567 cases) and in the group of 125 patients without definitive sex assignment at the first visit. The results were similar when only 284 patients aged less than 12 months at the first visit were analyzed.

Discussion/conclusion: Over time, there were no changes in sex assignment proportions, but there was an increased awareness of the need for early referral and changes in clinical, cytogenetic, and diagnostic aspects.

简介:本回顾性研究的目的是验证性发育障碍(DSD)诊断组的诊断时间与初始和最终性别分配之间的关系,观察患者初诊时的年龄,生殖器模糊的严重程度和核型。方法:将诊断时间分为2000年以前、2000 ~ 2006年、2006年以后3组。资料分类分析采用χ2检验,α < 0.05。结果:共分析567例;307人被指定为男性,135人被指定为女性,125人在第一次就诊时仍未确定。经临床及实验室评估,男性369例,女性198例。最初和最终的性别分配比例都没有随着时间的推移而改变,但初次就诊的年龄有显著差异,转诊发生在更早的年龄,以及更严重的生殖器模糊表现,性染色体畸变的比例更高,DSD病例的发生率较低,为46xx例。这种情况既发生在整个样本(567例)中,也发生在125例首次就诊时没有明确性别分配的患者组中。当只分析284例首次就诊时年龄小于12个月的患者时,结果相似。讨论/结论:随着时间的推移,性别分配比例没有变化,但人们越来越意识到早期转诊的必要性,以及临床、细胞遗传学和诊断方面的变化。
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引用次数: 0
Erratum. 勘误表。
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2022-01-01 Epub Date: 2021-11-08 DOI: 10.1159/000520607
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引用次数: 0
Suggested Cutoff Point for Testosterone by Liquid Chromatography with Tandem Mass Spectrometry (LC-MS/MS) after Stimulation with Recombinant Human Chorionic Gonadotropin. 重组人绒毛膜促性腺激素刺激后液相色谱-串联质谱(LC-MS/MS)测定睾酮的建议截断点。
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2022-01-01 DOI: 10.1159/000519422
Leticia R de Oliveira, Carlos A Longui, Guilherme Guaragna-Filho, José L da Costa, Rafael Lanaro, Maria I Chiamolera, Maricilda P de Mello, André M Morcillo, Andrea T Maciel-Guerra, Gil Guerra-Junior
The human chorionic gonadotropin (hCG) stimulation test that evaluates gonadal steroidogenesis is crucial in the assessment of patients with 46,XY disorders of sex development (DSD). This study aimed to determine a testosterone (T) cutoff level that indicates an adequate testicular function using LC-MS/MS after stimulation with recombinant human chorionic gonadotropin (rhCG) in a single dose. Nineteen prepubertal children with 46,XY DSD and normal T secretion were evaluated. T and dihydrotestosterone (DHT) levels were measured by liquid chromatography technique with tandem mass spectrometry (LC-MS/MS) before and 7 days after rhCG application at 250 µg. We suggest 0.89 ng/mL as the cutoff point for T after rhCG stimulation analyzed by LC-MS/MS.
评估性腺甾体生成的人绒毛膜促性腺激素(hCG)刺激试验在评估46,xy性发育障碍(DSD)患者中至关重要。本研究旨在通过LC-MS/MS确定单剂量重组人绒毛膜促性腺激素(rhCG)刺激后睾丸激素(T)的截止水平,该截止水平表明睾丸功能正常。对19例46、XY、DSD、T分泌正常的青春期前儿童进行了评价。采用液相色谱-串联质谱(LC-MS/MS)技术测定250µg rhCG应用前和应用后7 d的T和双氢睾酮(DHT)水平。我们建议用LC-MS/MS分析rhCG刺激后T的临界值为0.89 ng/mL。
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引用次数: 2
Genetic and Epigenetic Control of Puberty. 青春期的遗传和表观遗传控制。
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2022-01-01 Epub Date: 2021-10-14 DOI: 10.1159/000519039
María Carolina Manotas, Daniel Mauricio González, Camila Céspedes, Catalina Forero, Adriana Patricia Rojas Moreno

Puberty is a complex transitional phase in which reproductive capacity is achieved. There is a very wide variation in the age range of the onset of puberty, which follows a familial, ethnic, and sex pattern. The hypothalamic-pituitary-gonadal axis and several genetic, environmental, and nutritional factors play an important role in the onset of and throughout puberty. Recently, there has been significant progress in identifying factors that affect normal pubertal timing. Different studies have identified single nucleotide polymorphisms (SNPs) that affect pubertal timing in both sexes and across ethnic groups. Single genes are implicated in both precocious and delayed puberty, and epigenetic mechanisms have been suggested to affect the development and function of the GnRH neuronal network and responsiveness of end organs. All these factors can influence normal puberty timing, precocious puberty, and delayed puberty. The objective of this review is to describe recent findings related to the genetic and epigenetic control of puberty and highlight the need to deepen the knowledge of the regulatory mechanisms of this process in the normal and abnormal context.

青春期是实现生殖能力的复杂过渡阶段。青春期开始的年龄范围有很大的差异,这与家族、种族和性别模式有关。下丘脑-垂体-性腺轴和一些遗传、环境和营养因素在青春期的开始和整个青春期中起着重要作用。最近,在确定影响正常青春期时间的因素方面取得了重大进展。不同的研究已经确定了单核苷酸多态性(snp)在两性和跨种族群体中影响青春期时间。单基因与早熟和青春期延迟都有关系,并且表观遗传机制已被认为影响GnRH神经元网络的发育和功能以及最终器官的反应性。所有这些因素都会影响正常的青春期时间、性早熟和青春期延迟。这篇综述的目的是描述与青春期的遗传和表观遗传控制有关的最新发现,并强调需要加深对这一过程在正常和异常背景下的调节机制的了解。
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引用次数: 16
Functional Analysis of Mmd2 and Related PAQR Genes During Sex Determination in Mice. 小鼠性别决定过程中Mmd2及相关PAQR基因的功能分析。
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2022-01-01 DOI: 10.1159/000522668
Liang Zhao, Ella Thomson, Ee T Ng, Enya Longmuss, Terje Svingen, Stefan Bagheri-Fam, Alexander Quinn, Vincent R Harley, Leonard C Harrison, Emanuele Pelosi, Peter Koopman

Introduction: Sex determination in eutherian mammals is controlled by the Y-linked gene Sry, which drives the formation of testes in male embryos. Despite extensive study, the genetic steps linking Sry action and male sex determination remain largely unknown. Here, we focused on Mmd2, a gene that encodes a member of the progestin and adipoQ receptor (PAQR) family. Mmd2 is expressed during the sex-determining period in XY but not XX gonads, suggesting a specific role in testis development.

Methods: We used CRISPR to generate mouse strains deficient in Mmd2 and its 2 closely related PAQR family members, Mmd and Paqr8, which are also expressed during testis development. Following characterization of Mmd2 expression in the developing testis, we studied sex determination in embryos from single knockout as well as Mmd2;Mmd and Mmd2;Paqr8 double knockout lines using quantitative RT-PCR and immunofluorescence.

Results: Analysis of knockout mice deficient in Sox9 and Nr5a1 revealed that Mmd2 operates downstream of these known sex-determining genes. However, fetal testis development progressed normally in Mmd2-null embryos. To determine if other genes might have compensated for the loss of Mmd2, we analyzed Paqr8 and Mmd-null embryos and confirmed that in both knockout lines, sex determination occurred normally. Finally, we generated Mmd2;Mmd and Mmd2;Paqr8 double-null embryos and again observed normal testis development.

Discussion: These results may reflect functional redundancy among PAQR factors, or their dispensability in gonadal development. Our findings highlight the difficulties involved in identifying genes with a functional role in sex determination and gonadal development through expression screening and loss-of-function analyses of individual candidate genes and may help to explain the paucity of genes in which variations have been found to cause human disorders/differences of sex development.

真性哺乳动物的性别决定由y连锁基因Sry控制,该基因驱动雄性胚胎中睾丸的形成。尽管进行了广泛的研究,但将Sry行为和男性性别决定联系起来的遗传步骤在很大程度上仍然未知。在这里,我们专注于Mmd2,一个编码黄体酮和脂肪q受体(PAQR)家族成员的基因。Mmd2在XY性腺的性别决定期表达,而不是XX性腺,这表明它在睾丸发育中起特殊作用。方法:我们利用CRISPR技术产生了Mmd2及其2个密切相关的PAQR家族成员Mmd和Paqr8缺失的小鼠品系,这些基因也在睾丸发育过程中表达。在确定了发育中的睾丸中Mmd2的表达后,我们使用定量RT-PCR和免疫荧光技术研究了单敲除以及Mmd2;Mmd和Mmd2;Paqr8双敲除系胚胎的性别决定。结果:对Sox9和Nr5a1缺失小鼠的分析显示,Mmd2在这些已知的性别决定基因的下游起作用。然而,在没有mmd2的胚胎中,胎儿睾丸发育正常。为了确定是否有其他基因弥补了Mmd2的缺失,我们分析了Paqr8和无mmd的胚胎,并证实在两个基因敲除系中,性别决定正常发生。最后,我们生成了Mmd2;Mmd和Mmd2;Paqr8双空胚胎,并再次观察到正常的睾丸发育。讨论:这些结果可能反映了PAQR因子之间的功能冗余,或者它们在性腺发育中的可有可无。我们的发现强调了通过对单个候选基因的表达筛选和功能缺失分析来识别在性别决定和性腺发育中具有功能作用的基因所涉及的困难,并可能有助于解释导致人类性别发育障碍/差异的变异基因的缺乏。
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引用次数: 2
期刊
Sexual Development
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