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Genetic Basis of Male and Female Infertility 男性和女性不育的遗传基础
Pub Date : 2017-01-01 DOI: 10.1159/000477275
Rathika Mallepaly, Peter R Butler, A. Herati, D. Lamb
Male and female infertility affects close to 50 million couples worldwide according to a recent World Health Organization estimate. Many of the 25-30% of couples with idiopathic infertility likely have a genetic etiology for their condition. Next-generation sequencing has identified many new putative causes of infertility in recent years, which are discussed in this chapter. Genetic and genomic causes of infertility can be divided into cytogenetic anomalies, gene defects, and epigenetic aberrances. The discussion of male infertility focuses on genetic factors impairing spermatogenesis and includes numerical chromosomal anomalies such as Klinefelter syndrome, structural chromosomal anomalies such as Y-chromosome microdeletions, certain single gene mutations, syndromic diseases, and epigenetic mutations. The discussion of female infertility includes chromosomal anomalies like Turner syndrome, as well as genetic and epigenetic mutations identified as causes of hypogonadotropic hypogonadism, premature ovarian insufficiency, endometriosis, and polycystic ovarian syndrome. In conclusion, new genetic testing methods have significantly advanced our knowledge of the genetic basis of male and female infertility. However, the list of known candidate abnormalities is not exhaustive, and further research is required to understand how each candidate mutation influences fertility.
根据世界卫生组织最近的一项估计,全世界有近5000万对夫妇患有男性和女性不育症。25-30%的特发性不孕症夫妇中有许多可能与遗传病因有关。近年来,新一代测序已经确定了许多新的不孕症推定原因,本章将对这些原因进行讨论。不育的遗传和基因组原因可分为细胞遗传异常、基因缺陷和表观遗传异常。男性不育的讨论主要集中在影响精子发生的遗传因素上,包括数值染色体异常,如Klinefelter综合征,结构染色体异常,如y染色体微缺失,某些单基因突变,综合征性疾病和表观遗传突变。女性不孕症的讨论包括染色体异常,如特纳综合征,以及被确定为导致促性腺功能减退、卵巢早衰、子宫内膜异位症和多囊卵巢综合征的遗传和表观遗传突变。总之,新的基因检测方法大大提高了我们对男性和女性不育症遗传基础的认识。然而,已知的候选异常列表并不详尽,需要进一步的研究来了解每个候选突变如何影响生育能力。
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引用次数: 20
In vitro Spermatogenesis and Its Potential Clinical Implication for Patients 体外精子发生及其对患者的潜在临床意义
Pub Date : 2017-01-01 DOI: 10.1159/000477285
J. Stukenborg, K. Jahnukainen
The establishment of a robust and reliable culture system to study the differentiation of male germ cells in vitro has been a topic in developmental biology and reproductive medicine for over 100 years. Although successful approaches resulting in full mammalian spermatogenesis have been developed for mice, development of a system to elucidate details of the complex process of spermatogenesis in humans is still needed. A huge variety of strategies employing different types of cells, cultured in different conditions, have been investigated so far. However, mostly because of limited access to human gonadal material from healthy donors, crucial information necessary to establish a functioning system remains missing. To picture the current status of information on human spermatogenesis in vitro, this short review mainly focuses on articles published over the last decade. However, important articles published before 2006 have also been included in the absence of more recent studies. A literature search was conducted, including articles written in English and German, cited in PubMed, and references identified in articles, with the focus on in vitro spermatogenesis and its clinical implication for paediatric oncology and haematology patients subjected to gonadotoxic anticancer treatments.
建立一个强大可靠的体外培养系统来研究男性生殖细胞的分化,是发育生物学和生殖医学研究了100多年的课题。虽然成功的方法导致哺乳动物精子的完全发生在小鼠身上,但仍然需要开发一个系统来阐明人类精子发生的复杂过程的细节。到目前为止,已经研究了各种各样的策略,使用不同类型的细胞,在不同的条件下培养。然而,主要是因为从健康供体获得人类性腺材料的机会有限,建立一个功能系统所需的关键信息仍然缺失。为了描述人类体外精子发生的现状,本文主要综述了近十年来发表的文章。然而,由于缺乏更近期的研究,2006年之前发表的重要文章也被纳入其中。进行文献检索,包括在PubMed中引用的英文和德文文章,以及文章中确定的参考文献,重点是体外精子发生及其对接受促性腺毒素抗癌治疗的儿科肿瘤学和血液学患者的临床意义。
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引用次数: 3
The Epigenetics of Sperm Chromatin 精子染色质的表观遗传学
Pub Date : 2017-01-01 DOI: 10.1159/000477282
Monis B. Shamsi, L. Simon, D. Carrell
The development of spermatozoa from primordial germ cells (PGCs) involves the transition of the genome through a program of sequential epigenetic events, resulting in the genome-wide erasure and subse
原始生殖细胞(PGCs)的精子发育涉及基因组的转移,通过一系列连续的表观遗传事件,导致全基因组的擦除和亚基
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引用次数: 2
Clinical Challenges in Diagnosing the Genetic Etiology of Hearing Loss 听力损失遗传病因诊断的临床挑战
Pub Date : 2016-04-21 DOI: 10.1159/000444564
A. Birkeland, M. Lesperance
Tremendous progress has been made over the past 25 years in identifying genes responsible for nonsyndromic or syndromic deafness. However, clinical challenges remain that limit the number of patients
在过去的25年里,在确定非综合征性或综合征性耳聋的基因方面取得了巨大的进展。然而,临床挑战仍然限制了患者的数量
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引用次数: 1
The Importance of Genome Architecture in Mental Retardation 基因组结构在智力迟钝中的重要性
Pub Date : 2010-02-15 DOI: 10.1159/000287595
H. Mefford
Mental retardation (MR) has many different genetic causes, ranging from single gene to whole-chromosome changes. Some of the chromosomal changes underlying MR are recurrent submicroscopic deletions an
智力迟钝(MR)有许多不同的遗传原因,从单个基因到整个染色体的改变。MR的一些染色体变化是反复出现的亚显微镜下的缺失
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引用次数: 1
Translating Genetics Research into a National Health Service Clinical Diagnostic Environment 将遗传学研究转化为国家卫生服务临床诊断环境
Pub Date : 2010-02-15 DOI: 10.1159/000287604
Jenny C. Taylor
Genetics research is being transformed by the advent of novel technologies, allowing the pathogenesis of more complex diseases to be understood. These developments are being applied to every field of
新技术的出现正在改变遗传学研究,使人们能够了解更复杂疾病的发病机制。这些发展正被应用于各个领域
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引用次数: 0
Chromosome 22q13 Rearrangements Causing Global Developmental Delay and Autistic Spectrum Disorder 22q13染色体重排导致整体发育迟缓和自闭症谱系障碍
Pub Date : 2010-02-15 DOI: 10.1159/000287603
M. Bonaglia, R. Giorda, R. Ciccone, O. Zuffardi
The constitutional deletion of 22q13 is an example of a new microdeletion syndrome, known as the 22q13.3 deletion syndrome, telomeric 22q13 monosomy syndrome, or Phelan-McDermid syndrome (OMIM #606232
22q13的结构性缺失是一种新的微缺失综合征的一个例子,称为22q13.3缺失综合征,端粒22q13单体综合征或费伦-麦克德米综合征(omim# 606232)
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引用次数: 2
3D Shape and Molecular Analyses of Facial Dysmorphology associated with Cognitive Impairment 与认知障碍相关的面部畸形的三维形状和分子分析
Pub Date : 2010-02-15 DOI: 10.1159/000287598
P. Hammond, M. Tassabehji
The face and brain normally develop in a coordinated fashion under the influence of many genes. Hence, genetic anomalies disrupting early development can result both in cognitive impairment and facial
在许多基因的影响下,面部和大脑通常以协调的方式发育。因此,破坏早期发育的基因异常可能导致认知障碍和面部发育障碍
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引用次数: 0
Treatment and Management of Neurofibromatosis 1 神经纤维瘤病的治疗与管理
Pub Date : 2008-04-17 DOI: 10.1159/000126502
V. Mautner, E. Boltshauser
Neurofibromatosis 1 is a common condition with an autosomal dominant pattern of inheritance. Clinical management of patients with NF1 is complex due to the diversity of symptoms within patients. An
神经纤维瘤病是一种常染色体显性遗传的常见病。由于患者症状的多样性,NF1患者的临床管理是复杂的。一个
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引用次数: 1
Bile Acid Synthesis and the Enterohepatic Circulation: Processes Regulating Total-Body Cholesterol Homeostasis 胆汁酸合成和肠肝循环:调节全身胆固醇稳态的过程
Pub Date : 1992-09-28 DOI: 10.1159/000421515
R. A. Davis, S. Dueland, J. Trawick
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引用次数: 1
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Monographs in human genetics
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