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Published on: February 2, 2018
[Müllerian inhibitor substance: from gene to protein, its role in clinical practice]
J Hugon1, S Ouzounian, S Christin-Maître
1Service d'endocrinologie, hôpital Saint-Antoine, 184 rue du Faubourg-Saint-Antoine, Paris, France. hugon.justine@laposte.net
Abstract:
Müllerian inhibiting substance (MIS) has been discovered by Alfred Jost at the beginning of the fifties. MIS is a glycoprotein belonging to the TGF-beta family. Its various functions differ between males and females and according to the age of the individual. In male, the protein is synthesized by Sertoli's cells and induces the disappearance of Müllerian's ducts, the development of the male genital tract. Its role in adult males remains quite unknown. In female, the protein is secreted by granulosa cells and plays a role during folliculogenesis as it regulates the initial and cyclic recruitment of ovarian follicles. MIS is also a good marker of follicular reserve and ovarian function. Therefore, it plays a role in different areas such as assisted medical reproduction and oncology. This protein represents a potential major diagnosis as well as prognostic tool in reproduction.
Insights
Müllerian inhibiting substance (MIS), a glycoprotein, plays distinct roles in male and female reproductive development. In females, MIS is crucial for ovarian follicle regulation and serves as a marker for ovarian function and reserve.
Area of Science:
- Reproductive Endocrinology
- Molecular Biology
- Developmental Biology
Context:
- Müllerian inhibiting substance (MIS), a glycoprotein from the TGF-beta superfamily, was discovered in the 1950s.
- MIS exhibits diverse functions dependent on sex and age.
- Its synthesis occurs in Sertoli cells in males and granulosa cells in females.
Purpose:
- To elucidate the multifaceted roles of MIS in male and female reproductive systems.
- To highlight MIS's function in folliculogenesis and ovarian follicle dynamics.
- To establish MIS as a potential diagnostic and prognostic tool in reproductive medicine.
Summary:
- In males, MIS promotes the regression of Müllerian ducts and aids male genital tract development, though its adult role is unclear.
- In females, MIS regulates ovarian follicle recruitment and cycling, impacting folliculogenesis.
- MIS serves as a valuable biomarker for ovarian reserve and overall ovarian function.
Impact:
- MIS has significant implications for assisted reproductive technologies by indicating ovarian function.
- Its role as a biomarker extends to oncology, potentially aiding in diagnosis and prognosis.
- MIS represents a promising tool for reproductive health assessment and management.
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