外基因组测序如何改善男性非综合征性不孕不育的诊断和管理?
Birgit Stallmeyer1, Ann-Kristin Dicke1, Frank Tüttelmann1
1Centre of Medical Genetics, Institute of Reproductive Genetics, University of Münster, Munster, Germany.
Andrology
|August 9, 2024
概括
遗传因素对男性不育有很大影响,这种情况影响了17%的男性. 外基组测序正在识别新型基因,改善男性不孕症的诊断和遗传咨询.
科学领域:
- 遗传学和生殖医学 遗传学和生殖医学
- 基因组医学是基因组医学.
- 男人生殖健康 男人生殖健康
背景情况:
- 男性不孕症影响大约17%的男性,遗传因素起着重要作用.
- 目前的遗传诊断主要集中在染色体异常上,许多单基因原因未被确定.
- 外基因组测序已经成为识别男性不孕症中新型疾病基因的强大工具.
研究的目的:
- 审查外体序列测序在识别孤立男性不孕症的新基因方面的贡献.
- 根据标准化的标准,突出基因中等到强有力的证据导致男性不育.
- 强调将这些发现纳入临床遗传测试的重要性.
主要方法:
- 在男性不孕症中对外基因组测序研究的全面文献搜索.
- 应用ClinGen基因愈工作组标准来评估已识别的基因.
- 对与精子数量减少和精子运动/形态受损相关的候选基因的分析.
主要成果:
- 100多个候选基因已被描述为精子数量减少和精子参数受损.
- 突出了70个基因,至少有适度的证据表明它们有助于男性不育.
- 单个基因中的致病变体越来越多地与非综合征性男性不孕症有关.
结论:
- 异构体测序已经显著推进了男性不孕不育的遗传原因的识别.
- 将验证的疾病基因集成到临床外体序列测序中,将改善诊断产量和患者管理.
- 大规模的测序研究对于未来在男性生殖遗传学方面的发现至关重要.
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