女性和男性不孕不育的遗传学
Deutsches Arzteblatt international
|January 21, 2025
概括
基因分析对于诊断夫妇不孕症原因至关重要. 了解遗传因素有助于治疗决策和计划生育不育个体的计划生育.
科学领域:
- 生殖医学 生殖医学
- 人类遗传学 人类遗传学
背景情况:
- 在全球范围内,不孕症影响约17%的夫妇.
- 不孕不育的原因可以归因于男性,女性或组合因素.
- 不孕不育的分子基础越来越多地通过遗传研究来理解.
研究的目的:
- 审查基因分析在不孕症诊断评估中的作用.
- 要突出针对男性和女性不孕症的特定遗传测试.
- 讨论遗传发现对治疗和家庭咨询的影响.
主要方法:
- 对相关出版物的选择性文献搜索.
- 对不育夫妇的临床诊断评估的审查.
- 基于临床表现的基因测试策略的分析.
主要成果:
- 在特定的不孕症病例中,如早产卵巢缺陷 (FMR1基因,染色体分析) 和怀疑先天性上腺增生 (CYP21A2基因) 中,基因分析是适用的.
- 在男性中,精液分析结果指导基因测试,以检测Klinefelter综合征和Y染色体亚精子素因子缺失等疾病.
- 基因面板分析可以识别低阴性卵巢缺陷,早产卵巢缺陷和精子生成障碍的原因,告知精子检索成功和卵子冷保存选项.
结论:
- 基因调查对于诊断不孕症和了解疾病模式至关重要.
- 遗传发现对不育夫妇的治疗策略产生影响.
- 遗传分析对后代和其他家庭成员有影响,需要全面的遗传咨询.
相关概念视频
Infertility in Males
240
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
240
Sex-linked Disorders
100.1K
Like autosomes, sex chromosomes contain a variety of genes necessary for normal body function. When a mutation in one of these genes results in biological deficits, the disorder is considered sex-linked.
100.1K
X and Y Chromosomes
21.5K
Among mammals, the gender of an organism is determined by the sex chromosomes. Humans have two sex chromosomes, X and Y. Every human diploid cell has 22 pairs of autosomes and one pair of sex chromosomes. A human female has two X chromosomes, while a male has one X chromosome and one Y chromosome.
The germline cells such as egg and sperm cells carry only half the number of chromosomes, i.e., 22 autosomes and one sex chromosome. All eggs have an X chromosome, while sperm cells can carry an X or...
The germline cells such as egg and sperm cells carry only half the number of chromosomes, i.e., 22 autosomes and one sex chromosome. All eggs have an X chromosome, while sperm cells can carry an X or...
21.5K
The Y Chromosome Determines Maleness
6.5K
The Y chromosome is a sex chromosome found in several vertebrates and mammals, including humans. In addition to 22 pairs of autosomes, the human males have one X chromosome and one Y chromosome. In these organisms, the presence or absence of the Y chromosome determines the development of male traits.
Evolution
Around 300 million years ago, the two sex chromosomes diverged from two identical autosomal chromosomes. Over time, the Y chromosome has lost most of its genes, shrinking in size....
Evolution
Around 300 million years ago, the two sex chromosomes diverged from two identical autosomal chromosomes. Over time, the Y chromosome has lost most of its genes, shrinking in size....
6.5K
Infertility in Females
273
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
273
Spermatogenesis
102.1K
Spermatogenesis is the process by which haploid sperm cells are produced in the male testes. It starts with stem cells located close to the outer rim of seminiferous tubules. These spermatogonial stem cells divide asymmetrically to give rise to additional stem cells (meaning that these structures “self-renew”), as well as sperm progenitors, called spermatocytes. Importantly, this method of asymmetric mitotic division maintains a population of spermatogonial stem cells in the male...
102.1K


