Center for Reproductive Medicine, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA.
Fertil Steril. 2010 Jan;93(1):1-12. doi: 10.1016/j.fertnstert.2009.10.045.
To illustrate the necessity for an enhanced understanding of the genetic basis of male factor infertility, to present a comprehensive synopsis of these genetic elements, and to review techniques being utilized to produce new insights in fertility research.
Male factor infertility is a complex disorder that affects a large sector of the population; however, many of its etiologies are unknown. By elucidating the underlying genetic basis of infertile phenotypes, it may be possible to discover the causes of infertility and determine effective treatments for patients.
METHOD(S): The PubMed database was consulted for the most relevant papers published in the last 3 years pertaining to male factor infertility using the keywords "genetics" and "male infertility."
RESULT(S): Advances have been made in the characterization of the roles of specific genes, but further research is necessary before these results can be used as guidelines for diagnosing and treating male factor infertility. The accurate transmission of epigenetic information also has considerable influence on fertility in males and on the fertility of their offspring.
CONCLUSION(S): Analysis of the genetic factors that impact male factor infertility will provide valuable insights into the creation of targeted treatments for patients and the determination of the causes of idiopathic infertility. Novel technologies that analyze the influence of genetics from a global perspective may lead to further developments in the understanding of the etiology of male factor infertility through the identification of specific infertile phenotype signatures.
阐明增强对男性因素不育遗传基础理解的必要性,对这些遗传因素进行全面概述,并综述用于产生生育研究新见解的技术。
男性因素不育是一种影响很大一部分人群的复杂疾病;然而,其许多病因尚不清楚。通过阐明不育表型的潜在遗传基础,有可能发现不育的原因,并为患者确定有效的治疗方法。
使用“遗传学”和“男性不育”关键词,在过去 3 年中查阅了与男性因素不育相关的最相关论文的 PubMed 数据库。
在特定基因作用的描述方面已经取得了进展,但在这些结果可以作为诊断和治疗男性因素不育的指南之前,还需要进一步的研究。表观遗传信息的准确传递对男性生育能力及其后代的生育能力也有相当大的影响。
分析影响男性因素不育的遗传因素将为患者提供有针对性治疗的宝贵见解,并确定特发性不育的原因。从全球角度分析遗传影响的新技术可能会通过鉴定特定的不育表型特征,进一步发展对男性因素不育病因的理解。