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男性不育与体外受精的未来

Male Infertility and the Future of In Vitro Fertilization.

机构信息

IVI-RMA New Jersey, Sidney Kimmel Medical College at Thomas Jefferson University, 140 Allen Road, Basking Ridge, NJ 07920, USA.

IVI-RMA New Jersey, Sidney Kimmel Medical College at Thomas Jefferson University, 140 Allen Road, Basking Ridge, NJ 07920, USA.

出版信息

Urol Clin North Am. 2020 May;47(2):257-270. doi: 10.1016/j.ucl.2019.12.012. Epub 2020 Mar 9.

Abstract

The male contribution to infertility has traditionally been overlooked, or at best oversimplified. In recent years efforts have been made to optimize diagnostic and therapeutic techniques to maximize fertility outcomes. A renewed focus on the male partner has resulted in an increased understanding of both genetic and epigenetic changes within the male germline. Furthermore, single-nucleotide polymorphisms, copy-number variants, DNA damage, sperm cryopreservation, obesity, and paternal age have recently been recognized as important factors that play a role in male fertility. Developing a deeper knowledge of these issues could potentially lead to improved success with assisted reproductive technology.

摘要

男性在不孕不育中的贡献传统上被忽视,或者最多被过于简化。近年来,人们努力优化诊断和治疗技术,以最大限度地提高生育效果。重新关注男性伴侣,使人们对男性生殖细胞中的遗传和表观遗传变化有了更深入的了解。此外,单核苷酸多态性、拷贝数变异、DNA 损伤、精子冷冻保存、肥胖和父亲年龄最近被认为是影响男性生育能力的重要因素。深入了解这些问题可能会提高辅助生殖技术的成功率。

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