Department of Obstetrics and Gynecology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Department of Obstetrics and Gynecology, IVF Namba Clinic, Osaka 550-0015, Japan.
Biomolecules. 2023 Jun 17;13(6):1010. doi: 10.3390/biom13061010.
Gametogenesis, the process of producing gametes, differs significantly between oocytes and sperm. Most oocytes have chromosomal aneuploidies, indicating that chromosomal aberrations in miscarried and newborn infants are of oocyte origin. Conversely, most structural anomalies are of sperm origin. A prolonged meiotic period caused by increasing female age is responsible for an increased number of chromosomal aberrations. Sperm chromosomes are difficult to analyze because they cannot be evaluated using somatic cell chromosome analysis methods. Nevertheless, researchers have developed methods for chromosome analysis of sperm using the fluorescence in situ hybridization method, hamster eggs, and mouse eggs, allowing for the cytogenetic evaluation of individual sperm. Reproductive medicine has allowed men with severe spermatogenic defects or chromosomal abnormalities to have children. However, using these techniques to achieve successful pregnancies results in higher rates of miscarriages and embryos with chromosomal abnormalities. This raises questions regarding which cases should undergo sperm chromosome analysis and how the results should be interpreted. Here, we reviewed clinical trials that have been reported on oocyte and sperm chromosome analyses. Examination of chromosomal abnormalities in gametes is critical in assisted reproductive technology. Therefore, it is necessary to continue to study the mechanism underlying gametic chromosomal abnormalities.
配子发生,即产生配子的过程,在卵子和精子之间有很大的不同。大多数卵子存在染色体非整倍性,这表明流产和新生儿中染色体异常来源于卵子。相反,大多数结构异常来源于精子。女性年龄的增长导致减数分裂时间延长,从而导致染色体异常数量增加。由于不能使用体细胞染色体分析方法来评估精子染色体,因此精子染色体很难进行分析。然而,研究人员已经开发出使用荧光原位杂交法、仓鼠卵和小鼠卵分析精子染色体的方法,从而可以对单个精子进行细胞遗传学评估。生殖医学使患有严重生精缺陷或染色体异常的男性能够生育子女。然而,使用这些技术来实现成功妊娠会导致更高的流产率和胚胎染色体异常。这就提出了应该对哪些病例进行精子染色体分析以及如何解释结果的问题。在这里,我们回顾了已报道的关于卵子和精子染色体分析的临床试验。在辅助生殖技术中,检查配子中的染色体异常是至关重要的。因此,有必要继续研究配子染色体异常的发生机制。