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表观遗传机制和营养在男性和女性不孕中是否有效?

Are epigenetic mechanisms and nutrition effective in male and female infertility?

机构信息

Department of Obstetrics and Gynecology, Health Sciences University, Etlik Zübeyde Hanım Women's Health Training and Research Hospital, Ankara, Turkey.

Department of Obstetrics and Gynecology, Ankara City Hospital, Ankara, Turkey.

出版信息

J Nutr Sci. 2023 Sep 26;12:e103. doi: 10.1017/jns.2023.62. eCollection 2023.

Abstract

This review discusses epigenetic mechanisms and the relationship of infertility in men and women in relation to parameters pertaining to nutrition. The prevalence of infertility worldwide is 8-12 %, and one out of every eight couples receives medical treatment. Epigenetic mechanisms, aging, environmental factors, dietary energy and nutrients and non-nutrient compounds; more or less energy intake, and methionine come into play in the occurrence of infertility. It also interacts with vitamins B12, D and B6, biotin, choline, selenium, zinc, folic acid, resveratrol, quercetin and similar factors. To understand the molecular mechanisms regulating the expression of genes that affect infertility, the environment, the role of genotype, age, health, nutrition and changes in the individual's epigenotype must first be considered. This will pave the way for the identification of the unknown causes of infertility. Insufficient or excessive intake of energy and certain macro and micronutrients may contribute to the occurrence of infertility as well. In addition, it is reported that 5-10 % of body weight loss, moderate physical activity and nutritional interventions for improvement in insulin sensitivity contribute to the development of fertility. Processes that pertain to epigenetics carry alterations which are inherited yet not encoded via the DNA sequence. Nutrition is believed to have an impact over the epigenetic mechanisms which are effective in the pathogenesis of several diseases like infertility. Epigenetic mechanisms of individuals with infertility are different from healthy individuals. Infertility is associated with epigenetic mechanisms, nutrients, bioactive components and numerous other factors.

摘要

这篇综述讨论了男性和女性不孕与营养相关参数有关的表观遗传机制。全世界不孕的患病率为 8-12%,每八对夫妇中就有一对接受治疗。表观遗传机制、衰老、环境因素、饮食能量和营养素以及非营养化合物;或多或少的能量摄入和蛋氨酸在不孕的发生中起作用。它还与维生素 B12、D 和 B6、生物素、胆碱、硒、锌、叶酸、白藜芦醇、槲皮素和类似因素相互作用。为了了解影响不孕的基因表达的分子机制,必须首先考虑环境、基因型、年龄、健康、营养和个体表型的变化的作用。这将为识别不孕的未知原因铺平道路。能量和某些宏量和微量营养素的摄入不足或过量也可能导致不孕的发生。此外,据报道,体重减轻 5-10%、适度的身体活动和改善胰岛素敏感性的营养干预有助于生育能力的发展。与 DNA 序列无关的遗传但可被继承的表观遗传过程发生改变。营养被认为对表观遗传机制有影响,这些机制在不孕等多种疾病的发病机制中起作用。不孕患者的表观遗传机制与健康个体不同。不孕与表观遗传机制、营养素、生物活性成分和许多其他因素有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9ab/10523291/d12261a0b43f/S2048679023000629_figAb.jpg

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