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从实验台到计算机模拟,再回归实践:我们在复发性流产和植入失败的遗传学方面做了哪些工作,下一步该何去何从?

From bench to in silico and backwards: What have we done on genetics of recurrent pregnancy loss and implantation failure and where should we go next?

作者信息

Gomes Flavia Gobetti, Boquett Juliano André, Kowalski Thayne Woycinck, Bremm João Matheus, Michels Marcus Silva, Pretto Luiza, Rockenbach Marília Körbes, Vianna Fernanda Sales Luiz, Schuler-Faccini Lavinia, Sanseverino Maria Teresa Vieira, Fraga Lucas Rosa

机构信息

Universidade Federal do Rio Grande do Sul (UFRGS), Instituto de Biociências, Departamento de Genética, Programa de Pós-Graduação em Genética e Biologia Molecular, Porto Alegre, RS, Brazil.

Universidade Federal do Rio Grande do Sul (UFRGS), Faculdade de Medicina, Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Porto Alegre, RS, Brazil.

出版信息

Genet Mol Biol. 2024 Aug 26;46(3 Suppl 1):e20230127. doi: 10.1590/1678-4685-GMB-2023-0127. eCollection 2024.

DOI:10.1590/1678-4685-GMB-2023-0127
PMID:39186710
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11346592/
Abstract

Human reproduction goes through many challenges to its success and in many cases it fails. Cases of pregnancy loss are common outcomes for pregnancies, and implantation failures (IF) are common in assisted reproduction attempts. Although several risk factors have already been linked to adverse outcomes in reproduction, many cases remain without a definitive cause. Genetics of female reproduction is a field that may bring some pieces of this puzzle; however, there are no well-defined genes that might be related to the risk for recurrent pregnancy loss (RPL) and IF. Here, we present a literature review of the studies of genetic association in RPL and IF carried out in the Brazilian population and complemented with a database search to explore genes previously related to RPL and IF, where a search for genes previously involved in these conditions was performed in OMIM, HuGE, and CTD databases. Finally, we present the next steps for reproductive genetics investigation, through genomic sequencing analyses and discuss future plans in the study of RPL genetics. The combined strategy of looking for literature and databases is useful to raise hypotheses and to identify underexplored genes related to RPL and IF.

摘要

人类生殖在走向成功的过程中面临诸多挑战,且在很多情况下会失败。妊娠丢失是妊娠常见的结果,而植入失败在辅助生殖尝试中很常见。尽管已有若干风险因素与生殖不良结局相关,但许多病例仍无明确病因。女性生殖遗传学这一领域或许能为解开部分谜团提供线索;然而,尚无明确界定的基因可能与复发性妊娠丢失(RPL)和植入失败(IF)的风险相关。在此,我们对巴西人群中开展的RPL和IF遗传关联研究进行文献综述,并辅以数据库检索,以探索先前与RPL和IF相关的基因,即在在线人类孟德尔遗传数据库(OMIM)、人类基因环境(HuGE)和比较毒理基因组学数据库(CTD)中搜索先前涉及这些情况的基因。最后,我们介绍通过基因组测序分析进行生殖遗传学研究的后续步骤,并讨论RPL遗传学研究的未来计划。查找文献和数据库的联合策略有助于提出假设并识别与RPL和IF相关但未充分探索的基因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f09c/11346592/265e2885be61/1415-4757-GMB-46-03-s1-e20230127-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f09c/11346592/00fd73c34e45/1415-4757-GMB-46-03-s1-e20230127-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f09c/11346592/839ee1fec4f6/1415-4757-GMB-46-03-s1-e20230127-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f09c/11346592/265e2885be61/1415-4757-GMB-46-03-s1-e20230127-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f09c/11346592/00fd73c34e45/1415-4757-GMB-46-03-s1-e20230127-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f09c/11346592/839ee1fec4f6/1415-4757-GMB-46-03-s1-e20230127-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f09c/11346592/265e2885be61/1415-4757-GMB-46-03-s1-e20230127-gf3.jpg

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本文引用的文献

1
Investigating the role of gene family in recurrent pregnancy loss through bioinformatics and molecular approaches.通过生物信息学和分子方法研究基因家族在复发性妊娠丢失中的作用。
Syst Biol Reprod Med. 2021 Dec;67(6):450-462. doi: 10.1080/19396368.2021.1965673. Epub 2021 Sep 9.
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Genetic and analysis show a role of on recurrent pregnancy loss.遗传和分析表明在复发性妊娠丢失中起作用。
Hum Fertil (Camb). 2022 Oct;25(4):754-763. doi: 10.1080/14647273.2021.1922764. Epub 2021 May 25.
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Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss.
流产不容忽视:早期妊娠丢失的流行病学、身体、心理和经济成本。
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In Silico, In Vitro, and In Vivo Analysis Identifies Endometrial Circadian Clock Genes in Recurrent Implantation Failure.计算机模拟、体外和体内分析鉴定复发性着床失败中的子宫内膜昼夜节律钟基因。
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Recurrent pregnancy loss.复发性流产
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Endometrial Decidualization: The Primary Driver of Pregnancy Health.子宫内膜蜕膜化:妊娠健康的主要驱动力。
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ESHRE guideline: recurrent pregnancy loss.欧洲人类生殖与胚胎学会指南:复发性流产
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Next generation sequencing in recurrent pregnancy loss-approaches and outcomes.复发性流产的下一代测序——方法与结果
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The role of FAS, FAS-L, BAX, and BCL-2 gene polymorphisms in determining susceptibility to unexplained recurrent pregnancy loss.FAS、FAS-L、BAX 和 BCL-2 基因多态性在不明原因复发性妊娠丢失易感性中的作用。
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