人类卵母细胞/胚胎缺陷的遗传景观。

IF 11.1 Q1 CELL BIOLOGY
Biaobang Chen, Weijie Wang, Juanzi Shi, Xiaoxi Sun, Yichun Guan, Guimin Hao, Junli Zhao, Jian Mu, Zhihua Zhang, Fangzhou Xu, Dengying Gao, Zhiqi Pan, Ran Yu, Hao Gu, Huizhen Fan, Yuxi Luo, Siyuan Xie, Xingzhu Du, Huixia Jing, Zhiqi Ye, Xuelin Zhang, Ruiqi Hai, Hongying Zhu, Tianyu Wu, Qiaoli Li, Jing Fu, Ling Wu, Wenjing Wang, Chunyi Li, Feiyang Diao, Qiuwen Shi, Lin Li, Shiru Xu, Da Li, Xi Dong, Peng Xu, Jiucun Wang, Lin He, Yanping Kuang, Qing Sang, Lei Wang
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引用次数: 0

摘要

卵母细胞/胚胎缺陷可导致卵母细胞成熟停止、受精失败、胚胎停止和不孕症以及反复体外受精(IVF)或胞浆内单精子注射(ICSI)失败。然而,人类卵母细胞/胚胎缺陷的遗传决定因素在很大程度上仍是未知的,对此类缺陷的总体遗传诊断率尚未得到评估。在这里,我们对3,627例卵母细胞/胚胎缺陷患者进行了外显子组测序。我们共鉴定出479例携带37种已知基因变异的阳性病例,表明诊断率为13.2%。病例对照关联研究结合基因集富集分析鉴定出123个新的候选基因与卵母细胞/胚胎缺陷有关。这些结果为人类卵母细胞/胚胎缺陷提供了一个全面的遗传景观,并强调了对卵母细胞/胚胎缺陷的不育患者进行遗传咨询的临床意义。我们的研究将为将失败的IVF/ICSI尝试的传统临床实践转变为针对这些患者的基于遗传学的精确和个性化治疗奠定基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Genetic landscape of human oocyte/embryo defects.

Oocyte/embryo defects can result in oocyte maturation arrest, fertilization failure, embryonic arrest, and infertility as well as recurrent in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) failures. However, the genetic determinants of human oocyte/embryo defects remain largely unknown, and the overall genetic diagnostic yield for such defects has not been evaluated. Here, we performed exome sequencing in 3,627 patients with oocyte/embryo defects. We identified a total of 479 positive cases carrying variants in 37 known genes, indicating a diagnostic yield of 13.2%. Case-control association studies combined with gene set enrichment analysis identified 123 novel candidate genes responsible for oocyte/embryo defects. These results provide a comprehensive genetic landscape of human oocyte/embryo defects and highlight the clinical significance of genetic counseling in infertile patients with oocyte/embryo defects. Our study will lay the foundation for transforming the traditional clinical practice for failed IVF/ICSI attempts into genetic-based precision and personalized treatment for these patients.

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CiteScore
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