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      Is Open Access

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

      review-article
      1 , 2 , 3 , * ,
      Journal of Nutritional Science
      Cambridge University Press
      Aging, Epigenetic, Female, Infertility, Male, Nutrition, 5mc, 5-methylcytosine, AMH, anti-Müllerian hormone, ART, assisted reproductive technique, CoQ10, coenzyme Q10, CpG dinucleotides, context of guanine, DMR, distinct methylated region, DNMT, DNA methyltransferase, FSH, follicle stimulating hormone, H2A, H2B, H3 and H4, nucleosomal core histones, HOXA10, HomeoboxA10, HPR, histone-protamine ratio, ICMART, International Committee for Monitoring Assisted Reproductive Technologies, ICSI, intracytoplasmic sperm injection, ICR, imprinted control region, IL-6, interleukin-6, IVF, in vitro fertilisation, lncRNA, long non-coding RNA, MAR, matrix attachment region, miRNA, micro-RNA, mRNA, coding RNA, MTHFR, methylenetetrahydrofolate reductase, ncRNA, non-coding RNA, NIFT, non-IVF fertility treatment, NTD, neural tube defect, OAT, oligo-astheno-teratozoospermia, P1, P2, potamine 1, potamine 2, PCOS, polycystic ovary syndrome, piRNA, piwi-interacting RNA, ROS, reactive oxygen species, SAM, S-adenosylmethionine, SHBG, sex hormone-binding globulin, siRNA, small interfering RNA, SNP, single nucleotide polymorphism, SNRPN, small nuclear ribonucleoprotein polypeptide N, TP1, TP2, transition proteins, UMI, unexplained male infertility, VDR, vitamin D receptor

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          Abstract

          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.

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          Most cited references79

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          Fertility and infertility: Definition and epidemiology

          Infertility is a disease characterized by the failure to establish a clinical pregnancy after 12 months of regular and unprotected sexual intercourse. It is estimated to affect between 8 and 12% of reproductive-aged couples worldwide. Males are found to be solely responsible for 20-30% of infertility cases but contribute to 50% of cases overall. Secondary infertility is the most common form of female infertility around the globe, often due to reproductive tract infections. The three major factors influencing the spontaneous probability of conception are the time of unwanted non-conception, the age of the female partner and the disease-related infertility. The chance of becoming spontaneously pregnant declines with the duration before conception. The fertility decline in female already starts around 25-30 years of age and the median age at last birth is 40-41 years in most studied populations experiencing natural fertility. The disease-related infertility may affect both genders or be specific to one gender. The factors affecting both genders' fertility are hypogonadotrophic hypogonadism, hyperprolactinemia, disorders of ciliary function, cystic fibrosis, infections, systemic diseases and lifestyle related factors/diseases. Premature ovarian insufficiency, polycystic ovary syndrome, endometriosis, uterine fibroids and endometrial polyps may play a role in female infertility. Male infertility may be due to testicular and post-testicular deficiencies. Semen decline that has been observed over the years, endocrine disrupting chemicals and consanguinity are other factors that may be involved.
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            An overview of microRNAs.

            The discovery of the first microRNA (miRNA) over 20 years ago has ushered in a new era in molecular biology. There are now over 2000 miRNAs that have been discovered in humans and it is believed that they collectively regulate one third of the genes in the genome. miRNAs have been linked to many human diseases and are being pursued as clinical diagnostics and as therapeutic targets. This review presents an overview of the miRNA pathway, including biogenesis routes, biological roles, and clinical approaches.
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              Deep sequencing of 10,000 human genomes.

              We report on the sequencing of 10,545 human genomes at 30×-40× coverage with an emphasis on quality metrics and novel variant and sequence discovery. We find that 84% of an individual human genome can be sequenced confidently. This high-confidence region includes 91.5% of exon sequence and 95.2% of known pathogenic variant positions. We present the distribution of over 150 million single-nucleotide variants in the coding and noncoding genome. Each newly sequenced genome contributes an average of 8,579 novel variants. In addition, each genome carries on average 0.7 Mb of sequence that is not found in the main build of the hg38 reference genome. The density of this catalog of variation allowed us to construct high-resolution profiles that define genomic sites that are highly intolerant of genetic variation. These results indicate that the data generated by deep genome sequencing is of the quality necessary for clinical use.
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                Author and article information

                Journal
                J Nutr Sci
                J Nutr Sci
                JNS
                Journal of Nutritional Science
                Cambridge University Press (Cambridge, UK )
                2048-6790
                2023
                26 September 2023
                : 12
                : e103
                Affiliations
                [1 ]Department of Obstetrics and Gynecology, Health Sciences University, Etlik Zübeyde Hanım Women's Health Training and Research Hospital , Ankara, Turkey
                [2 ]Department of Obstetrics and Gynecology, Ankara City Hospital , Ankara, Turkey
                [3 ]Department of Nutrition and Dietetics, School of Health Sciences, Ankara Medipol University , Altındağ, Ankara 06050, Turkey
                Author notes
                [* ] Corresponding author: Nevin Sanlie, email nevintekgul@ 123456gmail.com
                Article
                S2048679023000629
                10.1017/jns.2023.62
                10523291
                37771507
                de4d03de-5b3b-43f4-a225-8bd0a0ff8bce
                © The Author(s) 2023

                This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.

                History
                : 02 April 2023
                : 15 June 2023
                : 16 June 2023
                Page count
                Figures: 1, Tables: 1, References: 80, Pages: 10
                Categories
                Human and Clinical Nutrition
                Review

                aging,epigenetic,female,infertility,male,nutrition,5mc, 5-methylcytosine,amh, anti-müllerian hormone,art, assisted reproductive technique,coq10, coenzyme q10,cpg dinucleotides, context of guanine,dmr, distinct methylated region,dnmt, dna methyltransferase,fsh, follicle stimulating hormone,h2a, h2b, h3 and h4, nucleosomal core histones,hoxa10, homeoboxa10,hpr, histone-protamine ratio,icmart, international committee for monitoring assisted reproductive technologies,icsi, intracytoplasmic sperm injection,icr, imprinted control region,il-6, interleukin-6,ivf, in vitro fertilisation,lncrna, long non-coding rna,mar, matrix attachment region,mirna, micro-rna,mrna, coding rna,mthfr, methylenetetrahydrofolate reductase,ncrna, non-coding rna,nift, non-ivf fertility treatment,ntd, neural tube defect,oat, oligo-astheno-teratozoospermia,p1, p2, potamine 1, potamine 2,pcos, polycystic ovary syndrome,pirna, piwi-interacting rna,ros, reactive oxygen species,sam, s-adenosylmethionine,shbg, sex hormone-binding globulin,sirna, small interfering rna,snp, single nucleotide polymorphism,snrpn, small nuclear ribonucleoprotein polypeptide n,tp1, tp2, transition proteins,umi, unexplained male infertility,vdr, vitamin d receptor

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