关键词: hypothalamic-pituitary-gonadal axis male minipuberty polygenic score reproduction

Mesh : Humans Male Sex Hormone-Binding Globulin / analysis metabolism Testosterone / blood Infant, Newborn Longitudinal Studies Adult Infant Multifactorial Inheritance Prospective Studies Birth Cohort Luteinizing Hormone / blood Sexual Maturation / physiology

来  源:   DOI:10.1210/clinem/dgae104

Abstract:
BACKGROUND: The hypothalamic-pituitary-gonadal axis\'s transient activity in infancy, i.e, minipuberty, is considered crucial for male reproductive function. Historically, minipuberty has been considered a passive response triggered by the withdrawal of placental steroids at birth. However, given its potential link to adult reproductive function, we hypothesize that minipuberty is a partially genetically regulated process, suggesting a link between the genetic architecture of reproductive hormone concentrations across lifespan.
OBJECTIVE: To investigate the association of UK Biobank Study-based polygenic scores (PGS) of adult total testosterone (T) and sex hormone-binding globulin (SHBG) concentrations with trajectories of reproductive hormones concentrations in male infants.
METHODS: Prospective, longitudinal birth cohort (The COPENHAGEN Minipuberty Study, 2016-2018, ClinTrial: NCT02784184). Individual PGSs in male infants derived from published literature were calculated for total T and SHBG. The associations with mean SD scores (SDS) of reproductive hormone concentrations in infancy were tested.
METHODS: Population-based.
METHODS: Healthy, male, term, singleton newborns were followed with repeated clinical examinations including blood sampling during a 1-year follow-up (n = 109).
METHODS: Circulating reproductive hormone concentrations.
RESULTS: T-PGSadult were significant associated with mean T-SDSinfancy, mean SHBG-SDSinfancy, and mean LH-SDSinfancy (P = .02, <.001 and .03, with r2 = 0.05, 0.21 and 0.04, respectively). SHBG-PGSadult was significantly associated with mean SHBG-SDSinfancy (P < .001, r2 = 0.18). T-PGSadult explained 5% and 21% of the phenotypic variation in infancy of mean T-SDSinfancy and SHBG-SDSinfancy, respectively.
CONCLUSIONS: Our findings suggest that the genetic architecture underlying total T and SHBG in adults also associates with hormone concentrations and their trajectories during infancy.
摘要:
背景:婴儿期下丘脑-垂体-性腺轴的短暂活动,即,青春期,被认为对男性生殖功能至关重要。历史上,小青春期被认为是出生时胎盘类固醇戒断引发的被动反应。然而,考虑到它与成人生殖功能的潜在联系,我们假设青春期是一个部分基因调控的过程,表明生殖激素浓度在整个生命周期中的遗传结构之间存在联系。
目的:研究基于UKBiobank研究的成人总睾酮(T)和性激素结合球蛋白(SHBG)浓度的多基因评分(PGS)与男性婴儿生殖激素浓度的关系。
方法:前瞻性,纵向出生队列(哥本哈根小青春期研究,2016-2018,临床试验:NCT02784184)。从发表的文献中得出的男婴个体PGS计算总T和SHBG。测试了婴儿期生殖激素浓度与平均SD评分(SDS)的相关性。
方法:以人口为基础。
方法:健康,男性,term,单胎新生儿在1年随访期间接受重复的临床检查,包括采血(n=109).
方法:循环生殖激素浓度。
结果:平均SHBG-SDS婴儿期,和平均LH-SDS婴儿期(P=.02,<.001和.03,r2分别=0.05,0.21和0.04)。SHBG-PGSmadal与平均SHBG-SDSinfy显著相关(P<.001,r2=0.18)。T-PGSmadal解释了平均T-SDS婴儿期和SHBG-SDS婴儿期的5%和21%的表型变异,分别。
结论:我们的研究结果表明,成人总T和SHBG的遗传结构也与婴儿时期的激素浓度及其轨迹相关。
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