Contemporary genetic technologies and female reproduction

• Published in: Human reproduction update Vol. 17; no. 6; pp. 829 - 847
• Main Authors: Fauser, B C J M, Diedrich, K, Bouchard, P, Domínguez, F, Matzuk, M, Franks, S, Hamamah, S, Simón, C, Devroey, P, Ezcurra, D, Howles, C M
• Format: Journal Article Conference Proceeding
• Language: English
• Published: England Oxford University Press 01-11-2011
• Subjects: Embryonic Development - genetics; Endometriosis - genetics; Female; Genetic Techniques - trends; Humans; Models, Genetic; Mutation; Oocytes - physiology; Ovary - physiology; Polycystic Ovary Syndrome - genetics; Pregnancy; Primary Ovarian Insufficiency - genetics; Reproduction - genetics; Reproductive Techniques, Assisted; Reviews; endometriosis; transcriptomics; genes and female reproductive pathologies; embryo assessment; metabolomics
• ISSN: 1355-4786; 1460-2369
• DOI: 10.1093/humupd/dmr033

BACKGROUND
The Fifth Evian Annual Reproduction (EVAR) Workshop Meeting discussed knowledge regarding contemporary genetics in female reproduction.
METHODS
Specialist reproductive medicine clinicians and geneticists delivered presentations based on published literature and current research. The content of this report is based on the expert presentations and subsequent group discussions that took place during this Workshop.
RESULTS
Numerous ovarian genes with a role in infertility have been identified. Future challenges for genetic screening of patients, such as those with polycystic ovary syndrome, primary ovarian insufficiency or endometriosis, include the identification of high-throughput strategies and how to apply these findings to infertile patients. The identification of high-quality embryos in IVF using objective technologies remains a high priority in order to facilitate single-embryo transfer. Gene expression profiling of cumulus cells surrounding the oocyte, and proteomic and metabolomic approaches in embryo culture media may significantly improve non-invasive embryo quality assessment.
CONCLUSIONS
The way forward in advancing the knowledge of genes involved in reproduction was considered to be through genome-wide association studies involving large numbers of patients. Establishing international collaboration is required to enable the application of such technologies in sufficient numbers of patients.