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,
Departments of * Pathology,
Molecular and Human Genetics, and
Molecular and Cell Biology, Baylor College of
Medicine, Houston, Texas.
| Correspondence to: Dr Martin M. Matzuk, Stuart A. Wallace Chair and Professor, Department of Pathology, S217, One Baylor Plaza, Baylor College of Medicine, Houston, TX 77030 (e-mail: mmatzuk{at}bcm.tmc.edu). |
Approximately 80 million people worldwide are infertile, and nearly half of
all infertility cases are attributed to a male factor. Therefore, progress in
reproductive genetics becomes crucial for future diagnosis and treatment of
infertility. In recent years, enormous progress has been made in this field.
More than 400 mutant mouse models with specific reproductive abnormalities
have been produced, and numerous human association studies have been
discovered. However, the translation of basic science findings to clinical
practice remains protracted, with only modest progress in the application of
novel findings to clinical genetic testing and cures. To date, the most
significant findings in male infertility remain numeric and structural
chromosomal abnormalities and Y-chromosome microdeletions in infertile men.
Thus, we anticipate that future genetic investigations will focus on infertile
men with a normal somatic karyotype but with various spermatozoal defects,
like insufficient production of spermatozoa (oligozoospermia), inadequate
motility (asthenozoospermia), abnormal morphology (teratozoospermia), or
combinations of these defects. Ultimately, basic advances in mammalian
nonhuman reproduction will translate to clinical advances in human
reproduction and testing for infertile humans, thereby helping to improve
diagnostics and health care for infertile patients.
Key words: Reproduction, mouse model, human male infertility
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