The Genetic and Environmental Factors Underlying Hypospadias

被引:148
作者
Bouty, Aurore [1 ,2 ,3 ]
Ayers, Katie L. [1 ,3 ]
Pask, Andrew [4 ]
Heloury, Yves [1 ,2 ,3 ]
Sinclair, Andrew H. [1 ,3 ]
机构
[1] Royal Childrens Hosp, Murdoch Childrens Res Inst, 50 Flemington Rd, Parkville, Vic 3052, Australia
[2] Royal Childrens Hosp, Dept Surg, Parkville, Vic 3052, Australia
[3] Univ Melbourne, Dept Paediat, Melbourne, Vic, Australia
[4] Univ Melbourne, Dept Zool, Melbourne, Vic, Australia
关键词
Disorders of sexual development; Hypospadias; Penis; Phallus; Urethra; ANDROGEN RECEPTOR GENE; EXTERNAL GENITALIA DEVELOPMENT; ACTIVATING TRANSCRIPTION FACTOR-3; ENDOCRINE DISRUPTING CHEMICALS; SEVERE PENOSCROTAL HYPOSPADIAS; MESSENGER-RNA EXPRESSION; ADVERSE BIRTH OUTCOMES; BODY-MASS INDEX; ADRENAL INSUFFICIENCY; URETHRAL DEVELOPMENT;
D O I
10.1159/000441988
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Hypospadias results from a failure of urethral closure in the male phallus and affects 1 in 200-300 boys. It is thought to be due to a combination of genetic and environmental factors. The development of the penis progresses in 2 stages: an initial hormone-independent phase and a secondary hormone-dependent phase. Here, we review the molecular pathways that contribute to each of these stages, drawing on studies from both human and mouse models. Hypospadias can occur when normal development of the phallus is disrupted, and we provide evidence that mutations in genes underlying this developmental process are causative. Finally, we discuss the environmental factors that may contribute to hypospadias and their potential immediate and transgenerational epigenetic impacts. (C) 2015 S. Karger AG, Basel
引用
收藏
页码:239 / 259
页数:21
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