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Gene
Linked To Unexplained
Infertility in Women
NEW YORK (Reuters
Health) - A variation in the size of a gene expressed in the lining
of the womb could be the cause of infertility in some women, UK
researchers reported on Thursday.
The gene is
called MUC1, and it appears to play a key role in the attachment
and implantation of an embryo in the uterus. If the embryo fails
to attach correctly, the pregnancy will fail.
Researchers
at the Imperial College School of Medicine in London, UK, found
that a group of women with unexplained fertility had MUC1 genes
about 75% of the length of the MUC1 gene in women who had successful
pregnancies.
The findings
are published in the April 28th issue of The Lancet.
``Attachment
and implantation of an embryo is a complex process involving many
different genes working together to ensure a successful pregnancy,''
Dr. El-Nasir Lalani, one of the authors in the study, told Reuters
Health. ``There can be no doubt that major future advances in
the treatment of infertility will emanate from a better understanding
of the molecules controlling implantation.''
Lalani and
colleagues looked at the size of the MUC1 gene in 10 women who
had a history of unexplained infertility and 10 women who delivered
at least two children. The infertile women had MUC1 genes that
were an average of 2,500 DNA base pairs long, compared with 3,400
units long in the fertile women.
The MUC1 gene
makes a protein called MUC1 mucin that extends into the womb.
The protein ``is probably the first molecule that the embryo encounters
on attachment,'' according to the report.
Lalani said
that the extra DNA seen in the gene in fertile women might lead
to more effective implantation of the embryo.
The researchers
stress that their results are preliminary and that further research
will be necessary to determine what exactly MUC1 mucin does in
the womb. John White, a co-investigator in the study, is optimistic
that further investigation is likely to ``help us develop biological
strategies to enhance embryo implantation and successful pregnancies.''
SOURCE:
The Lancet 2001;357:1336-1337.
Reference
Source 89
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