Abstract

Infertility represents a growing health problem in industrialized countries. Thus, a greater understanding of the molecular networks involved in this disease could be critical for the development of new therapies. A recent finding revealed that circadian rhythmicity disruption is one of the main causes of poor reproductive outcome. The circadian clock system beats circadian rhythms and modulates several physiological functions such as the sleep-wake cycle, body temperature, heart rate, and hormones secretion, all of which enable the body to function in response to a 24 h cycle. This intricated machinery is driven by specific genes, called “clock genes” that fine-tune body homeostasis. Stress of modern lifestyle can determine changes in hormone secretion, favoring the onset of infertility-related conditions that might reflect disfunctions within the hypothalamic–pituitary–gonadal axis. Consequently, the loss of rhythmicity in the suprachiasmatic nuclei might affect pulsatile sexual hormones release. Herein, we provide an overview of the recent findings, in both animal models and humans, about how fertility is influenced by circadian rhythm. In addition, we explore the complex interaction among hormones, fertility and the circadian clock. A deeper analysis of these interactions might lead to novel insights that could ameliorate the therapeutic management of infertility and related disorders.

Highlights

  • The term ‘’circadian rhythm”, derived from Latin “circa dies”, is used to describe the daily oscillations in gene expression, metabolism, activity patterns and serum hormone levels that occur across 24 h

  • Fertility is finely regulated by the hypothalamic–pituitary–gonadal axis (HPG axis) and by two hypothalamic neuronal populations, the Kisspeptin neurons and the gonadotropin-releasing hormone (GnRH) neurons [16,17]

  • Lower concentration and sperm motility compared to TT genotype. All these works highlight a potential connection between the Clock gene and human male fertility, but more experimental works and efforts are necessary to discover more about this topic

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Summary

Introduction

The term ‘’circadian rhythm”, derived from Latin “circa dies”, is used to describe the daily oscillations in gene expression, metabolism, activity patterns and serum hormone levels that occur across 24 h. These physiological processes represent an ubiquitous feature in living organisms, from cyanobacteria to humans, and are finely regulated by the suprachiasmatic nuclei (SCN) of the anterior hypothalamus [1]. Gene and Circadian Locomotor Output Cycles Kaput (CLOCK) gene, which encode for BMAL1 and CLOCK proteins, respectively. These proteins form an heterodimer, which binds itself to the a cyclic AMP response element (CRE)/E-box element (E-box) of Period (PER), Cryptochrome (CRY).

Autoregulatory
How Fertility Is Influenced by Hormones and Clock Genes?
Gonadotropins
Estrogens and Androgens
Glucocorticoids
Infertility
Melatonin
Female Fertility
Male Fertility
Circadian Clock and Sexual Development
Effect of Clock Gene Mutation in Humans
Conclusions
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