Puberty Research Articles

Epidemiological trends and predictions of urinary tract infections in the global burden of disease study 2021

Urinary tract infections (UTIs) are prevalent; however, comprehensive and current epidemiological data remain scarce. This study examined the global, national, and regional burden of UTIs by sex, age, and socio-demographic index (SDI) from 1990 to 2021. The 2021 Global Burden of Disease study included age-standardised incidence rate (ASIR), age-standardised prevalence rate (ASPR), age-standardised death rate (ASDR), and age-standardised disability-adjusted life years rate (ASDAR). The estimated annual percentage change was used to depict temporal trends, whereas Pearson correlation analysis explore its correlation with the human development index (HDI), the SDI, and age-standardised rates (ASRs). An autoregressive integrated moving average model forecasted the UTI burden trends. From 1990 to 2021, the number of UTI cases increased by 66.45%, reaching 4.49 billion cases, with an ASIR of 5,531.88 per 100,000 population. The greatest incidence of UTIs was seen in women and older adult men. Tropical Latin America and low–middle SDI regions exhibited the highest ASIR, ASPR, ASDR, and ASDAR, while East Asia showed the lowest. ASDR and ASDAR decreased with higher SDI levels. ASR and HDI were weakly positively correlated with ASDR and ASDAR. ASIR, ASPR, and ASDAR are projected to increase until 2050. The global burden of UTIs is rising and is influenced by geographical location, age, sex, and economic development, crucial for guiding medical practices and forming relevant policies.

Predictable ecological dynamics over incredibly small spatial scales influence early-life phenotypes in a species with temperature-dependent sex determination.

Phenotype-environment associations in neonatal animals may arise in wild environments by virtue of ecological dynamics within the nest. Such dynamics may be of special importance to the evolution of temperature-dependent sex determination (TSD), an enigmatic trait which can be adaptive when the incubation temperatures that affect sexual differentiation also have differential effects on fitness of the sexes. To infer causal effects of the nest environment on fitness-relevant phenotypes, we apply structural equation modeling (SEM) to a 14-year dataset of 3085 individual embryos whose position in 179 wild snapping turtle nests could be estimated. We find that temperature has a positive effect on hatchling size, and that the same temperatures that predict hatchling size also predict sex of hatchlings. Further, the probability that embryos develop as males is correlated with hatchling size in the wild, where across all environments, males are slightly and significantly larger than females at hatching. Our SEM reveals that the covariance between size and sex arises because of temperature effects on size, and because of a predictable covariance between egg placement within the nest coupled with maternal effects on egg size. Finally, embryos deep in the nest have a high probability of becoming male even in the hottest years. Our study suggests ecological dynamics occurring within the nest are an interesting and underappreciated source of phenotypic variation. Our study also supports the view that TSD is an adaptive trait, rather than a neutral trait, by showing consistent associations between phenotype and temperature in wild nests of a TSD reptile.

The Impact of Pollinating Fig Wasps’ Entry on Fig Development and the Hormonal Regulation of Sex Differentiation in Ficus hispida

The Impact of Pollinating Fig Wasps’ Entry on Fig Development and the Hormonal Regulation of Sex Differentiation in Ficus hispida

Gender differences of the brain structures in young high-altitude Tibetans.

Gender differences in adaptation to high-altitude environments are evident, but the specific patterns in Tibetan brains remain unclear. We analyzed T1-weighted magnetic resonance imaging scans and neuropsychological test results from 61 male and 68 female Tibetans, with lowland Han participants as controls. Tibetan females had poorer performance than males in digit serial accumulation and forward digit span. Both Tibetan and Han males had significantly larger global gray matter volume and white matter volume than females, only Tibetan female brains contained a larger proportion of gray matter than male brains. Tibetan females (vs. males) had smaller regional gray matter volume in the left rostral middle frontal gyrus and pars opercularis and right caudal middle frontal gyrus, and gray matter volume in the left pars opercularis in all Tibetans had a significant positive correlation with forward digit span. Conversely, Tibetan females had greater cortical thickness in these regions, which negatively correlated with altitude. Han populations exhibited different gender-based patterns in gray matter volume and cortical thickness compared to Tibetans. These findings suggest that Tibetan female brains are more susceptible to high-altitude, and the observed gender differences in brain volume may relate to distinct neuropsychological performances.

BRAF mutant appendiceal adenocarcinoma differs from colorectal cancer but responds to BRAF-targeted therapy

Appendiceal Adenocarcinoma (AA) is a rare gastrointestinal cancer with no FDA-approved targeted therapies. Here, we retrospectively compare BRAF-mutant AA and colorectal cancer (CRC). BRAF mutation is rare in AA (3%). Unlike CRC, BRAFV600E AA is not associated with poor prognosis, female sex, microsatellite instability, mucinous histology, or poor differentiation. In both cancers, BRAFV600E but not atypical BRAF mutations are mutually exclusive with other Ras-activating mutations. BRAFV600E + EGFR inhibition shows efficacy in BRAFV600E AA (disease control rate = 80%, median progression-free survival = 7.1 months).

Fertility preservation in persons with gender incongruence and male-assigned sex at birth

According to current guidelines, patients with gender incongruence seeking treatment must receive appropriate education and counselling from healthcare professionals on the various options for fertility preservation. Gender-affirming hormonal treatment leads in persons assigned male at birth to a reduction of LH, FSH, and testosterone, which is associated with a regression of spermatogenesis (up to complete loss) and subsequent testicular atrophy. Individuals starting gender-affirming hormonal treatment after having experienced male puberty may provide an ejaculate sample for sperm cryopreservation. In cases where no sperm is detected in the ejaculate due to gender-affirming hormonal treatment, or if the sampling of ejaculate is no longer possible or causes excessive psychological distress, (microsurgical) testicular sperm extraction [(m)TESE] should be offered. Electroejaculation under anaesthesia is rarely effective, as hormonal treatment impairs spermatogenesis. Similarly, microsurgical epididymal sperm aspiration (MESA) is not typically effective for the same reason. If adolescents with gender incongruence undergo puberty blockade and/or gender-affirming hormonal treatment at an early stage of puberty (possible from Tanner stage 2), this prevents the maturation of spermatogonial stem cells into mature sperm. Puberty blockade with GnRH reduces the secretion of LH and FSH by the pituitary gland, which, in turn, suppresses the production of testosterone in the Leydig cells and the stimulation of spermatogenesis in the testicles. In such cases, the cryopreservation of spermatogonial stem cells is possible, similar to how it is offered in some countries for peri-pubertal patients prior to necessary germ cell-toxic treatments. In Germany, there is a relevant network (Androprotect), which was founded in Münster in 2012. Via Androprotect, this procedure is also offered for adolescent individuals with gender incongruence. This approach is considered experimental as no established treatment exists for the refertilisation of affected adults at a later stage, although several procedures for in-vitro sperm maturation and tissue transplantation are under development. The care of patients with gender incongruence should include individual counselling provided by experienced professionals in an interdisciplinary treatment team. Individual treatment approaches should be offered to facilitate shared decision-making (based on informed consent) to ensure that each individual can make an informed and appropriate decision regarding fertility preservation.

THE RESULTS OF A SOCIAL RESEARCH AMONG TEACHERS OF SCHOOLS IN THE ALMATY REGION REGARDING THE REPRODUCTIVE BEHAVIOR OF ADOLESCENTS AND YOUNG PEOPLE

Background. Most young people have a complete understanding of the norms of moral and cultural values accepted in society; they, as a rule, know what adults want from them. However, personal requests and role models often come first. Schools are where students spend most of their active time. Therefore, it was decided to study the opinion of teachers on the reproductive behavior of adolescents and young people. Materials and methods. Materials: Own research – a sociological study of teachers of the Almaty region. The research methods are a cross-sectional study. School teachers were selected as the target group by random sampling. The study was conducted through a voluntary anonymous questionnaire. Results. The opinion of teachers of the Almaty region regarding the place of teachers in the moral, sexual and sexual education of students, the need to involve parents, who are a serious tool to convince adolescents to safer behavior, using family values and national and cultural characteristics of each cell of society, is determined. Teachers are confident that they should be important participants in the process of forming children’s responsible attitude to all issues of their health. At the same time, almost one in ten teachers believe that this is not a task for every teacher, but only for those whose subject is related to health issues. Most teachers avoid asking questions about sexual development, safe sexual behavior, and contraception. The prevailing opinion among teachers is that it is necessary to consider these issues in a special lesson on a healthy lifestyle. There is no consensus among teachers regarding their actions to ensure that children do not have a distorted idea of the relationship between the sexes, and they practice safe sexual behavior. Conclusions. Based on the analysis of the sociological research data and the conclusions obtained, recommendations in the field of early pregnancy and abortion prevention among the younger generation can contribute to the formation and strengthening of constructive and trusting relationships at school between key groups: teachers, parents, students.

XY disorder of sexual development in a dog: a case study by histopathology, genotyping and karyotyping

XY disorder of sexual development in a dog: a case study by histopathology, genotyping and karyotyping

A global review of the biology and ecology of the European perch, Perca fluviatilis

Abstract Perca fluviatilis (the European perch) is one of the most common and well-studied freshwater fishes in the world, largely owing to its widespread distribution and popularity among anglers and aquaculturalists. It has been especially well-studied in its native ranges of Eurasia, but has received far less attention elsewhere. Here we review key aspects of the general biology and ecology of the European perch, by considering learnings from countries where it is native in addition to those where it has been introduced. Our review demonstrates that the European perch is a highly fecund, trophic generalist that can live in a wide range of habitats and withstand a wide range of physico-chemical conditions. The growth rates and sexual development of the European perch vary among geographical regions, largely due to differences in climatic conditions, with populations in warmer Southern Hemisphere regions tending to exhibit faster growth rates and attain sexual maturity at younger ages than populations occurring in most cooler Eurasian regions. Genetic differentiation has also been observed in native populations from different parts of Europe, although it remains unclear as to whether native and non-native populations differ genetically, and what the ecological implications of any such differences are. Future research should prioritise assessing both genetic and phenotypic differences between native and non-native populations, and determining the ecological implications of these differences. Such knowledge is crucial for informing European perch conservation and/or aquaculture management in countries where it is native; and invasive species management in countries where it has been introduced.

Editorial: Challenges in pediatric endocrinology regarding alterations in glucose metabolism, growth disorders, disorders of sex development, and puberty in adolescents

Editorial: Challenges in pediatric endocrinology regarding alterations in glucose metabolism, growth disorders, disorders of sex development, and puberty in adolescents

Exploring sexual and romantic functioning as early risk factors of schizophrenia: a narrative review.

Patients with schizophrenia frequently encounter challenges related to sexuality and intimacy; however, the underlying causes of these difficulties remain unknown and unexplored. This narrative review aims to explore how the biological/hormonal and psychological/behavioral developmental trajectories in schizophrenia patients deviate from the normal course and to examine their connection to difficulties in sexual and romantic functioning. A comprehensive literature search was conducted using PubMed and Google Scholar, with key terms related to schizophrenia and sexual development without restriction on publication year. Articles discussing behavioral, sexual, or psychological/behavioral development before the onset of schizophrenia were included. Articles were divided into biological/hormonal and psychological/behavioral precursor categories. Additional searches were conducted to explore the broader sociocognitive context of schizophrenia, such as deficits in empathy, emotional processing, and theory of mind. The review highlights deviations in both biological/hormonal and psychological/behavioral development in schizophrenia that contribute to difficulties in romantic and sexual relationships. This narrative review addresses the extent to which biological, psychological, and social factors in schizophrenia may be closely intertwined. Abnormalities in the hypothalamic-pituitary-gonadal and hypothalamic-pituitary-adrenal axes have been documented in individuals with schizophrenia, potentially impairing sociosexual competencies and leading to behavioral challenges in forming sexual relationships. Deficits in theory of mind, emotional processing, and empathy may further hinder the ability to form and sustain intimate relationships, amplifying the social difficulties associated with schizophrenia. Additionally, early life traumas, especially sexual abuse, can contribute to sexual difficulties and worsen the disorder. Understanding the deviations from the normal developmental course in schizophrenia patients may offer valuable insights for potential intervention strategies and remediation approaches and contribute to improvements in sexual/romantic functioning and overall sexual health in schizophrenia patients. This review provides an overview of the developmental precursors of schizophrenia-related sexual/romantic difficulties. Further research is needed to elucidate the specific mechanisms underlying these difficulties, particularly in determining the emotional and motivational salience of sexual stimuli and the capacity to engage in and maintain communication of sexual interest. The reader should bear in mind that narrative reviews lack systematic methods for selecting and evaluating studies, which can lead to author bias in choosing or interpreting sources. The narrative review identified deviations in the biological/hormonal and psychological/behavioral developmental trajectories of schizophrenia patients, linking these abnormalities to difficulties in sexual and romantic functioning, and highlighting the need for sexological remediation strategies to improve sociosexual competencies and overall sexual health.

Gender effects of nanoplastics and emerging contaminants mixtures in Mytilus galloprovincialis.

The reproduction of mussels occurs within the water column, and if gametogenesis is successful, gametes are exposed to the surrounding contaminants. Nanoplastics and other emerging contaminants have been gaining vast attention; however, their effects on the reproductive tissues of mussels with sex differentiation are scarce. Here, the effects of polystyrene nanoparticles (50 nm; 10 µg/L), the cytotoxic drug 5-fluorouracil (10 ng/L), and a mixture of the two were evaluated in the gonads of Mytilus galloprovincialis after a 21-day exposure for a multi-biomarker assessment, and after 28 days for the accumulation of nanoplastics. The effects on the activity of superoxide dismutase, catalase, glutathione-S-transferase, and lipid peroxidation were evaluated. Moreover, synergistic and antagonistic interactions in the mixture were calculated. A weight of evidence model was also used to elaborate on the hazardous level of biomarker results relative to polystyrene nanoparticles alone and in the mixture. The accumulation of nanoplastics appeared gender and time-specific, with females mostly compromised. According to the data set, a synergistic interaction between the cytotoxic drug and the nanoplastics makes the combination far more dangerous than individual stressors. The Weight Of Evidence model also confirms that females are more compromised at chronic exposure times than males. This study shows that the uptake, fate, and impact of emerging contaminants of concern can be significantly influenced by sex.

Identification and characterization of DICER-LIKE genes and their roles in Marchantia polymorpha development and salt stress response.

DICER-LIKE (DCL) proteins play a central role in plant small RNA (sRNA) biogenesis. The genome of the early land plant Marchantia polymorpha encodes four DCL proteins: MpDCL1a, MpDCL1b, MpDCL3, and MpDCL4. While MpDCL1a, MpDCL3 and MpDCL4 show high similarities to their orthologs in Physcomitrium patens and Arabidopsis thaliana, MpDCL1b shares only a limited homology with PpDCL1b, but it is very similar, in terms of functional domains, to orthologs in other moss and fern species. We generated Mpdclge mutant lines for all MpDCL genes with the CRISPR/Cas9 system and conducted phenotypic analyses under control, salt stress, and phytohormone treatments to uncover specific MpDCL functions. The mutants displayed severe developmental aberrations, altered responses to salt and phytohormones, and disturbed sexual organ development. By combining mRNA and sRNA analyses, we demonstrate that MpDCLs and their associated sRNAs play pivotal roles in regulating development, abiotic stress tolerance and phytohormone response in M. polymorpha. We identified MpDCL1a in microRNA biogenesis, MpDCL4 in trans-acting small interfering RNA generation, and MpDCL3 in the regulation of pathogen-related genes. Notably, salt sensitivity in M. polymorpha is dependent on MpDCL1b and Mpdcl1bge mutants display enhanced tolerance and reduced miRNA expression in response to salt stress. We propose that M. polymorpha employs specific mechanisms for regulating MpDCL1b associated miRNAs under high salinity conditions, potentially shared with other species harboring MpDCL1b homologs.

Dose-dependent role of AMH and AMHR2 signaling in male differentiation and regulation of sex determination in Spotted knifejaw (Oplegnathus punctatus) with X1X1X2X2/X1X2Y chromosome system

Sex determination mechanisms vary significantly across different chromosomal systems and evolutionary contexts. Nonetheless, the regulatory framework governing the multi-sex chromosome system (X1X1X2X2/X1X2Y) remains enigmatic. Through an examination of sex-related genes (dmrt1, hsd11b2, amh, sox9a, sox9b, foxl2, cyp19a), hormonal influences (E2, 11-KT), and histological analyses of gonadal development, we demonstrate that the critical period for sexual differentiation occurs between 35 to 60 days post-hatching (dph). Our multi-omics analysis identified amhr2 as a candidate sex-determining gene, revealing that the males possess three distinct amhr2 transcripts (amhr2ay, amhr2by, amhr2cy), whereas females express only one (amhr2a). In situ hybridization assays demonstrated that amhr2 is predominantly localized to primary spermatocyte and Sertoli cells of male testes. Notably, the specific mRNA expression of amhr2 is significantly enriched in amhr2cy, whose extracellular domain exhibits the highest binding affinity for Amh protein, with sexual expression differences manifesting as early as 5 dph. The outcomes of amhr2 interference (RNAi) experiments indicate that amhr2 knockdown leads to a reduction in the expression of male-related gene (dmrt1, amh, sox9a, sox9b), androgen synthesis genes (hsd11b2, cyp11a), and female-related genes (wnt4, foxl2, cyp19a, cyp19b). Conversely, overexpression of amhr2 yielded contrasting results. Our research supports the role of amhr2 as a pivotal candidate sex-determining gene. Furthermore, the dosage effect of amhr2, reflected in transcript abundance, mRNA expression levels, and binding efficacy, serves as a fundamental mechanism driving male differentiation and regulatory processes in Spotted knifejaw.

The molecule events expression of TGF-β/Smad signaling pathway in morphological and structural developmental characteristics of gonads in goose embryos.

China is the largest producer and consumer of geese with significant social and economic value in agriculture. The Jilin White Goose, known for its excellent egg-laying and reproductive characteristics, is a prominent breeding breed in the northeast of China widely used for cross-breeding.Gonad development is a complex process, which will differentiate into testes or ovaries, thus affecting sex determination. Since the level of gonadal development in geese of different sexes is also related to their productivity, the study of gonadal function in geese is of great theoretical and practical importance. In this study, we used the embryonic gonads of Jilin white geese as the research object to reveal the morphologic and histologic developmental characteristics and process of the gonads of goose embryos from the 9th day to the 28th day and to investigate the mechanisms regulating the differentiation of the gonads. The results of ALP-PAS staining by histomorphological observations showed that the primordial germ cells in the female gonads were fully differentiated at embryonic day 19 (E19) and in the male gonads at embryonic day 18 (E18).Previous studies indicate that the TGF-β /Smad signaling pathway is crucial for sex differentiation and gamete formation in animals. In our study, we quantitatively analyzed key genes and proteins in this pathway within goose embryos. We found that TGF-βRI/II receptors and Smad2/3 are involved in gonadal development early in differentiation. Smad2 protein levels peaked at E18 in male gonads and E19 in female gonads, while Smad3 peaked at E10 for both. It has been suggested that there is a novel interaction between TGF-β and Wnt/β-catenin signaling pathway. In this study, the expression of LEF1, a protein downstream of the Wnt/β-catenin signaling pathway, peaked at E19 in the female gonads and at E18 in the male gonads, and the protein expression level of β-catenin was significantly increased in the female gonads at E19 and E28 and peaked at E28 in the male gonads. β-catenin expression levels were significantly higher in the male gonads than in the other periods and reached a minimum at E28. We injected the TMAO drug, which activates the TGF-β /Smad pathway, into goose embryos using the embryo injection technique to study how it affects gene and protein expression in this signaling pathway. We found that in female gonads, the levels of Smad2/3 proteins were lower than in the control group at E18, but higher than the control group at E19. In male gonads, the results for Smad3 proteins matched those of the females, while the results for Smad2 proteins were the opposite. This shows that TMAO activation of the TGF-β /Smad signaling pathway may impact gonadal development in goose embryos. In conclusion, this study suggest that the TGF-β /Smad and Wnt signaling pathways may enhance gonadal tissue development in goose embryos. The study identified key time points in gonadogenesis, providing a new theoretical basis for further research on the molecular mechanisms of gonadal development.

Satisfaction with health care among people with differences of sex development (DSD) in Germany.

Objective People with a difference of sex development (DSD) have to deal with complex medical and psychosocial challenges making it difficult to provide treatment adapted to their needs and in line with guidelines. Within the project DSDCare in Germany quality of care of people with DSD is evaluated regularly focusing on patient satisfaction as an indicator of good quality. Design Nationwide, longitudinal multicentre observational study in Germany including people with DSD. Methods Ten specialised DSD centres recruit since May 2021 people with DSD and collect patient-related medical data in a registry. Participants and in case of minors the legal guardians receive a questionnaire including questions about satisfaction with care using the Y/CHC-SUN questionnaire. Medical and self-reported data were merged and analysed descriptively. Results Of the 141 adults and 232 parents completing a questionnaire between May 2021 and December 2023, 81.9% of adults and 86.4% of parents stated to be "very" or "extremely satisfied" with their health care. Scores in the dimensions "doctor's behaviour" and "patient-centred care" were very high for both adults and parents while the dimensions "clinical environment," "diagnosis/information," and "coordination" were rated slightly lower. Some participants missed DSD training, psychological counselling, contact to self-advocacy groups and, in the case of adults, nutritional counselling. Conclusion People with DSD treated at specialised DSD centres in Germany are very satisfied with their care. The next step is to ensure that all people with DSD have access to a specialised centre to receive care that meets their needs.

The study of pubertal stage and age of menarche in girls in Isfahan province, Iran.

The onset age of pubertal changes varies widely among girls and has undergone changes over time around the world. This study aimed to determine the age of onset of puberty in healthy Iranian girls living in Isfahan province. This cross- sectional study was conducted among 13,886 students aged 6-18 years. They were selected by multistage random cluster sampling from urban and rural areas of Isfahan province of Iran. Pubertal stage was determined according the 5-level Tanner stages proposed by Marshall and Tanner. Trained physicians determined the breast development through both visual inspection and palpation, in addition, mothers assessed their daughter's pubic hair growth using Tanner's Sexual Maturation Scale (SMS) by comparison to standard pictures. The data were analyzed by the status quo method. Probit regression analysis was used to evaluate the median age of onset for each characteristic including menarche, breast and pubic hair. A total of 13,886 healthy girls with mean age (SD) of 11.97 (2.9) were studied. Overall 6968 (50.2%) girls experienced menstruation with a median (95%CI) age of 12.05(11.88-12.21) years at its onset. The median age for onset of breast development was 9.89 (95% CI: 9.77 - 10.02) years and for onset of pubic hair development was 10.14 (95% CI: 9.88- 10.39) years. The 3rd percentile for breast stage 2 (B2) and pubic hair stage 2 (PH2) was 6.85 and 6.75 years, respectively, and the 97th percentile for B2 and PH2 was 12.94and 13.54 years, respectively. According to our findings, the onset of puberty before 6.85 years should be considered as precocious puberty for Iranian girls. Our study indicated the secular trend toward earlier menarche in girls. Nationally representative surveys and longitudinal studies are necessary to determine the exact age of puberty for future international comparisons.

Full-length transcriptome analysis of male and female gonads in Japanese Eel (Anguilla japonica)

BackgroundThe Japanese eel (Anguilla japonica) holds significant economic value in East Asia, but limitations in understanding its reproductive biology have hindered advancements in artificial breeding techniques. Previous research has primarily focused on conserved sex differentiation genes, offering limited insights into the broader molecular mechanisms driving gonadal development and sexual dimorphism. To address these limitations, this study aims to investigate key genes and pathways involved in gonadal development through a comprehensive transcriptomic analysis of male and female eel gonads.ResultsPacBio Iso-Seq and Illumina RNA-Seq technologies were combined to conduct a full-length transcriptome analysis of male and female Japanese eel gonads at a post-differentiation, pre-maturation stage. A total of 24,661 unigenes were identified in ovaries and 15,023 in testes, along with genomic regulatory elements such as transcription factors, simple sequence repeats, and long non-coding RNAs. Additionally, 1,210 differentially expressed genes were detected. Gene Ontology and Kyoto Encyclopedia of Genes and Genomes enrichment analyses revealed significant pathways involved in cell cycle regulation, metabolic processes, apoptosis, and hormone activity. Notably, several reproductive-related genes, including bambi, ccnb1, cdc20, gdf9, prlh, ccdc39, chrebp, tspo, syce3, and ngb, demonstrated significant dimorphic expression in eel gonads.ConclusionsThis study provides valuable insights into the molecular mechanisms of gonadal differentiation and sexual dimorphism in Japanese eels. The findings expand the genetic resources available for the eel breeding industry and could facilitate the development of improved artificial breeding techniques focused on reproductive development.

The role of Anti-Müllerian hormone in women health.

Anti-Müllerian hormone (AMH), also known as Müller duct inhibitory factor and primarily known for its role in sexual differentiation. In female fetuses, AMH production by granulosa cells begins around the 36th week of gestation and continues in women until menopause. It is becoming more significant in the endocrine and gynecological diagnosis of adult women. The suppressive effect of AMH on follicle-stimulating hormone (FSH)-induced aromatase production likely plays a role in hyperandrogenism in polycystic ovary syndrome (PCOS) and may increase insulin resistance. Female adolescent with type 1 diabetes (T1D) have an increased likelihood of developing PCOS, but it is not known whether they also show elevated AMH levels. The elevated AMH levels observed in prepubertal girls with T1D suggest that there are more small follicles in their ovaries, probably in response to insulin treatment. Elevated levels of androgens and anti-Müllerian hormone have been previously reported in non-pregnant women with diabetes. The increased AMH concentrations can be associated with reduced systemic inflammation [lower c-reactive protein (CRP) values], irrespective of the type of diet and greater insulin sensitivity in old obese males. AMH can also serve as a valuable marker for granulosa cell tumors (folliculomas) and their recurrence. In these clinical scenarios, AMH levels can be significantly elevated and correspond with the size of the tumor.

Comparing the hermaphroditic mating system of a parasitic flatworm between populations with an ancestral, 3-host life cycle and a derived, facultative-precocious life cycle.

Evolutionary changes in development and/or host number of parasite life cycles can have subsequent ecological and evolutionary consequences for parasites. One theoretical model based on the mating systems of hermaphroditic parasites assumes a life cycle with fewer hosts will result in more inbreeding, and predicts a truncated life cycle most likely evolves in the absence of inbreeding depression. Many populations of the hermaphroditic trematode Alloglossidium progeneticum maintain an ancestral obligate 3-host life cycle where obligate sexual reproduction occurs among adults in catfish third hosts. However, some populations have evolved a facultative precocious life cycle, where sexual development can occur while encysted within crayfish second hosts, likely leading to high inbreeding as individuals are forced to self-mate while encysted. Whether selfing represents a derived state remains untested. We compared selfing rates of 5 precocious populations to that of 4 populations with an ancestral obligate 3-host life cycle. We also compared demographic estimates to genetic estimates of selfing to test the prediction of no inbreeding depression in precocious populations. Results showed that while the ancestral obligate 3-host life cycle is associated with high outcrossing rates, the facultative precocious populations are highly selfing and show little evidence for inbreeding depression.