MA Kun,WANG Ling,SUN Lihua.Research on the Correlation Between "Tiangui (天癸)" and Female Reproductive Genetic Diseases[J].Journal of Traditional Chinese Medicine,2026,67(09):1027-1032.
MA Kun,WANG Ling,SUN Lihua.Research on the Correlation Between "Tiangui (天癸)" and Female Reproductive Genetic Diseases[J].Journal of Traditional Chinese Medicine,2026,67(09):1027-1032.DOI: 10.13288/j.11-2166/r.2026.09.018.
Research on the Correlation Between "Tiangui (天癸)" and Female Reproductive Genetic Diseases
This article further reveals the significance of "
tiangui
(天癸)" in female reproductive genetic diseases by analyzing the core influence of the "kidney-
tiangui
-
chong
and
ren mai
(冲任)-uterus" reproductive axis on the processes of birth, growth, robustness, and aging in females. Approaching
tiangui
through its heredity, material basis, temporality, rhythmicity, functional diversity and genetic polymorphism, and integrating reproductive genetics with epigenetics, it explores the potential associations between the characteristics of
tiangui
and the pathogenesis, clinical features, and therapeutic targets of female reproductive genetic diseases. This study furnishes a novel genetic interpretation of the physiological and pathological features of
tiangui
, offering scientific basis for the integrated prevention and treatment of female reproductive genetic diseases with traditional Chinese and western medicine.
关键词
Keywords
references
LIU J , ZHANG C , SONG J , et al . Unlocking genetic profiles with a programmable DNA-powered decoding circuit [J]. Adv Sci (Weinh) , 2023 , 10 ( 20 ): e2206343 .
DAI W , QIAO X , FANG Y , et al . Epigenetics-targeted drugs: current paradigms and future challenges [J]. Signal Transduct Target Ther , 2024 , 9 ( 1 ): 332 .
STRUHL K . The distinction between epigenetics and epigenomics [J]. Trends Genet , 2024 , 40 ( 12 ): 995 - 997 .
MUSSON R , GĄSIOR Ł , BISOGNO S , et al . DNA damage in preimplantation embryos and gametes: specification, clinical relevance and repair strategies [J]. Hum Reprod Update , 2022 , 28 ( 3 ): 376 - 399 .
ECKERSLEY-MASLIN MA , ALDA-CATALINAS C , REIK W . Dynamics of the epigenetic landscape during the maternal-to-zygotic transition [J]. Nat Rev Mol Cell Biol , 2018 , 19 ( 7 ): 436 - 450 .
ALVIZI L , NANI D , BRITO L A , et al . Neural crest E-cadherin loss drives cleft lip/palate by epigenetic modulation via pro-inflammatory gene-environment interaction [J]. Nat Commun , 2023 , 14 ( 1 ): 2868 .
HORVATH S . DNA methylation age of human tissues and cell types [J]. Genome Biol , 2013 , 14 ( 10 ): R115 .
ZHANG B , YUAN Q , LUAN Y , et al . Effect of women's fertility and sexual development on epigenetic clock: mendelian randomization study [J]. Clin Epigenetics , 2023 , 15 ( 1 ): 154 .
DREW L . Turning back time with epigenetic clocks [J]. Nature , 2022 , 601 ( 7893 ): S20 - S22 .
LEHALLIER B , GATE D , SCHAUM N , et al . Undula-ting changes in human plasma proteome profiles across the lifespan [J]. Nat Med , 2019 , 25 ( 12 ): 1843 - 1850 .
SHEN X , WANG C , ZHOU X , et al . Nonlinear dynamics of multi-omics profiles during human aging [J]. Nat Aging , 2024 , 4 ( 11 ): 1619 - 1634 .
LI J , XIONG M , FU X H , et al . Determining a multimodal aging clock in a cohort of Chinese women [J]. Med , 2023 , 4 ( 11 ): 825 - 848 .
JOHNSON M H , LIM A , FERNANDO D , et al . Circadian clockwork genes are expressed in the reproductive tract and conceptus of the early pregnant mouse [J]. Reprod Biomed Online , 2002 , 4 ( 2 ): 140 - 145 .
MÉSZÁROS K , PRUESS L , SZABÓ A J , et al . Development of the circadian clockwork in the kidney [J]. Kidney Int , 2014 , 86 ( 5 ): 915 - 922 .
NAKAMURA T J , SELLIX M T , KUDO T , et al . Influence of the estrous cycle on clock gene expression in reproductive tissues: effects of fluctuating ovarian steroid hormone levels [J]. Steroids , 2010 , 75 ( 3 ): 203 - 212 .
WU S , ZHANG J , GUAN Y , et al . Effects of chromosomal translocation characteristics on fertilization and blastocyst development:a retrospective cohort study [J]. BMC Med Genomics , 2023 , 16 ( 1 ): 273 .
ZENG Y , LI L , LI Q , et al . Genetic screening in patients with ovarian dysfunction [J]. Clin Genet , 2023 , 103 ( 3 ): 352 - 357 .
DIAMANTI-KANDARAKIS E , PIPERI C , SPINA J , et al . Polycystic ovary syndrome: the influence of environmental and genetic factors [J]. Hormones (Athens) , 2006 , 5 ( 1 ): 17 - 34 .
CHEN Z J , ZHAO H , HE L , et al . Genome-wide association study identifies susceptibility loci for polycystic ovary syndrome on chromosome 2p16.3, 2p21 and 9q33.3 [J]. Nat Genet , 2011 , 43 ( 1 ): 55 - 59 .
SRINIVAS T , LULSEGED B , MIRZA AGHAZADEH ATTARI M , et al . Patient characteristics associated with embolization versus hysterectomy for uterine fibroids: a systematic review and meta-analysis [J]. J Am Coll Radiol , 2024 , 21 ( 5 ): 729 - 739 .
YANG X , YANG L . Current understanding of the geno-mic abnormities in premature ovarian failure: chance for early diagnosis and management [J]. Front Med (Lausanne) , 2023 , 10 : 1194865 . doi: 10.3389/fmed.2023.1194865 http://dx.doi.org/10.3389/fmed.2023.1194865 .
GLEICHER N , BARAD DH . The FMR1 gene as regulator of ovarian recruitment and ovarian reserve [J]. Obstet Gynecol Surv , 2010 , 65 ( 8 ): 523 - 530 .
RUTH K S , DAY F R , HUSSAIN J , et al . Genetic insights into biological mechanisms governing human ovarian ageing [J]. Nature , 2021 , 596 ( 7872 ): 393 - 397 .
ESLAMI H , ESLAMI A , FAVAEDI R , et al . Epigenetic aberration of FMR1 gene in infertile women with dimi-nished ovarian reserve [J]. Cell J , 2018 , 20 ( 1 ): 78 - 83 .
WANG J , SUN X , YANG Z , et al . Epigenetic regulation in premature ovarian failure: a literature review [J]. Front Physiol , 2023 , 13 : 998424 . doi: 10.3389/fphys. 2022.998424 http://dx.doi.org/10.3389/fphys.2022.998424 .
KAMALIDEHGHAN B , HABIBI M , AFJEH S S , et al . The importance of small non-coding RNAs in human reproduction: a review article [J]. Appl Clin Genet , 2020 , 13 : 1 - 11 . doi: 10.2147/TACG.S207491 http://dx.doi.org/10.2147/TACG.S207491 .
YU Y Y , SUN C X , LIU Y K , et al . Promoter methylation of CYP19A1 gene in Chinese polycystic ovary syndrome patients [J]. Gynecol Obstet Invest , 2013 , 76 ( 4 ): 209 - 213 .
CHU W , LI S , GENG X , et al . Long-term environmental exposure of darkness induces hyperandrogenism in PCOS via melatonin receptor 1A and aromatase reduction [J]. Front Cell Dev Biol , 2022 , 10 : 954186 . doi: 10. 3389/fcell.2022.954186 http://dx.doi.org/10.3389/fcell.2022.954186 .
WANG Y , GU F , DENG M , et al . Rotating shift work and menstrual characteristics in a cohort of Chinese nurses [J]. BMC Womens Health , 2016 , 16 : 24 . doi: 10.1186/s12905-016-0301-y http://dx.doi.org/10.1186/s12905-016-0301-y .
ZHOU Y , ZHANG A , GONG M , et al . Maternal testosterone excess contributes to reproductive system dysfunction of female offspring mice [J]. Endocrinology , 2020 , 161 ( 5 ): 1 - 12 .