Background: Women facing increased energetic demands in childhood commonly have altered adult ovarian activity and shorter reproductive lifespan, possibly comprising a strategy to optimize reproductive success. Here, we sought to understand the mechanisms of early-life programming of reproductive function, by integrating analysis of reproductive tissues in an appropriate mouse model with methylation analysis of proxy tissue DNA in a well-characterized population of Bangladeshi migrants in the UK. Bangladeshi women whose childhood was in Bangladesh were found to have later pubertal onset and lower age-matched ovarian reserve than Bangladeshi women who grew-up in England. Subsequently, we aimed to explore the potential relevance to the altered reproductive phenotype of one of the genes that emerged from the screens.
Results: Of the genes associated with differential methylation in the Bangladeshi women whose childhood was in Bangladesh as compared to Bangladeshi women who grew up in the UK, 13 correlated with altered expression of the orthologous gene in the mouse model ovaries. These mice had delayed pubertal onset and a smaller ovarian reserve compared to controls. The most relevant of these genes for reproductive function appeared to be SRD5A1, which encodes the steroidogenic enzyme 5α reductase-1. SRD5A1 was more methylated at the same transcriptional enhancer in mice ovaries as in the women's buccal DNA, and its expression was lower in the hypothalamus of the mice as well, suggesting a possible role in the central control of reproduction. The expression of Kiss1 and Gnrh was also lower in these mice compared to controls, and inhibition of 5α reductase-1 reduced Kiss1 and Gnrh mRNA levels and blocked GnRH release in GnRH neuronal cell cultures. Crucially, we show that inhibition of this enzyme in female mice in vivo delayed pubertal onset.
Conclusions: SRD5A1/5α reductase-1 responds epigenetically to the environment and its downregulation appears to alter the reproductive phenotype. These findings help to explain diversity in reproductive characteristics and how they are shaped by early-life environment and reveal novel pathways that might be targeted to mitigate health issues caused by life-history trade-offs.
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http://dx.doi.org/10.1186/s12915-021-01219-6 | DOI Listing |
Scand J Caring Sci
March 2025
Center for Academic Achievement, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.
Aim: The purpose of this study was to explore the lived experiences of female sex workers in the Kandapara Brothel in Tangail to build a better understanding of their lived perspective.
Design: This qualitative study was based on the philosophical underpinnings of Giorgi's descriptive phenomenological philosophy.
Methods: A purposive, convenience sample of 24 participants (N = 24) was recruited in the brothel, sufficient for data saturation.
Healthcare (Basel)
December 2024
School of Medicine and Dentistry, Griffith University, Gold Coast, QLD 4222, Australia.
Knowing the spatial variation and predictors of women having sole autonomy over their healthcare decisions is crucial to design site-specific interventions. This study examined how women's sole autonomy over their healthcare choices varies geographically and what factors influence this autonomy among Bangladeshi women of childbearing age. Data were obtained from the Bangladesh Demographic and Health Survey (BDHS) 2017-18.
View Article and Find Full Text PDFJ Epidemiol Community Health
January 2025
University of Warwick Warwick Medical School, Coventry, UK.
Background: Preterm birth (PTB) and small-for-gestational-age (SGA) disproportionately affect women who are Black or Asian. Structural racism produces health inequalities. Identifying latent socioeconomic classes may help to understand the role socioeconomic position (SEP) plays in this inequality.
View Article and Find Full Text PDFFront Glob Womens Health
December 2024
MedGlobal, Rolling Meadows, IL, United States.
Women in rural Bangladesh encounter significant barriers to seeking mental healthcare, primarily due to stigmatization rooted in a lack of knowledge about mental health. To address this issue, community-based participatory research (CBPR) has been identified as a promising approach. CBPR involves the active collaboration of community members and stakeholders in the research process to tackle pressing community issues.
View Article and Find Full Text PDFJ Multidiscip Healthc
December 2024
Department of Biological Sciences, Royal Holloway University of London, London, UK.
Background: Anthropometric measurements used to predict cardiovascular disease vary worldwide but are mostly derived from those of Caucasian ancestry. We sought to undertake such measurements in the little studied Bangladeshi population.
Methods: The MAGPIE (Multidimensional Approach of Genotype and Phenotype in Stroke Etiology) study is a Bangladeshi stroke case-control study that recruited nationwide between January 2022 and June 2024.
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