New Insight for Women
Beyond a better understanding of the genetic influences for extending reproductive health, the study also offers insights into identifying which women might reach menopause earlier than other s. This in turn could help those women decide on the timing of when or if to have children.
'We can start to predict which women might have an earlier menopause and therefore struggle to get pregnant naturally. And because we are born with our genetic variations, we could offer this advice to young women,' said Dr. Katherine Ruth, of the University of Exeter, and a study co-author.
More Delaying Having Children
While life expectancy has dramatically gone up over the last century or more, the age at which women enter menopause - around 50 - has not changed. Women are born with all the eggs they will ever carry, and these are gradually lost with age. Menopause occurs once most of a woman's eggs are gone, although fertility declines substantially before that time, making it much more difficult for some women to get pregnant. There are a number of factors playing into the delay in having children, including financial and career considerations. According tonewly released datafrom the Centers for Disease Control and Prevention, the COVID-19 pandemic resulted in the sharpest drop in childbirth in more than a century.
Many of the genes the study identified are associated with the process of DNA repair and are active before birth when human eggs are created and stored. These include the genes CHEK1and CHEK2, which regulate a broad variety of DNA repair processes.
'We saw that two of the genes which produce proteins involved in repairing damaged DNA work in opposite ways with respect to reproduction in mice,' said Professor Ignasi Roig, of the Autonomous University of Barcelona and another of the study's co-authors.
The researchers found that turning off the function of the gene CHEK2, while enhancing the expression of CHEK1, extended the reproductive lifespan of mice by about 25 percent. The study also looked at women who naturally lack an active CHEK2gene, and found that these women reach menopause on average 3.5 years later than women with a normally active gene.
For this study on reproductive lifespan, the researchers relied on a global collaboration involving more than 180 academic institutions and data from hundreds of thousands of women including 300,000 female customers from 23andMe who consented to participate in research. The researchers also included data from theUK Biobankand several other study cohorts. While most of the de-identified and aggregated data was from women of European ancestry, the researchers also looked at data from women of East Asian ancestry.
The team discovered that many of the genes involved are linked to processes of DNA repair. They also found that many of these genes are active from before birth, when human egg stores are created, but also throughout life as well. Notable examples are genes from Female mice with more of the CHEK1 protein are born with more eggs and they take longer to deplete naturally, so reproductive lifespan is extended. The second gene, CHEK2, has a similar effect, allowing eggs to survive longer, but in this case, the gene has been knocked out so that no protein is produced.'
The team also examined the health impacts of having an earlier or later menopause by using an approach that tests the effect of naturally occurring genetic differences. They found that genetically earlier menopause increases the risk of type 2 diabetes and is linked to poorer bone health and increased risk of fractures. However, it decreases the risk of some types of cancer, such as ovarian and breast cancer, that are known to be sensitive to sex hormones which are at higher levels while a woman is still menstruating.