Human Reproduction, Vol.0, No.0, pp. 1–3, 2020 doi:10.1093/humrep/deaa173 OPINION Genetic relationships between early Downloaded from https://academic.oup.com/humrep/advance-article/doi/10.1093/humrep/deaa173/5892245 by Univ of Rochester Library user on 26 August 2020 menopause and the behaviour of theca interna during follicular atresia Raymond J. Rodgers1,* and Joop S.E. Laven2 1Robinson Research Institute, School of Medicine, The University of Adelaide, Adelaide, SA 5005, Australia 2Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynaecology, Erasmus University Medical Center, Rotterdam, Netherlands *Correspondence address. Robinson Research Institute, School of Medicine, The University of Adelaide, Adelaide, SA 5005, Australia. E-mail:
[email protected] Submitted on April 26, 2020; resubmitted on May 24, 2020; editorial decision on June 8, 2020 ABSTRACT: Genetic variants are known to contribute to about 50% of the heritability of the age of menopause and recent studies sug- gest that genes associated with genome maintenance are involved. The idea that increased rates of follicular atresia could lead to depletion of the primoridial follicle reserve and early menopause has also been canvassed, but there is no direct evidence of this. In studies of the transcriptomics of follicular atresia, it was found that in the theca interna, the largest group of genes are in fact down-regulated and associ- ated with ‘cell cycle and DNA replication’, in contrast with the up-regulation of apoptosis-associated genes which occurs in granulosa cells. Many of the genes down-regulated in the theca interna are the same as or related to the genes in loci associated with early menopause.