Wednesday, April 22, 2009

Newsweek Covers the Male Genetic Biological (Time Bomb) Clock

For Whom The Clock Ticks
A growing body of research supports the idea that there are biological disadvantages to late-in-life fatherhood. But will society's view of male fertility ever change?


By Daniel Heimpel | Newsweek Web Exclusive
Apr 22, 2009



In season two of Bravo's wildly popular television series "Millionaire Matchmaker," host Patti Stanger rants against older men who perpetually search for 20-somethings to date. What Stanger knows intuitively and what researchers are illustrating empirically, is that men 50 and older, no matter their financial stability, aren't always the greatest catch.

Even if they can theoretically father children till the day they die, a growing compendium of knowledge points to a male "biological clock" largely driven by the replication of sperm with damaged DNA. According to a number of recent studies, offspring of older men have increased chances of a wide range of problems from autism to psychiatric disorders such as schizophrenia. Unlike women, who are equipped with their life's supply of eggs at birth, men replicate sperm from their bar mitzvah to their funeral. It's like a Xerox copy of a Xerox copy millions of times over. The damage can be caused by glitches in the process of replicating DNA millions of times over, reduced efficiency of the DNA repair mechanism, or attributed to environmental factors like stress, smoking or heavy drinking.

But the bottom line is: as men age, the percentage of damaged sperm they carry in their testes tends to increase. "Men are making millions of sperm all the time, and the chance for a copy error is much higher," says Dr. Ethylin Jabs, director of the Center for Craniofacial Development and Disorders at Johns Hopkins, who has conducted extensive research on paternal age and mutations within sperm. Where older women may be concerned about the viability of their remaining eggs, the problem for men, says Jabs, is "quantity not quality."

Semen samples of men over 45 showed impairment to sperm in three categories: their motility (swimming capability), vitality and DNA integrity, according to Dr. Sergey Moskovtsev of Mount Sinai Hospital's Department of Pathology and Laboratory Medicine in New York. Moskovtsev's research shows that men older than 45 have twice as much damage to their sperm as men under 30. Researchers believe that an increase in the percentage of damaged sperm can have a number of consequences.

A report released in PLoS Medicine last month establishes a link between reduced intelligence and children who were fathered by older men. Using a sample of 33,000 children tested at the ages of 8 months, 4 years and 7 years, John McGrath of Australia's Queensland Centre for Mental Health Research and colleagues found that children of older fathers ranked consistently lower in cognitive ability tests than the offspring of younger fathers. For example, 7-year-old children born to 50-year-old dads performed two IQ points lower than peers born to 20-year-old fathers. This difference in IQ is of course subtle, and McGrath says that the results of his study shouldn't be cause for individual men to stop having children.

But he cautions that the mounting studies pointing to a male biological clock are worth considering on a macro level. "As a researcher, I am concerned that we have neglected the issue of paternal age," McGrath says. "Worryingly, the mutations associated with advanced paternal age can be passed on to the next generation. As the population delays parenthood, these mutations could, theoretically, accumulate. Other researchers—not me—have called this process a 'mutational time-bomb'."

Normally, individual sperm with impaired DNA would perform a kind of cell hara-kiri, killing themselves in a process called apoptosis. But research out of the University of Washington has shown that the sperm of men over 35 are less likely to go through that process. Coupled with higher amounts of semen bearing damaged DNA, the likelihood of a child born with an abnormality increases. In a study of hundreds of thousands of psychiatric records conducted by the Israeli draft board in the 1980s, Dr. Abraham Reichenberg of the Mount Sinai School of Medicine, New York, and the Institute of Psychiatry, King's College London, and colleagues showed a six-time increase in autism spectrum disorders for children of fathers over 40, compared with those 29 years and younger.

Since that report came out in 2006, Reichenberg says that efforts to link autism and other psychological disorders to older dads have been bolstered by similar results among sample groups from different countries. Another psychological disorder that has been linked to damaged sperm is schizophrenia. Men over 50 are 3 times as likely to have offspring with the debilitating mental disorder than fathers under the age of 25....

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Wednesday, April 1, 2009

Your Old Man

The Way We Live Now
Your Old Man
BY LISA BELKIN
Published: April 1, 2009
Read between the lines of a recent study out of Australia and you can see hints of a coming shift in the gender conversation. Researchers at the University of Queensland found that children born to older fathers have, on average, lower scores on tests of intelligence than those born to younger dads. Data they analyzed from more than 33,000 American children showed that the older the man when a child is conceived, the lower a child’s score is likely to be on tests of concentration, memory, reasoning and reading skills, at least through age 7.



It was a small difference — just a few I.Q. points separated a child born to a 20-year-old and a child born to a 50-year-old. But it adds weight to a new consensus-in-the-making: there is no fountain of youth for sperm, no “get out of aging free” card. The little swimmers, scientists are finding, one study at a time, get older and less dependable along with every other cell in the male body.

And men don’t have to be all that old to be “too old.” French researchers reported last year that the chance of a couple’s conceiving begins to fall when the man is older than 35 and falls sharply if he is older than 40. British and Swedish researchers, in turn, have calculated that the risk of schizophrenia begins to rise for those whose fathers were over 30 when their babies were born. And another Swedish study has found that the risk of bipolar disorder in children begins to increase when fathers are older than 29 and is highest if they are older than 55. British and American researchers found that babies born to men over the age of 40 have significantly greater risk of autism than do those born to men under 30. (The age of the mother, in most of these studies, showed little or no correlation.)

Lay this latest I.Q. news atop the pile, and you find yourself reaching the same conclusion as Dr. Dolores Malaspina, a professor of psychiatry at New York University Medical Center, who has done some of the schizophrenia research: “It turns out the optimal age for being a mother is the same as the optimal age for being a father.”

For decades men have been diligently discovering their feminine side, and couples have been announcing “we’re pregnant”; yet the hows and whens of having a baby are still juggled primarily by women. We are the ones who hold the time lines and calendars in our heads, who have to surrender space in our bodies and clear time in our lives. Too soon could derail a career. Too late could risk infertility. Becoming a mother means compromising with biology — “settling” for a mate or for single-parenthood or for an ill-timed career interruption — in order to beat that clock.

The clock determines not only the odds of having a baby but also the odds of having a healthy baby. It doesn’t help that after age 35, a first-time mom finds “elderly primigravida” scrawled on her chart in the OB’s office. With each year comes greater risks of Down syndrome and low birth weight and prematurity. The message to women: you are the direct cause of your baby’s health; the message to men: you, too, could be Tony Randall. Women: you’d better hurry up. Men: you have all the time in the world.

The push and pull between timetables and dreams, between our bodies and our babies, is at the core of many women’s worldview, which also means it is at the core of relationships between the sexes. This tension feeds the stereotype of woman as eager to settle down and men as reluctant, and it’s the crux of why we see women as “old” and men as “distinguished.”

If those underlying assumptions were to change, would all that follows from them change as well? A world in which each man heard his clock tick even a fraction as urgently as each woman could be a very different world indeed. All those silver-haired sex symbols, and balding sugar daddies, and average-Joe divorced guys who are on their second families because they can be while their exes are raising their first set of kids — what if all of them became, in women’s eyes, too darned old?

What if 30-year-old women started looking at 50-year-old men as damaged goods, what with their washed-up sperm, meaning those 50-year-olds might actually have to date (gasp!) women their own age? What if men, as the years passed, began to look with new eyes at Ms. Almost Right? Would men of all ages come to understand — firsthand, not just from the sidelines — the fear that the very passage of time will put your not-yet-conceived baby at risk?

It could happen. True, the results of these studies are incremental and preliminary — a few I.Q. points here, a few hundred schizophrenia cases there. Yet for better or worse, we humans have proved that we’ll upend our lives over a few bits of cautionary data. This seems particularly true when it comes to parenting, where our responses are often visceral, not intellectual. Suggest that something might keep a child safer, or ensure his happy future, or get her into college, and today’s parents will bite.

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