Personal profile
Short presentation
The Almstrup group is mainly located at the Department of Growth and Reproduction, at Copenhagen University Hospital – Rigshospitalet, but is also affiliated with the Department of Cellular and Molecular Medicine, at the University of Copenhagen. Our research focuses on studies that connect genetic and epigenetic variation to reproductive endpoints, testicular gene expression and functional studies of sperm cells.
Primary fields of research
Human reproduction, andrology and genetics. In particular, genetic and epigenetic variation in relation to reproductive endpoints, testicular gene expression and functional studies of sperm cells.
Teaching
Medical genetics course (Medicine and Molecular Biomedicine)
PhD course in Genetics of Reproduction, 2022 and 2025
Graduate programmes: Life Cycle in Medicine and Cellular & Genetic Medicine
Current research
Genetic and epigenetic variation
We are interested in describing how genetic and epigenetic variation are associated with different reproductive endpoints. This includes genetic variants causing non-obstructive azoospermia (GEMINI, IMIGC consortia), genetic variants associated with testicular germ cell cancer (TECAC consortia), as well as genetic variants, DNA methylation patterns and small RNAs that have a significant effect on the age of pubertal onset.
Small RNAs
Small RNAs, like microRNAs (miRNAs) and the PIWI-interacting RNAs (piRNAs), are an area of great interest to our group. We have shown that the piRNAs, which are nearly unique to male germ cells, are essential for human spermatogenesis and identified small RNAs in seminal plasma and serum that can serve as markers of testicular function. For example, specific miRNAs show great promise as novel sensitive biomarkers of testicular germ cell cancer.
Testicular gene expression
The testis is a complex tissue with many different cell types, and studies of testicular gene expression, hence, need to consider the composition of cell types that are present. Our group has been involved in studies of testicular gene expression since the pre-omics era, using differential display techniques, and is now working with novel single-cell/nuclei methods and spatial transcriptomics. Comparative studies across primates have allowed us to describe the molecular evolution of spermatogenesis, and this continues to be an interest of our group.
Sperm cell function
Sperm cells are unique because they have a tightly packed haploid genome, are extremely differentiated, and have the sole purpose of fertilising an egg. Besides genetic and epigenetic influences, we are also interested in understanding how sperm cells function. We have shown that the number of viable sperm cells with an intact acrosome is important for the fertility of men and that environmental chemicals can influence sperm cell function directly.
Possible conflicts of interest
None
External positions
Professor, Department of Growth and Reproduction
Keywords
- Faculty of Health and Medical Sciences
- Reproduction
- Andrology
- Sex chromosomes
- Genetics
- Epigenetics
- Single-cell RNA sequencing
- Sequencing
- Non-coding RNAs
- Klinefelter
- Puberty
- Testicular function
- Spermatogenesis
- Testicular cancer
- Semen quality
- Male infertility
- Fertility
- Germ cell development
Collaborations and top research areas from the last five years
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Long-read sequencing of primate testis and human sperm allows identification of recombination events in individuals
Porsborg, P. S., Charmouh, A. P., Singh, V. K., Winge, S. B., Hvilsom, C., Oroperv, C., Hansen, L. T., Berner, J. A., Pelizzola, M., Laurentino, S., Neuhaus, N., Hobolth, A., Bataillon, T., Besenbacher, S., Almstrup, K. & Schierup, M. H., 2025, In: Nature Communications. 16, 1, 13 p., 10337.Research output: Contribution to journal › Journal article › Research › peer-review
Open AccessFile19 Downloads (Pure) -
Identification of genes associated with testicular germ cell tumor susceptibility through a transcriptome-wide association study
Ugalde-Morales, E., Wilf, R., Pluta, J., Ploner, A., Fan, M., Damra, M., Aben, K. K., Anson-Cartwright, L., Chen, C., Cortessis, V. K., Daneshmand, S., Ferlin, A., Gamulin, M., Gietema, J. A., Gonzalez-Niera, A., Grotmol, T., Hamilton, R. J., Harland, M., Haugen, T. B. & Hauser, R. & 30 others, , 2025, In: American Journal of Human Genetics. 112, 3, p. 630-643 14 p.Research output: Contribution to journal › Journal article › Research › peer-review
Open AccessFile3 Citations (Scopus)28 Downloads (Pure) -
X‑chromosome loss rescues Sertoli cell maturation and spermatogenesis in Klinefelter syndrome
Winge, S. B., Skakkebaek, N. E., Aksglaede, L., Saritaş, G., Rajpert-De Meyts, E., Goossens, E., Juul, A. & Almstrup, K., 2024, In: Cell Death & Disease. 15, 6, 9 p., 396.Research output: Contribution to journal › Journal article › Research › peer-review
Open AccessFile8 Citations (Scopus)62 Downloads (Pure) -
The molecular evolution of spermatogenesis across mammals
Murat, F., Mbengue, N., Winge, S. B., Trefzer, T., Leushkin, E., Sepp, M., Cardoso-Moreira, M., Schmidt, J., Schneider, C., Mößinger, K., Brüning, T., Lamanna, F., Belles, M. R., Conrad, C., Kondova, I., Bontrop, R., Behr, R., Khaitovich, P., Pääbo, S. & Marques-Bonet, T. & 4 others, , 2023, In: Nature. 613, p. 308–316Research output: Contribution to journal › Journal article › Research › peer-review
Open AccessFile131 Citations (Scopus)131 Downloads (Pure) -
Diverse monogenic subforms of human spermatogenic failure
Nagirnaja, L., Lopes, A. M., Charng, W.-L., Miller, B., Stakaitis, R., Golubickaite, I., Stendahl, A., Luan, T., Friedrich, C., Mahyari, E., Fadial, E., Kasak, L., Vigh-Conrad, K., Oud, M. S., Xavier, M. J., Cheers, S. R., James, E. R., Guo, J., Jenkins, T. G. & Riera-Escamilla, A. & 29 others, , 26 Dec 2022, In: Nature Communications. 13, 1, p. 7953Research output: Contribution to journal › Journal article › Research › peer-review
Open Access60 Citations (Scopus) -
Variant PNLDC1, Defective piRNA Processing, and Azoospermia
Nagirnaja, L., Mørup, N., Nielsen, J. E., Stakaitis, R., Golubickaite, I., Oud, M. S., Winge, S. B., Carvalho, F., Aston, K. I., Khani, F., Van Der Heijden, G. W., Marques, C. J., Skakkebaek, N. E., Rajpert–de Meyts, E., Schlegel, P. N., Jørgensen, N., Veltman, J. A., Lopes, A. M., Conrad, D. F. & Almstrup, K., 19 Aug 2021, In: New England Journal of Medicine. 385, 8, p. 707-719 13 p.Research output: Contribution to journal › Journal article › Research › peer-review
Open AccessFile94 Citations (Scopus)107 Downloads (Pure) -
Environmental factors in declining human fertility
Skakkebæk, N. E., Lindahl-Jacobsen, R., Levine, H., Andersson, A.-M., Jørgensen, N., Main, K. M., Lidegaard, Ø., Priskorn, L., Holmboe, S. A., Bräuner, E. V., Almstrup, K., Franca, L. R., Znaor, A., Kortenkamp, A., Hart, R. J. & Juul, A., 2022, In: Nature Reviews Endocrinology. 18, p. 139–157Research output: Contribution to journal › Review › peer-review
325 Citations (Scopus) -
Application of miRNAs in the diagnosis and monitoring of testicular germ cell tumours
Almstrup, K., Lobo, J., Mørup, N., Belge, G., Rajpert-De Meyts, E., Looijenga, L. H. J. & Dieckmann, K. P., 1 Apr 2020, In: Nature Reviews Urology. 17, 4, p. 201-213 13 p.Research output: Contribution to journal › Review › peer-review
92 Citations (Scopus)
Activities
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Andrology (Journal)
Almstrup, K. (Editor)
1 Jan 2023Activity: Peer-review and editorial work types › Editor of Research journal › Communication
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Scientific Reports (Journal)
Almstrup, K. (Editor)
17 Aug 2020Activity: Peer-review and editorial work types › Editor of Research journal › Research
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Genetics identifies piRNAs as essential for human spermatogenesis
Almstrup, K. (Other)
21 Sept 2022Activity: Presentations, memberships and other activity types › Lecture and oral contribution
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Genetics identifies piRNAs as essential for male germ cells
Almstrup, K. (Other)
16 May 2022Activity: Presentations, memberships and other activity types › Lecture and oral contribution
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Genetics of Reproduction
Almstrup, K. (Participant)
16 May 2022 → 17 May 2022Activity: Participating in an event - types › Organisation of and participation in conference
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Variant PNLDC1, defective piRNA processing, and azoospermia; a small genetic mutation with a huge impact on male sperm production
Almstrup, K. (Other)
24 Nov 2021Activity: Presentations, memberships and other activity types › Lecture and oral contribution
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Frontiers in Cell and Developmental Biology (Journal)
Almstrup, K. (Editor)
9 Nov 2021Activity: Peer-review and editorial work types › Editor of Research journal › Research
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Non-coding RNAs in testicular cancer and reproductive disorders
Almstrup, K. (Other)
31 May 2021Activity: Presentations, memberships and other activity types › Lecture and oral contribution
Press/Media
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Kan små molekyler afsløre problemer med fertiliteten?
10/12/2024
1 Media contribution
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Danske forskere løser mysteriet bag fire unge mænds barnløshed
05/08/2021
1 item of Media coverage
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Barnløst par måtte igennem tre års behandling - ny dansk forskning kan hjælpe andre
03/01/2018
1 item of Media coverage
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Blodprøve afslører testikelkræft flere år tidligere
11/08/2025
1 Media contribution
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I USA dystede to studerende med deres eget sæd: Se, hvem der først kom over målstregen
30/04/2025
1 Media contribution
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Fædres livsstil har betydning for deres kommende børn
29/10/2024
1 Media contribution
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Statsminister Mette Frederiksen på besøg i Afdeling for Vækst og Reproduktion
29/02/2024
1 Media contribution
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Mere gratis fertilitetsbehandling løser ikke krisen: Vi kan få sværere ved at få børn i fremtiden
04/01/2024
1 Media contribution
Press/Media: Press / Media