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Germ cells are the specialized lineage of cells responsible for the transmission of genetic information across generations through the production of gametes, namely sperm and oocytes [1]. Originating as primordial germ cells during early embryonic development, they undergo a unique developmental program involving migration to the gonads, extensive epigenetic reprogramming, and meiosis to achieve haploidy [2]. While not a single molecular target, germ cells are the focal point of reproductive medicine and oncology, particularly in the context of germ cell tumors (GCTs) such as seminomas and non-seminomas [3]. These cells are highly sensitive to DNA-damaging agents like cisplatin, which is the cornerstone of GCT treatment, though such therapies often carry the risk of long-term gonadotoxicity and infertility [4]. Understanding germ cell biology is critical for addressing reproductive disorders and developing strategies for fertility preservation in patients undergoing cytotoxic treatments [5].
Drugs typically interact with germ cells via DNA cross-linking, induction of apoptosis, or inhibition of topoisomerase II, often leading to the eradication of malignant germ cells or unintended gonadotoxicity in healthy tissue [3, 4].
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