延长女性生育期:现代方法与抗衰老治疗
- 作者: Kamoeva S.V.1,2, Makovskaya D.S.1, Dobrokhotova Y.E.2
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隶属关系:
- Clinic "K+31" West
- Pirogov Russian National Research Medical University
- 期: 卷 12, 编号 3 (2025)
- 页面: 268-277
- 栏目: Reviews
- ##submission.dateSubmitted##: 19.02.2025
- ##submission.dateAccepted##: 10.08.2025
- ##submission.datePublished##: 24.08.2025
- URL: https://archivog.com/2313-8726/article/view/656699
- DOI: https://doi.org/10.17816/aog656699
- EDN: https://elibrary.ru/HEWZJI
- ID: 656699
如何引用文章
详细
随着人类寿命的延长以及推迟初次妊娠的趋势,促使人们寻找能够延长女性生育期并提高生活质量的有效方法。本文为综述性文章,旨在分析构成卵巢老化基础的生理和分子过程,并探讨旨在改善卵巢储备和维持生育力的现有抗衰老策略。重点论述了氧化应激、线粒体功能障碍、包括DNA修饰在内的表观遗传机制作用,以及多种创新性治疗方法。例如,富血小板血浆(platelet-rich plasma, PRP)卵巢内注射、干细胞在卵巢组织再生中的应用、针对衰老细胞的清除性疗法,以及通过线粒体捐赠改善卵母细胞质量的前沿技术。文中还引用了临床与实验研究的数据,证明上述策略在保持女性生育潜能方面的有效性,为不孕症治疗、生活质量改善及女性延迟生育提供了新的可能。文章同时探讨了现有方法的局限性及这一领域未来的动态发展方向。
全文:
作者简介
Svetlana V. Kamoeva
Clinic "K+31" West; Pirogov Russian National Research Medical University
编辑信件的主要联系方式.
Email: sv02016@yandex.ru
ORCID iD: 0000-0002-7238-9911
SPIN 代码: 6059-0738
MD, Dr. Sci. (Medicine), Professor
俄罗斯联邦, Moscow; 1 Ostrovityanov st, Moscow, 117997Diana S. Makovskaya
Clinic "K+31" West
Email: littlede@rambler.ru
ORCID iD: 0000-0003-0159-8641
SPIN 代码: 9161-6635
俄罗斯联邦, Moscow
Yulia E. Dobrokhotova
Pirogov Russian National Research Medical University
Email: pr.dobrohotova@mail.ru
ORCID iD: 0000-0002-7830-2290
SPIN 代码: 2925-9948
MD, Dr. Sci. (Medicine), Professor
俄罗斯联邦, 1 Ostrovityanov st, Moscow, 117997参考
- Uryupina KV, Kutsenko II, Kravtsova EI, Gavryuchenko PA. Ovarian infertility factor in patients of late reproductive age. Medical Herald of the South of Russia. 2020;11(1):14–20. doi: 10.21886/2219-8075-2020-11-1-14-20 EDN: XHUYNL
- Findlay JK, Hutt KJ, Hickey M, et al. How is the number of primordial follicles in the ovarian reserve established? Biol Reprod. 2015;93(5):111. doi: 10.1095/biolreprod.115.133652
- Berezina DA, Kudryavtseva EV, Gavrilov IV. Role of oxidative stress in female reproductive system: literature review. Perm Medical Journal. 2023;40(4):62–72. doi: 10.17816/pmj40462-72 EDN: CUJHQS
- Chon SJ, Umair Z, Yoon MS. Premature ovarian insuffciency: past, present, and future. Front Cell Dev Biol. 2021;9:672890. doi: 10.3389/fcell.2021.672890
- Podfgurna-Stopa A, Czyzyk A, Grymowicz M, et al. Premature ovarian insufciency: the context of longterm efects. J Endocrinol Invest. 2016;39(9):983–990. doi: 10.1007/s40618-016-0467-z
- Malek AM, Vladutiu CJ, Meyer ML, et al. The association of age at menopause and all-cause and cause-specifc mortality by race, postmenopausal hormone use, and smoking status. Prev Med Rep. 2019;15:100955. doi: 10.1016/j.pmedr.2019.100955
- Cavalcante MB, Sampaio OGM, Câmara FEA, et al. Ovarian aging in humans: potential strategies for extending reproductive lifespan. Geroscience. 2023;45(4):2121–2133. doi: 10.1007/s11357-023-00768-8
- Agarwal A, Durairajanayagam D, du Plessis SS. Oxidative stress and female reproduction: an update. Reprod Biomed Online. 2021;42(5):813–816. doi: 10.1186/1477-7827-10-49
- Avila J, Gonzalez-Fernandez R, Rotoli D, et al. Oxidative stress in granulosa-lutein cells from in vitro fertilization patients. Reprod Sci. 2016;23(12):1656–1661. doi: 10.1177/1933719116674077
- Moolhuijsen LME, Visser JA. Anti-Müllerian hormone and ovarian reserve: update on assessing ovarian function. J Clin Endocrinol Metab. 2020;105(11):3361–3373. doi: 10.1210/clinem/dgaa513
- Knight AK, Hipp HS, Abhari S, et al. Markers of ovarian reserve are associated with reproductive age acceleration in granulosa cells from IVF patients. Hum Reprod. 2022;37(10):2438–2445. doi: 10.1093/humrep/deac178
- de Kat AC, Broekmans FJM, Lambalk CB. Role of AMH in prediction of menopause. Front Endocrinol (Lausanne). 2021;12:733731. doi: 10.3389/fendo.2021.733731
- Zhang JJ, Liu X, Chen L, et al. Advanced maternal age alters expression of maternal effect genes that are essential for human oocyte quality. Aging (Albany NY). 2020;12(4):3950–3961. doi: 10.18632/aging.102864
- Chun Y, Kim J. Autophagy: an essential degradation program for cellular homeostasis and life. Cells. 2018;7(12):278. doi: 10.3390/cells7120278
- Savitsky DV, Linkova NS, Kozhevnikova EO, et al. SASP of endothelium and vascular smooth muscle cells: role in pathogenesis and therapy of atherosclerosis. Molecular Medicine. 2022;(4):9–15. doi: 10.29296/24999490-2022-04-02 EDN: CECRWC
- Guo Z, Yu Q. Role of mTOR signaling in female reproduction. Front Endocrinol (Lausanne). 2019;10:692. doi: 10.3389/fendo.2019.00692
- Wang J, Sun X, Yang Z, et al. Epigenetic regulation in premature ovarian failure: a literature review. Front Physiol. 2023;13:998424. doi: 10.3389/fphys.2022.998424
- Rea IM, Gibson DS, McGilligan V, et al. Age and age-related diseases: role of inflammation triggers and cytokines. Front Immunol. 2018;9:586. doi: 10.3389/fimmu.2018.00586
- Shirasuna K, Iwata H. Effect of aging on the female reproductive function. Contracept Reprod Med. 2017;2:23. doi: 10.1186/s40834-017-0050-9
- Secomandi L, Borghesan M, Velarde M, Demaria M. The role of cellular senescence in female reproductive aging and the potential for senotherapeutic interventions. Hum Reprod Update. 2022;28(2):172–189. doi: 10.1093/humupd/dmab038
- Newson L. Menopause and cardiovascular disease. Post Reprod Health. 2018;24(1):44–49. doi: 10.1177/2053369117749675
- Manson JE, Chlebowski RT, Stefanick ML, et al. Menopausal hormone therapy and health outcomes during the intervention and extended poststopping phases of the Women’s Health Initiative randomized trials. JAMA. 2013;310(13):1353–68. doi: 10.1001/jama.2013.278040
- Xu L, Hu C, Liu Q, Li Y. The effect of dehydroepiandrosterone (DHEA) supplementation on IVF or ICSI: a meta-analysis of randomized controlled trials. Geburtshilfe Frauenheilkd. 2019;79(7):705–712. doi: 10.1055/a-0882-3791
- Wang Y, Hekimi S. Understanding ubiquinone. Trends Cell Biol. 2016;26(5):367–378. doi: 10.1016/j.tcb.2015.12.007
- Xu Y, Nisenblat V, Lu C, et al. Pretreatment with coenzyme Q10 improves ovarian response and embryo quality in low-prognosis young women with decreased ovarian reserve: a randomized controlled trial. Reprod Biol Endocrinol. 2018;16(1):29. doi: 10.1186/s12958-018-0343-0
- Zhang Y, Zhang C, Shu J, et al. Adjuvant treatment strategies in ovarian stimulation for poor responders undergoing IVF: a systematic review and network meta-analysis. Hum Reprod Update. 2020;26(2):247–263. doi: 10.1093/humupd/dmz046
- Tamura H, Takasaki A, Taketani T, et al. Melatonin and female reproduction. J Obstet Gynaecol Res. 2014;40(1):1–11. doi: 10.1111/jog.12177
- He C, Wang J, Zhang Z, et al. Mitochondria synthesize melatonin to ameliorate its function and improve mice oocyte's quality under in vitro conditions. Int J Mol Sci. 2016;17(6):939. doi: 10.3390/ijms17060939
- Potiris A, Stavros S, Voros C, et al. Intraovarian platelet-rich plasma administration for anovulatory infertility: preliminary findings of a prospective cohort study. Journal of Clinical Medicine. 2024;13(17):5292. doi: 10.3390/jcm13175292
- Sills ES, Rickers NS, Li X, Palermo GD. First data on in vitro fertilization and blastocyst formation after intraovarian injection of calcium gluconate-activated autologous platelet rich plasma. Gynecol Endocrinol. 2018;34(9):756–760. doi: 10.1080/09513590.2018.1445219
- Kasaven LS, Saso S, Getreu N, et al. Age-related fertility decline: is there a role for elective ovarian tissue cryopreservation? Hum Reprod. 2022;37(9):1970–1979. doi: 10.1093/humrep/deac144
- Practice committee of the American society for reproductive medicine. Fertility preservation in patients undergoing gonadotoxic therapy or gonadectomy: a committee opinion. Fertil Steril. 2019;112(6):1022–1033. doi: 10.1016/j.fertnstert.2019.09.013
- Pacheco F, Oktay K. Current success and efciency of autologous ovarian transplantation: a meta-analysis. Reprod Sci. 2017;24(8):1111–1120. doi: 10.1177/1933719117702251
- Farnezi HCM, Goulart ACX, Santos AD, et al. Three-parent babies: Mitochondrial replacement therapies. JBRA Assist Reprod. 2020;24(2):189–196. doi: 10.5935/1518-0557.20190086
- Zhao YX, Chen SR, Su PP, et al. Using mesenchymal stem cells to treat female infertility: an update on female reproductive diseases. Stem Cells Int. 2019;2019:9071720. doi: 10.1155/2019/9071720
- Castrillon DH, Miao L, Kollipara R, et al. Suppression of ovarian follicle activation in mice by the transcription factor Foxo3a. Science. 2003;301(5630):215–218. doi: 10.1126/science.1086336
- Skaznik-Wikiel ME, Swindle DC, Allshouse AA, et al. High-fat diet causes subfertility and compromised ovarian function independent of obesity in mice. Biol Reprod. 2016;94(5):108. doi: 10.1095/biolreprod.115.137414
- Clarke SL, Reaven GM, Leonard D, et al. Cardiorespiratory fitness, body mass index, and markers of insulin resistance in apparently healthy women and men. Am J Med. 2020;133(7):825–830.e2. doi: 10.1016/j.amjmed.2019.11.031
- Bala R, Singh V, Rajender S, Singh K. Environment, lifestyle, and female infertility. Reprod Sci. 2021;28(3):617–638. doi: 10.1007/s43032-020-00279-3
- Biryukova DA, Amyan TS, Gavisova AA, et al. The effect of stress on the female reproductive system: pathophysiology and neuroendocrine interactions. Akusherstvo i Ginekologiya. 2023;(11):36–42. doi: 10.18565/aig.2023.175 EDN: JKJWDK
- Pignolo RJ, Passos JF, Khosla S, et al. Reducing senescent cell burden in aging and disease. Trends Mol Med. 2020;26(7):630–638. doi: 10.1016/j.molmed.2020.03.005
- Paez-Ribes M, Gonzalez-Gualda E, Doherty GJ, Munoz-Espin D. Targeting senescent cells in translational medicine. EMBO Mol Med. 2019;11(12):e10234. doi: 10.15252/emmm.201810234
- Dou X, Sun Y, Li J, et al. Short-term rapamycin treatment increases ovarian lifespan in young and middle-aged female mice. Aging Cell. 2017;16(4):825–836. doi: 10.1111/acel.12617
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