延长女性生育期:现代方法与抗衰老治疗

封面


如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

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:

受限制的访问

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, 117997

Diana 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

  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. Chun Y, Kim J. Autophagy: an essential degradation program for cellular homeostasis and life. Cells. 2018;7(12):278. doi: 10.3390/cells7120278
  15. 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
  16. Guo Z, Yu Q. Role of mTOR signaling in female reproduction. Front Endocrinol (Lausanne). 2019;10:692. doi: 10.3389/fendo.2019.00692
  17. 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
  18. 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
  19. 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
  20. 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
  21. Newson L. Menopause and cardiovascular disease. Post Reprod Health. 2018;24(1):44–49. doi: 10.1177/2053369117749675
  22. 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
  23. 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
  24. Wang Y, Hekimi S. Understanding ubiquinone. Trends Cell Biol. 2016;26(5):367–378. doi: 10.1016/j.tcb.2015.12.007
  25. 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
  26. 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
  27. 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
  28. 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
  29. 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
  30. 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
  31. 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
  32. 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
  33. 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
  34. 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
  35. 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
  36. 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
  37. 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
  38. 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
  39. 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
  40. 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
  41. 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
  42. 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
  43. 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

补充文件

附件文件
动作
1. JATS XML

版权所有 © Eco-Vector, 2025



СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ:
ПИ № ФС 77 - 86335 от 11.12.2023 г.  
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ:
ЭЛ № ФС 77 - 80633 от 15.03.2021 г.