Transient inhibition of p53 homologs protects ovarian function from two distinct apoptotic pathways triggered by

So-Youn Kim1, Devi M Nair2, Megan Romero3

  • 1Division of Reproductive Science in Medicine, Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. so-youn-kim@northwestern.edu.

Insights

Platinum chemotherapy and radiation damage oocytes via distinct pathways. Inhibiting DNA damage response kinases fully preserves ovarian function and fertility in mice against both treatments.

Area of Science:

  • Reproductive biology
  • Molecular oncology
  • Cellular signaling

Background:

  • Platinum-based chemotherapies can cause ovarian insufficiency by reducing ovarian reserve.
  • Oocyte apoptosis is a key mechanism, potentially involving TAp63α phosphorylation by kinases like CHEK2, CK1, and ABL1.

Purpose of the Study:

  • To elucidate the novel pathway of cisplatin-induced oocyte apoptosis.
  • To investigate the feasibility of protecting ovarian function against chemotherapy and radiation.

Main Methods:

  • Investigated cisplatin (CDDP) and X-irradiation effects on oocyte apoptosis in vivo.
  • Utilized oocyte-specific gene deletion and kinase inhibitors targeting DNA damage response pathways (ATR/CHEK1, ATM/CHEK2).
  • Assessed TAp63α activation, phosphorylation, and overall ovarian function and fertility preservation.

Main Results:

  • CDDP induces oocyte apoptosis via the ATR > CHEK1 pathway, independent of TAp63α hyper-phosphorylation.
  • X-irradiation activates the ATM > CHEK2 > TAp63α hyper-phosphorylation pathway.
  • Temporary repression of DNA damage response kinases (ATM, ATR, CHEK1, CHEK2) fully preserves fertility in mice against both CDDP and X-ray.

Conclusions:

  • Established distinct molecular pathways for CDDP and X-ray-induced oocyte apoptosis.
  • Demonstrated that temporary inhibition of DNA damage response pathways is a viable strategy for preserving ovarian function against gonadotoxic agents.
  • Provides a molecular basis for developing adjuvant therapies to protect fertility.

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