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Updated: Jan 3, 2026

Z-Scores for Assessing Ovarian Reserve in Young Patients Undergoing Fertility Preservation
Published on: October 25, 2024
NMN does not protect the ovarian reserve from cancer treatments
Jessica Stringer1, Ella Groenewegen1, Seng H Liew1
1Ovarian Biology Laboratory, Biomedicine Discovery Institute, Department of Anatomy and Developmental Biology, Monash University, Melbourne, Victoria, Australia.
Abstract:
Primordial follicle oocytes are extremely vulnerable to DNA damage caused by exogenous agents, such as those commonly used to treat cancer. Consequently, female cancer patients often have diminished ovarian reserve, which if severe enough, can cause premature ovarian failure and early menopause. Advances in cancer therapies have resulted in significantly improved cancer survival rates; therefore, it is becoming increasingly important to devise strategies to protect the ovarian reserve from cancer treatments, to avoid loss of fertility and endocrine dysfunction. In this study, we aimed to determine whether supplementation with nicotinamide mononucleotide (NMN) could preserve the ovarian reserve following exposure to DNA-damaging cancer treatments. Adult female mice (n = 5-6/group) received saline or NMN (500 mg/kg/day) for 8 days. Mice were left untreated or exposed to γ-irradiation (0.1 Gy) or cyclophosphamide (150 mg/kg) on day 7 and ovaries and serum collected for analysis on day 12. We report that γ-irradiation treatment significantly reduced the number of primordial follicles, but supplementation with NMN did not prevent the observed follicle loss. Similarly, cyclophosphamide treatment significantly reduced primordial follicle numbers, but these losses were not prevented by NMN supplementation. In conclusion, depletion of the ovarian reserve following γ-irradiation or cyclophosphamide was not protected by NMN supplementation under the conditions employed in this study.
Insights
Nicotinamide mononucleotide (NMN) did not protect primordial follicles from DNA damage caused by cancer treatments like gamma-irradiation and cyclophosphamide in mice. Ovarian reserve depletion occurred despite NMN supplementation.
Area of Science:
- Reproductive biology
- Oncology
- Pharmacology
Background:
- Cancer therapies, such as chemotherapy and radiation, can cause DNA damage to primordial follicle oocytes.
- This damage diminishes ovarian reserve, potentially leading to premature ovarian failure and early menopause in female cancer survivors.
- Protecting ovarian reserve is crucial for maintaining fertility and endocrine function in these patients.
Purpose of the Study:
- To investigate the potential of nicotinamide mononucleotide (NMN) supplementation in preserving ovarian reserve.
- To assess NMN's efficacy in protecting primordial follicles from DNA damage induced by gamma-irradiation and cyclophosphamide.
Main Methods:
- Adult female mice were administered saline or NMN (500 mg/kg/day) for 8 days.
- Mice were exposed to either gamma-irradiation (0.1 Gy) or cyclophosphamide (150 mg/kg) on day 7.
- Ovaries and serum were collected on day 12 for analysis of primordial follicle counts.
Main Results:
- Gamma-irradiation significantly reduced the number of primordial follicles.
- Cyclophosphamide treatment also significantly decreased primordial follicle numbers.
- NMN supplementation did not prevent the loss of primordial follicles in either treatment group.
Conclusions:
- Under the experimental conditions, NMN supplementation failed to protect the ovarian reserve from DNA-damaging effects of gamma-irradiation.
- NMN also did not prevent cyclophosphamide-induced depletion of primordial follicles.
- Further research is needed to explore alternative strategies for ovarian protection during cancer treatment.
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