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Published on: February 24, 2023
Genomic Consideration in Chemotherapy-Induced Ovarian Damage and Fertility Preservation
Seongmin Kim1, Sanghoon Lee2, Hyun-Tae Park2
1Gynecologic Cancer Center, CHA Ilsan Medical Center, CHA University College of Medicine, 1205 Jungang-ro, Ilsandong-gu, Goyang-si 10414, Korea.
Abstract:
Chemotherapy-induced ovarian damage and fertility preservation in young patients with cancer are emerging disciplines. The mechanism of treatment-related gonadal damage provides important information for targeting prevention methods. The genomic aspects of ovarian damage after chemotherapy are not fully understood. Several studies have demonstrated that gene alterations related to follicular apoptosis or accelerated follicle activation are related to ovarian insufficiency and susceptibility to ovarian damage following chemotherapy. This may accelerate follicular apoptosis and follicle reservoir utilization and damage the ovarian stroma via multiple molecular reactions after chemotherapy. This review highlights the importance of genomic considerations in chemotherapy-induced ovarian damage and multidisciplinary oncofertility strategies for providing high-quality care to young female cancer patients.
Insights
Chemotherapy can damage ovaries in young cancer patients by affecting genes involved in follicle health. Understanding these genomic changes is key to developing fertility preservation strategies.
Area of Science:
- Reproductive medicine
- Genomics
- Oncology
Background:
- Chemotherapy-induced ovarian damage impacts fertility in young cancer patients.
- Understanding the genomic mechanisms of ovarian damage is crucial for developing targeted prevention strategies.
Purpose of the Study:
- To review the genomic aspects of chemotherapy-induced ovarian damage.
- To highlight the importance of multidisciplinary oncofertility strategies for young female cancer patients.
Main Methods:
- Literature review of studies on genomic alterations and ovarian damage.
- Analysis of molecular pathways involved in follicular apoptosis and follicle activation.
Main Results:
- Gene alterations linked to follicular apoptosis and accelerated follicle activation contribute to ovarian insufficiency.
- Chemotherapy can accelerate follicular apoptosis, deplete the follicle reserve, and damage ovarian stroma through molecular pathways.
Conclusions:
- Genomic factors play a significant role in chemotherapy-induced ovarian damage.
- Multidisciplinary oncofertility approaches are essential for preserving fertility and ensuring high-quality care for young female cancer survivors.
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