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.

Genes
|October 23, 2021
PubMed

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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