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Identification of cryosensitive niches and a targetable FOS/AP‑1 program in the human ovarian cortex by single‑cell
Fanghao Guo1,2, Di Sun3,4, Haixia Ding3
1Center for Reproductive Medicine & Fertility Preservation Program, School of Medicine, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University, Shanghai, 200030, China. fhguo@sibs.ac.cn.
BMC Medicine
|March 3, 2026
Summary
Ovarian cryopreservation damages stromal and perivascular cells by activating the FOS/AP-1 pathway. Inhibiting this pathway rescued frozen-thawed ovarian function, offering insights into fertility preservation.
Area of Science:
- Reproductive biology and cryobiology
- Single-cell and spatial transcriptomics
- Molecular mechanisms of cryoinjury
Background:
- Ovarian tissue cryopreservation (OTC) is crucial for preserving female fertility.
- Cellular targets and molecular pathways of cryoinjury in ovarian tissue are not well understood.
- Identifying vulnerable cell types and mechanisms is essential for improving OTC protocols.
Purpose of the Study:
- To identify ovarian cell populations susceptible to cryopreservation-induced damage.
- To elucidate molecular alterations and signaling pathways affected by freezing-thawing.
- To investigate the role of the FOS/AP-1 pathway in ovarian cryoinjury.
Main Methods:
- Ovarian cortical tissues were subjected to vitrification-rapid warming.
- Single-cell RNA sequencing (scRNA-seq) analyzed 52,665 cells (fresh and frozen-thawed).
- Smart-seq2 analyzed 110 oocytes; spatial transcriptomics (Stereo-seq) and molecular validation were performed.
Main Results:
- Cryopreservation significantly impacted focal adhesion, oxidative stress, and apoptosis pathways in stromal and perivascular cells.
- Vitrification-rapid warming increased FOS-positive perivascular cells and decreased PTGDS-positive stromal cells.
- The FOS/AP-1 pathway was robustly activated in perivascular and granulosa cells; its inhibition partially restored ovarian function.
Conclusions:
- Stromal and perivascular cells are highly sensitive to ovarian cryopreservation.
- FOS/AP-1 pathway activation is a key mechanism contributing to cryoinjury and metabolic impairment.
- Oocyte cryopreservation primarily affects cell cycle and meiosis, with potential for recovery.

