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Intraperitoneal ZP123 improves aged oocyte quality by restoring granulosa cell gap junctions and improving
Hui Teng1, Qijun Xie2, Cheng Zhou3
1Department of Reproductive Medicine, Jinling Clinical Medical College, Nanjing Medical University, Nanjing, Jiangsu, 210002, China.
Journal of Ovarian Research
|May 23, 2026
Summary
Female reproductive aging impairs fertility due to decreased oocyte quality linked to connexin 43 (CX43) gap junctions. The peptide ZP123 restored ovarian function and oocyte competence in aged mice, offering a potential therapy for age-related fertility decline.
Area of Science:
- Reproductive Biology
- Cellular Biology
- Gerontology
Background:
- Female fertility declines with age due to oocyte quality deterioration.
- Oocyte maturation relies on granulosa cell communication via connexin 43 (CX43) gap junctions.
- Age-related decline in CX43-mediated communication's impact on oocyte quality is not fully understood.
Purpose of the Study:
- To investigate age-related changes in CX43 gap junction communication in the ovary.
- To determine if the peptide ZP123 can restore CX43-mediated coupling and improve fertility in aged females.
Main Methods:
- Assessed CX43 expression and phosphorylation in aged mouse ovaries and granulosa cells.
- Evaluated ZP123 effects on gap junction communication in vitro (KGN cells) and in vivo (aged mice).
- Analyzed oocyte maturation, spindle/mitochondrial function, ATP production, ROS levels, and embryo development in ZP123-treated aged mice.
Main Results:
- CX43 expression and phosphorylation decreased with age in mouse ovaries.
- ZP123 enhanced gap junction communication, improved follicle development, and oocyte maturation rates in aged mice.
- ZP123 treatment restored mitochondrial function, reduced oxidative stress, and increased blastocyst formation rates.
Conclusions:
- Disrupted CX43-mediated communication is a key factor in age-related oocyte quality decline.
- Enhancing gap junction function with ZP123 effectively restored ovarian function and oocyte developmental potential.
- Gap junction modulation presents a novel therapeutic strategy for mitigating age-related fertility loss.