Multi-omics pleiotropic association analyses reveal functionally relevant genes and druggable pathways for ovarian

Xuan Lian1,2, Shuang Song3,4,5,6, Chen Lou2

  • 1Reproductive Medicine Center, Zhongshan Hospital, Fudan University, Shanghai, China.

Genome Biology
|May 28, 2026
PubMed
Abstract

Insights

Ovarian aging, a decline in egg quality and number, is poorly understood. Targeting DNA repair via PD-L1 blockade shows promise for delaying ovarian aging and preserving fertility.

Area of Science:

  • Reproductive biology
  • Genetics
  • Molecular biology

Background:

  • Ovarian aging involves decreased oocyte quantity and quality, impacting female reproduction.
  • The underlying biological mechanisms of ovarian aging are not well understood.
  • Current therapeutic options for ovarian aging are limited.

Purpose of the Study:

  • To identify molecular traits associated with ovarian aging.
  • To explore potential therapeutic targets for delaying ovarian aging.

Main Methods:

  • Integrative analysis of multi-omics data and genome-wide association studies.
  • Mendelian randomization and cross-omics association approaches.
  • Experimental validation of identified targets.

Main Results:

  • Prioritized key proteins, gene expressions, splicing events, and metabolites linked to ovarian aging.
  • Identified conserved genes across species and cell types.
  • Highlighted the mismatch repair gene MSH6 (MutS Homolog 6) as a key candidate.
  • Experimental validation suggested targeting DNA repair through PD-L1 (Programmed Death-Ligand 1) blockade.

Conclusions:

  • Uncovered the complex genetic and molecular basis of ovarian aging.
  • Identified molecular traits offering potential for functional studies.
  • Suggested novel therapeutic strategies for preserving ovarian function and mitigating age-related decline.

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