过度激活或亡:哪些机制影响化疗诱导的卵巢储备枯竭?
Oren Kashi1, Dror Meirow1,2
1The Morris Kahn Fertility Preservation Center, Sheba Medical Center, Ramat Gan 5262000, Israel.
International journal of molecular sciences
|November 25, 2023
概括
化疗可能会损害卵巢储备,导致过早的卵巢衰竭 (POI). 本综述探讨了化疗如何消耗原始卵泡 (PMF),并讨论了潜在的生育保护策略.
科学领域:
- 生殖生物学和内分泌学.
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 原始卵泡 (PMF) 对于卵巢储备和女性生育能力至关重要.
- 淋巴毒性化疗可以耗尽卵巢储备,并导致过早的卵巢衰竭 (POI).
- 化疗诱导的PMF枯竭可能通过过度招募,肌肉损伤或直接毒性而发生.
研究的目的:
- 审查化疗诱导的原始毛囊枯竭的机制.
- 讨论旨在预防卵巢储备损失的实验性抑制剂.
- 突出潜在的生育保护策略.
主要方法:
- 关于化疗对卵巢储备的影响研究的文献综述.
- 对原始毛囊枯竭的拟议机制的分析.
- 试验性药理学剂的检查,以保护生育能力.
主要成果:
- 化疗显著减少了卵巢储备和不断增长的卵泡群.
- 多种机制有助于化疗诱导的原始毛囊损失.
- 实验性抑制剂在抵消卵子毒性作用方面表现有前途.
结论:
- 了解化疗对原始卵泡的影响对于保持生育能力至关重要.
- 针对毛囊枯竭的特定机制,可以提供有效的预防策略.
- 需要对药理干预措施进行进一步的研究,以保护癌症幸存者的生育能力.
相关概念视频
Oogenesis
63.7K
In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
63.7K
Treatment Resistant Cancers
3.3K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.3K
The Intrinsic Apoptotic Pathway
6.6K
Internal cellular stress, such as cellular injury or hypoxia, triggers intrinsic apoptosis. The B-cell lymphoma 2 (Bcl-2) family of proteins are the primary regulators of the intrinsic apoptotic pathway. For example, during DNA damage, checkpoint proteins, such as Ataxia Telangiectasia Mutated (ATM protein) and Checkpoints Factor-2 (Chk2) proteins, are activated. These proteins phosphorylate p53 which further activates pro-apoptotic proteins, such as Bax, Bak, PUMA, and Noxa, and inhibits...
6.6K
Cancer Therapies
7.7K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.7K
Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists
215
5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
215
Targeted Cancer Therapies
7.6K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.6K


