National Medical Research Center for Obstetrics, Gynecology and Perinatology Named after Academician V.I. Kulakov, Moscow 117997, Russia.
A.N. Belozersky Research Institute of Physico-Chemical Biology, Moscow State University, Moscow 119992, Russia.
Aging (Albany NY). 2021 Jun 22;13(12):16873-16894. doi: 10.18632/aging.203206.
Female reproductive aging is, in a way, a biological phenomenon that develops along canonical molecular pathways; however, it has particular features. Recent studies revealed complexity of the interconnections between reproductive aging and aging of other systems, and even suggested a cause-effect uncertainty between them. It was also shown that reproductive aging can impact aging processes in an organism at the level of cells, tissues, organs, and systems. Women at the end of their reproductive lives are characterized by the accelerated incidence of age-related diseases. Timing of the onset of menarche and menopause and variability in the duration of reproductive life carry a latent social risk: not having enough information about the reproductive potential, women keep on postponing childbirth. Identification and use of the most accurate and sensitive aging biomarkers enable the prediction of menopause timing and quantification of the true biological and reproductive ages of an organism. We discuss current views on reproductive aging and peculiarities of using available biomarkers of aging. We also consider latest advances in the search for potential genetic markers of reproductive aging. Finally, we posit the importance of determining the female biological age and highlight potential research directions in this area.
女性生殖衰老在某种程度上是沿着典型的分子途径发展的生物学现象;然而,它具有特定的特征。最近的研究揭示了生殖衰老与其他系统衰老之间相互联系的复杂性,甚至表明它们之间存在因果关系的不确定性。研究还表明,生殖衰老可以在细胞、组织、器官和系统水平上影响生物体的衰老过程。处于生殖生命末期的女性其与年龄相关的疾病的发病率加速上升。初潮和绝经的时间以及生殖寿命的可变性带有潜在的社会风险:由于缺乏有关生殖潜力的足够信息,女性不断推迟生育。鉴定和使用最准确和敏感的衰老生物标志物能够预测绝经时间并量化生物体的真实生物学和生殖年龄。我们讨论了当前对生殖衰老的看法以及使用现有衰老生物标志物的特点。我们还考虑了寻找生殖衰老潜在遗传标志物的最新进展。最后,我们认为确定女性生物年龄的重要性,并强调该领域的潜在研究方向。
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