Reproductive Medicine Center, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, 322000, China.
J Ovarian Res. 2024 Sep 12;17(1):183. doi: 10.1186/s13048-024-01508-y.
Ferroptosis is a novel type of programmed cell death dependent on iron and characterized by the accumulation of lipid peroxides in cells and is closely related to various diseases. Female infertility is a global health concern, which is associated with a variety of factors. The etiology remains unknown in many women with infertility. With further investigation into the pathogenesis of infertility, a growing number of studies have demonstrated the close connections between infertility and ferroptosis. Through a literature review, it is found that ferroptosis is closely involved in endometriosis- and polycystic ovarian syndrome (PCOS)-associated infertility and tubal factor infertility. Iron overload increases the resistance to ferroptosis, and ferroptosis in some cells accelerates endometrial lesion growth. Moreover, iron overload may be hazardous to oocytes. This review may shed some light on the diagnosis and treatment of female infertility.
铁死亡是一种新型的依赖于铁的程序性细胞死亡方式,其特征是细胞内脂质过氧化物的积累,与多种疾病密切相关。女性不孕是一个全球性的健康问题,与多种因素有关。许多不孕女性的病因仍不清楚。随着对不孕发病机制的进一步研究,越来越多的研究表明不孕与铁死亡密切相关。通过文献回顾,发现铁死亡与子宫内膜异位症和多囊卵巢综合征(PCOS)相关的不孕以及输卵管因素不孕密切相关。铁过载增加了对铁死亡的抵抗力,而某些细胞中的铁死亡加速了子宫内膜病变的生长。此外,铁过载可能对卵子有害。本文综述可能为女性不孕的诊断和治疗提供一些思路。