He Jiahui, Ye Tiantian, Xu Keyi, Liu Yuting, Ren Lingli
Zhuji People's Hospital of Zhejiang Province, Shaoxing, Zhuji, China.
Zhejiang Chinese Medical University, Hangzhou, China.
Arch Gynecol Obstet. 2025 Jun 8. doi: 10.1007/s00404-025-08079-3.
This review explores the important role of melatonin in ovarian function.
The main manifestations of ovarian dysfunction are a decline in oocyte quality and a reduction in the number of follicles and oocytes. Current evidence suggests that environmental pollution, fungi, mycotoxins, drugs, and lifestyle are risk factors affecting ovarian function. Melatonin (MT) is an endogenous hormone synthesized by pineal gland cells, which has strong endogenous effects on scavenging free radicals and antioxidant damage. Previous studies have shown that melatonin plays a beneficial role in oocyte maturation, fertilization, and embryonic development. It can protect these cells from oxidative damage by clearing excessive free radicals, thereby regulating ovarian function and delaying ovarian aging.
This article reviews and discusses the relationship between melatonin and ovarian function regulation, including the synthesis and secretion of melatonin, the local synthesis and main role of melatonin in the ovaries, and the alleviating effect of melatonin on ovarian function decline caused by different injury factors.
This review provides important theoretical basis for clinical regulation of ovarian function.
本综述探讨褪黑素在卵巢功能中的重要作用。
卵巢功能障碍的主要表现为卵母细胞质量下降以及卵泡和卵母细胞数量减少。目前的证据表明,环境污染、真菌、霉菌毒素、药物和生活方式是影响卵巢功能的危险因素。褪黑素(MT)是一种由松果体细胞合成的内源性激素,对清除自由基和抗氧化损伤具有强大的内源性作用。先前的研究表明,褪黑素在卵母细胞成熟、受精和胚胎发育中发挥有益作用。它可以通过清除过量自由基来保护这些细胞免受氧化损伤,从而调节卵巢功能并延缓卵巢衰老。
本文综述并讨论了褪黑素与卵巢功能调节之间的关系,包括褪黑素的合成与分泌、卵巢中褪黑素的局部合成及主要作用,以及褪黑素对不同损伤因素所致卵巢功能衰退的缓解作用。
本综述为临床调节卵巢功能提供了重要的理论依据。