老年卵巢中的氧化应激、生育史与残余卵泡:对卵巢癌风险及保护的见解
Oxidative Stress, Parity History, and Remnant Follicles in the Aged Ovary: Insights on Ovarian Cancer Risk and Protection.
作者信息
Urzúa Ulises, Marín Arnaldo, Castellón Enrique A
机构信息
Laboratorio de Genómica Aplicada, Departamento de Oncología Básico Clínica, Facultad de Medicina, Universidad de Chile, Independencia 1027, Santiago 8380453, Chile.
Laboratorio de Genómica del Cáncer, Departamento de Oncología Básico Clínica, Facultad de Medicina, Universidad de Chile, Independencia 1027, Santiago 8380453, Chile.
出版信息
Antioxidants (Basel). 2025 Jun 20;14(7):759. doi: 10.3390/antiox14070759.
Ovarian cancer (OC) is the most lethal gynecological cancer globally. Its incidence and mortality consistently rise after menopause. While parity reduces the risk of OC, nulliparity during a woman's fertile years increases it. Although the association between reproductive history and OC risk is well-established, the long-term impact of pregnancy on the postmenopausal human ovary has received little to no attention. Parity apparently delays the natural decline of the ovarian reserve, but this association also remains unexplored to date. Based on data from cellular, biochemical, and histological markers, as well as epidemiological studies, transcriptomic analyses, and gene knockout mouse models, we review compelling evidence suggesting a critical intraovarian interplay between the residual ovarian reserve and the ovarian surface epithelium (OSE) in the aged ovary. This interaction appears to be a key factor underlying the protective effect of parity on ovarian cancer (OC) risk. We propose that functional FSHR signaling in the remnant follicles of the aged multiparous ovary somehow counteracts the oxidative stress and subsequent chronic inflammation typically observed in the senescent ovary. This mechanism would minimize DNA damage, thereby lowering the probability of neoplastic transformation in the aged mammalian ovary. The precise mechanism by which pregnancy imprints such a long-term follicle-OSE crosstalk warrants further investigation.
卵巢癌(OC)是全球最致命的妇科癌症。其发病率和死亡率在绝经后持续上升。生育可降低患OC的风险,而女性生育期未生育则会增加风险。尽管生殖史与OC风险之间的关联已得到充分证实,但妊娠对绝经后人类卵巢的长期影响却很少受到关注。生育显然会延迟卵巢储备的自然下降,但这种关联迄今为止也尚未得到探索。基于细胞、生化和组织学标志物的数据,以及流行病学研究、转录组分析和基因敲除小鼠模型,我们综述了有力证据,表明在老龄卵巢中,残余卵巢储备与卵巢表面上皮(OSE)之间存在关键的卵巢内相互作用。这种相互作用似乎是生育对卵巢癌(OC)风险具有保护作用的关键因素。我们提出,老龄经产妇卵巢残余卵泡中的功能性促卵泡激素受体(FSHR)信号以某种方式抵消了衰老卵巢中通常观察到的氧化应激及随后的慢性炎症。这种机制将使DNA损伤最小化,从而降低老龄哺乳动物卵巢发生肿瘤转化的概率。妊娠产生这种长期卵泡 - OSE串扰的确切机制有待进一步研究。