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化疗后卵巢早衰的恢复:其治疗或管理的当前成果与未来前景

Premature ovarian insufficiency restoration after chemotherapy: current achievements and future prospects on its treatment or management.

作者信息

Aboutalebi Hamideh, Vafaei Shayan, Aboutalebi Mohammad, Dortaj Hengameh, Alipour Fatemeh, Bideskan Alireza Ebrahimzadeh-

机构信息

Department of Anatomy and Cell Biology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Faculty of Medicine and Surgery, Tor Vergata University, Rome, Italy.

出版信息

J Ovarian Res. 2025 Jul 31;18(1):171. doi: 10.1186/s13048-025-01677-4.

DOI:10.1186/s13048-025-01677-4
PMID:40745328
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12312501/
Abstract

One of the important discussions in assisted reproductive technology (ART) is to maintain fertility in those who are at risk of losing their fertility for various reasons, including cancer and the use of anti-cancer therapies, hence finding a way to maintain fertility during chemotherapy, is vital. Nowadays, in addition to successfully treating patients, oncologists have also focused their attention on preserving their patients' potential of the latter to conceive. Chemotherapy-related ovarian failure, which manifests as a non-physiological form of amenorrhea, can cause dysfunction of the ovary. It is hypothesized that chemotherapeutic agents may cause DNA damage, accelerate follicular apoptosis, oxidative stress, resulting in loss of ovarian reserve function. Hence investigation on utilization of alternatives in order to maintain ovarian function and fertility in cancer survivors seems important. This review provides an update on available and potential future prospects for fertility preservation in women treated with chemotherapy.

摘要

辅助生殖技术(ART)中的一项重要讨论是如何维持那些因各种原因(包括癌症和使用抗癌疗法)而面临生育能力丧失风险的人的生育能力,因此找到在化疗期间维持生育能力的方法至关重要。如今,除了成功治疗患者外,肿瘤学家还将注意力集中在保留患者的受孕潜力上。化疗相关的卵巢功能衰竭表现为非生理性闭经,可导致卵巢功能障碍。据推测,化疗药物可能会导致DNA损伤、加速卵泡凋亡、氧化应激,从而导致卵巢储备功能丧失。因此,研究利用替代方法来维持癌症幸存者的卵巢功能和生育能力似乎很重要。这篇综述提供了关于接受化疗的女性生育力保存的现有方法和潜在未来前景的最新信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff0/12312501/a338738adc85/13048_2025_1677_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff0/12312501/72638354dfa3/13048_2025_1677_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff0/12312501/8b898095e7e5/13048_2025_1677_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff0/12312501/37c0524f8003/13048_2025_1677_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff0/12312501/438571a8c8e3/13048_2025_1677_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff0/12312501/a338738adc85/13048_2025_1677_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff0/12312501/72638354dfa3/13048_2025_1677_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff0/12312501/8b898095e7e5/13048_2025_1677_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff0/12312501/37c0524f8003/13048_2025_1677_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff0/12312501/438571a8c8e3/13048_2025_1677_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff0/12312501/a338738adc85/13048_2025_1677_Fig5_HTML.jpg

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本文引用的文献

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Current Status and Future Prospects of Stem Cell Therapy for Infertile Patients with Premature Ovarian Insufficiency.干细胞治疗卵巢早衰不孕患者的现状与展望。
Biomolecules. 2024 Feb 19;14(2):242. doi: 10.3390/biom14020242.
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Trials and Tribulations of MicroRNA Therapeutics.
miRNA 治疗的困境与挑战
Int J Mol Sci. 2024 Jan 25;25(3):1469. doi: 10.3390/ijms25031469.
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Exercise Training Benefits Health-Related Quality of Life and Functional Capacity during Breast Cancer Chemotherapy: A Randomized Controlled Trial.运动训练对乳腺癌化疗期间与健康相关的生活质量和功能能力有益:一项随机对照试验。
Med Sci Sports Exerc. 2024 Apr 1;56(4):600-611. doi: 10.1249/MSS.0000000000003341. Epub 2023 Nov 27.
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Prospects of Topoisomerase Inhibitors as Promising Anti-Cancer Agents.拓扑异构酶抑制剂作为有前景的抗癌药物的前景。
Pharmaceuticals (Basel). 2023 Oct 13;16(10):1456. doi: 10.3390/ph16101456.
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Correction: Therapeutic options for premature ovarian insufficiency: an updated review.更正:卵巢早衰的治疗选择:最新综述。
Reprod Biol Endocrinol. 2023 Sep 4;21(1):81. doi: 10.1186/s12958-023-01133-2.
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Stem cell-derived exosome versus stem cell therapy.干细胞衍生外泌体与干细胞疗法
Nat Rev Bioeng. 2023 Apr 12:1-2. doi: 10.1038/s44222-023-00064-2.
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Yoga Therapy During Chemotherapy for Early-Stage and Locally Advanced Breast Cancer.瑜伽疗法在早期和局部晚期乳腺癌化疗期间的应用。
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