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线粒体动力学在生殖生理学中的意义:辅助生殖技术线粒体治疗的现状与新进展

Significance of Mitochondrial Dynamics in Reproductive Physiology: Current and Emerging Horizons in Mitochondrial Therapy for Assisted Reproductive Technologies.

作者信息

Kankanam Gamage Sanath Udayanga, Morimoto Yoshiharu

机构信息

HORAC Grand Front Osaka Clinic Osaka Japan.

出版信息

Reprod Med Biol. 2025 Aug 17;24(1):e12672. doi: 10.1002/rmb2.12672. eCollection 2025 Jan-Dec.

Abstract

BACKGROUND

Mitochondria play a critical role in cellular bioenergetics and signaling, with particular importance in the context of reproductive biology. This review summarizes their role in reproduction and explores current and emerging mitochondrial therapies for fertility treatment.

METHODS

A comprehensive literature search using terms like mitochondria, infertility, reproduction, gametes, mitochondrial replacement, and mitochondrial transplantation identified relevant studies on mitochondria's role in gametogenesis, fertilization, and early embryonic development in relevant databases. Selected publications were reviewed and summarized to present current and future mitochondrial therapies for fertility.

MAIN FINDINGS

Mitochondrial dynamics and functions are critical for meeting the energy requirements of essential reproductive processes, including gametogenesis, fertilization, and early embryonic development. Dysregulation of mitochondrial function has been associated with a range of reproductive disorders, such as infertility, recurrent pregnancy loss, and maternally inherited mitochondrial diseases. Emerging therapeutic strategies, such as mitochondrial replacement therapy, antioxidant supplementation, and mitochondrial transplantation, offer promising avenues for overcoming these challenges and improving reproductive outcomes.

CONCLUSIONS

Utilizing mitochondrial-based therapies represents a promising and innovative approach in the advancement of fertility treatments. Ongoing research and clinical development in this area hold significant potential to enhance reproductive outcomes and improve the quality of life for individuals and couples facing fertility challenges.

摘要

背景

线粒体在细胞生物能量学和信号传导中发挥着关键作用,在生殖生物学领域尤为重要。本综述总结了它们在生殖中的作用,并探讨了当前及新兴的用于生育治疗的线粒体疗法。

方法

使用线粒体、不孕症、生殖、配子、线粒体替代和线粒体移植等术语进行全面的文献检索,在相关数据库中确定了关于线粒体在配子发生、受精和早期胚胎发育中作用的相关研究。对选定的出版物进行了综述和总结,以介绍当前和未来用于生育的线粒体疗法。

主要发现

线粒体动力学和功能对于满足包括配子发生、受精和早期胚胎发育在内的基本生殖过程的能量需求至关重要。线粒体功能失调与一系列生殖障碍有关,如不孕症、复发性流产和母系遗传的线粒体疾病。新兴的治疗策略,如线粒体替代疗法、抗氧化剂补充和线粒体移植,为克服这些挑战和改善生殖结局提供了有前景的途径。

结论

利用基于线粒体的疗法是生育治疗进步中一种有前景且创新的方法。该领域正在进行的研究和临床开发具有显著潜力,可改善生殖结局,提高面临生育挑战的个人和夫妇的生活质量。

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