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Aging and oocyte competence: A molecular cell perspective

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WIRES MECHANISMS OF DISEASE
卷 -, 期 -, 页码 -

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WILEY
DOI: 10.1002/wsbm.1613

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mitochondria; nuclear and cytoplasmic maturation; oocyte aging; oocyte competence; oocyte microenvironment

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The follicular microenvironment plays a crucial role in oocyte competence, and both nuclear and cytoplasmic maturation processes are affected by female aging. Advanced maternal age is associated with decreased oocyte quality and lower chances of pregnancy and live birth. Mitochondrial dysfunction is a key factor that contributes to these age-related changes, leading to oxidative stress, nuclear and mitochondrial damage, energy deficiency, calcium disturbance, and meiotic spindle alterations. Understanding the mechanisms behind the decline in oocyte quality can help identify biomarkers and develop anti-aging therapies.
Follicular microenvironment is paramount in the acquisition of oocyte competence, which is dependent on two interconnected and interdependent processes: nuclear and cytoplasmic maturation. Extensive research conducted in human and model systems has provided evidence that those processes are disturbed with female aging. In fact, advanced maternal age (AMA) is associated with a lower chance of pregnancy and live birth, explained by the age-related decline in oocyte quality/competence. This decline has largely been attributed to mitochondria, essential for oocyte maturation, fertilization, and embryo development; with mitochondrial dysfunction leading to oxidative stress, responsible for nuclear and mitochondrial damage, suboptimal intracellular energy levels, calcium disturbance, and meiotic spindle alterations, that may result in oocyte aneuploidy. Nuclear-related mechanisms that justify increased oocyte aneuploidy include deoxyribonucleic acid (DNA) damage, loss of chromosomal cohesion, spindle assembly checkpoint dysfunction, meiotic recombination errors, and telomere attrition. On the other hand, age-dependent cytoplasmic maturation failure is related to mitochondrial dysfunction, altered mitochondrial biogenesis, altered mitochondrial morphology, distribution, activity, and dynamics, dysmorphic smooth endoplasmic reticulum and calcium disturbance, and alterations in the cytoskeleton. Furthermore, reproductive somatic cells also experience the effects of aging, including mitochondrial dysfunction and DNA damage, compromising the crosstalk between granulosa/cumulus cells and oocytes, also affected by a loss of gap junctions. Old oocytes seem therefore to mature in an altered microenvironment, with changes in metabolites, ribonucleic acid (RNA), proteins, and lipids. Overall, understanding the mechanisms implicated in the loss of oocyte quality will allow the establishment of emerging biomarkers and potential therapeutic anti-aging strategies.This article is categorized under:Reproductive System Diseases > Molecular and Cellular Physiology

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