Stem-Cell-Derived Extracellular Vesicles: Unlocking New Possibilities for Treating Diminished Ovarian Reserve and Premature Ovarian Insufficiency
Despite advancements in assisted reproductive technology (ART), achieving successful pregnancy rates remains challenging. Diminished ovarian reserve and premature ovarian insufficiency hinder IVF success—about 20% of in vitro fertilization (IVF) patients face a poor prognosis due to a low response,...
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MDPI AG
2023-11-01
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Online Access: | https://www.mdpi.com/2075-1729/13/12/2247 |
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author | Yana O. Martirosyan Denis N. Silachev Tatiana A. Nazarenko Almina M. Birukova Polina A. Vishnyakova Gennadiy T. Sukhikh |
author_facet | Yana O. Martirosyan Denis N. Silachev Tatiana A. Nazarenko Almina M. Birukova Polina A. Vishnyakova Gennadiy T. Sukhikh |
author_sort | Yana O. Martirosyan |
collection | DOAJ |
description | Despite advancements in assisted reproductive technology (ART), achieving successful pregnancy rates remains challenging. Diminished ovarian reserve and premature ovarian insufficiency hinder IVF success—about 20% of in vitro fertilization (IVF) patients face a poor prognosis due to a low response, leading to higher cancellations and reduced birth rates. In an attempt to address the issue of premature ovarian insufficiency (POI), we conducted systematic PubMed and Web of Science research, using keywords “stem cells”, “extracellular vesicles”, “premature ovarian insufficiency”, “diminished ovarian reserve” and “exosomes”. Amid the complex ovarian dynamics and challenges like POI, stem cell therapy and particularly the use of extracellular vesicles (EVs), a great potential is shown. EVs trigger paracrine mechanisms via microRNAs and bioactive molecules, suppressing apoptosis, stimulating angiogenesis and activating latent regenerative potential. Key microRNAs influence estrogen secretion, proliferation and apoptosis resistance. Extracellular vesicles present a lot of possibilities for treating infertility, and understanding their molecular mechanisms is crucial for maximizing EVs’ therapeutic potential in addressing ovarian disorders and promoting reproductive health. |
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institution | Directory Open Access Journal |
issn | 2075-1729 |
language | English |
last_indexed | 2024-03-08T20:35:34Z |
publishDate | 2023-11-01 |
publisher | MDPI AG |
record_format | Article |
series | Life |
spelling | doaj.art-291e505c603e49ccac9bacf9f208cfe22023-12-22T14:21:04ZengMDPI AGLife2075-17292023-11-011312224710.3390/life13122247Stem-Cell-Derived Extracellular Vesicles: Unlocking New Possibilities for Treating Diminished Ovarian Reserve and Premature Ovarian InsufficiencyYana O. Martirosyan0Denis N. Silachev1Tatiana A. Nazarenko2Almina M. Birukova3Polina A. Vishnyakova4Gennadiy T. Sukhikh5V.I. Kulakov National Medical Research Center for Obstetrics Gynecology and Perinatology, Ministry of Healthcare of Russian Federation, 117997 Moscow, RussiaV.I. Kulakov National Medical Research Center for Obstetrics Gynecology and Perinatology, Ministry of Healthcare of Russian Federation, 117997 Moscow, RussiaV.I. Kulakov National Medical Research Center for Obstetrics Gynecology and Perinatology, Ministry of Healthcare of Russian Federation, 117997 Moscow, RussiaV.I. Kulakov National Medical Research Center for Obstetrics Gynecology and Perinatology, Ministry of Healthcare of Russian Federation, 117997 Moscow, RussiaV.I. Kulakov National Medical Research Center for Obstetrics Gynecology and Perinatology, Ministry of Healthcare of Russian Federation, 117997 Moscow, RussiaV.I. Kulakov National Medical Research Center for Obstetrics Gynecology and Perinatology, Ministry of Healthcare of Russian Federation, 117997 Moscow, RussiaDespite advancements in assisted reproductive technology (ART), achieving successful pregnancy rates remains challenging. Diminished ovarian reserve and premature ovarian insufficiency hinder IVF success—about 20% of in vitro fertilization (IVF) patients face a poor prognosis due to a low response, leading to higher cancellations and reduced birth rates. In an attempt to address the issue of premature ovarian insufficiency (POI), we conducted systematic PubMed and Web of Science research, using keywords “stem cells”, “extracellular vesicles”, “premature ovarian insufficiency”, “diminished ovarian reserve” and “exosomes”. Amid the complex ovarian dynamics and challenges like POI, stem cell therapy and particularly the use of extracellular vesicles (EVs), a great potential is shown. EVs trigger paracrine mechanisms via microRNAs and bioactive molecules, suppressing apoptosis, stimulating angiogenesis and activating latent regenerative potential. Key microRNAs influence estrogen secretion, proliferation and apoptosis resistance. Extracellular vesicles present a lot of possibilities for treating infertility, and understanding their molecular mechanisms is crucial for maximizing EVs’ therapeutic potential in addressing ovarian disorders and promoting reproductive health.https://www.mdpi.com/2075-1729/13/12/2247mesenchymal stem cellsmicrovesiclespremature ovarian insufficiencyangiogenesisextracellular vesicles |
spellingShingle | Yana O. Martirosyan Denis N. Silachev Tatiana A. Nazarenko Almina M. Birukova Polina A. Vishnyakova Gennadiy T. Sukhikh Stem-Cell-Derived Extracellular Vesicles: Unlocking New Possibilities for Treating Diminished Ovarian Reserve and Premature Ovarian Insufficiency Life mesenchymal stem cells microvesicles premature ovarian insufficiency angiogenesis extracellular vesicles |
title | Stem-Cell-Derived Extracellular Vesicles: Unlocking New Possibilities for Treating Diminished Ovarian Reserve and Premature Ovarian Insufficiency |
title_full | Stem-Cell-Derived Extracellular Vesicles: Unlocking New Possibilities for Treating Diminished Ovarian Reserve and Premature Ovarian Insufficiency |
title_fullStr | Stem-Cell-Derived Extracellular Vesicles: Unlocking New Possibilities for Treating Diminished Ovarian Reserve and Premature Ovarian Insufficiency |
title_full_unstemmed | Stem-Cell-Derived Extracellular Vesicles: Unlocking New Possibilities for Treating Diminished Ovarian Reserve and Premature Ovarian Insufficiency |
title_short | Stem-Cell-Derived Extracellular Vesicles: Unlocking New Possibilities for Treating Diminished Ovarian Reserve and Premature Ovarian Insufficiency |
title_sort | stem cell derived extracellular vesicles unlocking new possibilities for treating diminished ovarian reserve and premature ovarian insufficiency |
topic | mesenchymal stem cells microvesicles premature ovarian insufficiency angiogenesis extracellular vesicles |
url | https://www.mdpi.com/2075-1729/13/12/2247 |
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