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,...

Full description

Bibliographic Details
Main Authors: Yana O. Martirosyan, Denis N. Silachev, Tatiana A. Nazarenko, Almina M. Birukova, Polina A. Vishnyakova, Gennadiy T. Sukhikh
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/13/12/2247
_version_ 1827574323593871360
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.
first_indexed 2024-03-08T20:35:34Z
format Article
id doaj.art-291e505c603e49ccac9bacf9f208cfe2
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
work_keys_str_mv AT yanaomartirosyan stemcellderivedextracellularvesiclesunlockingnewpossibilitiesfortreatingdiminishedovarianreserveandprematureovarianinsufficiency
AT denisnsilachev stemcellderivedextracellularvesiclesunlockingnewpossibilitiesfortreatingdiminishedovarianreserveandprematureovarianinsufficiency
AT tatianaanazarenko stemcellderivedextracellularvesiclesunlockingnewpossibilitiesfortreatingdiminishedovarianreserveandprematureovarianinsufficiency
AT alminambirukova stemcellderivedextracellularvesiclesunlockingnewpossibilitiesfortreatingdiminishedovarianreserveandprematureovarianinsufficiency
AT polinaavishnyakova stemcellderivedextracellularvesiclesunlockingnewpossibilitiesfortreatingdiminishedovarianreserveandprematureovarianinsufficiency
AT gennadiytsukhikh stemcellderivedextracellularvesiclesunlockingnewpossibilitiesfortreatingdiminishedovarianreserveandprematureovarianinsufficiency