Human Ovarian Cortex biobanking: A Fascinating Resource for Fertility Preservation in Cancer.
cryopreservation
gonadotoxicity
oncofertility
ovarian cortex
ovarian stem cells
tissue biobanking
Journal
International journal of molecular sciences
ISSN: 1422-0067
Titre abrégé: Int J Mol Sci
Pays: Switzerland
ID NLM: 101092791
Informations de publication
Date de publication:
04 May 2020
04 May 2020
Historique:
received:
09
04
2020
revised:
30
04
2020
accepted:
01
05
2020
entrez:
8
5
2020
pubmed:
8
5
2020
medline:
7
2
2021
Statut:
epublish
Résumé
Novel anti-cancer treatments have improved the survival rates of female young patients, reopening pregnancy issues for female cancer survivors affected by the tumor treatment-related infertility. This condition occurs in approximately one third of women of fertile age and is mainly dependent on gonadotoxic protocols, including radiation treatments. Besides routine procedures such as the hormonal induction of follicular growth and subsequent cryopreservation of oocytes or embryos, the ovarian protection by gonadotropin-releasing hormone (GnRH) agonists during chemotherapy as well as even gonadal shielding during radiotherapy, other innovative techniques are available today and need to be optimized to support their introduction into the clinical practice. These novel methods are hormone stimulation-free and include the ovarian cortex cryopreservation before anti-cancer treatments and its subsequent autologous reimplantation and a regenerative medicine approach using oocytes derived in vitro from ovarian stem cells (OSCs). For both procedures, the major benefit is related to the prompt recruitment and processing of the ovarian cortex fragments before gonadotoxic treatments. However, while the functional competence of oocytes within the cryopreserved cortex is not assessable, the in vitro maturation of OSCs to oocytes, allows to select the most competent eggs to be cryopreserved for fertility restoration.
Identifiants
pubmed: 32375324
pii: ijms21093245
doi: 10.3390/ijms21093245
pmc: PMC7246700
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : IRCCS Istituto Tumori "Giovanni Paolo II", Bari
ID : 5 per mille 2016
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