Українська English

ISSN 2522-9028 (Print)
ISSN 2522-9036 (Online)
DOI: https://doi.org/10.15407/fz

Fiziologichnyi Zhurnal

is a scientific journal issued by the

Bogomoletz Institute of Physiology
National Academy of Sciences of Ukraine

Editor-in-chief: V.F. Sagach

The journal was founded in 1955 as
1955 – 1977 "Fiziolohichnyi zhurnal" (ISSN 0015 – 3311)
1978 – 1993 "Fiziologicheskii zhurnal" (ISSN 0201 – 8489)
1994 – 2016 "Fiziolohichnyi zhurnal" (ISSN 0201 – 8489)
2017 – "Fiziolohichnyi zhurnal" (ISSN 2522-9028)

Fiziol. Zh. 2024; 70(4): 95-101


PERSPECTIVE METHODS OF PREMATURE OVARIAN FAILURE TREATMENT

V.O. Sribna, T.V. Blashkiv, T.Yu. Voznesenska

  1. Bogomoletz Institute of Physiology of National Academy of Sciences of Ukraine,Kyiv, Ukraine
DOI: https://doi.org/10.15407/fz70.04.095


Abstract

Premature ovarian failure (PОF) in women under 40 is a medical condition in which ovarian follicles are exhausted and cease to function normally as both reproductive and endocrine organs. This condition often leads to infertility because it is associated with hypoestrogenia, which causes menstrual irregularities and pregnancy failure. Decreased estrogen secretion also causes many menopausal symptoms, such as hot flashes, night sweats, and insomnia. In addition, the longterm consequences of POF increase the risk of lifelong skeletal vulnerability and cardiovascular as well as neurocognitive disorders. The purpose of the work is to collect, analyze and summarize data from recent years about promising methods of treatment of premature ovarian failure, namely about autologous ovarian tissue transplantation, creation of artificial ovaries and oocytes, treatment with iron nanoparticles, intraovarian injections of autolytic platelet-rich plasma. It should be noted that premature ovarian failure (POF) differs from menopause in that ovarian failure may not be permanent; in such patients with POF, pregnancy is spontaneous and occurs infrequently. Our analysis and summarization of data from recent years suggests that 1) because autologous ovarian tissue transplantation requires tissue collection, this method is generally applicable to a specific patient group, women who are expected to have ovarian failure after cancer therapy, and a group of patients who experience gamete depletion as a result of a prognosis or even a diagnosis of POF. Ovarian tissue transplantation, which has been known for two decades, still has significant risks and technical limitations and is not recognized as a reliable method in clinical practice. 2) the concept of "artificial ovary" remains at the stage of experimental development of cellular systems in animals. Whereas, by creating artificial oocytes from several different sources (cell types), live birth has already been achieved in animals. And expectations are aimed at a steady progression to their clinical use in humans. 3) the use of zero-valent iron nanoparticles under the conditions of experimental immune complex failure has a certain corrective effect on the disorder of ovarian function. There is reason to believe that the effect of the treatment with zero-valent iron nanoparticles is fundamentally different from the macroscopic one in the effects on cells and, apparently, in the mechanisms of action - which requires further study. 4) treatment with platelet-rich plasma (PRP) remains an invasive ultrasound-guided procedure with risks that are not yet fully understood. At this point, PRP should still be considered an experimental procedure for patients with POF (premature ovarian failure). It is relevant to continue research on the influence of PRP components on the ovary, to evaluate the effect of the PRP concentration, which could play a key role in the proliferation and differentiation of mesenchymal cells; and to establish the optimal time intervals between PRP procedures, the volume treatment, and the maximum and minimum number of such procedures. In general, the proposed promising methods (autologous ovarian tissue transplantation, creation of artificial ovaries and oocytes, use of nanomaterials (iron nanoparticles), intraovarian injections of autolytic platelet-rich plasma) are achievements in biomedical engineering aimed at overcoming infertility, associated with premature ovarian failure.

Keywords: premature ovarian failure; autologous transplantation of ovarian tissues; artificial ovaries and oocytes; nanoparticles of zero-valent iron; intraovarian injections of autolytic platelet-rich plasma

References

  1. Chon S, Umair Z, Yoon M. Premature ovarian insufficiency: Past, present, and future. Front Cell Dev Biol. 2021; 9: 672890. CrossRef PubMed PubMedCentral
  2. Wang Y, Jiang J, Zhang J, Fan P, Xu J. Research progress on the etiology and treatment of premature ovarian insufficiency. Biomed Hub. 2023; 8(1):97-107. CrossRef PubMed PubMedCentral
  3. Wesevich V, Kellen AN, Pal L. Recent advances in understanding primary ovarian insufficiency. F1000Res. 2020; 9:1101. CrossRef PubMed PubMedCentral
  4. Shekari S, Stankovic S, Gardner EJ, Hawkes G, Kentistou KA, Beaumont RN, Mörseburg A, et al. Penetrance of pathogenic genetic variants associated with premature ovarian insufficiency. Nat Med. 2023;29(7):1692-9. CrossRef PubMed
  5. Rosario R, Anderson RA. Novel approaches to fertility restoration in women with premature ovarian insufficiency. Climacteric. 2021; 24(5):491-7. CrossRef PubMed
  6. Tong Y, Cheng N, Jiang X, Wang K, Wang F, Lin X, Wang F. The trends and hotspots in premature ovarian insufficiency therapy from 2000 to 2022. Int J Environ Res Publ Health. 2022;19(18):11728. CrossRef PubMed PubMedCentral
  7. Zhu Zh, Xu W, Liu L. Ovarian aging: mechanisms and intervention strategies. Med Rev 2022;2(6):590-610. CrossRef PubMed PubMedCentral
  8. Moustaki M, Kontogeorgi A, Tsangkalova G, Tzoupis H, Makrigiannakis A, Vryonidou A, Kalantaridou SN. Biological therapies for premature ovarian insufficiency: what is the evidence? Front Reprod Health. 2023; 7(5):1194575. CrossRef PubMed PubMedCentral
  9. Torrealday S, Kodaman P, Pal L. Premature ovarian insufficiency - an update on recent advances in understanding and management. F1000Res. 2017; 6:2069. CrossRef PubMed PubMedCentral
  10. Baek JS. A clinical study on one case of a spontaneous pregnancy with premature ovarian failure. J Korean Obstet Gynecol. 2018; 31: 95-102.
  11. Fenton A. Premature ovarian insufficiency: pathogenesis and management. J Midlife Health. 2015; 6: 147-53. CrossRef PubMed PubMedCentral
  12. Graham S, Archer DF, Simon JA, Ohleth KM, Bernick B. Review of menopausal hormone therapy with estradiol and progesterone versus other estrogens and progestins. Gynecol Endocrinol. 2022;38(11):891-910. CrossRef PubMed
  13. Crofton PM, Evans N, Bath LE, Warner P, Whitehead TJ, Critchley HO, et al. Physiological versus standard sex steroid replacement in young women with premature ovarian failure: effects on bone mass acquisition and turnover. Clin Endocrinol. 2010; 73:707-14. CrossRef PubMed
  14. Graham S, Archer DF, Simon JA, Ohleth KM, Bernick B. Review of menopausal hormone therapy with estradiol and progesterone versus other estrogens and progestins. Gynecol Endocrinol. 2022;38(11):891-910. CrossRef PubMed
  15. Li XT, Li PY, Liu Y, Yang HS, He LY, Fang YG, Liu J, et al. Health-related quality-of-life among patients with premature ovarian insufficiency: a systematic review and meta-analysis. Qual Life Res. 2020;29(1):19-36. CrossRef PubMed PubMedCentral
  16. Eliyahu E, Katz M.G, Vincek A, Freage-Kahn L, Ravvin Sh, Tal S, Grage H, et al. Effects of hormone replacement therapy on women's lung health and disease. Pulm Ther. 2023;9(4):461-77. CrossRef PubMed PubMedCentral
  17. Cote S, Perron TL, Baillargeon JP, Bocti Ch, Lepage JF, Whittingstall K. Association of cumulative lifetime exposure to female hormones with cerebral small vessel disease in postmenopausal women in the UK Biobank. Neurology. 2023;101(20):e1970-8. CrossRef PubMed
  18. Eliyahu E, Katz MG, Vincek A, Freage-Kahn L, Ravvin Sh, Tal S, Grage H, et al. Effects of hormone replacement therapy on women's lung health and disease. Pulm Ther. 2023; 9(4):461-77. CrossRef PubMed PubMedCentral
  19. Sfakianoudis, Rapani A, Grigoriadis S, Retsina D, Maziotis E, Tsioulou P, Giannelou P, Pantos K, Koutsilieris M, Vlahos N, Mastorakos G, Simopoulou M. Novel approaches in addressing ovarian insufficiency in 2019: Are we there yet? Cell Transplant. 2020; 29: 0963689720926154. CrossRef PubMed PubMedCentral
  20. Shapira M, Dolmans MM, Silber Sh, Meirow D. Evaluation of ovarian tissue transplantation: results from three clinical centers. Fertil Steril. 2020;114(2):388-97. CrossRef PubMed
  21. Agca Y, Agca C. Cryopreservation and transplantation of laboratory rodent ovarian tissue for genome banking and biomedical research. Method Mol Biol. 2021;2180:469-83. CrossRef PubMed
  22. Xie B, Li J, Huang Y, Hang F, Hu Q, Yu J, Qin A. Assessing the impact of transplant site on ovarian tissue transplantation: a single-arm meta-analysis. Reprod Biol Endocrinol. 2023;21(1):120. CrossRef PubMed PubMedCentral
  23. Oktay KH, Marin L. Comparison of orthotopic and heterotopic autologous ovarian tissue transplantation outcomes. Fertil Steril. 2024;121(1):72-9. CrossRef PubMed
  24. Donnez J, Dolmans MM. Ovarian cortex transplantation: 60 reported live births brings the success and worldwide expansion of the technique towards routine clinical practice. J Assist Reprod Genet. 2015;32(8):1167-70. CrossRef PubMed PubMedCentral
  25. Atala A. Tissue engineering of reproductive tissues and organs. Fertil Steril. 2012;98(1):21-9. CrossRef PubMed
  26. Schubert B, Canis M, Darcha C, Artonne C, Smitz J, Grizard G. Follicular growth and estradiol follow-up after subcutaneous xenografting of fresh and cryopreserved human ovarian tissue. Fertil Steril. 2008;89(6):1787-94. CrossRef PubMed
  27. Van EAS, Jordan BF, Gallez B, Heilier JF, Van Langendonckt A, Donnez J. Electron paramagnetic resonance as a tool to evaluate human ovarian tissue reoxygenation after xenografting. Fertil Steril. 2009;92(1):374-81. CrossRef PubMed
  28. Kong HS, Lee J, Youm HW, Kim SK, Lee JR, Suh CS, Kim SH. Effect of treatment with angiopoietin-2 and vascular endothelial growth factor on the quality of xenografted bovine ovarian tissue in mice. PLoS One. 2017;12(9):e0184546. CrossRef PubMed PubMedCentral
  29. Silber S. Ovarian tissue cryopreservation and transplantation: scientific implications. J Assist Reprod Genet. 2016;33(12):1595-603. CrossRef PubMed PubMedCentral
  30. Amorim CA, Leonel ECR, Afifi Y, Coomarasamy A, Fishel S. Cryostorage and retransplantation of ovarian tissue as an infertility treatment. Best Pract Res Clin Endocrinol Metab. 2019;33(1):89-102. CrossRef PubMed
  31. Faustini M, Agradi S, Vigo D, Torre ML, Curone G. Bioencapsulation of oocytes and granulosa cells. Methods Mol Biol. 2024;2749:103-8. CrossRef PubMed
  32. Sutherland DS. Advanced bioengineering of female germ cells to preserve fertility. Biol Reprod. 2022;107(5): 1177-204. CrossRef PubMed PubMedCentral
  33. Woodruff TK. Lessons from bioengineering the ovarian follicle: a personal perspective. Reproduction. 2019;158(6):F113-26. CrossRef PubMed PubMedCentral
  34. Krotz SP, Robins JC, Ferruccio TM, Moore R, Steinhoff MM, Morgan JR, Carson S. In vitro maturation of oocytes via the pre-fabricated self-assembled artificial human ovary. J Assist Reprod Genet. 2010;27(12):743-50. CrossRef PubMed PubMedCentral
  35. Wu Y, Sun Z, Wang Y, Chen H, Bian J. Human dermal fibroblasts support the development of human primordial/ primary follicles in a 3-dimensional alginate matrix culture system. Ann Transl Med. 2021;9(10):868. CrossRef PubMed PubMedCentral
  36. Healy M, Dolitsky S, Villancio-Wolter M, Raghavan M, Tillman A, Morgan N, DeCherney A, Park S, Wolff E. Creating an artificial 3-dimensional ovarian follicle culture system using a microfluidic system. Micromachines (Basel). 2021;12(3):261. CrossRef PubMed PubMedCentral
  37. Hendriks S, Dancet EAF, van Pelt AMM, Hamer G, Repping S. Artificial gametes: a systematic review of biological progress towards clinical application. Hum Reprod Update. 2015;21(3):285-96. CrossRef PubMed
  38. Gooßens D. The use of human artificial gametes and the limits of reproductive freedom. Bioethics. 2021;35(1):72-8. CrossRef PubMed
  39. Oqani RK, So S, Lee Y, Ko JJ, Kang E. Artificial oocyte: Development and potential application. Cells. 2022;11(7):1135. CrossRef PubMed PubMedCentral
  40. Moreno I, Míguez FJM, Simón C. Artificial gametes from stem cells. Clin Exp Reprod Med. 2015;42(2):33-44. CrossRef PubMed PubMedCentral
  41. White YAR, Woods DC, Takai Y, Ishihara O, Seki H, Tilly JL. Oocyte formation by mitotically active germ cells purified from ovaries of reproductive-age women. Nat Med. 2012;18(3):413-21. CrossRef PubMed PubMedCentral
  42. Aflatoonian B, Ruban L, Jones M, Aflatoonian R, Fazeli A, Moore HD. In vitro post-meiotic germ cell development from human embryonic stem cells. Hum Reprod Oxf Engl. 2009;24(12):3150-9. CrossRef PubMed
  43. Smajdor A, Cutas D, Takala T. Artificial gametes, the unnatural and the artefactual. J Med Ethic. 2018; 44(6):404-8. CrossRef PubMed
  44. Cheng X, Chen S, Yu X, Zheng P, Wang H. BMP15 gene is activated during human amniotic fluid stem cell differentiation into oocyte-like cells. DNA Cell Biol. 2012;31(7):1198-204. CrossRef PubMed
  45. Ma Z, Liu R, Wang X, Huang M, Gao Q, Lu Y, Liu C. Spontaneous germline potential of human hepatic cell line in vitro. Mol Hum Reprod. 2013;19(4):216-26. CrossRef PubMed
  46. Rosenfeld LG, Moskalenko VF, Chekman IS, Movchan BA. Nanotehnolohiyi, nanomedicine: prospects of research and implementation of their results in the medical practice. Ukr Med J. 2008; 67 (5):63-8.
  47. Lytvynenko AP, Blashkiv ТV, Reznichenko LS, et al. Experimental iron-deficiency anemia: effect of iron nanoparticle substance on meiotic maturation of oocytes and uterine contractility. World Med Biol. 2015;3 (52):118-21. [Ukrainian].
  48. Sribna V.O. The effect of iron nanoparticles on oocytes and cells of their follicular environment under conditions of experimental immune complex damage. Achievement Clin Exp Med. 2017;1:70-5. [Ukrainian].
  49. Gurtner GC, Werner S, Barrandon Y, Longaker MT. Wound repair and regeneration. Nature. 2008;453(7193):314-21. CrossRef PubMed
  50. Amable PR, Carias RBV, Teixeira MVT, da Cruz PÍ, Corrêa ARJF, Granjeiro JM, Borojevic R. Plateletrich plasma preparation for regenerative medicine: optimization and quantification of cytokines and growth factors. Stem Cell Res Ther. 2013;4(3):67. CrossRef PubMed PubMedCentral
  51. Dhurat R, Sukesh MS. Principles and methods of preparation of platelet-rich plasma: a review and author's perspective. J Cutan Aesthet Surg. 2014;7(4):189. CrossRef PubMed PubMedCentral
  52. Patel AN, Selzman CH, Kumpati GS, McKellar SH, Bull DA. Evaluation of autologous platelet rich plasma for cardiac surgery: outcome analysis of 2000 patients. J Cardiothorac Surg. 2016;11(1):62. CrossRef PubMed PubMedCentral
  53. Frautschi RS, Hashem AM, Halasa B, Cakmakoglu C, Zins JE. Current evidence for clinical efficacy of platelet rich plasma in aesthetic surgery: a systematic review. Aesthet Surg J. 2017;37(3):353-62. CrossRef PubMed
  54. Merchán WH, Gómez LA, Chasoy ME, Alfonso RCA, Muñoz AL. Platelet-rich plasma, a powerful tool in dermatology. J Tissue Eng Regen Med. 2019;13(5):892-901. CrossRef PubMed
  55. Streit-Ciećkiewicz D, Kołodyńska A, Futyma-Gąbka K, Grzybowska ME, Gołacki J, Futyma K. Platelet rich plasma in gynecology-discovering undiscovered-review. Int J Environ Res Publ Health. 2022;19(9):5284. CrossRef PubMed PubMedCentral
  56. Li X, Liu H, Lin G, Xu L. The effect of ovarian injection of autologous platelet rich plasma in patients with poor ovarian responder: a systematic review and meta-analysis. Front Endocrinol (Lausanne). 2023;12(14):1292168. CrossRef PubMed PubMedCentral
  57. Dankova I, Pyrgidis N, Tishukov M, Georgiadou E, Nigdelis MP, Solomayer EF, et al. Efficacy and safety of platelet-rich plasma injections for the treatment of female sexual dysfunction and stress urinary incontinence: A systematic review. Biomedicines. 2023;11(11):2919. CrossRef PubMed PubMedCentral
  58. Nagy B, Kovács K, Sulyok E, Várnagy Á, Bódis J. Thrombocytes and platelet-rich plasma as modulators of reproduction and fertility. Int J Mol Sci. 2023;24(24):17336. CrossRef PubMed PubMedCentral
  59. Quintana R, Kopcow L, Sueldo C, Marconi G, Rueda NG, Barañao RI. Direct injection of vascular endothelial growth factor into the ovary of mice promotes follicular development. Fertil Steril. 2004;82:1101-5. CrossRef PubMed
  60. Pantos K, Simopoulou M, Pantou A, Rapani A, Tsioulou P, Nitsos N, Syrkos S, Pappas A, Koutsilieris M, Sfakianoudis K. A case series on natural conceptions resulting in ongoing pregnancies in menopausal and prematurely menopausal women following platelet-rich plasma treatment. Cell Transplant. 2019;28(9-10):1333-40. CrossRef PubMed PubMedCentral
  61. Sfakianoudis K, Simopoulou M, Nitsos N, Rapani A, Pantou A, Vaxevanoglou T, Kokkali G, Koutsilieris M, Pantos K. A. Case series on platelet-rich plasma revolutionary management of poor responder patients. Gynecol Obstet Invest. 2019;84(1):99-106. CrossRef PubMed
  62. Sfakianoudis K, Simopoulou M, Nitsos N, Rapani A, Pappas A, Pantou A, et al. autologous platelet-rich plasma treatment enables pregnancy for a woman in premature menopause. J Clin Med. 2019; 8(1): 1. CrossRef PubMed PubMedCentral
  63. Sills ES, Wood SH. Autologous activated platelet-rich plasma injection into adult human ovary tissue: molecular mechanism, analysis, and discussion of reproductive response. Biosci Rep. 2019; 39(6): BSR20190805. CrossRef PubMed PubMedCentral
  64. Sills ES, Li X, Rickers NS, Wood SH, Palermo GD. Metabolic and neurobehavioral response following intraovarian administration of autologous activated platelet rich plasma: first qualitative data. Neuro Endocrinol Lett. 2019;39(6):427-33.

© National Academy of Sciences of Ukraine, Bogomoletz Institute of Physiology, 2014-2025.