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Senotherapy Protects against Cisplatin-Induced Ovarian Injury by Removing Senescent Cells and Alleviating DNA Damage

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单位: [1]huazhong univ sci & technol,tongji hosp,tongji med coll,dept obstet & gynecol,wuhan 430030,hubei,peoples r china [2]sun yat sen univ canc ctr,collaborat innovat ctr canc med,state key lab oncol south china,guangzhou 510000,guangdong,peoples r china [3]natl clin res ctr obstetr & gynecol dis,wuhan 430030,hubei,peoples r china [4]minist educ,key lab canc invas & metastasis,wuhan 430030,hubei,peoples r china [5]sun yat sen univ canc ctr,dept head & neck surg,guangzhou 510000,guangdong,peoples r china [6]huazhong univ sci & technol,tongji hosp,tongji med coll,reprod med ctr,wuhan 430030,hubei,peoples r china
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Ovarian damage induced by platinum-based chemotherapy seriously affects young women with cancer, manifesting as infertility, early menopause, and premature ovarian insufficiency. However, effective prevention strategies for such damage are lacking. Senescent cells may be induced by chemotherapeutic agents. We hypothesized that cisplatin can lead to senescence in ovarian cells during the therapeutic process, and senolytic drugs can protect animals against cisplatin-induced ovarian injury. Here, we demonstrated the existence of senescent cells in cisplatin-treated ovaries, identified the senescence-associated secretory phenotype, and observed significant improvement of ovarian function by treatment with metformin or dasatinib and quercetin (DQ) independently or in combination. These senotherapies improved both oocyte quality and fertility, increased the ovarian reserve, and enhanced hormone secretion in cisplatin-exposed mice. Additionally, attenuated fibrosis, reorganized subcellular structure, and mitigated DNA damage were observed in the ovaries of senotherapeutic mice. Moreover, RNA sequencing analysis revealed upregulation of the proliferation-related genes Ki, Prrx2, Sfrp4, and Megfl0; and the antioxidative gene H2-Q10 after metformin plus DQ treatment. Gene ontology analysis further revealed that combining senotherapies enhanced ovarian cell differentiation, development, and communication. In this study, we demonstrated that metformin plus DQ recovered ovarian function to a greater extent compared to metformin or DQ independently, with more follicular reserve, increased pups per litter, and reduced DNA damage. Collectively, our work indicates that senotherapies might prevent cisplatin-induced ovarian injury by removing senescent cells and reducing DNA damage, which represent a promising therapeutic avenue to prevent chemotherapy-induced ovarian damage.

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大类 | 2 区 生物学
小类 | 3 区 细胞生物学
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Q2 CELL BIOLOGY
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第一作者单位: [1]huazhong univ sci & technol,tongji hosp,tongji med coll,dept obstet & gynecol,wuhan 430030,hubei,peoples r china [2]sun yat sen univ canc ctr,collaborat innovat ctr canc med,state key lab oncol south china,guangzhou 510000,guangdong,peoples r china [3]natl clin res ctr obstetr & gynecol dis,wuhan 430030,hubei,peoples r china [4]minist educ,key lab canc invas & metastasis,wuhan 430030,hubei,peoples r china [5]sun yat sen univ canc ctr,dept head & neck surg,guangzhou 510000,guangdong,peoples r china
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通讯机构: [1]huazhong univ sci & technol,tongji hosp,tongji med coll,dept obstet & gynecol,wuhan 430030,hubei,peoples r china [3]natl clin res ctr obstetr & gynecol dis,wuhan 430030,hubei,peoples r china [4]minist educ,key lab canc invas & metastasis,wuhan 430030,hubei,peoples r china
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