journal article Oct 01, 2023

Making a good egg: human oocyte health, aging, and in vitro development

View at Publisher Save 10.1152/physrev.00032.2022
Abstract
Mammalian eggs (oocytes) are formed during fetal life and establish associations with somatic cells to form primordial follicles that create a store of germ cells (the primordial pool). The size of this pool is influenced by key events during the formation of germ cells and by factors that influence the subsequent activation of follicle growth. These regulatory pathways must ensure that the reserve of oocytes within primordial follicles in humans lasts for up to 50 years, yet only approximately 0.1% will ever be ovulated with the rest undergoing degeneration. This review outlines the mechanisms and regulatory pathways that govern the processes of oocyte and follicle formation and later growth, within the ovarian stroma, through to ovulation with particular reference to human oocytes/follicles. In addition, the effects of aging on female reproductive capacity through changes in oocyte number and quality are emphasized, with both the cellular mechanisms and clinical implications discussed. Finally, the details of current developments in culture systems that support all stages of follicle growth to generate mature oocytes in vitro and emerging prospects for making new oocytes from stem cells are outlined.
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Showing 50 of 626 references

Metrics
145
Citations
626
References
Details
Published
Oct 01, 2023
Vol/Issue
103(4)
Pages
2623-2677
Funding
Wellcome Trust Award: 215625/Z/19/Z
UKRI | Medical Research Council Award: MR/T025654/1
UKRI | Biotechnology and Biological Sciences Research Council Award: BB/R015635/1
Wellbeing of Women Award: PRF005
Cite This Article
Evelyn E. Telfer, Johanne Grosbois, Yvonne L. Odey, et al. (2023). Making a good egg: human oocyte health, aging, and in vitro development. Physiological Reviews, 103(4), 2623-2677. https://doi.org/10.1152/physrev.00032.2022
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