国际妇产科学杂志 ›› 2023, Vol. 50 ›› Issue (3): 337-342.doi: 10.12280/gjfckx.20220856

• 产科生理及产科疾病:综述 • 上一篇    下一篇

自噬对卵巢微环境调节机制的研究进展

张雨淋, 冯晓玲()   

  1. 150040 哈尔滨,黑龙江中医药大学研究生院(张雨淋);黑龙江中医药大学附属第一医院妇二科(冯晓玲)
  • 收稿日期:2022-10-20 出版日期:2023-06-15 发布日期:2023-06-27
  • 通讯作者: 冯晓玲,E-mail:doctorfxl@163.com
    审校者
  • 基金资助:
    国家自然科学基金(81973894);国家自然科学基金(82174421);黑龙江省自然科学基金(ZD2021H006);黑龙江中医药大学“优秀创新人才支持计划”项目(2018RCL12)

Research Progress on the Regulatory Mechanism of Autophagy on Ovarian Microenvironment

ZHANG Yu-lin, FENG Xiao-ling()   

  1. Graduate School of Heilongjiang University of Traditional Chinese Medicine, Harbin 150040, China (ZHANG Yu-lin); The Second Department of Gynecology, The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, Harbin 150040, China (FENG Xiao-ling)
  • Received:2022-10-20 Published:2023-06-15 Online:2023-06-27
  • Contact: FENG Xiao-ling, E-mail: doctorfxl@163.com

摘要:

自噬是一种细胞生存途径,辅助参与机体生殖发育、免疫调节、降解代谢和细胞老化等,对维持机体内稳态有关键作用。近年研究表明,自噬不仅参与了卵泡的生长发育及闭锁,一定程度上调节了卵巢基质和黄体功能;还会异常地调控卵巢微环境状态,诱导卵巢多囊样改变、卵巢老化及卵巢肿瘤等多种病理的发生,同时卵巢微环境变性所引起的免疫失衡,还会反作用于自噬小体,出现微生态的恶性循环。综述自噬在卵巢中的作用,为临床治疗自噬相关的生殖障碍和卵巢疾病奠定基础。

关键词: 自噬, 卵泡闭锁, 多囊卵巢综合征, 早发性卵巢功能不全, 卵巢肿瘤

Abstract:

Autophagy is a cell survival pathway that assists in reproductive development, immune regulation, degradation metabolism and cell aging, and plays a key role in maintaining homeostasis. Recent studies have pointed out that autophagy not only participates in the growth, development and atresia of follicles, but also regulates the function of ovarian stroma and corpus luteum to a certain extent. It also abnormally regulates ovarian microenvironmental status, inducing various pathologies such as ovarian polycystic-like changes, ovarian aging and ovarian tumor. At the same time, the immune imbalance caused by the degeneration of the ovarian microenvironment will also react on the autophagosomes, resulting in a vicious cycle of microecology. The role of autophagy in the ovary is reviewed to lay the foundation for the clinical treatment of autophagy-related reproductive disorders and ovarian diseases.

Key words: Autophagy, Follicular atresia, Polycystic ovary syndrome, Premature ovarian insufficiency, Ovarian neoplasms