Ferreira · WIREs mechanisms of disease 2023 · narrative review · n=?

Aging and oocyte competence: A molecular cell perspective.

Level 5 - mechanism / opinion, no new human data

Narrative review synthesizing molecular mechanisms without systematic search or primary human data.

PubMed 37248206 · doi:10.1002/wsbm.1613 · record verified 2026-08-26

What was done

This narrative review summarizes molecular and cellular findings from human and model systems regarding the decline in oocyte competence and follicular microenvironment integrity associated with advanced maternal age.

What was found

The abstract reports no numerical data or effect estimates. It outlines key mechanisms driving age-related reproductive decline, including nuclear maturation failures (DNA damage, loss of chromosomal cohesion, spindle assembly checkpoint dysfunction, recombination errors, telomere attrition leading to aneuploidy) and cytoplasmic maturation failures (mitochondrial dysfunction, altered biogenesis and dynamics, endoplasmic reticulum dysmorphia, calcium dysregulation, cytoskeleton alterations). It also identifies somatic cell aging (mitochondrial and DNA damage in granulosa/cumulus cells, loss of gap junctions) as a contributor to microenvironmental deterioration.

Why it matters

Understanding the cellular and organelle-level pathways driving oocyte aging helps clarify targets for diagnostic biomarkers and potential therapeutic interventions to preserve oocyte competence.

Limits

The abstract contains no primary data, statistical measures, sample sizes, or study selection methodology. Findings merge insights across different model systems and human biology without distinguishing species-specific evidence.

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