Journal of International Reproductive Health/Family Planning ›› 2024, Vol. 43 ›› Issue (5): 425-429.doi: 10.12280/gjszjk.20240328

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Research Progress of Ferroptosis in Pathogenesis of Polycystic Ovary Syndrome

LI Xuan-ang, WANG Ting-ting, XIANG Shan, ZHAO Shuai, LIAN Fang()   

  1. The First Clinical Medical College of Shandong University of Traditional Chinese Medicine, Jinan 250011, China (LI Xuan-ang, WANG Ting-ting, XIANG Shan, ZHAO Shuai); Integrated Traditional Chinese and Western Medicine Reproduction and Genetic Center, Shandong University of Traditional Chinese Medicine Affiliated Hospital, Jinan 250014, China (LIAN Fang)
  • Received:2024-07-10 Published:2024-09-15 Online:2024-09-19
  • Contact: LIAN Fang E-mail:lianfangbangong@163.com

Abstract:

Polycystic ovary syndrome (PCOS) is a common metabolic disorder of the reproductive system in women of adolescent and childbearing age. In addition to ovulatory dysfunction, menstrual dysfunction and infertility, most patients suffer from endocrine abnormalities such as insulin resistance (IR), hyperandrogenemia (HA) and abdominal obesity. Ferroptosis, a highly iron-dependent programmed cell death mediated by the lipid peroxidation and the imbalance in the oxidative-antioxidant system is a hot research topic in reproductive medicine. The relevance of ferroptosis in PCOS has received much attention in recent years, and recent studies suggest that ferroptosis may be involved in the regulation of PCOS-associated metabolic disorders and affect reproductive function in women with PCOS by disrupting oocyte quality and uteroplacental function. To further enrich and improve the system of diagnosis, prevention, and prognosis assessment of PCOS, we summarize the mechanisms related to ferroptosis, systematically discusses the correlation between ferroptosis and the pathophysiology of PCOS, and its research progress in the treatment of PCOS.

Key words: Ferroptosis, Cell death, Iron overload, Polycystic ovary syndrome, Infertility, female