Role of Stem Cells in the Ovarian Tissue Cryopreservation and Transplantation for Fertility Preservation

Int J Mol Sci. 2021 Nov 19;22(22):12482. doi: 10.3390/ijms222212482.

Abstract

Although the cancer survival rate has increased, cancer treatments, including chemotherapy and radiotherapy, can cause ovarian failure and infertility in women of reproductive age. Preserving fertility throughout cancer treatment is critical for maintaining quality of life. Fertility experts should propose individualized fertility preservation methods based on the patient's marital status, pubertal status, partner status, and the urgency of treatment. Widely practiced fertility preservation methods, including ovarian transposition and embryo and oocyte cryopreservation, are inappropriate for prepubertal girls or those needing urgent initiation of cancer treatment. Ovarian tissue cryopreservation and transplantation, an emerging new technology, may be a solution for these cancer patients. The use of stem cells in ovarian tissue cryopreservation and transplantation increases oxygenation, angiogenesis, and follicle survival rates. This review discusses the recent advances in ovarian tissue cryopreservation and transplantation with special focus on the use of stem cells to improve fertilization techniques.

Keywords: chemotherapy; cryopreservation; fertility preservation; ovarian tissue; stem cell; transplantation.

Publication types

  • Review

MeSH terms

  • Cryopreservation
  • Female
  • Fertility Preservation*
  • Humans
  • Oocytes / growth & development
  • Oocytes / transplantation
  • Ovarian Follicle / growth & development*
  • Ovarian Follicle / transplantation
  • Primary Ovarian Insufficiency / genetics
  • Primary Ovarian Insufficiency / pathology
  • Primary Ovarian Insufficiency / prevention & control*
  • Stem Cell Transplantation*
  • Stem Cells / cytology