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Molecular Advances in Artificial Reproduction and Female Health: From Molecular Diagnosis to the Treatment of Gynecological Diseases

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pathology, Diagnostics, and Therapeutics".

Deadline for manuscript submissions: closed (20 March 2025) | Viewed by 1132

Special Issue Editor


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Guest Editor
Department of Obstetrics and Gynecology, University Hospital of Schleswig Holstein, Campus Kiel, 24105 Kiel, Germany
Interests: gynecological diseases; molecular diagnostic technologies; reproductive medicine; gynecological endocrinology; endometriosis; uterine fibroids; adnexal tumors; gynecologic endoscopic surgery (MIS); post menopause; genital and breast cancer; urogynecology

Special Issue Information

Dear Colleagues,

As molecular and genetic technologies will form the basis for all our diagnostic and therapeutic options and shape therapeutical possibilities, including surgical therapeutic strategies for human reproduction, cancer treatment and gynecologic strategies, I am happy to invite you to participate in the publication of this Special Issue with an original paper, a case study or review.

Molecular diagnostic technologies can be divided into three techniques: polymerase chain reaction (PCR), in situ hybridization (ISH)/flow cytometry or fluorescent in situ hybridization (FISH) and next-generation sequencing (NGS). These have undergone a period of rapid development and growth over the last decades. Semi-quantitative tests have been replaced by precision medicine. The implementation of new high-complexity tests and their integration into the clinical molecular diagnostics laboratory has been a critical advancement to the goal of achieving precision medicine.

A strong program of quality control and quality assurance is necessary for the detection of problems, to monitor errors and implement methods to assure this quality.

My expertise partly relates to artificial reproductive technologies (ART) such as measuring sperm DNA fragmentation much more precisely employing the SCSA test, in comparison to earlier test methods. The sperm chromatin structure assay (SCSA) is a flow cytometric test that measures the susceptibility of sperm DNA to acid-induced DNA denaturation in situ. We partly apply these techniques in endocrinology, endometriosis, measuring hormones and preimplantation factors in embryo cultures, as well as the frame of gynecological endoscopic or micro invasive surgery (MIS), including targeted medical applications.

Prof. Dr. Liselotte Mettler
Guest Editor

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Keywords

  • gynecological diseases
  • molecular diagnostic technologies
  • reproductive medicine
  • artificial reproduction
  • gynecological endocrinology
  • adnexal tumors
  • genital and breast cancer
  • urogynecology
  • uterine fibroids

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Published Papers (1 paper)

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Research

15 pages, 9386 KiB  
Article
Ovarian Endometriosis Accelerates Premature Ovarian Failure and Contributes to Osteoporosis and Cognitive Decline in Aging Mice
by Lei Ge, Yali Yang, Tianxia Xiao, Yuqing Gao, Wakam Chang, Feifei Du, Ming Yu and Jian V. Zhang
Int. J. Mol. Sci. 2025, 26(7), 3313; https://doi.org/10.3390/ijms26073313 - 2 Apr 2025
Viewed by 752
Abstract
Ovarian endometriosis (OEM) is a chronic inflammatory condition that impairs ovarian function. While its effects on ovarian reserve are well established, the long-term consequences of OEM on ovarian dysfunction, premature ovarian failure (POF), and systemic health, particularly in the context of accelerated aging, [...] Read more.
Ovarian endometriosis (OEM) is a chronic inflammatory condition that impairs ovarian function. While its effects on ovarian reserve are well established, the long-term consequences of OEM on ovarian dysfunction, premature ovarian failure (POF), and systemic health, particularly in the context of accelerated aging, remain insufficiently studied. In this study, we employed an OEM mouse model and bulk RNA sequencing to investigate the underlying mechanisms. Our results show that OEM accelerates primordial follicle depletion and upregulates mTOR signaling pathway gene expression, along with mechanical stress and paracrine signaling via the Hippo and Myc pathways. OEM also induces irregular estrus and ovarian fibrosis in aging mice, decreases serum AMH levels, and increases FSH levels. Systemically, elevated serum IgG levels contribute to osteoporosis and cognitive decline, both linked to ovarian dysfunction and POF in OEM. These findings elucidate the mechanisms driving premature ovarian reserve depletion in OEM and highlight its broader systemic effects. This study emphasizes the importance of monitoring ovarian health and ectopic tissue to safeguard ovarian reserves and mitigate long-term risks such as osteoporosis and cognitive decline. Full article
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