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Singh AK, Mohanty A, Kumar SL, Kumari A, Beniwal R, Kumar Etikuppam A, Birajdar P, Mohd A, Prasada Rao HBD. Diminished NAD+ levels and activation of retrotransposons promote postovulatory aged oocyte (POAO) death. Cell Death Discov 2024; 10:104. [PMID: 38418811 PMCID: PMC10902361 DOI: 10.1038/s41420-024-01876-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 02/06/2024] [Accepted: 02/19/2024] [Indexed: 03/02/2024] Open
Abstract
Death is the fate of postovulatory aged or unfertilized oocytes (POAO) in many animals. However, precise molecular mechanisms are yet to be discovered. Here, we demonstrate that increased amounts of reactive oxygen species (ROS), calcium ion (Ca+2) channels, and retrotransposon activity induce apoptosis, which in turn causes POAO death. Notably, suppression of ROS, Ca+2 channels, and retrotransposons delayed POAO death. Further, we found that the histone H4K12 and K16 acetylation increased via downregulation of NAD+ and NAD+ -dependent histone deacetylase SIRT3. Furthermore, adding NMN, sodium pyruvate, or CD38 inhibition delayed the death of postovulatory aged oocytes. Finally, we demonstrate the conservation of retrotransposon-induced DNA damage-dependent POAO death in higher-order vertebrates. Our findings suggest that POAO mortality is caused by cyclic cascade metabolic interactions in which low NAD+ levels increase histone acetylation by inhibiting histone deacetylases, resulting in an increase in retrotransposons, ROS, and Ca+2 channel activity and thus contributing to DNA damage-induced apoptosis.
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Affiliation(s)
- Ajay K Singh
- National Institute of Animal Biotechnology, Hyderabad, Telangana, 500032, India
- Department of Ophthalmology, University of Rochester, Rochester, NY, 14620, USA
| | - Aradhana Mohanty
- National Institute of Animal Biotechnology, Hyderabad, Telangana, 500032, India
- Graduate studies, Regional Centre for Biotechnology, Faridabad, 121 001, India
| | - S Lava Kumar
- National Institute of Animal Biotechnology, Hyderabad, Telangana, 500032, India
- Graduate studies, Regional Centre for Biotechnology, Faridabad, 121 001, India
| | - Anjali Kumari
- National Institute of Animal Biotechnology, Hyderabad, Telangana, 500032, India
- Graduate studies, Regional Centre for Biotechnology, Faridabad, 121 001, India
| | - Rohit Beniwal
- National Institute of Animal Biotechnology, Hyderabad, Telangana, 500032, India
- Graduate studies, Regional Centre for Biotechnology, Faridabad, 121 001, India
| | - Ajith Kumar Etikuppam
- National Institute of Animal Biotechnology, Hyderabad, Telangana, 500032, India
- Graduate studies, Regional Centre for Biotechnology, Faridabad, 121 001, India
| | - Pravin Birajdar
- National Institute of Animal Biotechnology, Hyderabad, Telangana, 500032, India
- Graduate studies, Regional Centre for Biotechnology, Faridabad, 121 001, India
| | - Athar Mohd
- National Institute of Animal Biotechnology, Hyderabad, Telangana, 500032, India
- Graduate studies, Regional Centre for Biotechnology, Faridabad, 121 001, India
| | - H B D Prasada Rao
- National Institute of Animal Biotechnology, Hyderabad, Telangana, 500032, India.
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Van Essen D, Alcaraz AJG, Miller JGP, Jones PD, Doering JA, Wiseman S. The brominated flame retardant, TBCO, impairs oocyte maturation in zebrafish (Danio rerio). AQUATIC TOXICOLOGY (AMSTERDAM, NETHERLANDS) 2021; 238:105929. [PMID: 34375885 DOI: 10.1016/j.aquatox.2021.105929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Revised: 07/15/2021] [Accepted: 07/27/2021] [Indexed: 06/13/2023]
Abstract
The brominated flame retardant, 1,2,5,6-tetrabromocyclooctane (TBCO), has been shown to decrease fecundity in Japanese medaka (Oryzias latipes) and there is indirect evidence from analysis of the transcriptome and proteome that this effect might be due to impaired oogenesis. An assay for disruption of oocyte maturation by chemical stressors has not been developed in Japanese medaka. Thus, using zebrafish (Danio rerio) as a model, objectives of the present study were to determine whether exposure to TBCO has effects on maturation of oocytes and to investigate potential mechanisms. Sexually mature female zebrafish were given a diet of 35.3 or 628.8 μg TBCO / g food for 14 days after which, stage IV oocytes were isolated to assess maturation in response to maturation inducing hormone. To explore potential molecular mechanisms, abundances of mRNAs of a suite of genes that regulate oocyte maturation were quantified by use of quantitative real-time PCR, and abundances of microRNAs were determined by use of miRNAseq. Ex vivo maturation of oocytes from fish exposed to TBCO was significantly less than maturation of oocytes from control fish. The percentage of oocytes which matured from control fish and those exposed to low and high TBCO were 89, 71, and 67%, respectively. Among the suite of genes known to regulate oocyte maturation, mRNA abundance of insulin like growth factor-3 was decreased by 1.64- and 3.44-fold in stage IV oocytes from females given the low and high concentrations of TBCO, respectively, compared to the control group. Abundances of microRNAs regulating the expression of proteins that regulate oocyte maturation, including processes related to insulin-like growth factor, were significantly different in stage IV oocytes from fish exposed to TBCO. Overall, results of this study indicated that impaired oocyte maturation might be a mechanism of reduced reproductive performance in TBCO-exposed fish. Results also suggested that effects of TBCO on oocyte maturation might be due to molecular perturbations on insulin-like growth factor signaling and expression of microRNAs.
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Affiliation(s)
- Darren Van Essen
- Department of Biological Sciences, University of Lethbridge, Lethbridge, Alberta, T1K 3M4, Canada
| | | | - Justin G P Miller
- Department of Biological Sciences, University of Lethbridge, Lethbridge, Alberta, T1K 3M4, Canada
| | - Paul D Jones
- Toxicology Centre, University of Saskatchewan, Saskatoon, SK, S7N 5B3, Canada; School of Environment and Sustainability, University of Saskatchewan, Saskatoon, SK, S7N 5B3, Canada
| | - Jon A Doering
- Department of Biological Sciences, University of Lethbridge, Lethbridge, Alberta, T1K 3M4, Canada; Intersectoral Centre for Endocrine Disruptor Analysis (ICEDA), Institut National de la Recherche Scientifique (INRS), Centre Eau Terre Environnement, Québec City, QC, G1K 9A9, Canada
| | - Steve Wiseman
- Department of Biological Sciences, University of Lethbridge, Lethbridge, Alberta, T1K 3M4, Canada; Intersectoral Centre for Endocrine Disruptor Analysis (ICEDA), Institut National de la Recherche Scientifique (INRS), Centre Eau Terre Environnement, Québec City, QC, G1K 9A9, Canada; Water Institute for Sustainable Environments, University of Lethbridge, Lethbridge, AB, T1K 3M4, Canada.
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Chen HL, Cheng JY, Yang YF, Li Y, Jiang XH, Yang L, Wu L, Shi M, Liu B, Duan J, Li X, Li QW. Phospholipase C inhibits apoptosis of porcine oocytes cultured in vitro. J Cell Biochem 2020; 121:3547-3559. [DOI: 10.1002/jcb.29636] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2019] [Accepted: 12/09/2019] [Indexed: 11/08/2022]
Affiliation(s)
- Hua Li Chen
- College of Animal Science and TechnologyNorthwest A&F UniversityYangling Shaanxi China
| | - Jian Yong Cheng
- College of Animal Science and TechnologyNorthwest A&F UniversityYangling Shaanxi China
| | - You Fu Yang
- College of Animal Science and TechnologyNorthwest A&F UniversityYangling Shaanxi China
| | - Yuan Li
- College of Animal Science and TechnologyNorthwest A&F UniversityYangling Shaanxi China
| | - Xiao Han Jiang
- College of Animal Science and TechnologyNorthwest A&F UniversityYangling Shaanxi China
| | - Li Yang
- College of Animal Science and TechnologyNorthwest A&F UniversityYangling Shaanxi China
| | - Lin Wu
- College of Animal Science and TechnologyNorthwest A&F UniversityYangling Shaanxi China
| | - Meihong Shi
- College of Animal Science and TechnologyNorthwest A&F UniversityYangling Shaanxi China
| | - Boyang Liu
- College of Animal Science and TechnologyNorthwest A&F UniversityYangling Shaanxi China
| | - Jiaxin Duan
- College of Animal Science and TechnologyNorthwest A&F UniversityYangling Shaanxi China
| | - Xiaoya Li
- College of Animal Science and TechnologyNorthwest A&F UniversityYangling Shaanxi China
| | - Qing Wang Li
- College of Animal Science and TechnologyNorthwest A&F UniversityYangling Shaanxi China
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Costa Pereira LM, Thongkittidilok C, Lopes MD, Songsasen N. Effect of anti-apoptotic drug Z-VAD-FMK on in vitro viability of dog follicles. Theriogenology 2018; 122:124-129. [PMID: 30248613 DOI: 10.1016/j.theriogenology.2018.09.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2018] [Revised: 09/09/2018] [Accepted: 09/12/2018] [Indexed: 11/16/2022]
Abstract
It is recognized that ovarian follicular atresia is associated with apoptosis, and the most important effector of cell death is caspase-3. The aim of this study was to investigate the influence of anti-apoptotic drug Z-VAD-FMK on in vitro follicle growth in the domestic dog. Ovaries were obtained from peri-pubertal and adult domestic dogs, and cortical fragments recovered and incubated on 1.5% (w/v) agarose gel blocks within a 24-well culture plate containing Minimum Essential Medium Eagle-Alpha Modification (αMEM) supplemented with 4.2 μg/mL insulin, 3.8 μg/mL transferrin, 5 ng/mL selenium, 2 mM L-glutamine, 100 μg/mL of penicillin G sodium, 100 μg/mL of streptomycin sulfate, 0.05 mM ascorbic acid, 10 ng/mL of FSH and 0.1% (w/v) polyvinyl alcohol in humidified atmosphere of 5% CO2 and 5% O2. The cortices were randomly allocated in six treatments: 1) 10 ng/mL EGF (EGF V0); 2) 10 ng/mL of EGF plus 1 mM Z-VAD-FMK (EGF V1); 3) 10 ng/mL of EGF and 10 mM Z-VAD-FMK (EGF V10); 4) 1 mM Z-VAD-FMK; 5) 10 mM Z-VAD-FMK and (6) no EGF and Z-VAD-FMK supplementation (Control). The cortices were processed for histology and assessed for viability (based on morphology), density of structurally normal follicles, and diameter immediately after collection (non-culture Control) or after 3 or 7 days of in vitro incubation. Evaluation of mRNA expression of Cas3 in fresh cortices and those incubated for 3 days was performed using real-time PCR. Histological analysis revealed that in vitro incubation decreased (P < 0.05) follicle viability and density compared to the fresh, non-culture control. Addition of 10 μM of Z-VAD-FMK alone to the culture medium sustained follicle viability at Day 3, but did not impact follicle diameter when compared to the other treatment groups (p < 0.001); however, the beneficial benefit of this anti-apoptotic drug diminished after 7 days of incubation. Furthermore, Z-VAD-FMK supplementation did not impact Cas3 expression. The findings demonstrated that dog ovarian tissues are highly susceptible to in vitro incubation and Z-VAD-FMK supported short-term survival of dog follicles enclosed within the ovarian cortex.
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Affiliation(s)
- Leda Maria Costa Pereira
- Department of Animal Reproduction and Veterinary Radiology, Faculty of Veterinary Medicine, FMVZ, São Paulo State University - UNESP, Botucatu, São Paulo, Brazil; Center for Species Survival, Smithsonian's National Zoological Park, Front Royal, VA, United States.
| | | | - Maria Denise Lopes
- Department of Animal Reproduction and Veterinary Radiology, Faculty of Veterinary Medicine, FMVZ, São Paulo State University - UNESP, Botucatu, São Paulo, Brazil
| | - Nucharin Songsasen
- Center for Species Survival, Smithsonian's National Zoological Park, Front Royal, VA, United States
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Li YJ, Han Z, Ge L, Zhou CJ, Zhao YF, Wang DH, Ren J, Niu XX, Liang CG. C-phycocyanin protects against low fertility by inhibiting reactive oxygen species in aging mice. Oncotarget 2017; 7:17393-409. [PMID: 27008700 PMCID: PMC4951220 DOI: 10.18632/oncotarget.8165] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2016] [Accepted: 03/04/2016] [Indexed: 11/25/2022] Open
Abstract
Women over 35 have higher rates of infertility, largely due to deterioration of oocyte quality characterized by fragmentation, abnormal meiotic spindle-chromosome complexes, and oxidative stress. C-phycocyanin (PC) is a biliprotein enriched in Spirulina platensis that is known to possess antioxidant, anti-inflammatory, and radical-scavenging properties. D-galactose-induced aging acceleration in mice has been extensively used to study aging mechanisms and for pharmaceutical screening. In this study, adult female B6D2F/1 mice injected with D-galactose were used as a model to test the age-reversing effects of PC on degenerated reproductive ability. Our results show that PC can prevent oocyte fragmentation and aneuploidy by maintaining cytoskeletal integrity. Moreover, PC can reverse the expression of antioxidant genes, increase superoxide dismutase (SOD) activity and decrease methane dicarboxylic aldehyde (MDA) content, and normalize mitochondria distribution. PC exerts its benefit by inhibiting reactive oxygen species (ROS) production, which decreases apoptosis. Finally, we observe a significant increase in litter size after PC administration to D-galactose-induced aging mice. Our study demonstrates for the first time that D-galactose-induced impaired female reproductive capability can be partially rescued by the antioxidant effects of PC.
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Affiliation(s)
- Yan-Jiao Li
- The Key Laboratory of National Education Ministry for Mammalian Reproductive Biology and Biotechnology, The Research Center for Laboratory Animal Science, College of Life Science, Inner Mongolia University, Hohhot, Inner Mongolia, People's Republic of China
| | - Zhe Han
- The Key Laboratory of National Education Ministry for Mammalian Reproductive Biology and Biotechnology, The Research Center for Laboratory Animal Science, College of Life Science, Inner Mongolia University, Hohhot, Inner Mongolia, People's Republic of China
| | - Lei Ge
- The Key Laboratory of National Education Ministry for Mammalian Reproductive Biology and Biotechnology, The Research Center for Laboratory Animal Science, College of Life Science, Inner Mongolia University, Hohhot, Inner Mongolia, People's Republic of China
| | - Cheng-Jie Zhou
- The Key Laboratory of National Education Ministry for Mammalian Reproductive Biology and Biotechnology, The Research Center for Laboratory Animal Science, College of Life Science, Inner Mongolia University, Hohhot, Inner Mongolia, People's Republic of China
| | - Yue-Fang Zhao
- The Key Laboratory of National Education Ministry for Mammalian Reproductive Biology and Biotechnology, The Research Center for Laboratory Animal Science, College of Life Science, Inner Mongolia University, Hohhot, Inner Mongolia, People's Republic of China
| | - Dong-Hui Wang
- The Key Laboratory of National Education Ministry for Mammalian Reproductive Biology and Biotechnology, The Research Center for Laboratory Animal Science, College of Life Science, Inner Mongolia University, Hohhot, Inner Mongolia, People's Republic of China
| | - Jing Ren
- The Key Laboratory of National Education Ministry for Mammalian Reproductive Biology and Biotechnology, The Research Center for Laboratory Animal Science, College of Life Science, Inner Mongolia University, Hohhot, Inner Mongolia, People's Republic of China
| | - Xin-Xin Niu
- The Key Laboratory of National Education Ministry for Mammalian Reproductive Biology and Biotechnology, The Research Center for Laboratory Animal Science, College of Life Science, Inner Mongolia University, Hohhot, Inner Mongolia, People's Republic of China
| | - Cheng-Guang Liang
- The Key Laboratory of National Education Ministry for Mammalian Reproductive Biology and Biotechnology, The Research Center for Laboratory Animal Science, College of Life Science, Inner Mongolia University, Hohhot, Inner Mongolia, People's Republic of China
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Arnault E, Doussau M, Pesty A, Lefèvre B, Courtot AM. Review: Lamin A/C, caspase-6, and chromatin configuration during meiosis resumption in the mouse oocyte. Reprod Sci 2010; 17:102-15. [PMID: 20130288 DOI: 10.1177/1933719109354364] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
After in vitro maturation (IVM), isolation of the healthiest oocytes is essential for successful in vitro fertilization. As germinal vesicle (GV) oocytes resume meiosis through healthy or apoptotic pathways without discernable morphological criteria, we checked for an apoptotic element acting at the nucleus level. We hypothesized that caspase-6 with its corresponding substrate, lamin A/C, could be a potential target candidate, because caspase-6 is the only functional caspase for lamin A/C. We used immunohistochemistry methods, Western blots, and a specific caspase-6 inhibitor to determine the presence of lamin A/C and caspase-6 during oogenesis and in isolated oocytes. Our results demonstrated that these proteins were always present and that their distributions were related to oocyte maturity, determined by chromatin configuration and oocyte diameter. Caspase-6 inhibition slowed meiosis resumption suggesting the involvement of caspase-6 in the oocyte apoptotic pathway. Lamin A/C and caspase-6 could be valuable tools in the knowledge of oocyte in vitro destiny.
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Affiliation(s)
- Emilie Arnault
- UMR INSERM U566, CEA, DSV/IRCM/LGAG, Paris-7 University, Paris-11 University, F-92260, Fontenay-aux-Roses, France
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Escobar ML, Echeverría OM, Sánchez-Sánchez L, Méndez C, Pedernera E, Vázquez-Nin GH. Analysis of different cell death processes of prepubertal rat oocytes in vitro. Apoptosis 2010; 15:511-26. [PMID: 20063066 DOI: 10.1007/s10495-009-0448-1] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
The processes of cell death were studied in vitro in populations of oocytes isolated from prepubertal rats. In order to identify apoptosis, the externalized phosphatidylserine was recognized with Annexin-V coupled to FITC and the fragmentation of DNA was demonstrated by means of electrophoresis. Oocytes were tested for autophagy by means of the incorporation of monodansylcadaverine and monitoring Lc3-I/Lc3-II by western blot. The expression of mRNA marker genes of autophagy and of apoptosis was studied by means of RT-PCR in pure populations of oocytes. Some oocytes expressed at least one of the following markers: caspase-3, lamp1 and Lc3. Some oocytes were positive to Annexin-V or to monodansylcadaverine. However, most of them were simultaneously positive to both markers. The relative frequency of oocytes simultaneously positive to markers of apoptosis and autophagy did not change in the different ages studied. The transformation of Lc3-I in Lc3-II was present in all populations of oocytes studied. The mRNAs for caspase-3, lamp1 and Lc3 were present in all populations of oocytes analyzed. Our results demonstrate that oocytes of rats from new born to prepubertal age are eliminated by means of three different cell death processes: apoptosis, autophagy and a mixed event in which both routes to cell death participate in the same cell.
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Affiliation(s)
- M L Escobar
- Departamento de Biología Celular, Universidad Nacional Autónoma de México, DF, Mexico
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Features of programmed cell death in intact Xenopus oocytes and early embryos revealed by near-infrared fluorescence and real-time monitoring. Cell Death Differ 2010; 17:170-9. [PMID: 19730443 PMCID: PMC2794955 DOI: 10.1038/cdd.2009.120] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Factors influencing apoptosis of vertebrate eggs and early embryos have been studied in cell-free systems and in intact embryos by analyzing individual apoptotic regulators or caspase activation in static samples. A novel method for monitoring caspase activity in living Xenopus oocytes and early embryos is described here. The approach, using microinjection of a near-infrared caspase substrate that emits fluorescence only after its proteolytic cleavage by active effector caspases, has enabled the elucidation of otherwise cryptic aspects of apoptotic regulation. In particular, we show that brief caspase activity (10 min) is sufficient to cause apoptotic death in this system. We illustrate a cytochrome c dose threshold in the oocyte, which is lowered by Smac, a protein that binds thereby neutralizing the inhibitor of apoptosis proteins. We show that meiotic oocytes develop resistance to cytochrome c, and that the eventual death of oocytes arrested in meiosis is caspase-independent. Finally, data acquired through imaging caspase activity in the Xenopus embryo suggest that apoptosis in very early development is not cell-autonomous. These studies both validate this assay as a useful tool for apoptosis research and reveal subtleties in the cell death program during early development. Moreover, this method offers a potentially valuable screening modality for identifying novel apoptotic regulators.
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Intact fetal ovarian cord formation promotes mouse oocyte survival and development. BMC DEVELOPMENTAL BIOLOGY 2010; 10:2. [PMID: 20064216 PMCID: PMC2830955 DOI: 10.1186/1471-213x-10-2] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/30/2009] [Accepted: 01/08/2010] [Indexed: 11/10/2022]
Abstract
BACKGROUND Female reproductive potential, or the ability to propagate life, is limited in mammals with the majority of oocytes lost before birth. In mice, surviving perinatal oocytes are enclosed in ovarian follicles for subsequent oocyte development and function in the adult. Before birth, fetal germ cells of both sexes develop in clusters, or germline cysts, in the undifferentiated gonad. Upon sex determination of the fetal gonad, germ cell cysts become organized into testicular or ovarian cord-like structures and begin to interact with gonadal somatic cells. Although germline cysts and testicular cords are required for spermatogenesis, the role of cyst and ovarian cord formation in mammalian oocyte development and female fertility has not been determined. RESULTS Here, we examine whether intact fetal ovarian germ and somatic cell cord structures are required for oocyte development using mouse gonad re-aggregation and transplantation to disrupt gonadal organization. We observed that germ cells from disrupted female gonad prior to embryonic day e13.5 completed prophase I of meiosis but did not survive following transplantation. Furthermore, re-aggregated ovaries from e13.5 to e15.5 developed with a reduced number of oocytes. Oocyte loss occurred before follicle formation and was associated with an absence of ovarian cord structure and ovary disorganization. However, disrupted ovaries from e16.5 or later were resistant to the re-aggregation impairment and supported robust oocyte survival and development in follicles. CONCLUSIONS Thus, we demonstrate a critical window of oocyte development from e13.5 to e16.5 in the intact fetal mouse ovary, corresponding to the establishment of ovarian cord structure, which promotes oocyte interaction with neighboring ovarian somatic granulosa cells before birth and imparts oocytes with competence to survive and develop in follicles. Because germline cyst and ovarian cord structures are conserved in the human fetal ovary, the identification of genetic components and molecular mechanisms of pre-follicle stage germ and somatic cell structures may be important for understanding human female infertility. In addition, this work provides a foundation for development of a robust fetal ovarian niche and transplantation based system to direct stem cell-derived oocyte differentiation as a potential therapeutic strategy for the treatment of infertility.
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