2018
DOI: 10.3389/fendo.2018.00061
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Granulosa Cell Apoptosis in the Ovarian Follicle—A Changing View

Abstract: Recent studies challenge the previous view that apoptosis within the granulosa cells of the maturing ovarian follicle is a reflection of aging and consequently a marker for poor quality of the contained oocyte. On the contrary, apoptosis within the granulosa cells is an integral part of normal development and has limited predictive capability regarding oocyte quality or the ensuing pregnancy rate in in vitro fertilization programs. This review article covers our revised understanding of the process of apoptosi… Show more

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Cited by 142 publications
(104 citation statements)
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References 97 publications
(141 reference statements)
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“…The apoptosis rate was also lower in women over 40 years with diminished ovarian reserve compared to a group of the same age with normal ovarian reserve (Regan et al, ). On possible interpretation of these conflicting observations is that cumulus cell apoptosis would increase with advanced age (Lee et al, ) whilst mural CGs apoptosis paradoxically decreases due to a slower turnover of this cell population (Regan et al, ). Furthermore, previous studies may have evaluated mixed cell populations in the follicular fluid aspirate rather than ultra‐pure GCs (Ferrero et al, ).…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…The apoptosis rate was also lower in women over 40 years with diminished ovarian reserve compared to a group of the same age with normal ovarian reserve (Regan et al, ). On possible interpretation of these conflicting observations is that cumulus cell apoptosis would increase with advanced age (Lee et al, ) whilst mural CGs apoptosis paradoxically decreases due to a slower turnover of this cell population (Regan et al, ). Furthermore, previous studies may have evaluated mixed cell populations in the follicular fluid aspirate rather than ultra‐pure GCs (Ferrero et al, ).…”
Section: Resultsmentioning
confidence: 99%
“…Extrinsic factors such as DNA damage and oxidative stress can activate p53‐specific signaling pathways and trigger the apoptotic cascade (Regan et al, ). Some diseases like endometriosis can lead to an increase in reactive oxygen species (ROS), which results in a lower number of oocytes retrieved and diminished implantation rate during IVF procedures.…”
Section: Introductionmentioning
confidence: 99%
“…One of the major differences between oocyte loss during ovarian reserve development compared with later oocyte maturation and ovulation is the source of the cell death trigger; in early oogenesis and primordial follicle development, it appears to be the oocyte which, itself, autonomously triggers cell death and loss of the follicle (Morita & Tilly, 1999; Yadav et al, 2018). In contrast, later stage follicle loss results largely from granulosa cells' signals that induce both granulosa cell death as well as oocyte demise (Regan et al, 2018; J. Zhang et al, 2018). Interestingly, work from Blondin and Sirard (1995) suggests that in the cow, low levels of granulosa cell death in pre‐ovulatory follicles result in an oocyte of greater developmental competence compared with oocytes from follicles with no evidence of atresia.…”
Section: Developmental Oocyte Attrition Contrasts With Follicular Atrmentioning
confidence: 99%
“…Granulosa cells, as key functional components of follicles, perform an initiating role in follicular atresia and further affect the reproductive facility [6][7][8]. Granulosa cell apoptosis appears to be an essential part of ovarian development, and it is a reflection of the mitogenic growth of the follicle [9]. Previous studies have elaborated that lipopolysaccharides (LPS) could induce an ovarian inflammatory response and affect ovarian development directly [10,11].…”
Section: Introductionmentioning
confidence: 99%