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Human Ovarian Cortex biobanking: A Fascinating Resource for Fertility Preservation in Cancer

1
Gynecologic Oncology Unit, IRCCS Istituto Tumori “Giovanni Paolo II”, 70124 Bari, Italy
2
Institutional BioBank, Experimental Oncology and Biobank Management Unit, IRCCS Istituto Tumori “Giovanni Paolo II”, 70124 Bari, Italy
3
Gynecology and Obstetrics 1, Physiopathology of Reproduction and IVF Unit, Department of Surgical Sciences, S. Anna Hospital, University of Torino, 10042 Torino, Italy
4
IVF Unit, Cervesi Hospital Cattolica, Cattolica, AUSL Romagna, 47841 Cattolica, Italy
*
Author to whom correspondence should be addressed.
Int. J. Mol. Sci. 2020, 21(9), 3245; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms21093245
Received: 9 April 2020 / Revised: 30 April 2020 / Accepted: 1 May 2020 / Published: 4 May 2020
(This article belongs to the Special Issue Tumor Biobanks at the Service of Precision Medicine)
Novel anti-cancer treatments have improved the survival rates of female young patients, reopening pregnancy issues for female cancer survivors affected by the tumor treatment-related infertility. This condition occurs in approximately one third of women of fertile age and is mainly dependent on gonadotoxic protocols, including radiation treatments. Besides routine procedures such as the hormonal induction of follicular growth and subsequent cryopreservation of oocytes or embryos, the ovarian protection by gonadotropin-releasing hormone (GnRH) agonists during chemotherapy as well as even gonadal shielding during radiotherapy, other innovative techniques are available today and need to be optimized to support their introduction into the clinical practice. These novel methods are hormone stimulation-free and include the ovarian cortex cryopreservation before anti-cancer treatments and its subsequent autologous reimplantation and a regenerative medicine approach using oocytes derived in vitro from ovarian stem cells (OSCs). For both procedures, the major benefit is related to the prompt recruitment and processing of the ovarian cortex fragments before gonadotoxic treatments. However, while the functional competence of oocytes within the cryopreserved cortex is not assessable, the in vitro maturation of OSCs to oocytes, allows to select the most competent eggs to be cryopreserved for fertility restoration. View Full-Text
Keywords: cryopreservation; gonadotoxicity; oncofertility; ovarian cortex; ovarian stem cells; tissue biobanking cryopreservation; gonadotoxicity; oncofertility; ovarian cortex; ovarian stem cells; tissue biobanking
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MDPI and ACS Style

Silvestris, E.; De Palma, G.; Canosa, S.; Palini, S.; Dellino, M.; Revelli, A.; Paradiso, A.V. Human Ovarian Cortex biobanking: A Fascinating Resource for Fertility Preservation in Cancer. Int. J. Mol. Sci. 2020, 21, 3245. https://0-doi-org.brum.beds.ac.uk/10.3390/ijms21093245

AMA Style

Silvestris E, De Palma G, Canosa S, Palini S, Dellino M, Revelli A, Paradiso AV. Human Ovarian Cortex biobanking: A Fascinating Resource for Fertility Preservation in Cancer. International Journal of Molecular Sciences. 2020; 21(9):3245. https://0-doi-org.brum.beds.ac.uk/10.3390/ijms21093245

Chicago/Turabian Style

Silvestris, Erica, Giuseppe De Palma, Stefano Canosa, Simone Palini, Miriam Dellino, Alberto Revelli, and Angelo V. Paradiso 2020. "Human Ovarian Cortex biobanking: A Fascinating Resource for Fertility Preservation in Cancer" International Journal of Molecular Sciences 21, no. 9: 3245. https://0-doi-org.brum.beds.ac.uk/10.3390/ijms21093245

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