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 Cellular and molecular aspects of ovarian follicle ageing Tatone C; Amicarelli F; Carbone MC; Monteleone P; Caserta D; Marci R; Artini PG; Piomboni P; Focarelli RHum Reprod Update  2008[Mar]; 14 (2): 131-42It is well established that age-related decline of the biological capacity of a  woman to reproduce is primarily related to the poor developmental potential of  her gametes. This renders female ageing the most significant determinant of  success in IVF. Starting with a reference picture of the main molecular and  cellular failures of aged oocytes, granulosa cells and follicular  microenvironment, this review focuses on age-related biochemical mechanisms  underlying these changes. According to the most relevant concept of ageing,  age-associated malfuction results from physiological accumulation of irreparable  damage to biomolecules as an unavoidable side effect of normal metabolism. More  than a decade after the free radical theory of ovarian ageing, biological and  clinical research supporting the involvement of oxidative injuries in follicle  ageing is discussed. Looking for the aetiology of oxidative stress, we consider  the effect of ageing on ovarian and follicular vascularization. Then, we propose  a potential role of advanced glycation end-products known to be involved in the  physiological ageing of most tissues and organs. We conclude that future  investigation of age-related molecular damage in the different ovarian components  will be imperative in order to evaluate the possibility to save or rescue the  developmental potential of aged oocytes.|Aging/*metabolism/*pathology[MESH]|Cellular Senescence[MESH]|Female[MESH]|Glycation End Products, Advanced/metabolism[MESH]|Humans[MESH]|Infertility, Female/*metabolism/*pathology[MESH]|Ovarian Follicle/*metabolism/*ultrastructure[MESH]|Oxidative Stress[MESH]
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