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Publication : CHEK2 signaling is the key regulator of oocyte survival after chemotherapy.

First Author  Emori C Year  2023
Journal  Sci Adv Volume  9
Issue  42 Pages  eadg0898
PubMed ID  37862420 Mgi Jnum  J:341994
Mgi Id  MGI:7544106 Doi  10.1126/sciadv.adg0898
Citation  Emori C, et al. (2023) CHEK2 signaling is the key regulator of oocyte survival after chemotherapy. Sci Adv 9(42):eadg0898
abstractText  Cancer treatments can damage the ovarian follicle reserve, leading to primary ovarian insufficiency and infertility among survivors. Checkpoint kinase 2 (CHEK2) deficiency prevents elimination of oocytes in primordial follicles in female mice exposed to radiation and preserves their ovarian function and fertility. Here, we demonstrate that CHEK2 also coordinates the elimination of oocytes after exposure to standard-of-care chemotherapy drugs. CHEK2 activates two downstream targets-TAp63 and p53-which direct oocyte elimination. CHEK2 knockout or pharmacological inhibition preserved ovarian follicle reserve after radiation and chemotherapy. However, the lack of specificity for CHEK2 among available inhibitors limits their potential for clinical development. These findings demonstrate that CHEK2 is a master regulator of the ovarian cellular response to damage caused by radiation and chemotherapy and warrant the development of selective inhibitors specific to CHEK2 as a potential avenue for ovario-protective treatments.
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