Iron overload modulates follicular microenvironment via ROS/HIF-1α/FSHR signaling
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⤵ 14 in-corpus citations
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This study investigated how excess iron disrupts the ovarian follicular microenvironment by affecting the ROS/HIF-1α/FSHR signaling pathway.
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Abstract
Iron is essential for the health of reproductive system, and women with iron overload suffer from ovarian dysfunction and lack effective treatment in fertility preservation. However, the underlying mechanism of the detrimental effects of iron overload on ovarian function remains ambiguous. Here, we confirmed the excess iron in the circumjacent follicle near endometriomas, which negatively impacted the oocyte development in the affected ovaries. Further, by integrating cell line and chronic iron overload mice model, we demonstrated that iron overload can function as a ROS inducer to amplify mitochondria damage, which significantly elevated the release of cytochrome C and ultimately induced the apoptosis of granular cells. Besides, for the first time, our findings revealed that disruption of HIF-1α/FSHR/CYP19A1 signaling was critical for decreased estrogen synthesis of granular cells in response to iron overload, which can lead to apparent oocyte maldevelopment and subfertility. Overall. this study uncovered that iron overload modulated the follicular microenvironment and generated a deleterious effect on female infertility via ROS/HIF-1α/FSHR signaling. These results might provide potential implications for future clinical risk management of patients with endometrioma and hemopathy.
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Cited by (14)
- Aberrant mitochondria in endometriosis: From pathogenic mechanisms to therapeutic opportunities 2026
- From gut-reproductive microbiota to ferroptosis: a comprehensive insight into the molecular-pathogenicity of endometriosis 2026
- Can iron serve as oocyte quality indicator in endometriosis? 2025
- Molecular links in endometriosis pathogenesis as targets for diagnosis and targeted therapy: a review 2025
- Iron-responsive ZNF185 overexpression drives mitochondrial fission and endoplasmic reticulum stress via cytoskeletal remodeling in granulosa cells 2025
- Erastin-induced multi-pathway cell death in endometriosis: a mechanistic and translational narrative review 2025
- Iron overload-induced ferroptosis in CD8+ T cells leads to functional abnormalities that promote endometriosis progression 2025
- Therapeutic application of mesenchymal stem cells in endometriosis 2025
- Ovarian Endometrioma Disrupts Oocyte-Cumulus Communication and Mitochondrial Function, With Melatonin Mitigating the Effects 2025
- Integrative Single-Cell Analysis Reveals Iron Overload-Induced Senescence and Metabolic Reprogramming in Ovarian Endometriosis-Associated Infertility 2025
- How Can Selected Dietary Ingredients Influence the Development and Progression of Endometriosis? 2024
- Oxidative Imbalance in Endometriosis-Related Infertility—The Therapeutic Role of Antioxidants 2024
- Oxidative stress, ferroptosis, somatic mutations, antioxidant therapy, and endometriosis: a new perspective on the issue 2024
- Double-edged roles of ferroptosis in endometriosis and endometriosis-related infertility 2023
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- europepmc
- last seen: 2026-06-13T06:22:48.782012+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
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