Effects of reactive oxygen species and mitochondrial dysfunction on reproductive aging.

Mitochondria are ubiquitous intracellular organelles present in nearly all eukaryotes and involved in multiple aspects of cellular life, with a primary role in energy production. This functional diversity is reflected in the complicated mitochondrial ultrastructure ( Figure 1 ). Mitochondria, unlike most organelles, are highlighted by their possession of two distinct membranes: an outer membrane (OMM) that encloses the organelle and interfaces with the cytosol, and an inner membrane (IMM) that displays morphological complexity. The IMM can be further subdivided into two components: the inner boundary membrane (IBM), which is closely attached to the outer membrane, and the cristae membrane (CM), which forms lamellar or tubular protrusion within the organelle. These membranes give rise to distinct compartments within the mitochondria, including the intermembrane space (IMS) located between the OMM and the IBM, the intracristal space (ICS) enclosed by the CM, and the innermost matrix ( Iovine et al., 2021 ). Particularly, mitochondria possess their own DNA, which encodes numerous vital proteins necessary for the assembly and operation of mitochondrial respiratory complexes. MtDNA is especially vulnerable to stress-induced damage believed to be a result of the absence of histones in structure and limited effectiveness of repair mechanisms ( Kim et al., 2015 ; Vadakedath et al., 2023 ). Mitochondrial ultrastructure and the vicious loop among extensive ROS, mito-structural damage, and mitochondrial dysfunction (partially refer to Iovine et al., 2021 ). Mitochondrion is precisely compartmentalized, which can be divided into mtDNA, membrane compartments and aqueous compartments. The membrane compartments include OMM, IBM, and CM from the outside in. The aqueous parts contain IMS, ICS, and the innermost matrix. Respiratory chain present within the IBM is composed of CI to V, which undergoes OxPhos for material and energy metabolism accompanied by ROS production. Once ROS is produced extensively and accumulated constantly in cells, ROS would damage the vulnerable mtDNA and mitochondrial inner structure, leading to mitochondrial dysfunction and more ROS. mtDNA, mitochondrial DNA; OMM, outer membrane; IBM, inner boundary membrane; CM, cristae membrane; IMS, intermembrane space; ICS, intracristal space; CI to V, Complex I to V; AQP, aquaporin; VDAC, voltage-dependent anion channel. Mitochondria are involved in essential functions of the cell, including energy metabolism, substance metabolism, signal transduction, intracellular calcium homeostasis, cell apoptosis ( Iovine et al., 2021 ). Energy metabolism and material metabolism within mitochondria are synchronized. Mitochondria produce high-energy phosphorylated substance ATP into all cellular compartments through a complex interconnected metabolic network (TCA cycle, OxPhos, and fatty acid β-oxidation) using multiple energy sources, such as amino acids, lipids, and carbohydrate derivatives ( Heldt, 1972 ; Wang J. et al., 2009 ). Mitochondria possess the ability to modulate energy production via glycolysis, the TCA cycle, and OxPhos in response to alterations in cellular energy demands ( Lim et al., 2011 ). Furthermore, mitochondria assume a pivotal role in the regulation of intracellular signaling ( Tan and Finkel, 2020 ). As a Ca 2+ buffer zone within cells, mitochondria collaborate with the endoplasmic reticulum, extracellular matrix, and other cellular structures by Controlling the Ca 2+ concentration to modulate cellular activities ( Aoyama-Ishiwatari and Hirabayashi, 2021 ). Additionally, mitochondria participate in the regulation of various cellular stress responses, such as OS, heat stress, and apoptosis ( Chien et al., 2014 ; Yao et al., 2023 ). The proper execution of mitochondrial functions counts on the structural compartmentalization, which allows mitochondria to respond to intracellular signals timely. Over the past decade, substantial evidence has emerged, shedding light on the involvement of mitochondria in gamete formation and embryonic development, as well as the elevated prevalence of reproductive disorders, such as inflammation of genitourinary system ( Jankauskas et al., 2018 ), asthenospermia ( Li et al., 2023 ), and polycystic ovary syndrome ( Jiang et al., 2022 ). In eukaryotes, the production of ATP occurs within mitochondria through oxidative metabolism of nutrients, which involves two key steps: OxPhos process ( Iovine et al., 2021 ), and the oxidation of nicotinamide adenine dinucleotide hydride (NADH) or flavin adenine nucleotide phosphate (FADH2), or the β-oxidation of fatty acids ( Shen et al., 2017 ). The electron transport chain facilitates the oxidation of NADH and FADH2 generated through glycolysis and the TCA cycle. Simultaneously, it actively transports protons across the IMM, leading to the accumulation of protons in the IMS. This process establishes a transmembrane proton gradient with proton-motive force. Complex V (or called ATP synthase), harnesses the proton flow driven by this gradient to catalyze the synthesis of ATP from ADP and phosphoric acid. Consequently, the energy derived from the oxidation of hydrogen carriers is effectively conserved in the form of ATP ( Figure 1 ). From the Free radical theory of aging proposed by Harman early in 1956 focusing to the endogenous free radicals to the polished Mitochondrial theory of aging developed to include all forms of ROS today, intense research has approved that cumulative oxidative damage contributes to physiological deterioration and ultimately leads to aging and death, and mitochondria play an equally important role ( Harman, 1956 ; Lee and Wei, 2001 ; Salmon et al., 2010 ; Holmstrom and Finkel, 2014 ). Concurrent alterations in ROS level and mitochondrial morphology have been reported in numerous experimental studies. For example, muscle- and skin-derived fibroblasts with an inactive Complex I exhibit an elevated ROS level and progressive mitochondrial fragmentation characterized by reduced mitochondrial length and branch, whereas patient cells without Complex I deficiency display only controllable ROS levels and a normal mitochondrial morphology ( Koopman et al., 2007 ; Blanchet et al., 2011 ). The excessive presence of ROS heightens the likelihood of mutations of mtDNA that encodes proteins related to the respiratory chain, ultimately affecting ATP production and potent kinetic energy supply for motion ( Venkatesh et al., 2009 ). Collectively, mitochondria as the primary generators and the recipients of oxidative damage, implies a vicious cycle wherein impaired mitochondria produce increased amounts of ROS, in turn leading to a progressive accumulation of damage that culminates in the process of aging ( Figure 1 ). In all cells, an intracellular balance between the production and elimination of ROS, known as “redox homeostasis”, necessitates efficient coordination of reactions across various cells and is regulated by an intricate network of pro-oxidation and antioxidant systems ( Chianese and Pierantoni, 2021 ). The latter, the source of total antioxidant capacity, encompasses non-enzymatic scavengers, as well as detoxifying enzymes that operate within distinct organelles. Non-enzymatic antioxidants include albumin, urate, taurine, hypotaurine, pyruvate, lactate, tocopherol, ergothioneine, ascorbic acid and melatonin ( Ball, 2008 ; Gonzalez-Arto et al., 2016 ). The antioxidant enzyme defense system involves superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPX), glutathione reductase (GSR), peroxiredoxin (PRDX), and so on ( Ben Abdallah et al., 2009 ; Klopotowska et al., 2022 ). OS is defined as the imbalance between the detoxification of cell antioxidant defense system and the production of ROS. In the status of OS, extensive ROS is produced and accumulate within the whole cell. ROS is extremely reactive and can engage in reactions with virtually any substantial molecules, leading to lipid peroxidation and DNA impairment, among other consequences ( Yang et al., 2010 ). Polyunsaturated fatty acid moieties of phospholipids and cholesterol are preferred substrates for lipid hydroperoxides (e.g., Malonaldehyde and 4-hydroxynonenal) and OH generated in membranes ( Brouwers et al., 2005 ). Active ROS attacks directly sensitive DNA and damages components of the chromosome, such as telomeres, causing DNA strand breaks and altered repair mechanisms that can lead to the acquisition of genomic changes ( Sallmyr et al., 2008 ). These impaired molecules disrupt regular cellular metabolism, prompting a subsequent escalation in ROS production, thus establishing a detrimental cycle. Ultimately, the excessive accumulation of ROS culminates in oxidative damage to macromolecules, cells, and even the overall structure and functionality of the organism ( Redza-Dutordoir and Averill-Bates, 2016 ).

ROS plays a dual role in oocyte development, serving as both a beneficial and detrimental factor. In its normal functioning, ROS assumes a crucial role in regulating folliculogenesis, meiosis, ovulation, and embryonic development by acting as secondary messengers in cellular signaling pathways ( Agarwal et al., 2012 ). However, when present in excessive amounts, ROS will result in OS and exert detrimental effects including a series of reproductive diseases such as endometriosis and polycystic ovary syndrome ( Wang F. et al., 2023 ; Weng et al., 2023 ; Zhou et al., 2023 ). The initial proposition by Tarin ( Tarin, 1995 ) regarding ovarian senescence posits that oocytes exhibit reduced resistance to ROS, which is a significant contributor to oocyte impairment. The prolonged duration of meiosis-arrested oocytes increases their vulnerability to oxidative damage, as indicated by the disturbance of protein homeostasis, particularly in terms of proteolysis ( Wu et al., 2022 ). Even though oocytes possess the capability to counteract this effect through the activation of intricate surveillance, repair, and proteolytic pathways, it is noteworthy that these defense systems are susceptible to age-related impairments, thereby diminishing their capacity to effectively eliminate proteins damaged by oxidation ( Peters et al., 2020 ). ROS-induced damage can impact the primary molecular constituents of oocytes, encompassing lipid membranes, nucleic acids, and protein complexes, thereby disrupting protein functionality and cellular equilibrium ( Husain and Mahmood, 2019 ; Cui et al., 2022 ). Increased ROS can also cause structural deterioration of organelles, leading to mitochondrial dysfunction, telomere shortening due to decreased telomerase activity, abnormalities in spindle assembly, and abnormal cytoskeletal dynamics ( Zhang et al., 2018 ; Zhou et al., 2019 ). These abnormal conditions significantly diminish the effectiveness of meiotic recombination, resulting in errors in chromosome segregation and loss ( Liu et al., 2004 ; Schatten and Sun, 2015 ; Yang et al., 2020 ). Consequently, oocytes undergo abnormal meiotic division and experience a substantial decline in egg quality ( Figure 2 ). Detrimental effects of excessive ROS and mitochondrial dysfunction on different reproduction stages from gamete formation to embryonic development in the uterus. For the male, excessive ROS and mitochondrial dysfunction would cause inactive sperms with loss of fertility and declined motility by decreased energy supplement to fail to sperm penetration. For the female, excessive ROS and mitochondrial dysfunction would influence the entire oogenesis, increase the possibility of lessened quantity of ovum, and decline fertilization potential. Otherwise, excessive ROS can disturb the fetal development and even occurs developmental disorders. A solid arrow indicates that the process is normal, and a dashed arrow indicates that the process is defective. The absence of antioxidant genes in the ovaries can disrupt follicular growth. Histological analysis conducted on the ovaries from SOD1 knockout mice demonstrated many primary and small antral follicles but few corpora lutea ( Matzuk et al., 1998 ). Deletion of SOD1 resulted in a defect in implantation of embryos to the wall of the uterine horns and small litters, suggesting that SOD1 may play a critical role in germ cell survival ( Ho et al., 1998 ). The gilts supplied for dietary 2-hydroxy-4-methylselenobutanoic acid showed increased weight of uteri accompanied by increased the activity of T-AOC, T-SOD, GPX, TXNRD and decreased MDA content in granulosa cells (GCs), implied that the drug is conducive to promoting follicle development by antioxidant pathway ( Lin et al., 2022 ). Furthermore, many advantageous factors from environment like resveratrol can elevate the level of ROS to generate various intracellular toxic effects including embryonic stage cellular toxicity and teratogenicity in various mammalian species and even the impact on human fetal development ( Manzo et al., 2010 ; Auti et al., 2022 ). In recent years, more and more drugs have been evidenced playing a significantly antioxidant role to help delay or rescue the aging phenotypes of reproduction ( Yang et al., 2022 ; Wang et al., 2023b ; Wang et al., 2023c ). For instance, the antioxidant Salidroside can increase the number of blastocyst cells, the proliferation of blastocysts, and the expressions of pluripotency genes while reducing ROS levels in oocytes and enhancing intracellular GSH levels ( Shi et al., 2023 ). Currently, screening of drugs to effectively decrease the level of ROS possesses a broad prospect to ameliorate the quality of oocytes and their subsequent embryonic development. The decline in male reproductive function with age is a prevalent phenomenon observed in mammals, birds, and flies ( Fricke and Koppik, 2019 ). Research conducted on males have revealed that aging poses smaller testes ( Mahmoud et al., 2003 ), a notable decrease in the average quantity of sertoli cells ( Johnson et al., 1984 ), and lower testosterone levels ( Pines, 2011 ). A retrospective analysis of semen parameters (e.g., ejaculate volume, sperm concentration, and sperm motility), conducted on a sample size exceeding 5,000 men aged 16–72 years indicates semen parameters commence a decline after 34 years of age ( Stone et al., 2013 ). Sperm quality, as one of the decisive factors affecting animal reproductive capacity, is crucial for the propagation across species. The abnormal increase of ROS in the reproductive system by age is one of the core causes of the decline of sperm quality. Once ROS levels increase abnormally, it can lead to decreased fluidity of the mitochondrial membrane structure, protein denaturation, and increased membrane fragility within the sperm ( Fleury et al., 2002 ). This disruption can directly result in the inability to maintain the proton gradient across the inner mitochondrial membrane, causing the biochemical basis of ATP synthesis to be compromised. As a result, sperm loses its motility and ability to move effectively due to decreased energy levels ( Chianese and Pierantoni, 2021 ). In order to cope with the risk of high OS, sperm have developed a unique oxidative defense mechanism to maintain low levels of ROS within their internal environment ( Guerriero et al., 2014 ; O’flaherty, 2019 ). Besides providing a liquid environment for sperms, seminal plasma serves as a source of numerous nutrients and protective substances that modulate sperm capacitation and gamete interaction ( Vashisht and Gahlay, 2023 ). Among multitudinous substances, antioxidant system is high-profile for their roles involved in the process ( Yin et al., 2023 ). In the seminal plasma of jackasses, the activities of antioxidant enzymes (SOD, CAT, GPX, and GSR) were significantly correlated with sperm motility and forward movement ability ( Maehly and Chance, 1954 ; Wdowiak et al., 2015 ; Papas et al., 2019 ). The impairment by NiCl 2 treatment on sperm total motility and progressive motility in a dose- and time-dependent manner is characterized by interference with Ca 2+ signaling and elevated levels of ROS and malondialdehyde, which can be rescued by the antioxidants N-acetyl-L-cysteine or tocopherol ( Chen et al., 2022 ). These studies indicate that antioxidant enzymes in the sperm storage organ play a strong protective role against OS ensuring maintenance of sperm vitality and overall quality. Understanding the regulatory mechanisms of the endogenous oxidative defense system, which serves as the primary barrier against high OS in sperm, is of significant value for improving reproductive capacity.

Mammalian mitochondria are naturally inherited through the maternal lineage ( Hutchison et al., 1974 ), whereas the sperm mitochondria become degraded after fertilization ( Sutovsky et al., 1999 ). Hence, the determination of oocyte health, fertilization, and early embryonic development hinges on the abundance and quality of the mitochondrial population within the oocyte to a great extent ( Wai et al., 2010 ; Fragouli and Wells, 2015 ). The quality as well as the number of mitochondria within the oocyte play significant roles as markers for oocyte quality and pivotal indicators for fertilization and embryo development ( Tilly and Sinclair, 2013 ). During the process of oocyte growth subsequent to follicle recruitment, the primordial oocyte experiences a substantial increase in the number of mitochondria ( Wassarman et al., 1976 ). Hence, the replication of mtDNA and mitochondrial biogenesis is sustained in parallel with the follicle growth ( Larsson et al., 1998 ; Hou et al., 2019 ). According to estimations, there is a decline of approximately 4 copies of human mtDNA every 10 years, which has been associated with compromised post-implantation development and an elevated likelihood of subfertility ( Zhang et al., 2017 ; Busnelli et al., 2018 ). The analysis of an in vitro fertilization/intracytoplasmic sperm injection program suggested the circulating level of anti-Müllerian hormone, a hormone essential to the regulation of ovarian follicle growth by inhibiting initial follicle recruitment, is strongly correlated with mtDNA abundance within GCs ( Bowolaksono et al., 2022 ). The accumulating evidence from current studies exhibits that an association exists between maternal age and the incidence of mtDNA deletion in oocytes and GCs ( Keefe et al., 1995 ; Chan et al., 2005 ). Additionally, a greater number of mtDNA copies in the embryo is linked to higher fecundity ( Murakoshi et al., 2013 ; Babayev et al., 2016 ). Generally, the inadequate amount of mtDNA is insufficient in supplying the required energy reserves for follicular growth, consequently resulting in oocyte degeneration. Mitochondria are organelles characterized by their dynamic nature with an intricate network of tubular structures, displaying an amazing plasticity of morphology and distribution. Mitochondrial dynamics includes the fusion and fission between the IBM and the OM during mitochondrial movement with surrounding mitochondria for exchange of matrix and membrane components ( Wai and Langer, 2016 ). The two pivotal events maintain a continuously coordinated cycle essential for facilitating adequate local energy generation and distribution required by each cellular organelle to execute their respective functions ( Frederick and Shaw, 2007 ). This enables mitochondria to preserve its optimal functioning status and structural integrity ( Suen et al., 2008 ). Fusion serves to alleviate stress by amalgamating the constituents of partially impaired mitochondria, thereby enhancing their functionality, while fission is necessary for the elimination of compromised and less efficient mitochondria or for the generation of novel ones ( Karbowski et al., 2002 ). Assessing the impact of mitochondrial fusion and fission on cellular processes proves challenging due to the multifaceted nature of these processes, which can yield diverse outcomes dependent on the temporal and spatial factors of their occurrence. It is worth noting that mitochondria are highly prevalent organelles in oocytes and embryos. Throughout maturation of oocytes and embryonic development preceding implantation, mitochondria undergo persistent and dynamic modifications to facilitate essential cellular developmental events ( Sathananthan and Trounson, 2000 ; Harvey, 2019 ). The actional nature of energy demands leads to corresponding fluctuations in mitochondrial dynamics, which effectively and unitedly regulate metabolism to meet the material and energy requirements necessary for oocyte maturation and embryonic development ( Schatten et al., 2005 ; Zhao et al., 2016 ). The involvement of mitochondrial dynamic-related proteins in germ cells and embryos has been investigated extensively in mammals. The novel evidence from mitofuscin 2 ( Mfn2 ) knockout mice indicates that the seminiferous tubules display a vacuous morphology due to impaired spermatogenesis and increased apoptosis, parallel to an interference of cellular respiration effected by lower expression of the subunits of OxPhos complexes ( Wang X. et al., 2021 ). Indeed, it has been empirically shown that, alongside mitochondrial fusion, the process of fission is also necessary in governing the preservation of early spermatogenesis ( Honda and Hirose, 2003 ). Stage-specific enhancement in dynamin related protein 1 ( Drp1 ) expression in rat spermatids cooperated with Mfn2 to trigger the mitochondrial ubiquitination to attain their homogenization by fusion and fission. The Drp1 -deleted oocytes displayed clustering of aberrant mitochondria, compromised calcium homeostasis, impaired secretory function, multiorganelle deformation, disrupted meiosis, and ultimately, age-dependent infertility in female mice ( Udagawa et al., 2014 ). Mitofuscin 1 ( Mfn1) knockout oocytes exhibited impaired oocyte-GC communication, downregulated cadherins and connexins, resulting in follicle developmental arrest at the secondary follicle stage as well as depletion of ovarian follicular reserve. These phenotypes could be partially rescued by treatment with ceramide synthesis inhibitor myriocin ( Zhang et al., 2019 ). Targeted deletion of Mfn2 in mice showed reduced rates of oocyte maturation and fertilization, along with changes in mitochondrial allocation and spindle assembly ( Liu et al., 2016 ), which highlighted the involvement of mitochondrial dynamics in regulating chromosome separation in oocytes. The activation of the embryonic genome may necessitate mitochondrial fusion to facilitate this significant developmental process. Inhibition of Drp1 in embryonic stem cells induced totipotency-to-pluripotency transition characterized by decreased activity of the glycolysis/gluconeogenesis pathway by failed silencing of 2-cell genes in embryos, ultimately leading to impeded development of early embryos ( Guo et al., 2023 ). High expression of Mfn1 significantly promoted early development of bovine embryos with somatic cell nuclear transfer by increasing ATP level and mitochondrial membrane potential, while reducing H 2 O 2 generation by improving OxPhos ( Babayev et al., 2016 ). Mitochondrial fission and fusion homeostasis are critical factors ensuring the optimal mitochondrial activity in oocytes and embryos, thereby facilitating the normal development of embryos, and preventing oxidative damage. With the identification and validation of additional molecules or drugs, the manipulation of mitochondrial dynamics may emerge as a prospective avenue for improving reproductive health. It is well known that mitochondria are key regulators of structure formation, metabolic activity, and function ( Sherratt, 1991 ). Their most primary role, energy production, is critical for function of organs with high metabolism like ovary and testis. The oocyte possesses a greater quantity of mitochondria compared to other cells in mammals ( Kim et al., 2019 ). Research using mammalian models has provided compelling evidence that mitochondria are imperative for the development of proficient female gametes. During the maturation of follicles, as the efficiency of glycolysis in the oocyte is limited due to low expression of phosphofructokinase ( Leese and Barton, 1984 ), there is a metabolic shift from glycolysis to OxPhos, which facilitates the production of increased ATP levels conducive to supporting various processes such as cytoplasmic and nuclear maturation, spindle formation, and polar body extrusion ( Barbehenn et al., 1974 ; Zhang et al., 2006 ; Dumollard et al., 2007b ). In this stage, there is a significant increase in the abundance of functional mitochondria, which serves as the primary provider of ATP for the reorganization of cytoplasmic and nuclear activities, such as gene expression and the initiation of crucial signaling cascades ( Kirillova et al., 2021 ). Additionally, the spatial arrangement of mitochondria undergoes a transformation, transitioning from a homogenous distribution throughout the cytoplasm during the germinal vesicle stage to a clustered aggregation near the perinuclear region in metaphase I or II oocytes ( Wang L. Y. et al., 2009 ). Previously, it has been documented that there is a notable rise in ATP level alongside the clustering of mitochondria in the perinuclear region during the maturation of oocytes in mice and pigs ( Yu et al., 2010 ). Inefficient mitochondrial bioenergetics can contribute to a detrimental impact on the effectiveness of bidirectional signal communications between GCs and oocytes, primarily mediated by the secreted sex hormones and intercellular gap junctions ( Best et al., 2015 ). Consequently, this disruption may result in impairments in oocyte maturation. In addition, it has been demonstrated that a decline in ATP content generated through OxPhos process can impede the cytoplasmic microtubule network, leading to a delayed or hindered maturation of oocytes in mice ( Marques-da-Silva et al., 2011 ). Disruption of OxPhos, the core process for ATP production, can cause halting of oocyte maturation, chromosomal misdistribution, and hindered embryo development ( Takeuchi et al., 2005 ; Thouas et al., 2006 ; Wyman et al., 2008 ).The conditional disruption of the decaprenyl diphosphate synthase subunit 2 ( Pdss2 ) gene, leading to a deficiency of CoQ in oocytes, overviews numerous phenotypic alterations typical of mitochondrial dysfunction in oocytes associated with reproductive aging, and could be reversed by the administration of CoQ10 ( Ben-Meir et al., 2015 ). During the matured phase of oocyte, mitochondria undergo relocation to varying regions to fulfill localized energy requirements. The occurrence of rapid increases in ATP demand and subsequent mitochondrial redistribution are closely linked to the development of the oocyte ( Figure 2 ). An adequate number of functional mitochondria makes up a decisive factor in determining the quality of the oocyte.

The factors driving diverse aging phenotypes, especially concerning reproductive aging, are expected to be complex, involving changes across various physiological systems. Although we can differentiate between extrinsic and intrinsic factors, it is likely that the levels of ROS and mitochondrial quality associated with reproductive aging are influenced by both forces, suggesting a significant interplay between them. Delving into the intricate interplay among ROS, mitochondria, and germline function will yield valuable insights into underlying molecular mechanism of reproductive aging. Further exploration is also conducive to lay the groundwork to address fertility issues in humans by exploring potential strategies from the point of ROS level and mitochondria.

Throughout history, aging has been a major concern for society. Healthcare advances and the distribution of vaccines have contributed to the increase in life expectancy from 35 years in the 18th century to 72.6 years today ( Nakamura et al., 2017 ; Mansouri Torghabeh et al., 2022 ). Based on numerous observations, it has been hypothesized that the poor quality of reproductive cells can result in accelerated aging and a shorter healthspan ( Loose et al., 2022 ). The state of the reproductive system is not only essential for fertility, but also for overall health. Reproductive aging is a universal developmental process conserved across species coinciding with age-related fertility depletion and decline of gamete quality, culminating in infertility and deleterious consequences on the offspring ( Drori and Folman, 1976 ; Drewry et al., 2011 ; Archie et al., 2014 ; Sinha and Rae, 2014 ). Reproduction is an energy-costly undertaking that profoundly impacts on multiple individual characteristics at molecular, cellular, and endocrine levels ( Loose et al., 2022 ; Secomandi et al., 2022 ). Nevertheless, reproductive fitness also offers notable physiological benefits. For instance, it is commonly discovered that women who remain reproductively healthy until their late 30 years or even 40 years have longer lifespans compared to younger women who give birth in their late 20 years ( Murphy, 2023 ). Similarly, research on humans indicates that early menopause may be associated with increased mortality ( Shuster et al., 2010 ). Despite the presence of numerous intrinsic and extrinsic factors that may contribute to aging traits in an organism’s germline, the intricate cellular mechanisms underlying reproductive aging remain poorly understood and warrant further investigation to fully comprehend the complex interactions involved. In recent academic research, there is a growing emphasis on the role of mitochondria as a central component in cellular events associated with reproductive aging primarily due to oxidative stress (OS) caused by the progressive accumulation of ROS, as a result of oxidative phosphorylation (OxPhos) ( Gumienny et al., 1999 ; Terman et al., 2007 ; Roger et al., 2017 ). Nevertheless, OS is not the sole contributing factor to mitochondria-dependent changes in reproductive aging; energy metabolism, mitochondrial dynamics, and the integrity of mitochondrial DNA (mtDNA) also play significant roles ( Terman et al., 2007 ; Noh et al., 2023 ). Delayed blastocyst development and reduced quality in gametes are associated with accumulated oxidative damage and inefficient clearance of dysfunctional mitochondria ( Shen et al., 2021 ; Khan et al., 2023 ). Importantly, there is a high probability that these issues are interconnected. Here, we provide an overview of the evidence that explain how mitochondrial function and OS can affect reproductive function and the rate at which it undergoes cellular age-related alterations.

In mammals, the process of reproduction can be categorized into distinct stages, namely, sex differentiation, sexual maturation, germ cell development encompassing spermatogenesis and oogenesis, mating, fertilization, pregnancy, and parturition. The lifespan expenses of sustaining reproductive capability, and of reproduction itself primarily focus on maintaining a stable developmental environment and ensuring an adequate energy supply, as any deviation or mistake at any stage can impede successful reproduction ( Zhang and Hood, 2016 ). The completion of reproduction necessitates the collaborative efforts of both females and males, although females typically assume greater responsibilities, such as embryonic development, parturition, and lactation. Intriguingly, in the context of human reproduction, men exhibit a prolonged fertility span throughout their lives, consistently generating sperm, whereas women experience a comparatively limited window of fertility. The decline in female fertility commences around the age range of 30–35, manifesting in an augmented likelihood of miscarriage, diminished chances of conception, and an expedited progression of reproductive senescence, characterized by an increased probability of oocyte aneuploidy ( Mogessie, 2020 ). The different reproductive aging patterns between sexes may be associated with the global phenomenon that women outlive men worldwide ( Thornton, 2019 ). Sex differences in life expectancy also share a a prevalent trend in many species, including mammals ( Hoffman et al., 2013 ), birds ( Liker and Szekely, 2005 ), and insects ( Bateman, 1948 ). Males may be sacrificing access to resources to longer lifespan expectancy in favor of sustaining an extended reproductive potential. One explanation for trade-offs between longevity and reproduction is that male sex hormones reduce the lifespan of men, proved by a longer lifespan in castrated men ( Min et al., 2012 ). Asymmetric inheritance of mtDNA presents a novel perspective for explaining the sex difference in lifespan expectancy: the accumulation of mtDNA mutations may potentially make an adverse consequence for males if they are neutral or advantageous for females ( Innocenti et al., 2011 ). These effects may manifest directly, such as through mitochondrial function ( Anderson et al., 2022 ), or indirectly, such as retroegulation of nuclear genome by mtDNA ( Hamalainen et al., 2019 ). However, the substantial variations in the reproductive cycle and the pace of reproductive senescence among males and females have yet to be adequately elucidated and warrant further investigation. The female reproductive longevity is predominantly influenced by the ovarian health. A shortened reproductive longevity in female with diminished fertility or potential infertility can be attributed to the accelerated ovarian aging. Ovarian aging is characterized by a decline in oocyte quality, as well as a decrease in the quantity of follicles and oocytes. The theory of ovarian aging, initially proposed by Tarin, posits that oocytes exhibit a reduced capacity to withstand ROS, a crucial factor contributing to oocyte impairment ( Tarin, 1995 ). At a fundamental level, ROS functions as a secondary messenger in cellular signaling and assumes a crucial role in facilitating folliculogenesis, meiosis, and ovulation processes ( Ellis et al., 1987 ). However, the detrimental effects of excessive ROS can adversely affect the fundamental molecular components of oocytes, leading to the disruption of protein functionality and cellular homeostasis (e.g., telomerase) ( Sasaki et al., 2019 ). The two hit “telomere theory of reproductive aging” proposed that oocytes experience a greater accumulation of environmental and endogenous oxidative damage throughout the lifetime of female individuals, which could be mediated by telomeres ( Robinson et al., 2023 ). Telomeres undergo elongation through two distinct mechanisms, telomerase and alternative lengthening of telomeres. Alternative lengthening of telomeres is infrequently observed except telomeropathy. Sperms harbor the longest telomeres in the body, which are continuously generated by a telomerase-active progenitor, spermatogonia, throughout the male’s lifespan. In contrast, the telomerase activity in the female germline is initially low and decreases following the initiation of meiotic arrest ( Liu et al., 2007 ; Jeon et al., 2022 ). Otherwise, telomere attrition may still occur due to the presence of ROS ( Kordowitzki, 2021 ). Therefore, oocytes frequently carry short telomeres trapped into a risky survival situation. Even though this theory has some rationality, ROS may interact with the health of oocytes in more aspects than just telomere length. The disruption caused by ROS will trigger endoplasmic reticulum stress, autophagy, and proteasome dysfunction, culminating in follicular atresia and a decline in both the quality and quantity of oocytes ( Sasaki et al., 2019 ). Furthermore, mitochondrial quality determines the potential of oocyte fertility and the developing embryo ( Dumollard et al., 2007a ). Mitochondrial dysfunction can give rise to heightened ROS level and the accumulation of damaged age-related proteins ( Seli et al., 2019 ). Excessive ROS levels can prompt intracellular OS and contribute to a decline in the quantity of primordial follicles and the mortality of pre-implantation embryos, consequently diminishing the reproductive lifespan of females ( Sasaki et al., 2019 ). The interplay between ROS, mtDNA damage, and mitochondrial dysfunction establishes a vicious cycle ( Figure 1 ), the occurrence of which can initiate a cascading effect-an increase in ROS levels and mtDNA mutagenesis, ultimately resulting in a decline in reproductive capacity. Although reproductive aging in males may not receive as much attention as in females, it similarly leads to infertility and has detrimental effects on offspring. The gradual decline in male reproductive function with age is a widespread phenomenon observed across species ( Fricke and Koppik, 2019 ). Research in males has identified smaller testes, a notable reduction in the average number of Sertoli cells, and decreased testosterone levels as consequences of aging ( Mahmoud et al., 2003 ). During the differentiation of mammalian sperms, a significant portion of the cytoplasm is eliminated; however, a subset of mitochondria persists within the sperms, assuming a tubular arrangement in proximity to the middle flagellum ( Amaral et al., 2013 ). Furthermore, OS has been associated with male reproductive disorders ( Lou et al., 2006 ; Mansouri Torghabeh et al., 2022 ; Xu et al., 2022 ). A harmonious redox state as well as normal mitochondria are crucial to support spermatogenesis, epididymal transport, and subsequent activities following ejaculation (motility, capacitation, and acrosome reaction) ( Pelliccione et al., 2011 ). When the balance is disrupted, the resulting OS will adversely affect sperms in various aspects such as the genome, epigenome, lipidome, and proteome, thereby contributing to male infertility ( Wang et al., 2003 ; Lim et al., 2019 ). In most instances, the inheritance of mitochondria occurs maternally, whereas paternal mitochondria are eliminated. Nevertheless, the precise mechanisms responsible for the selective paternal mitochondrial elimination, remain largely elusive. It is traditionally considered that sperm mitochondria and their mtDNA should be removed early in the embryo by selective mitophagy to protect the embryo and offspring from paternal mtDNA damage due to vulnerability of sperm mtDNA to oxidative damage ( Marchetti et al., 2002 ). Paternal mitochondria elimination is carried out through the involvement of autophagy receptors in ubiquitin-dependent and ubiquitin-independent manners ( Wei et al., 2017 ). For example, an allophagy receptor, ALLO-1, accumulates on the paternal organelles and leads to leads to local autophagosome formation depending on the ubiquitin modification after fertilization ( Sato et al., 2018 ). FNDC-1, the Caenorhabditis elegans ortholog to human FUNDC1 (FUN14 domain containing1), is a ubiquitin-independent mitophagy receptor on the OMM involved in mitochondrial quality control under hypoxic conditions, and plays a crucial role in selective degradation of paternal mitochondria by the asymmetric high-expression on sperm mitochondria ( Lim et al., 2019 ). Nevertheless, the role of sperm mitochondria in the fertilization and their final fate after fertilization remain subjects of ongoing debate. Recent investigations conducted in transgenic mice showed that sperm mitochondria are not subjected to elimination by the early embryonic degradation mechanisms, ubiquitin-proteasome, and autophagy. Instead, sperm mitochondria may persist uniformly in certain cells until the morula stage, suggesting paternal mtDNA could be transmitted to offspring ( Luo et al., 2013 ). Indisputably, mitochondria play a crucial role in the processes of sperm fertility and fertilization, and any aberration within the mitochondria has the potential to cause impairment of sperm fertility and subsequent male infertility. The association between mitochondrial function and ROS is particularly pronounced in the context of reproductive aging. Currently, strategies aimed at mitigating oxidative damage and enhancing mitochondrial quality control have emerged as prominent therapeutic approaches for addressing reproductive aging and related disorders in clinical settings. The measurement of ROS levels in follicular fluid can serve as a biochemical marker for assessing follicular metabolic age ( Wang et al., 2012 ), and male infertility ( Wang et al., 2003 ). Some natural compounds with antioxidant properties that are isolated from medicinal plants such as resveratrol, have also been shown to protect against ovarian aging through multiple mechanisms, including counteracting cytotoxicity ( Banu et al., 2016 ), preventing the loss of the GCs ( Ozatik et al., 2020 ), improving renewal capacity of oogonial stem cells ( Wu et al., 2019 ), and diminishing ovarian inflammation ( Said et al., 2016 ). Mitochondrial membrane potential and mtDNA copy number have been identified as potential biomarkers for the selection of superior embryos and improved pregnancy ( Wang J. et al., 2021 ) as well as for enhancing the accuracy of diagnosing male infertility ( Karimian and Babaei, 2020 ). Experts in reproductive medicine have proposed that mitochondrial transplantation could serve as an innovative approach to rejuvenating oocyte quality and addressing age-related infertility or recurrent in vitro fertilization failures ( Kristensen et al., 2017 ; Labarta et al., 2019 ). This technique has demonstrated positive outcomes in humans and various animal species. The transfer of autologous or heterologous mitochondria successfully enhanced oocyte quality and improved in vitro fertilization results in a bovine embryo model ( Srirattana and St John, 2018 ). In aged mice, MII oocytes were fertilized with significantly increased blastocyst ratio after intracytoplasmic sperm injection combined with mitochondria from endometrial mesenchymal stem cells ( Zhang et al., 2023 ). Nevertheless, it is important to acknowledge that this technique is limited in its ability to effectively enhance blastocyst quality ( Labarta et al., 2019 ). Furthermore, the safety and ethical considerations surrounding the manipulation of mitochondria and blastocyst quality necessitate a more comprehensive understanding of their interaction. In essence, understanding the molecular processes that govern the balance of ROS and mitochondrial function is crucial for maintaining reproductive health. This knowledge is essential for identifying key targets to improve the quality of gametes. By doing so, we can delve into the causes of reproductive aging and disorders, paving the way for effective therapeutic strategies.