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Inhibition of ferroptosis counteracts the advanced maternal age-induced oocyte deterioration

A Correction to this article was published on 09 May 2025

This article has been updated

Abstract

Ferroptosis, a recently discovered form of programmed cell death triggered by the excessive accumulation of iron-dependent lipid peroxidation products, plays a critical role in the development of various diseases. However, whether it is involved in the age-related decline in oocyte quality remains unexplored. Here, we took advantage of nano-proteomics to uncover that reduced ferritin heavy chain (Fth1) level is a major cause leading to the occurrence of ferroptosis in aged oocytes. Specifically, induction of ferroptosis in young oocytes by its activators RSL3 and FAC, or knockdown of Fth1 all phenocopied the meiotic defects observed in aged oocytes, including failed oocyte meiotic maturation, aberrant cytoskeleton dynamics, as well as impaired mitochondrial function. Transcriptome analysis showed that knockdown of Fth1 affected meiosis-related and aging-related pathways in oocytes. Conversely, inhibition of ferroptosis by its inhibitors or expression of Fth1 improved the quality of aged oocytes. We also validated the effects of ferroptosis on the porcine oocyte quality in vitro. Altogether, we demonstrate the contribution of ferroptosis to the age-induced oocyte defects and evidence that inhibition of ferroptosis might be a feasible strategy to ameliorate the reproductive outcomes of female animals at an advanced age.

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Fig. 1: Identification of ferroptosis pathway enriched in aged oocytes by nano-proteomics.
Fig. 2: Induction of ferroptosis in young oocytes by RSL3 treatment.
Fig. 3: Effects of RSL3 treatment on the quality of young oocytes.
Fig. 4: Induction of ferroptosis in young oocytes by Fth1 knockdown.
Fig. 5: Effects of Fth1 knockdown on the quality of young oocytes.
Fig. 6: Effects of Fth1 knockdown on the transcriptome profile in young oocytes.
Fig. 7: Effects of exogenous expression of Fth1 in aged oocytes on the ferroptosis and oocyte maturation.
Fig. 8: Effects of lipro-1 administration in aged mice on the oocyte ferroptosis and quality.
Fig. 9: Effects of VE supplementation on the quality of porcine oocytes treated with RSL3.

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Data availability

All study data are included in the article and supplementary information. Data supporting the findings of this study are available on reasonable request from the corresponding author.

Change history

  • 25 April 2025

    The original online version of this article was revised: Since the publication of this article, the authors have noticed that the images in Figure 5c (Control panel) were mixed up with those in Figure S2a (RSL3+DFO panel) due to the unintentional errors during manuscript preparation. The corrected Figure 5 is shown below. The correction does not alter the findings and conclusions of the original published study.

  • 09 May 2025

    A Correction to this paper has been published: https://doi.org/10.1038/s41418-025-01519-2

References

  1. Agarwal A, Mulgund A, Hamada A, Chyatte MR. A unique view on male infertility around the globe. Reprod Biol Endocrinol. 2015;13:37.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Vander Borght M, Wyns C. Fertility and infertility: definition and epidemiology. Clin Biochem. 2018;62:2–10.

    Article  Google Scholar 

  3. Seshadri S, Morris G, Serhal P, Saab W. Assisted conception in women of advanced maternal age. Best Pract Res Clin Obstet Gynaecol. 2021;70:10–20.

    Article  CAS  PubMed  Google Scholar 

  4. Jacobsson B, Ladfors L, Milsom I. Advanced maternal age and adverse perinatal outcome. Obstet Gynecol. 2004;104:727–33.

    Article  PubMed  Google Scholar 

  5. Wang Q, Sun QY. Evaluation of oocyte quality: morphological, cellular and molecular predictors. Reprod Fertil Dev. 2007;19:1–12.

    Article  PubMed  Google Scholar 

  6. Peters AE, Mihalas BP, Bromfield EG, Roman SD, Nixon B, Sutherland JM. Autophagy in female fertility: a role in oxidative stress and aging. Antioxid Redox Signal. 2020;32:550–68.

    Article  CAS  PubMed  Google Scholar 

  7. Bentov Y, Yavorska T, Esfandiari N, Jurisicova A, Casper RF. The contribution of mitochondrial function to reproductive aging. J Assist Reprod Genet. 2011;28:773–83.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Huang C, Wu D, Zhang K, Khan FA, Pandupuspitasari NS, Wang Y, et al. Perfluorooctanoic acid alters the developmental trajectory of female germ cells and embryos in rodents and its potential mechanism. Ecotoxicol Environ Saf. 2022;236:113467.

    Article  CAS  PubMed  Google Scholar 

  9. Nelson SM, Telfer EE, Anderson RA. The ageing ovary and uterus: new biological insights. Hum Reprod Update. 2013;19:67–83.

    Article  CAS  PubMed  Google Scholar 

  10. Djahanbakhch O, Ezzati M, Zosmer A. Reproductive ageing in women. J Pathol. 2007;211:219–31.

    Article  CAS  PubMed  Google Scholar 

  11. Busnelli A, Navarra A, Levi-Setti PE. Qualitative and quantitative ovarian and peripheral blood mitochondrial DNA (mtDNA) alterations: mechanisms and implications for female fertility. Antioxidants 2021;10:55.

  12. Miao YL, Kikuchi K, Sun QY, Schatten H. Oocyte aging: cellular and molecular changes, developmental potential and reversal possibility. Hum Reprod Update. 2009;15:573–85.

    Article  PubMed  Google Scholar 

  13. Igarashi H, Takahashi T, Nagase S. Oocyte aging underlies female reproductive aging: biological mechanisms and therapeutic strategies. Reprod Med Biol. 2015;14:159–69.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Charalambous C, Webster A, Schuh M. Aneuploidy in mammalian oocytes and the impact of maternal ageing. Nat Rev Mol Cell Biol. 2023;24:27–44.

    Article  CAS  PubMed  Google Scholar 

  15. Mikwar M, MacFarlane AJ, Marchetti F. Mechanisms of oocyte aneuploidy associated with advanced maternal age. Mutat Res Rev Mutat Res. 2020;785:108320.

    Article  CAS  PubMed  Google Scholar 

  16. Tesarik J, Galan-Lazaro M, Mendoza-Tesarik R. Ovarian aging: molecular mechanisms and medical management. Int J Mol Sci 2021;22:1371.

  17. Murdoch CC, Skaar EP. Nutritional immunity: the battle for nutrient metals at the host-pathogen interface. Nat Rev Microbiol. 2022;20:657–70.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Milman N, Taylor CL, Merkel J, Brannon PM. Iron status in pregnant women and women of reproductive age in Europe. Am J Clin Nutr. 2017;106:1655S–1662S.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Escobar-Morreale HF. Iron metabolism and the polycystic ovary syndrome. Trends Endocrinol Metab. 2012;23:509–15.

    Article  CAS  PubMed  Google Scholar 

  20. Ng SW, Norwitz SG, Norwitz ER. The impact of iron overload and ferroptosis on reproductive disorders in humans: implications for preeclampsia. Int J Mol Sci 2019;20:3283.

  21. Rui T, Wang H, Li Q, Cheng Y, Gao Y, Fang X, et al. Deletion of ferritin H in neurons counteracts the protective effect of melatonin against traumatic brain injury-induced ferroptosis. J Pineal Res. 2021;70:e12704.

    Article  CAS  PubMed  Google Scholar 

  22. Capizzi A, Woo J, Verduzco-Gutierrez M. Traumatic brain injury: an overview of epidemiology, pathophysiology, and medical management. Med Clin North Am. 2020;104:213–38.

    Article  PubMed  Google Scholar 

  23. Kim SW, Kim Y, Kim SE, An JY. Ferroptosis-related genes in neurodevelopment and central nervous system. Biology. 2021;10:35.

  24. Hassannia B, Vandenabeele P, Vanden Berghe T. Targeting ferroptosis to iron out cancer. Cancer Cell. 2019;35:830–49.

    Article  CAS  PubMed  Google Scholar 

  25. Murphy MP. Metabolic control of ferroptosis in cancer. Nat Cell Biol. 2018;20:1104–5.

    Article  CAS  PubMed  Google Scholar 

  26. Dixon SJ, Lemberg KM, Lamprecht MR, Skouta R, Zaitsev EM, Gleason CE, et al. Ferroptosis: an iron-dependent form of nonapoptotic cell death. Cell. 2012;149:1060–72.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Yan HF, Zou T, Tuo QZ, Xu S, Li H, Belaidi AA, et al. Ferroptosis: mechanisms and links with diseases. Signal Transduct Target Ther. 2021;6:49.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Beharier O, Kajiwara K, Sadovsky Y. Ferroptosis, trophoblast lipotoxic damage, and adverse pregnancy outcome. Placenta. 2021;108:32–38.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Li Y, Zeng X, Lu D, Yin M, Shan M, Gao Y. Erastin induces ferroptosis via ferroportin-mediated iron accumulation in endometriosis. Hum Reprod. 2021;36:951–64.

    Article  CAS  PubMed  Google Scholar 

  30. Wang JJ, Ge W, Zhai QY, Liu JC, Sun XW, Liu WX, et al. Single-cell transcriptome landscape of ovarian cells during primordial follicle assembly in mice. PLoS Biol. 2020;18:e3001025.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Xie Y, Hou W, Song X, Yu Y, Huang J, Sun X, et al. Ferroptosis: process and function. Cell Death Differ. 2016;23:369–79.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Ursini F, Maiorino M. Lipid peroxidation and ferroptosis: the role of GSH and GPx4. Free Radic Biol Med. 2020;152:175–85.

    Article  CAS  PubMed  Google Scholar 

  33. Ni Z, Li Y, Song D, Ding J, Mei S, Sun S, et al. Iron-overloaded follicular fluid increases the risk of endometriosis-related infertility by triggering granulosa cell ferroptosis and oocyte dysmaturity. Cell Death Dis. 2022;13:579.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Yao X, Sun K, Yu S, Luo J, Guo J, Lin J, et al. Chondrocyte ferroptosis contribute to the progression of osteoarthritis. J Orthop Translat. 2021;27:33–43.

    Article  PubMed  Google Scholar 

  35. Zheng H, Jiang L, Tsuduki T, Conrad M, Toyokuni S. Embryonal erythropoiesis and aging exploit ferroptosis. Redox Biol. 2021;48:102175.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Wasserzug-Pash P, Rothman R, Reich E, Zecharyahu L, Schonberger O, Weiss Y, et al. Loss of heterochromatin and retrotransposon silencing as determinants in oocyte aging. Aging Cell. 2022;21:e13568.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  37. Jiang L, Wang J, Zhang C, He W, Mo J, Zeng J, et al. Effectiveness of enterovirus A71 vaccine in severe hand, foot, and mouth disease cases in Guangxi, China. Vaccine. 2020;38:1804–9.

    Article  CAS  PubMed  Google Scholar 

  38. Kasapoglu I, Seli E. Mitochondrial dysfunction and ovarian aging. Endocrinology. 2020;161:bqaa001.

  39. Yureneva S, Averkova V, Silachev D, Donnikov A, Gavisova A, Serov V, et al. Searching for female reproductive aging and longevity biomarkers. Aging. 2021;13:16873–94.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Miao Y, Cui Z, Gao Q, Rui R, Xiong B. Nicotinamide mononucleotide supplementation reverses the declining quality of maternally aged oocytes. Cell Rep. 2020;32:107987.

    Article  CAS  PubMed  Google Scholar 

  41. Muhoberac BB, Vidal R. Iron, ferritin, hereditary ferritinopathy, and neurodegeneration. Front Neurosci. 2019;13:1195.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Chen X, Yu C, Kang R, Tang D. Iron metabolism in ferroptosis. Front Cell Dev Biol. 2020;8:590226.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Ferreira C, Bucchini D, Martin ME, Levi S, Arosio P, Grandchamp B, et al. Early embryonic lethality of H ferritin gene deletion in mice. J Biol Chem. 2000;275:3021–4.

    Article  CAS  PubMed  Google Scholar 

  44. Darshan D, Vanoaica L, Richman L, Beermann F, Kuhn LC. Conditional deletion of ferritin H in mice induces loss of iron storage and liver damage. Hepatology. 2009;50:852–60.

    Article  CAS  PubMed  Google Scholar 

  45. Thompson K, Menzies S, Muckenthaler M, Torti FM, Wood T, Torti SV, et al. Mouse brains deficient in H-ferritin have normal iron concentration but a protein profile of iron deficiency and increased evidence of oxidative stress. J Neurosci Res. 2003;71:46–63.

    Article  CAS  PubMed  Google Scholar 

  46. Tian Y, Lu J, Hao X, Li H, Zhang G, Liu X, et al. FTH1 Inhibits Ferroptosis Through Ferritinophagy in the 6-OHDA Model of Parkinson’s Disease. Neurotherapeutics. 2020;17:1796–812.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  47. Dang Y, He Q, Yang S, Sun H, Liu Y, Li W, et al. FTH1- and SAT1-induced astrocytic ferroptosis is involved in Alzheimer’s disease: evidence from single-cell transcriptomic analysis. Pharmaceuticals. 2022;15:1177.

  48. Zhang B, Chen X, Ru F, Gan Y, Li B, Xia W, et al. Liproxstatin-1 attenuates unilateral ureteral obstruction-induced renal fibrosis by inhibiting renal tubular epithelial cells ferroptosis. Cell Death Dis. 2021;12:843.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Miao Y, Cui Z, Zhu X, Gao Q, Xiong B. Supplementation of nicotinamide mononucleotide improves the quality of postovulatory aged porcine oocytes. J Mol Cell Biol. 2022;14:mjac025.

  50. Zhou C, Zhang X, Miao Y, Zhang Y, Li Y, Xiong B. The cohesin stabilizer Sororin drives G(2)-M transition and spindle assembly in mammalian oocytes. Sci Adv. 2021;7:eabg9335.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Zhou C, Miao Y, Cui Z, ShiYang X, Zhang Y, Xiong B. The cohesin release factor Wapl interacts with Bub3 to govern SAC activity in female meiosis I. Sci Adv. 2020;6:eaax3969.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Funding

This work was supported by the National Key Research and Development Program of China (2023YFD1300502), and the National Natural Science Foundation of China (U24A20437).

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WZ performed the experiments, analyzed the data, and wrote the manuscript; FW performed the experiments; ZC performed the experiments; YZ performed the experiments; YL performed the experiments; NL performed the experiments; ZM performed the experiments; HZ performed the experiments; YL performed the experiments; YM performed the experiments; SS analyzed the data; YC analyzed the data; BX designed the research, analyzed the data, and wrote the manuscript.

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Correspondence to Bo Xiong.

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The authors declare no competing interests.

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All mouse protocols and experimental procedures were approved by the Animal Research Institute Committee of Nanjing Agricultural University, China.

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The original online version of this article was revised: Since the publication of this article, the authors have noticed that the images in Figure 5c (Control panel) were mixed up with those in Figure S2a (RSL3+DFO panel) due to the unintentional errors during manuscript preparation. The corrected Figure 5 is shown below. The correction does not alter the findings and conclusions of the original published study.

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Zeng, W., Wang, F., Cui, Z. et al. Inhibition of ferroptosis counteracts the advanced maternal age-induced oocyte deterioration. Cell Death Differ 32, 1071–1085 (2025). https://doi.org/10.1038/s41418-025-01456-0

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