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Gonadotropin-Releasing Hormone Agonists in Fertility Preservation

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Fertility Preservation
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Abstract

Fertility preservation in females diagnosed with cancer has become an important area of investigation due to increasing cancer survival rates combined with delayed childbearing. Initial studies using gonadotropin-releasing hormone (GnRH) agonist cotreatment with chemotherapy demonstrated promising results for fertility preservation. If this protective effect of GnRH agonists is confirmed by the ongoing prospective randomized clinical trials, GnRH agonist cotreatment may become valuable option for fertility preservation in reproductive-age women undergoing chemotherapy. Thus, ovarian protection may enable the preservation of future fertility in survivors and, in addition, prevent other adverse effects of premature menopause, such as bone density loss, sexual dysfunction, and vasomotor symptoms.

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References

  1. American Cancer Society. Cancer Facts & Figures 2009. Atlanta: American Cancer Society. 2009;1–8.

    Google Scholar 

  2. Altekruse SF, Krapcho M, Neyman N, Aminou R, Waldron W, Ruhl J, et al., editors. SEER cancer statistics review, 1975–2007. Bethesda: National Cancer Institute; 2010.

    Google Scholar 

  3. Bleyer WA. The impact of childhood cancer on the United States and the world. CA Cancer J Clin. 1990;40:355–67.

    Article  CAS  PubMed  Google Scholar 

  4. Hamilton BE Martin J, Ventura SJ. National vital statistics reports, births: preliminary data for 2007, Volume 57, Number 12.

    Google Scholar 

  5. Seli E, Tangir J. Fertility preservation options for female patients with malignancies. Curr Opin Obstet Gynecol. 2005;17:299–308.

    Article  PubMed  Google Scholar 

  6. Millar RP, Lu ZL, Pawson AJ, Flanagan CA, Morgan K, Maudsley SR. Gonadotropin-releasing hormone receptors. Endocr Rev. 2004;25:235–75.

    Article  CAS  PubMed  Google Scholar 

  7. Dubois EA, Zandbergen MA, Peute J, Goos HJ. Evolutionary development of three gonadotropin-releasing hormone (GnRH) systems in vertebrates. Brain Res Bull. 2002;57:413–8.

    Article  CAS  PubMed  Google Scholar 

  8. King JA, Millar RP. Evolutionary aspects of ­gonadotropin-releasing hormone and its receptor. Cell Mol Neurobiol. 1995;15:5–23.

    Article  CAS  PubMed  Google Scholar 

  9. Matsuo H, Baba Y, Nair RM, Arimura A, Schally AV. Structure of the porcine LH- and FSH-releasing ­hormone. I. The proposed amino acid sequence. Biochem Biophys Res Commun. 1971;43:1334–9.

    Article  CAS  PubMed  Google Scholar 

  10. Sealfon SC, Weinstein H, Millar RP. Molecular mechanisms of ligand interaction with the gonadotropin-releasing hormone receptor. Endocr Rev. 1997;18:180–205.

    Article  CAS  PubMed  Google Scholar 

  11. Miyamoto K, Hasegawa Y, Nomura M, Igarashi M, Kangawa K, Matsuo H. Identification of the second gonadotropin-releasing hormone in chicken hypothalamus: evidence that gonadotropin secretion is probably controlled by two distinct gonadotropin-releasing hormones in avian species. Proc Natl Acad Sci USA. 1984;81:3874–8.

    Article  CAS  PubMed  Google Scholar 

  12. White SA, Bond CT, Francis RC, Kasten TL, Fernald RD, Adelman JP. A second gene for gonadotropin-releasing hormone: cDNA and expression pattern in the brain. Proc Natl Acad Sci USA. 1994;91:1423–7.

    Article  CAS  PubMed  Google Scholar 

  13. Montaner AD, Somoza GM, King JA, Bianchini JJ, Bolis CG, Affanni JM. Chromatographic and immunological identification of GnRH (gonadotropin-releasing hormone) variants. Occurrence of mammalian and a salmon-like GnRH in the forebrain of an eutherian mammal: hydrochaeris hydrochaeris (Mammalia, Rodentia). Regul Pept. 1998;73:197–204.

    Article  CAS  PubMed  Google Scholar 

  14. Cheng CK, Leung PC. Molecular biology of gonadotropin-releasing hormone (GnRH)-I, GnRH-II, and their receptors in humans. Endocr Rev. 2005;26:283–306.

    Article  CAS  PubMed  Google Scholar 

  15. Millar RP. GnRHs and GnRH receptors. Anim Reprod Sci. 2005;88:5–28.

    Article  CAS  PubMed  Google Scholar 

  16. Blomenrohr M, Heding A, Sellar R, Leurs R, Bogerd J, Eidne KA, et al. Pivotal role for the cytoplasmic carboxyl-terminal tail of a nonmammalian gonadotropin-releasing hormone receptor in cell surface expression, ligand binding, and receptor phosphorylation and internalization. Mol Pharmacol. 1999;56:1229–37.

    CAS  PubMed  Google Scholar 

  17. Vrecl M, Heding A, Hanyaloglu A, Taylor PL, Eidne KA. Internalization kinetics of the gonadotropin-releasing hormone (GnRH) receptor. Pflugers Arch. 2000;439:R19–20.

    Article  CAS  PubMed  Google Scholar 

  18. Millar R, Lowe S, Conklin D, Pawson A, Maudsley S, Troskie B, et al. A novel mammalian receptor for the evolutionarily conserved type II GnRH. Proc Natl Acad Sci USA. 2001;98:9636–41.

    Article  CAS  PubMed  Google Scholar 

  19. Neill JD, Duck LW, Sellers JC, Musgrove LC. A gonadotropin-releasing hormone (GnRH) receptor specific for GnRH II in primates. Biochem Biophys Res Commun. 2001;282:1012–8.

    Article  CAS  PubMed  Google Scholar 

  20. Millar RP. GnRH II and type II GnRH receptors. Trends Endocrinol Metab. 2003;14:35–43.

    Article  CAS  PubMed  Google Scholar 

  21. Morgan K, Conklin D, Pawson AJ, Sellar R, Ott TR, Millar RP. A transcriptionally active human type II gonadotropin-releasing hormone receptor gene homolog overlaps two genes in the antisense orientation on chromosome 1q.12. Endocrinology. 2003;144:423–36.

    Article  CAS  PubMed  Google Scholar 

  22. Kakar SS, Musgrove LC, Devor DC, Sellers JC, Neill JD. Cloning, sequencing, and expression of human gonadotropin releasing hormone (GnRH) receptor. Biochem Biophys Res Commun. 1992;189:289–95.

    Article  CAS  PubMed  Google Scholar 

  23. Peng C, Fan NC, Ligier M, Vaananen J, Leung PC. Expression and regulation of gonadotropin-releasing hormone (GnRH) and GnRH receptor messenger ribonucleic acids in human granulosa-luteal cells. Endocrinology. 1994;135:1740–6.

    Article  CAS  PubMed  Google Scholar 

  24. Nathwani PS, Kang SK, Cheng KW, Choi KC, Leung PC. Regulation of gonadotropin-releasing hormone and its receptor gene expression by 17beta-estradiol in cultured human granulosa-luteal cells. Endocrinology. 2000;141:1754–63.

    Article  CAS  PubMed  Google Scholar 

  25. Olofsson JI, Conti CC, Leung PC. Homologous and heterologous regulation of gonadotropin-releasing hormone receptor gene expression in preovulatory rat granulosa cells. Endocrinology. 1995;136:974–80.

    Article  CAS  PubMed  Google Scholar 

  26. Minaretzis D, Jakubowski M, Mortola JF, Pavlou SN. Gonadotropin-releasing hormone receptor gene expression in human ovary and granulosa-lutein cells. J Clin Endocrinol Metab. 1995;80:430–4.

    Article  CAS  PubMed  Google Scholar 

  27. Choi JH, Choi KC, Auersperg N, Leung PC. Differential regulation of two forms of gonadotropin-releasing hormone messenger ribonucleic acid by gonadotropins in human immortalized ovarian surface epithelium and ovarian cancer cells. Endocr Relat Cancer. 2006;13:641–51.

    Article  CAS  PubMed  Google Scholar 

  28. Billig H, Furuta I, Hsueh AJ. Gonadotropin-releasing hormone directly induces apoptotic cell death in the rat ovary: biochemical and in situ detection of deoxyribonucleic acid fragmentation in granulosa cells. Endocrinology. 1994;134:245–52.

    Article  CAS  PubMed  Google Scholar 

  29. Saragueta PE, Lanuza GM, Baranao JL. Inhibitory effect of gonadotrophin-releasing hormone (GnRH) on rat granulosa cell deoxyribonucleic acid synthesis. Mol Reprod Dev. 1997;47:170–4.

    Article  CAS  PubMed  Google Scholar 

  30. Olsson JH, Akesson I, Hillensjo T. Effects of a ­gonadotropin-releasing hormone agonist on progesterone formation in cultured human granulosa cells. Acta Endocrinol (Copenh). 1990;122:427–31.

    CAS  Google Scholar 

  31. Kang SK, Tai CJ, Nathwani PS, Leung PC. Differential regulation of two forms of gonadotropin-releasing hormone messenger ribonucleic acid in human granulosa-luteal cells. Endocrinology. 2001;142:182–92.

    Article  CAS  PubMed  Google Scholar 

  32. Zhao S, Saito H, Wang X, Saito T, Kaneko T, Hiroi M. Effects of gonadotropin-releasing hormone agonist on the incidence of apoptosis in porcine and human granulosa cells. Gynecol Obstet Invest. 2000;49:52–6.

    Article  CAS  PubMed  Google Scholar 

  33. Radovick S, Wondisford FE, Nakayama Y, Yamada M, Cutler Jr GB, Weintraub BD. Isolation and characterization of the human gonadotropin-releasing hormone gene in the hypothalamus and placenta. Mol Endocrinol. 1990;4:476–80.

    Article  CAS  PubMed  Google Scholar 

  34. Minegishi T, Nakamura K, Takakura Y, Ibuki Y, Igarashi M, Minegish T. Cloning and sequencing of human FSH receptor cDNA. Biochem Biophys Res Commun. 1991;175:1125–30.

    Article  CAS  PubMed  Google Scholar 

  35. Tilly JL, Aihara T, Nishimori K, Jia XC, Billig H, Kowalski KI, et al. Expression of recombinant human follicle-stimulating hormone receptor: species-specific ligand binding, signal transduction, and identification of multiple ovarian messenger ribonucleic acid transcripts. Endocrinology. 1992;131:799–806.

    Article  CAS  PubMed  Google Scholar 

  36. Simoni M, Gromoll J, Nieschlag E. The follicle-­stimulating hormone receptor: biochemistry, molecular biology, physiology, and pathophysiology. Endocr Rev. 1997;18:739–73.

    Article  CAS  PubMed  Google Scholar 

  37. Oktay K, Briggs D, Gosden RG. Ontogeny of follicle-stimulating hormone receptor gene expression in isolated human ovarian follicles. J Clin Endocrinol Metab. 1997;82:3748–51.

    Article  CAS  PubMed  Google Scholar 

  38. Zheng W, Magid MS, Kramer EE, Chen YT. Follicle-stimulating hormone receptor is expressed in human ovarian surface epithelium and fallopian tube. Am J Pathol. 1996;148:47–53.

    CAS  PubMed  Google Scholar 

  39. Takao Y, Honda T, Ueda M, Hattori N, Yamada S, Maeda M, et al. Immunohistochemical localization of the LH/HCG receptor in human ovary: HCG enhances cell surface expression of LH/HCG receptor on luteinizing granulosa cells in vitro. Mol Hum Reprod. 1997;3:569–78.

    Article  CAS  PubMed  Google Scholar 

  40. Chillik C, Acosta A. The role of LHRH agonists and antagonists. Reprod Biomed Online. 2001;2:120–8.

    Article  PubMed  Google Scholar 

  41. Ortmann O, Weiss JM, Diedrich K. Gonadotrophin-releasing hormone (GnRH) and GnRH agonists: mechanisms of action. Reprod Biomed Online. 2002;5 Suppl 1:1–7.

    Article  PubMed  Google Scholar 

  42. Asimakopoulos B, Nikolettos N, Nehls B, Diedrich K, Al-Hasani S, Metzen E. Gonadotropin-releasing hormone antagonists do not influence the secretion of steroid hormones but affect the secretion of vascular endothelial growth factor from human granulosa luteinized cell cultures. Fertil Steril. 2006;86:636–41.

    Article  CAS  PubMed  Google Scholar 

  43. Casper RF, Erickson GF, Rebar RW, Yen SS. The effect of luteinizing hormone-releasing factor and its agonist on cultured human granulosa cells. Fertil Steril. 1982;37:406–9.

    CAS  PubMed  Google Scholar 

  44. Lanzone A, Panetta V, Di Simone N, Arno E, Fulghesu AM, Caruso A, et al. Effect of gonadotrophin-releasing hormone and related analogue on human luteal cell function in vitro. Hum Reprod. 1989;4:906–9.

    CAS  PubMed  Google Scholar 

  45. Weiss JM, Oltmanns K, Gurke EM, Polack S, Eick F, Felberbaum R, et al. Actions of gonadotropin-­releasing hormone antagonists on steroidogenesis in human granulosa lutein cells. Eur J Endocrinol. 2001;144:677–85.

    Article  CAS  PubMed  Google Scholar 

  46. Bussenot I, Azoulay-Barjonet C, Parinaud J. Modulation of the steroidogenesis of cultured human granulosa-lutein cells by gonadotropin-releasing hormone analogs. J Clin Endocrinol Metab. 1993;76:1376–9.

    Article  CAS  PubMed  Google Scholar 

  47. Dor J, Bider D, Shulman A, Levron JL, Shine S, Mashiach S, et al. Effects of gonadotrophin-releasing hormone agonists on human ovarian steroid secretion in vivo and in vitro-results of a prospective, randomized in-vitro fertilization study. Hum Reprod. 2000;15:1225–30.

    Article  CAS  PubMed  Google Scholar 

  48. Gaetje R. Influence of gonadotrophin releasing hormone (GnRH) and a GnRH-agonist on granulosa cell steroidogenesis. Clin Exp Obstet Gynecol. 1994;21:164–9.

    CAS  PubMed  Google Scholar 

  49. Guerrero HE, Stein P, Asch RH, de Fried EP, Tesone M. Effect of a gonadotropin-releasing hormone agonist on luteinizing hormone receptors and steroidogenesis in ovarian cells. Fertil Steril. 1993;59:803–8.

    CAS  PubMed  Google Scholar 

  50. Miro F, Sampaio MC, Tarin JJ, Pellicer A. Steroidogenesis in vitro of human granulosa-luteal cells pretreated in vivo with two gonadotropin releasing hormone analogs employing different protocols. Gynecol Endocrinol. 1992;6:77–84.

    Article  CAS  PubMed  Google Scholar 

  51. Parinaud J, Beaur A, Bourreau E, Vieitez G, Pontonnier G. Effect of a luteinizing hormone-releasing hormone agonist (Buserelin) on steroidogenesis of cultured human preovulatory granulosa cells. Fertil Steril. 1988;50:597–602.

    CAS  PubMed  Google Scholar 

  52. Pellicer A, Miro F. Steroidogenesis in vitro of human granulosa-luteal cells pretreated in vivo with ­gonadotropin-releasing hormone analogs. Fertil Steril. 1990;54:590–6.

    CAS  PubMed  Google Scholar 

  53. Uemura T, Namiki T, Kimura A, Yanagisawa T, Minaguchi H. Direct effects of gonadotropin-­releasing hormone on the ovary in rats and humans. Horm Res. 1994;41 Suppl 1:7–13.

    Article  CAS  PubMed  Google Scholar 

  54. Ortmann O, Weiss JM, Diedrich K. Embryo implantation and GnRH antagonists: ovarian actions of GnRH antagonists. Hum Reprod. 2001;16:608–11.

    Article  CAS  PubMed  Google Scholar 

  55. Ataya K, Moghissi K. Chemotherapy-induced premature ovarian failure: mechanisms and prevention. Steroids. 1989;54:607–26.

    Article  CAS  PubMed  Google Scholar 

  56. Bokser L, Szende B, Schally AV. Protective effects of D-Trp6-luteinising hormone-releasing hormone microcapsules against cyclophosphamide-induced gonadotoxicity in female rats. Br J Cancer. 1990;61:861–5.

    Article  CAS  PubMed  Google Scholar 

  57. Ataya K, Rao LV, Lawrence E, Kimmel R. Luteinizing hormone-releasing hormone agonist inhibits cyclophosphamide-induced ovarian follicular depletion in rhesus monkeys. Biol Reprod. 1995;52:365–72.

    Article  CAS  PubMed  Google Scholar 

  58. Ataya K, Pydyn E, Ramahi-Ataya A, Orton CG. Is radiation-induced ovarian failure in rhesus monkeys preventable by luteinizing hormone-releasing hormone agonists? Preliminary observations. J Clin Endocrinol Metab. 1995;80:790–5.

    Article  CAS  PubMed  Google Scholar 

  59. Sonmezer M, Oktay K. Fertility preservation in female patients. Hum Reprod Update. 2004;10:251–66.

    Article  PubMed  Google Scholar 

  60. Danforth DR, Arbogast LK, Friedman CI. Acute depletion of murine primordial follicle reserve by gonadotropin-releasing hormone antagonists. Fertil Steril. 2005;83:1333–8.

    Article  CAS  PubMed  Google Scholar 

  61. Meirow D, Assad G, Dor J, Rabinovici J. The GnRH antagonist cetrorelix reduces cyclophosphamide-induced ovarian follicular destruction in mice. Hum Reprod. 2004;19:1294–9.

    Article  CAS  PubMed  Google Scholar 

  62. Blumenfeld Z, Shapiro D, Shteinberg M, Avivi I, Nahir M. Preservation of fertility and ovarian function and minimizing gonadotoxicity in young women with systemic lupus erythematosus treated by chemotherapy. Lupus. 2000;9:401–5.

    Article  CAS  PubMed  Google Scholar 

  63. Blumenfeld Z, von Wolff M. GnRH-analogues and oral contraceptives for fertility preservation in women during chemotherapy. Hum Reprod Update. 2008;14:543–52.

    Article  CAS  PubMed  Google Scholar 

  64. Castelo-Branco C, Nomdedeu B, Camus A, Mercadal S, Martinez de Osaba MJ, Balasch J. Use of gonadotropin-releasing hormone agonists in patients with Hodgkin’s disease for preservation of ovarian function and reduction of gonadotoxicity related to chemotherapy. Fertil Steril. 2007;87:702–5.

    Article  PubMed  Google Scholar 

  65. Dann EJ, Epelbaum R, Avivi I, Ben Shahar M, Haim N, Rowe JM, et al. Fertility and ovarian function are preserved in women treated with an intensified regimen of cyclophosphamide, adriamycin, vincristine and prednisone (Mega-CHOP) for non-Hodgkin lymphoma. Hum Reprod. 2005;20:2247–9.

    Article  CAS  PubMed  Google Scholar 

  66. Huser M, Crha I, Ventruba P, Hudecek R, Zakova J, Smardova L, et al. Prevention of ovarian function damage by a GnRH analogue during chemotherapy in Hodgkin lymphoma patients. Hum Reprod. 2008;23:863–8.

    Article  CAS  PubMed  Google Scholar 

  67. Pereyra Pacheco B, Mendez Ribas JM, Milone G, Fernandez I, Kvicala R, Mila T, et al. Use of GnRH analogs for functional protection of the ovary and preservation of fertility during cancer treatment in adolescents: a preliminary report. Gynecol Oncol. 2001;81:391–7.

    Article  CAS  PubMed  Google Scholar 

  68. Somers EC, Marder W, Christman GM, Ognenovski V, McCune WJ. Use of a gonadotropin-releasing hormone analog for protection against premature ovarian failure during cyclophosphamide therapy in women with severe lupus. Arthritis Rheum. 2005;52:2761–7.

    Article  CAS  PubMed  Google Scholar 

  69. Waxman JH, Ahmed R, Smith D, Wrigley PF, Gregory W, Shalet S, et al. Failure to preserve fertility in patients with Hodgkin’s disease. Cancer Chemother Pharmacol. 1987;19:159–62.

    Article  CAS  PubMed  Google Scholar 

  70. Blumenfeld Z, Avivi I, Eckman A, Epelbaum R, Rowe JM, Dann EJ. Gonadotropin-releasing hormone agonist decreases chemotherapy-induced gonadotoxicity and premature ovarian failure in young female patients with Hodgkin lymphoma. Fertil Steril. 2008;89: 166–73.

    Article  CAS  PubMed  Google Scholar 

  71. Recchia F, Sica G, De Filippis S, Saggio G, Rosselli M, Rea S. Goserelin as ovarian protection in the adjuvant treatment of premenopausal breast cancer: a phase II pilot study. Anticancer Drugs. 2002;13:417–24.

    Article  CAS  PubMed  Google Scholar 

  72. Recchia F, Saggio G, Amiconi G, Di Blasio A, Cesta A, Candeloro G, et al. Gonadotropin-releasing hormone analogues added to adjuvant chemotherapy protect ovarian function and improve clinical outcomes in young women with early breast carcinoma. Cancer. 2006;106:514–23.

    Article  CAS  PubMed  Google Scholar 

  73. Del Mastro L, Catzeddu T, Boni L, Bell C, Sertoli MR, Bighin C, et al. Prevention of chemotherapy-induced menopause by temporary ovarian suppression with goserelin in young, early breast cancer patients. Ann Oncol. 2006;17:74–8.

    Article  PubMed  Google Scholar 

  74. National Cancer Institute. Triptorelin in preventing early menopause in premenopausal women who are receiving chemotherapy for stage I stage II or stage III breast cancer that has been removed by surgery. http://www.clinicaltrials.gov/ct/show/NCT00311636. Accessed 23 May 2010.

  75. National Cancer Institute. Goserelin in preventing ovarian failure in women receiving chemotherapy for breast cancer. http://clinicaltrials.gov/ct/show/NCT00068601. Accessed 23 May 2010.

  76. National Cancer Institute. Prospective randomized multicenter study to prevent chemotherapy induced ovarian failure with the GnRh-agonist goserelin in young hormone insensitive breast cancer patients receiving anthracycline containing adjuvant ­chemotherapy. http://clinicaltrials.gov/ct/show/NCT00196846. Accessed 23 May 2010.

  77. National Cancer Institute. Phase III randomized study of a goserelin acetate for preservation of ovarian function in patients with primary breast cancer. http://clinicaltrials.gov/ct/show/NCT00429403. Accessed 23 May 2010.

  78. National Cancer Institute. Protection of ovarian function with goserelin acetate in premenopausal early breast cancer patients with chemotherapy (PROOF). http://clinicaltrials.gov/ct/show/NCT00888082. Accessed 23 May 2010.

  79. Manger K, Wildt L, Kalden JR, Manger B. Prevention of gonadal toxicity and preservation of gonadal function and fertility in young women with systemic lupus erythematosus treated by cyclophosphamide: the PREGO-study. Autoimmun Rev. 2006;5:269–72.

    Article  CAS  PubMed  Google Scholar 

  80. Oktay K, Nugent D, Newton H, Salha O, Chatterjee P, Gosden RG. Isolation and characterization of primordial follicles from fresh and cryopreserved human ovarian tissue. Fertil Steril. 1997;67:481–6.

    Article  CAS  PubMed  Google Scholar 

  81. McNatty KP, Heath DA, Lundy T, Fidler AE, Quirke L, O’Connell A, et al. Control of early ovarian follicular development. J Reprod Fertil Suppl. 1999;54:3–16.

    CAS  PubMed  Google Scholar 

  82. Kitajima Y, Endo T, Nagasawa K, Manase K, Honnma H, Baba T, et al. Hyperstimulation and a gonadotropin-releasing hormone agonist modulate ovarian vascular permeability by altering expression of the tight junction protein claudin-5. Endocrinology. 2006;147:694–9.

    Article  CAS  PubMed  Google Scholar 

  83. Saitta A, Altavilla D, Cucinotta D, Morabito N, Frisina N, Corrado F, et al. Randomized, double-blind, placebo-controlled study on effects of raloxifene and hormone replacement therapy on plasma no concentrations, endothelin-1 levels, and endothelium-­dependent vasodilation in postmenopausal women. Arterioscler Thromb Vasc Biol. 2001;21:1512–9.

    Article  CAS  PubMed  Google Scholar 

  84. Tilly JL. Commuting the death sentence: how oocytes strive to survive. Nat Rev Mol Cell Biol. 2001;2:838–48.

    Article  CAS  PubMed  Google Scholar 

  85. Blumenfeld Z. How to preserve fertility in young women exposed to chemotherapy? The role of GnRH agonist cotreatment in addition to cryopreservation of embryo, oocytes, or ovaries. Oncologist. 2007;12: 1044–54.

    Article  PubMed  Google Scholar 

  86. Morita Y, Perez GI, Paris F, Miranda SR, Ehleiter D, Haimovitz-Friedman A, et al. Oocyte apoptosis is suppressed by disruption of the acid sphingomyelinase gene or by sphingosine-1-phosphate therapy. Nat Med. 2000;6:1109–14.

    Article  CAS  PubMed  Google Scholar 

  87. Paris F, Perez GI, Fuks Z, Haimovitz-Friedman A, Nguyen H, Bose M, et al. Sphingosine 1-phosphate preserves fertility in irradiated female mice without propagating genomic damage in offspring. Nat Med. 2002;8:901–2.

    Article  CAS  PubMed  Google Scholar 

  88. Grundker C, Emons G. Role of gonadotropin-releasing hormone (GnRH) in ovarian cancer. Reprod Biol Endocrinol. 2003;1:65.

    Article  PubMed  Google Scholar 

  89. Imai A, Sugiyama M, Furui T, Tamaya T, Ohno T. Direct protection by a gonadotropin-releasing hormone analog from doxorubicin-induced granulosa cell damage. Gynecol Obstet Invest. 2007;63:102–6.

    Article  CAS  PubMed  Google Scholar 

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Cakmak, H., Seli, E. (2012). Gonadotropin-Releasing Hormone Agonists in Fertility Preservation. In: Seli, E., Agarwal, A. (eds) Fertility Preservation. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1783-6_13

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