a Experimental design of Ab4B19 treatment and analysis in NA-POF model. b BDNF concentration in ovaries at different ages, from 2 months to 14 months. (N = 6 mice per group). c Pharmacodynamic analysis showing the number of ovulated oocytes per mouse treated with increasing doses of Ab4B19 from 0.1 mg/kg to 1 mg/kg. (N = 8 mice per group). d–j Aged mice of 12–13 months old were treated with Ab4b19 or IgG (1 mg/kg) every 4 days through tail vein injection. After 16-day (four doses) treatment, ovaries and serum were collected for analysis. d Representative estrous cycles of NA-POF mice treated with Ab4B19 (left) or normal IgG (right). P proestrus stage, E estrus stage, M metestrus stage, D diestrus stage. e Effect of Ab4B19 on time spent in various estrous stages. Stages of the estrous cycle were determined by microscopic analysis of the predominant cell types in the vaginal smears. (N = 8 mice per group). f Representative images of H&E staining of ovaries from NA-POF mice treated with Ab4B19 or vehicle. Red arrow: atretic ovarian follicle; Black arrow: antral ovarian follicle; Asterisk: corpora lutea. Scale bars, 200 μm. g, h Quantitative analysis of the primordial follicles, pre-antral follicles, antral follicles, and corpora lutea, as well as the atretic follicles. (N = 6 ovaries in vehicle group and 8 ovaries in Ab4B19 group). The serum levels of estrogen (i) and FSH (j) were measured by ELISA (N = 7 mice in vehicle group and 8 mice in Ab4B19 group). k Representative Western blot and quantitative analyses of FSHR and AMH expression. β-actin was used as a loading control. N = 4 mice in each condition, with the same samples repeated at least twice (n = 8). All experiments were repeated at least three times. The data were shown as the mean ± SEM with individual values. Statistical analyses were carried out using one-way ANOVA followed by the Dunnett’s multiple comparisons test for (b, c), or two-tailed student’s t-test (e, g–k), respectively (*P < 0.05; **P < 0.01; ***P < 0.001; ****P < 0.0001; ns not significant). Source data are provided as a Source Data file.