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. 2022 Aug 11;20:374. doi: 10.1186/s12951-022-01566-8

Table 1.

List of biomaterials used for the treatment of ovarian aging

Categories Author Year Materials Model Major finding
Extracellular vesicles Bo Sun [145] 2019 BMSC-derived exosomes Cisplatin-induced POF mouse model Inhibited the apoptosis of granulosa cell.
Meiling Yang [147] 2020 BMSC-derived exosomes Cyclophosphamide-induced POF mouse model Prevented follicular atresia and GCs apoptosis.
Zhongkang Li [148] 2021 hUCMSC-derived exosomes Cyclophosphamide-induced POI mouse model Reduced cell apoptosis and enhanced proliferation.
Conghui Liu [149] 2020 hUCMSC-derived exosomes Busulfan and cyclophosphamide-induced POI mouse model Improved the fertility of POI mice without adverse effects on the cognitive behavior of their offspring.
Ziling Yang [150] 2019 hUCMSC-derived exosomes Busulfan and cyclophosphamide-induced POI mouse model Restored ovarian function by promoting angiogenesis.
Chenyue Ding [151] 2020 hUCMSC-derived exosomes Cyclophosphamide-induced POI mouse model Reduced ROS levels in the damaged ovary and suppressed SIRT7 expression.
Jin Zhang [152] 2020 hUCMSC-derived exosomes Cisplatin-damaged granulosa cells Promoted resistance to cisplatin-induced granulosa cells apoptosis and restored synthesis and secretion of steroid hormone in granulosa cells.
Liping Sun [153] 2017 hUCMSC-derived exosomes Cisplatin-damaged granulosa cells Ameliorated cisplatin-induced granulosa cells stress and apoptosis in vitro.
Boxian Huang [155] 2018 hADMSC-derived exosomes Cyclophosphamide-induced POI mouse model Inhibited expression of the apoptosis genes in human granulosa cells and improved ovarian function.
Chenyue Ding [157] 2020 hAMSCs-derived exosomes Cyclophosphamide-induced POI mouse model Improved proliferation, inhibited apoptosis, reduced ROS level and decreased the expression of SIRT4 and relative genes in POI hGCs and ovaries.
Qiuwan Zhang [14] 2019 hAECs-derived exosomes Busulfan and cyclophosphamide-induced POI mouse model Increased follicles,inhibited GCs apoptosis and protected the ovarian vasculature from damage in POF mice.
Guan-Yu Xiao [163] 2016 AFMSCs-derived exosome Busulfan and cyclophosphamide-induced POF mouse model Inhibited apoptosis in damaged GCs and prevented ovarian follicles from atresia.
Eman Thabet [164] 2020 AFMSCs-derived extracellular vesicles Cyclophosphamide-induced premature ovarian dysfunction rats model Restored total follicular counts, AMH levels,regular estrous cycles and fruitful conception.
Siwen Zhang [166] 2021 MenSCs-derived exosomes 4-Vinylcyclohexene diepoxide-induced POI mouse model Promoted follicular development, restored fertility and improved live birth.
Chenfeng Yuan [172] 2021 Follicular fluid exosomes Porcine granulosa cells Increased the proliferation and progesterone synthesis of porcine ovarian granulosa cells.
Samuel Gebremedhn [173] 2020 Follicular fluid exosomes Bovine granulosa cells Protected against heat stress by reducing the amount of ROS accumulation.
Thais A Rodrigues [174] 2019 Follicular fluid exosomes Cultured cumulus—oocyte complex Increased the resistance of the oocyte to heat shock and improved the cleavage and blastocyst rates.
Extracellular matrix Monica M Laronda [180] 2015 SDS Ovariectomized mice It could  significantly change ECM, and had a strong destructive effect on the ultrastructure of natural tissues.
S E Pors [186] 2019 0.1% SDS and DNA enzymes Immunodeficient mice Adequately decellularized both human ovarian medullary and cortical tissue by eliminating all cells and leaving the ECM intact.
Wen-Yue Liu [187] 2017 Triton X-100 solution and DNA enzyme Rats Had no cytotoxicity to rat ovarian cells in vitro and only caused minimal immunogenic response in vivo.
Maryam Nezhad Sistani [188] 2021 1%Triton X-100 and 0.5%SDS The endometrial mesenchymal cells It could  effectively decellularize human ovarian tissue and highly preserve ECM content and non-cytotoxic properties.
Farideh Eivazkhani [184] 2019 NaOH used as a satisfactory decellularization agent Ovariectomized mice It supported  follicular reconstruction better than SDS.
Ashraf Hassanpour [179] 2018 SLES as an ionic detergent Ovariectomized rats Preserved the structure and composition of ovarian ECM, and promoted in vitro and in vivo biocompatibility and neovascularization of biological ovarian scaffides.
Hossein Nikniaz [190] 2021 Human and bovine acellular ovarian scaffold Mouse preantral follicles Sodium alginate containing acellular ovarian scaffold could maintain follicular viability in vitro.
Sanaz Alaee[191] 2021 Decellularized rat ovarian scaffold Preantral follicles from prepubertal mice The preantral follicles transformed into antral follicles, and produced mature meiosis oocytes.
Wen-Yue Liu[187] 2017 Porcine acellular scaffold Rat ovarian tissue Supported the adhesion, migration, and proliferation of immature female rat granulose cells and showed estradiol secretion.
S E Pors [186] 2019 Acellular human ovarian tissue Human preantral follicles Supported the survival of human follicles.
Eun Jung Kim [192] 2020 ECM-derived hydrogel Mouse ovarian follicles Supported follicular morphology and growth, and promoted oocyte maturation.

Ashraf Hassanpour

[179]

2018 Acellular scaffold of human ovarian tissue Ovariectomized mice Increased vaginal opening and estrogen levels after implantation and confirmed the onset of puberty.
Monica M Laronda [180] 2015 Acellular bovine ovarian scaffold Ovariectomized mice Supported the growth of isolated mouse follicles, and produced estrogen and reconstructed menstrual cycles.
Georgia Pennarossa [193] 2021 Porcine ovarian 3D biological scaffold Female germ line stem cells Represented a powerful tool for in vitro recreation of a bioengineered ovary that might constitute a promising solution for hormone and fertility function restoring.
Kutluk Oktay[194] 2016 Human extracellular tissue matrix scaffold Human Pregnancies had  been reported following minimally invasive transplantation of previously cryopreserved ovarian tissue.
Collagen Sunyoung Joo[198] 2016 Collagen-rich, biomimetic 3D shells Rodent ovarian follicles Collagen hydrogel properties were  important for follicular phenotype and function maintenance.
C Torrance [199] 1989 A collagen gel matrix Mouse preantral follicles Allowed mouse follicles to separate and grow in vitro for at least 2 weeks.
G Taru Sharma [200] 2009 A 3D collagen gel culture system Buffalo preantral follicles Maintained follicle viability and growth by providing surface interaction and increasing attachment of follicles.
Kossowska-Tomaszczuk [205] 2010 A three-dimensional culture system containing type I collagen Immunodeficient mice Allowed granulosa cell subpopulations isolated from mature follicles to survive and grow, and supported their proliferation into steroid-producing spherical structures.
Saori Itami [206] 2011 A three-dimensional collagen gel Mouse preantral follicles The follicle could maintain its three-dimensional shape, and increase its size in response to FSH stimulation.
R Abir [201] 1999 collagen gel Monolayer follicles from human ovarian tissue Reported an increase in the GC layer and oocyte diameter of human follicles.
Catherine M H Combelles [202] 2005 3D collagen gel matrix Cumulus cells Established for the first time an effective in vitro fertilization combined culture system of human denuded oocytes and cumulus cells.
L Vanhoutte [213] 2009 Collagen (type I) gel Dermished foamed oocytes The fertilization rate of 3D pre-cultured oocytes was significantly higher than that of conventional IVM oocytes.
Yanjun Yang [214] 2019 The collagen scaffold loaded with hUCMSCs Cyclophosphamide-induced POF mouse model Increased the levels of E2 and AMH, ovarian volume and the number of antral follicles.
Jing Su [154] 2016 The collagen scaffold with ADSCs Tripterygium Glycosides -induced POF rat model Increased long-term retention of ADSCs in the ovary and contributed to the restoration of ovarian function.
Lijun Ding [215] 2018 The collagen scaffold with umbilical cord mesenchymal stem cells Infertile POF patients Saved overall ovarian function and leaded to a successful clinical pregnancy.
Hyaluronic acid Nina Desai [219] 2012 A tyramine-based HA hydrogel Mouse preantral follicles Promoted the secretion of estradiol and increased the survival rate, GV rupture rate and MII formation rate of cultured follicles.
I R Brito [220] 2016 A novel hyaluronic acid hydrogel based on tyramine-substituted sodium hyaluronate dihydroxyphenyl bond Goat preantral follicles Failed to maintain survival and improve antral formation.
Parisa Jamalzaei [222] 2020 A HAA composed of HA and ALG Mouse preantral follicles Promoted the development of preantral follicles and oocyte maturation in mice and enhanced estrogen secretion.
L M G Paim [224] 2015 A  vitrification solution with 1% hyaluronic acid The cumulus oocyte complex Improved the meiotic recovery rate and nuclear maturation rate of norvegicus oocytes.
Somayeh Tavana [225] 2016 The HABH Ovariectomized rats Prevented or reduced early ischemia-induced follicular loss, promoted follicular survival and angiogenesis.
Maryam Akhavan Taheri [226] 2016 HA hydrogel Ovariectomized rats Had no negative effect on estrus cycle recovery and ovarian preservation,and improved the outcome of autologous transplantation.
Or Friedman [227] 2012 HA—rich biogel Immunodeficient mice Improved ovarian graft survival.
Wenlin Jiao [228] 2022 A combination of UCMSCs and HA gel 4-Vinylcyclohexene diepoxide -induced POI mouse model Improved follicular survival.
Eun-Young Shin [229] 2021 HA gel scaffolder Cisplatin-induced POI mouse model Restored the ovarian structure and function and improved the quality of oocyte and embryo as well as the regularity of estrus cycle.
Guangfeng Zhao [230] 2015 HA Immunosuppressive drug-induced POI-like rat model Prevented chemotherapy-induced ovarian damage.
Fibrin Seyedeh Zeynab Sadr [235] 2018 Fibrinalginate scaffold Mouse preluminal follicles Improved follicular development and survival, and produced mature oocytes.
Shi Ying Jin [240] 2010 A fibrinalginate hydrogel matrix Mouse secondary follicles Supported the growth of secondary follicles to the antral follicles stage and produced mature oocytes.
Ariella Shikanov [239, 241]

2011

2009

The FA-IPN Mouse secondary follicles Contributed to increased meiosis maturation rates of oocytes.
I R Brito [220] 2016 Fibrinalginate Goat preluminal follicles Restored oocyte meiosis and promoted oocyte maturation to produce parthenotes.
J Xu [242] 2011 A fibrin alginate matrix Rhesus monkey secondary follicles Supported the growth of secondary follicles to antral follicles stage, and promoted the maturation of oocytes to MII stage.
J Xu [243] 2013 Fibrinin-sodium alginate 3D capsule Primate rhesus monkey primary follicles Primate oocytes derived from primary follicles developed in vitro had  the ability to restart meiosis for fertilization.
Alireza Rajabzadeh [245] 2020 A fibrin hydrogel scaffold supplemented with platelet lysates Mouse preantral follicles Improved the local vascularization of follicles, and the survival rate of follicles, and promoted the growth of follicles to the stage of antral follicles.
Valérie Luyckx [246] 2014 A fibrin matrix containing low concentrations of fibrinogen and thrombin Mouse preantral follicles and ovarian cells All follicles were found to be alive or only slightly damaged and to grow to the antral follicular stage.
M C Chiti [247] 2016 Fibrinogen and thrombin (F12.5/T1) substrates SCID mice Isolated secondary follicles survived and grew to the antral follicle stage.
Rachel M Smith [248] 2014 Fibrin hydrogel Infertile mouse model Restored ovarian endocrine function.
Fernanda Paulini [249] 2016 A fibrin matrix containing fibrinogen and thrombin Nude mice Isolated human follicles were viable after encapsulation in fibrin clots and short-term xenotransplantation.
Ariella Shikanov [244] 2011 Heparin modified fibrin Infertile mouse model Reduced ischemia and improved vascular remodeling.
Jiang-Man Gao[250] 2013 Fibrin hydrogels mixed Adult female mice Increased follicular survival and improved revascularization.
Chungmo Yang [251] 2021 Fibrin hydrogel containing NO-NPs Ovariectomized mice Improved the total number and quality of follicles, induced angiogenesis, and prevented ischemic injury.
Elham Shojafar [252] 2019 Platelette-rich fibrin biofolders Ovariectomized mice Reduced oxidative stress, promoted revascularization, and protected follicular cisterns from ischemia–reperfusion injury.
Maria Costanza Chiti [237] 2018 A novel fibrin matrix Human ovarian follicles Fibrin matrix composed of F50/T50 most closely resembled human ovarian cortex.
Valérie Luyckx [238] 2013 A artificial ovary  composed of fibrinogen and thrombin Human ovarian cells Enabled the survival and proliferation of isolated human ovarian stromal cells.
Alginate Hudson H V Correia [259] 2020 A sodium alginate 3D culture system Goat primordia follicles Showed appropriate survival rate, high follicular activation rate and continued to grow throughout culture.
Samaneh Sadeghnia [261] 2016 A sodium alginate three-dimensional culture system Sheep primordial/primary follicles 2% sodium alginate supported follicle growth better than 1% sodium alginate.
Min Xu [262] 2006 An alginate hydrogel matrix Pseudopregnant female mice Produced healthy and fertile progenies.
Jing Xu [263] 2010 Alginate Rhesus monkey secondary follicles Grew to the antral follicle stage, produced steroids and growth factors, and produced healthy oocytes within 40 days.
Min Xu [264] 2009 Alginate Rhesus monkey secondary follicles The follicles survived and continued to grow.
Alon Kedem [266] 2011 Macropores sodium alginate scaffold Human ovarian cortex slices There was an increase in developing follicle culture and a decrease in atretic follicles.
Monica M Laronda [267] 2014 Sodium alginate hydrogel Human ovarian cortex containing primordial follicles The ovarian cortex grew, survived, and supported follicular development for up to 6 weeks.
Christiani A Amorim [268] 2009 alginate matrix Small human preantral follicles Survived in vitro culture in alginate matrix for 7 days.
Antonella Mastrorocco[269] 2021 Alginate microspheres Lamb cumulus oocyte complexes Increased the nuclear maturation rate of preadolescent oocytes and reduced the incidence of chromosome abnormality.
Parisa Jamalzaei [270] 2020 ALG hydrogel Mouse preantral follicles Survival rate of 0.5%ALG cultured follicles was significantly higher than 0.75% and 1%ALG cultured follicles.
Cyrus Jalili [271] 2020 Sodium alginate Mouse preantral follicles 0.5% alginate was the most favorable concentration.
Erin R West[258] 2007 Alginate gel Mouse secondary oocytes Reducing alginate matrix hardness could maintain intercellular tension homeostasis, promote cell process, create local paracrine environment and improve oocyte quality.
Julie Vanacker [273] 2014 Alginate saline gel Immunodeficient mice Promoted follicular development and vascularization.
Sivanandane Sittadjody [274] 2017 Sr++ cross-linked alginate Ovariectorized rats Achieved stable hormone secretion and improved the adverse effects of hormone deficiency.
Shani Felder [275] 2019 Macrofenate scaffold Ovariectorized mice Showed high serum hormone levels and the appearance of the vaginal area.
Sythetic biomaterials Jiwon Kim [276] 2016 A synthetic hydrogel, PEG-VS Ovariectorized mice It was  found to wrap immature follicles successfully functioned as an artificial ovarian tissue in vivo for 60 days.
Uziel Mendez [277] 2018 A three-dimensional PEG-based culture system Mice follicles Improved the survival and maturation rates of small follicles.
Zhonghua Shi [278] 2021 A supramolecular hydrogel Aged mice Delayed ovarian aging in aged mice,stimulated ovaries to secrete estrogen and progesterone, and developed more antral follicles for reproduction.
Anu David [279] 2017 A TheraCyte device Ovariectomized mice Restored follicular development and ovarian endocrine function and reduced FSH levels.