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Why Women’s Eggs Don’t Last

As reproductive tissues age, DNA repair mechanisms become less efficient, causing genomic damage to accumulate.

Written byKate Yandell
| 3 min read

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A human oocyte.FLICKR, ED UTHMANA woman’s eggs decline in quality and quantity as she ages, at least in part because an important DNA repair pathway becomes impaired, according to a paper published today (February 13) in Science Translational Medicine.

The pathway, which includes proteins encoded by the well-known BRCA genes, is supposed to repair double-strand breaks in DNA. But as women get older, the study found, repair mechanisms lose efficiency and reproductive cells accumulate damaged genes and often commit suicide.

“I think we have found a general theory of reproductive aging,” said coauthor Kutluk Oktay, a fertility specialist at New York Medical College and the Institute for Reproductive Medicine and Fertility Preservation.

“They are tying together something that has been perplexing and vexing, which is what happens to women’s eggs as they age,” said David Keefe, a New York University Langone Medical Center fertility doctor who wrote a commentary on the paper.

While women are born with 1 million oocytes, only about 500 turn ...

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