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The ovary doesn't retire after menopause

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Researchers used high-resolution proteomics and mass spectrometry to analyze 5,812 protein groups in 28 human ovaries from women aged 50 to 75 and found that postmenopausal ovaries remain biologically active and remodel progressively for decades after menopause. Younger postmenopausal ovaries showed higher levels of proteins that maintain cellular and tissue structure, while ovaries from older women exhibited increased proteins linked to inflammation, immune activity, extracellular matrix breakdown and rebuilding, and signatures of cellular senescence. Differences were most pronounced between women in their 50s and those 70 and older, demonstrating dynamic molecular shifts rather than a static, “retired” organ.

The proteomic profile also revealed overlap between healthy ovarian aging and molecular patterns previously associated with ovarian cancer, with cancer-linked proteins most enriched in women in their 60s, suggesting an age-related fibrotic, inflammatory microenvironment that could favor tumor growth. These results prompt questions about whether the aging ovary contributes systemically to aging processes such as brain and bone changes and whether targeting or removing otherwise healthy postmenopausal ovaries could reduce disease risk. The findings underscore a need for further research into causality, biomarkers, and potential interventions.

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