As women hit their mid-30s, ovaries begin to experience chronic, low-level inflammation. Although it’s too faint to be felt, this inflammation foreshadows the end of their peak reproductive period and, years later, the onset of menopause.
Two Oklahoma Medical Research Foundation scientists have received a $3.5 million National Institutes of Health grant to study what triggers this inflammation. Their findings could ultimately help extend female fertility and delay menopause.
The National Institute on Aging, part of the NIH, awarded the five-year grant to Sarah Ocañas, Ph.D., and Michael Stout, Ph.D.
This new research will build on their discovery that specific immune cells begin to accumulate in the ovaries around the same time fertility begins to decline. With the help of immunologist Pepe Alberola-Ila, Ph.D., the team identified the specific types of immune cells that change during ovarian aging, providing new insight into the inflammatory process and helping reveal additional targets for future intervention.
Stout hopes the research will answer a fundamental biological question: “Does inflammation drive ovarian aging, or does ovarian aging trigger inflammation? Once we understand which comes first, we can begin looking for ways to intervene.”
Ocañas will look at why aging begins earlier in ovaries than in the rest of the body. She believes it may be related to the monthly menstrual cycle.
“Each time an egg is released, the ovary must heal itself,” she said. “Over decades, this repeated cycle of slight damage and repair may may lead to the chronic inflammation and scar tissue that are hallmarks of ovarian aging.”
Determining the earliest age-related inflammation, the OMRF researchers believe, could lead to potential therapeutic targets to extend reproductive health and improve overall health as women age.
“You have to understand what’s going on biologically – and why – before you can develop treatments,” Stout said. “That’s what this research is about.”
Their grant is No. 1R01AG099844-01. Previous funding from the Global Consortium for Reproductive Longevity and Equality provided preliminary research that made the NIH grant possible.


