Evidence map›Paper›PMID 41772301›Full record

ReviewReproductive sciences (Thousand Oaks, Calif.)2026

The Impact of Conventional Chemotherapy Regimens and Targeted Drugs on Ovarian Function in Breast Cancer Patients.

Seyma Haskoylu, Sevval Berfin Sahin, Alara Altıntas, Sule Yildiz, Gamze Bildik, Can Benlioglu, Volkan Turan, Samuel Kim, Ozgur Oktem

Abstract readReview
In one paragraph

Review in Reproductive sciences (Thousand Oaks, Calif.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Seyma Haskoylu *Department of Obstetrics and Gynecology, Koç University Hospital, Koç University School of Medicine, Davutpasa Street No:4, Topkapi, Istanbul, 34010, Turkey.
Sevval Berfin Sahin *Department of Obstetrics and Gynecology, Koç University Hospital, Koç University School of Medicine, Davutpasa Street No:4, Topkapi, Istanbul, 34010, Turkey.
Alara Altıntas *Department of Obstetrics and Gynecology, Koç University Hospital, Koç University School of Medicine, Davutpasa Street No:4, Topkapi, Istanbul, 34010, Turkey.
Sule YildizDepartment of Obstetrics and Gynecology, Koç University Hospital, Koç University School of Medicine, Davutpasa Street No:4, Topkapi, Istanbul, 34010, Turkey.
Gamze BildikDepartment of Experimental Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX, 77054, USA.
Can BenliogluDepartment of Obstetrics and Gynecology, Koç University Hospital, Koç University School of Medicine, Davutpasa Street No:4, Topkapi, Istanbul, 34010, Turkey.
Volkan TuranDepartment of Obstetrics and Gynecology, Istanbul Health and Technology University, Istanbul, Turkey.
Samuel KimEden Center for Advanced Fertility, Fullerton, CA, USA.
Ozgur OktemDepartment of Obstetrics and Gynecology, Koç University Hospital, Koç University School of Medicine, Davutpasa Street No:4, Topkapi, Istanbul, 34010, Turkey. ooktem@ku.edu.tr.ORCID http://orcid.org/0000-0003-1966-3886

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast cancer is the most common malignancy among women, affecting nearly 1.5 million individuals worldwide every year. While survival rates improve, many reproductive-age survivors confront significant long-term consequences, particularly diminished ovarian reserve, infertility, and premature ovarian insufficiency due to the gonadotoxic effects of chemotherapy. Postponement of pregnancy for five years or more after treatment exacerbates the decline in fertility due to ongoing ovarian aging and depletion of residual ovarian reserve. Women carrying BRCA1/2 mutations may already exhibit reduced ovarian reserve and are more vulnerable to gonadal damage, possibly due to impaired DNA repair mechanisms associated with these mutations. The contribution of other breast cancer susceptibility genes (e.g., ATM, CHEK2, PALB2, BARD1, RAD51C, RAD51D, and TP53) to chemotherapy-induced gonadotoxicity remains unclear. Although animal data shows depletion of primordial follicle pool and granulosa cells dysfunction, the ovarian effects of the poly(ADP-ribose) polymerase (PARP) inhibitors in women with and without BRCA mutation are not clear. Immune-check point inhibitors (ICIs) causes immune-mediated destruction of the primordial follicle pool and reduction in ovarian reserve. Cyclin dependent kinase inhibitors appear to be less toxic than ICIs. In this narrative review of the current literature we aimed to provide a comprehensive overview of the molecular mechanisms underlying ovarian toxicity associated with conventional chemotherapy and targeted therapies in breast cancer treatment.

Indexed as

Antineoplastic AgentsBreast NeoplasmsMolecular Targeted TherapyOvarian ReserveOvaryAnimalsFemaleHumansPoly(ADP-ribose) Polymerase InhibitorsPrimary Ovarian InsufficiencyAntineoplastic AgentsPoly(ADP-ribose) Polymerase InhibitorsAmenorrheaBreast cancerChemotherapyCyclin dependent kinase inhibitorsImmune check point inhibitorsOvarian functionOvarian reservePARP inhibitors

Identifiers

PMID41772301
PMCPMC13179231

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.