Evidence map›Paper›PMID 42929810›Full record

ReviewCells2026

Regulated Cell Death in Reproductive Biology: Mechanisms and Therapeutic Opportunities.

Sofoklis Stavros, Efthalia Moustakli, Nikolaos Kathopoulis, Stefanos Dafopoulos, Dimos Sioutis, Athanasios Zikopoulos, Ismini Anagnostaki, Anastasios Potiris, Konstantinos Dafopoulos, Peter Drakakis

Abstract readReview
In one paragraph

Review in Cells, 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

10 authors.

Sofoklis StavrosThird Department of Obstetrics and Gynecology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Efthalia MoustakliDepartment of Nursing, School of Health Sciences, University of Ioannina, 4th Kilometer National Highway Str. Ioannina-Athens, 45500 Ioannina, Greece.ORCID 0009-0005-3333-2620
Nikolaos KathopoulisThird Department of Obstetrics and Gynecology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.ORCID 0000-0002-0031-809X
Stefanos DafopoulosUniversity General Hospital of Patras, 26504 Rio, Greece.
Dimos SioutisThird Department of Obstetrics and Gynecology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.ORCID 0009-0001-3272-202X
Athanasios ZikopoulosDepartment of Reproductive Medicine and Surgery, University College London Hospitals NHS Foundation Trust, 235 Euston Road, London NW1 2BU, UK.ORCID 0009-0002-9553-6803
Ismini AnagnostakiMedical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.
Anastasios PotirisThird Department of Obstetrics and Gynecology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.ORCID 0000-0001-7716-1521
Konstantinos DafopoulosDepartment of Obstetrics and Gynaecology, Faculty of Medicine, School of Health Sciences, University of Thessaly, 41110 Larissa, Greece.ORCID 0000-0001-9991-8097
Peter DrakakisThird Department of Obstetrics and Gynecology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.ORCID 0000-0002-8923-0333

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Regulated cell death (RCD) has emerged as a fundamental determinant of cellular homeostasis and tissue remodeling, extending far beyond the classical concept of apoptosis. The identification of emerging RCD pathways, including ferroptosis, pyroptosis, necroptosis, cuproptosis, PANoptosis, and autophagy-dependent cell death, has expanded our understanding of reproductive physiology and disease. RCD mechanisms contribute to reproductive homeostasis and have been increasingly implicated in gametogenesis, folliculogenesis, embryonic development, implantation, placentation, and reproductive aging, while their dysregulation has been associated with infertility, recurrent implantation failure, recurrent pregnancy loss, pregnancy complications, endometriosis, polycystic ovary syndrome (PCOS), gynecological malignancies, and male reproductive disorders. This review provides a comprehensive overview of the molecular mechanisms governing RCD across reproductive physiology and disease, emphasizing the complex interplay between oxidative stress (OS), mitochondrial dysfunction, inflammation, immune regulation, metabolic reprogramming, and genetic and epigenetic networks. Particular attention is given to the contribution of emerging cell death pathways to reproductive disorders and their interactions with environmental and lifestyle factors, including endocrine-disrupting chemicals. In addition, current evidence regarding RCD-associated biomarkers, multi-omics approaches, and therapeutic strategies targeting specific cell death pathways is critically evaluated, with particular emphasis on distinguishing associative molecular signatures from functional evidence of RCD execution. By integrating recent advances from basic, translational, and clinical research, this review highlights the context-dependent role of RCD in reproductive biology and disease and identifies current limitations and future opportunities for RCD-informed diagnostics, patient stratification, and targeted therapeutic interventions in reproductive medicine.

Indexed as

Regulated Cell DeathReproductionAnimalsCuproptosisFemaleHumansOxidative Stressbiomarkerscuproptosisembryo implantationferroptosisinfertilitymitochondrial dysfunctionnecroptosisoxidative stressPANoptosisplacental developmentprecision medicinepyroptosis

Identifiers

PMID42929810
PMCPMC13703231

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.