Initial and Cyclic Recruitment of Ovarian Follicles1
Elizabeth A. McGee2 and
Aaron J. W. Hsueh
Division of Reproductive Biology, Department of Gynecology and
Obstetrics, Stanford University School of Medicine, Stanford,
California 94305-5317 USA
Mammalian ovaries consist of follicles as basic functional units.The
total number of ovarian follicles is determined early inlife, and the
depletion of this pool leads to reproductive senescence.Each follicle
develops to either ovulate or, more likely, toundergo degeneration.
The dynamics of ovarian follicle developmenthave interested
endocrinologists and developmental biologistsfor many years. With the
advent of assisted reproductive techniquesin humans, the possibility
of regulating follicle developmentin vivo and in
vitro has gained clinical relevance. In thisreview, we focus
upon key branching points during the developmentof ovarian follicles
as well as factors involved in determiningthe eventual destiny of
individual follicles. We discuss inconsistenciesin the literature
regarding the definitions of follicle recruitmentand selection and
propose to name the two major steps of follicledevelopment as initial
and cyclic recruitment, respectively.Because some of these disparities
have arisen due to differencesin the animal systems studied, we also
compare the developmentof the ovarian follicles of both humans and
rats. We also reviewthe status of knowledge of several puzzling
clinical issuesthat may provide important clues toward unlocking the
mechanismsof follicle development.
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