Abstract

Advanced maternal age is associated with a decline in oocyte quality, which often leads to reproductive failure in humans. However, the mechanisms behind this age-related decline remain unclear. To gain insights into this phenomenon, we applied plexDIA, a multiplexed data-independent acquisition, single-cell mass spectrometry method, to analyze the proteome of oocytes from both young women and women of advanced maternal age. Our findings primarily revealed distinct proteomic profiles between immature fully grown germinal vesicle and mature metaphase II oocytes. Importantly, we further show that a woman’s age is associated with changes in her oocyte proteome. Specifically, when compared to oocytes obtained from young women, advanced maternal age oocytes exhibited lower levels of the proteasome and TRiC complex, as well as other key regulators of proteostasis and meiosis. This suggests that aging adversely affects the proteostasis and meiosis networks in human oocytes. The proteins identified in this study hold potential as targets for improving oocyte quality and may guide future studies into the molecular processes underlying oocyte aging.

Introduction

Over the past decades, increasing numbers of women have delayed childbearing owing to financial, educational, and social factors (Schmidt et al., 2012). However, female fertility decreases with age, with a more profound decline after the age of 35 years, commonly referred to as advanced maternal age (AMA) (Menken et al., 1986; Baird et al., 2005). Consequently, a growing number of women face age-related subfertility and are turning to medically assisted reproduction to enhance their chances of conceiving. However, the success of ART remains limited in patients of AMA, as IVF treatment is unable to fully offset the natural decline in fertility associated with female aging (Leridon, 2004). In women of AMA, reproductive failure is primarily attributed to the pivotal role of oocytes. As women age, both the number and quality of oocytes decline, ultimately reducing the chances of successful conception.

Poor oocyte quality is closely linked to meiotic aneuploidies, which typically arise from chromosome missegregation errors during the first meiotic division (Hassold and Hunt, 2001; Herbert et al., 2015) and from cytoplasmic alterations (Igarashi et al., 2015; Reader et al., 2017). However, the specific mechanisms underlying the diminished quality of oocytes in women of AMA remain poorly understood. Unraveling the complexities of this process will be vital for developing strategies to address age-related subfertility.

Within the ovaries, oocytes are arrested at the prophase stage of meiosis I until a preovulatory surge of LH induces germinal vesicle breakdown (GVBD) and initiates the resumption of meiosis. RNA transcription becomes silent once oocyte growth is completed, and this transcriptional inactivity is maintained during GVBD, meiotic maturation, fertilization, and the initial cleavage divisions until embryonic genome activation (Gosden and Lee, 2010; Vassena et al., 2011; Cornet‐Bartolomé et al., 2021). Despite this transcriptional silence, the translation of maternal mRNAs continues during oocyte maturation and early embryo development (Gosden and Lee, 2010; Susor et al., 2015). Consequently, these processes are mainly regulated by post-transcriptional and (post-) translational mechanisms. Any disruption to these regulatory mechanisms could result in an imbalanced proteome and potentially impact the quality of oocytes and embryos, highlighting the role for single-cell proteomic investigations in identifying the molecular basis of these disruptions (Slavov, 2023).

Loss of proteostasis, which refers to the disruption of proteome homeostasis, has been associated with the aging process in various cell types (Klaips et al., 2018; Hipp et al., 2019). In the context of oocyte biology, loss of proteostasis may contribute to the decline in oocyte quality with age (Café et al., 2021; Sala and Morimoto, 2022). This hypothesis is supported by studies on mammalian oocytes, which have shown differential expression of genes related to protein metabolism (Duncan et al., 2017) and dysregulation of proteasome activity (Mihalas et al., 2018). However, existing proteomic research remains limited and has focused on oocytes from young women, leaving a significant gap concerning the age-related effects on the oocyte proteome (Virant-Klun et al., 2016; Guo et al., 2022).

Here, we used plexDIA, a multiplexed data-independent acquisition mass spectrometry method for single-cell proteomic quantification (Derks et al., 2023; Derks and Slavov, 2023), to evaluate the proteomic profile of single oocytes from both young and AMA women. plexDIA allows for the simultaneous analysis of multiple samples (single oocytes in this study) by barcoding their peptides with non-isobaric mass tags and systematically isolating all detectable peptide ions for fragmentation and sequence identification. This approach supports sensitive analysis by long accumulation times for all detectable peptide ions (Slavov, 2021; Wallmann et al., 2023) and, thus, good count statistics, which are essential for accurate and precise quantification (Specht and Slavov, 2018; MacCoss et al, 2023).

Our findings shed light on the relationship between protein abundance and aging in human oocytes. Specifically, we reveal a significant reduction in the levels of proteins important for the proteostasis and meiosis networks. Among the proteins with decreased abundance, the proteasome complex stands out and may account for the observed poor quality in oocytes from women of AMA. By elucidating these changes in protein abundance associated with oocyte aging, our research contributes to a better understanding of the mechanisms that underlie age-related subfertility. We also highlight the importance of proteostasis in maintaining oocyte quality, which may pave the way towards the development of targeted interventions and treatments to improve oocyte quality in reproductive aged women.

Materials and methods

Ethical approval

Approval to conduct this study was obtained from the Ethics Committee for Research with Medicinal Products, Eugin, Barcelona. All women participating in this study provided their written informed consent prior to inclusion.

Study population

Proteomic analysis

Fifty-two women, who underwent controlled ovarian stimulation from May 2021 to May 2022 at two participating centers, were included in the study. The Young group comprised women enrolled in the centers’ oocyte donation programme (n = 27). They had a mean age of 24.5 years (SD = 3.9, range 18–30) and a mean ovarian reserve, measured by an antral follicle count (AFC), of 23 (SD = 9.1, range 8–45). The AMA group included patients (n = 25) with a mean age of 39 years (SD = 1.7, range 37–43) and a mean AFC of 10 (SD = 4.0, range 2–16). Some of the women contributed more than one oocyte (Supplementary Table S1).

Functional analysis

For experiments focused on rescue IVM (rIVM) and proteasome complex inhibition, we included nine young oocyte donors (≤35 years) who underwent controlled ovarian stimulation from April 2023 to May 2023. They had a mean age of 28.8 years (SD = 3.9, range 22–34) and the mean ovarian reserve, measured by AFC was 21.8 (SD = 4.8, range 13–27). Some of the women contributed more than one oocyte (Supplementary Table S2).

Ovarian stimulation and oocyte retrieval

All participants had normal ovarian morphology at transvaginal ultrasound and a progressive increase in follicular size in response to ovarian stimulation. All received daily injections of 150–300 IU highly purified urinary hMG (Menopur®; Ferring S.A.U., Madrid, Spain) or follitropin alpha (Gonal®; Merck Serono Europe Limited, Darmstadt, Germany) (Blazquez et al., 2014). From Day 6 of stimulation, pituitary suppression was achieved by administering a GnRH antagonist (0.25 mg of cetrorelix acetate, Cetrotide®; Merck Serono Europe Limited; or 0.25 mg ganirelix, Orgalutran®; Organon, Oss, the Netherlands) (Olivennes et al., 1995). Oocyte maturation and ovulation were triggered with 0.3 mg of GnRH agonist (Decapeptyl®, Ipsen Pharma S.A., Barcelona, Spain) and 250 μg hCG (Ovitrelle®, Merck Serono Europe Limited) for Young and AMA women, respectively. Ovulation was triggered when at least three follicles >18 mm, and at least five follicles >16 mm in diameter developed on both ovaries. The oocyte retrieval was carried out 36 h after the trigger by ultrasound-guided transvaginal follicular aspiration. The retrieved oocytes were denuded by enzymatic (80 IU/ml hyaluronidase in G-MOPS medium, Vitrolife, Goteborg, Sweden) and mechanical treatment. Nuclear maturity was determined by assessing the presence of a polar body. Oocytes were classified as metaphase II (MII) oocytes when one polar body was present, or germinal vesicle (GV) oocytes when the GV was intact. MII oocytes were vitrified on the day of oocyte retrieval and were warmed on the day of proteome isolation (Cryotop®, Kitazato® Corporation, Ltd; Fuji, Japan).

Oocytes

Proteomic analysis

A total of 68 oocytes were included in the study. These included 36 GVs (n = 18 in the Young and n = 18 in the AMA group) and 32 MII oocytes (n = 18 in the Young and n = 14 in the AMA group) (Supplementary Table S1). After warming, MII oocytes were incubated in G-2TM PLUS medium (Vitrolife) for 3 h at 37°C and 6% CO2 prior to further processing, to allow for the metaphase plate to re-assemble. One MII oocyte from the Young group degenerated after the warming process and was discarded (Supplementary Table S1).

Functional analysis

A total of 19 oocytes from young women were included in the study. These included 10 GVs (n = 5 in the control group and n = 5 in the MG-132 treated group) and nine meiotic metaphase I (MI) stage oocytes that had undergone GVBD in vivo but had not extruded the first polar body (of these, n = 5 in the control group and n = 4 in the MG-132 treated group) (Supplementary Table S2).

Single-cell proteomics

Individual oocytes were incubated in Acidic Tyrode’s solution (Sigma-Aldrich, St Louis, MO, USA) for 5 s under a stereoscope to ensure the complete removal of cumulus cells, subsequently washed thoroughly in nuclease-free water and placed in individual tubes with 1 μl nuclease-free water, snap-frozen in liquid nitrogen and stored at −80°C until further processing.

The proteomic analysis was performed by plexDIA, as described previously (Derks et al., 2023). Briefly, single oocytes were lysed individually using the mPOP lysis method, which involves a freeze heat cycle (Specht and Slavov, 2018). Protein digestion into peptides proceeded with the addition of trypsin platinum (Promega, Madison, WI, USA) and triethylammonium bicarbonate (TEAB, at pH = 8) (Sigma-Aldrich) to each lysed cell at a final concentration of 10 ng/μl and 100 μM, respectively. The samples were digested for 3 h at 37°C in a thermal cycler. The peptides were then labeled with non-isobaric mass tags called mTRAQ (Sciex, Framingham, MA, USA) for 2 h at room temperature. The mTRAQ labels were resuspended in isopropanol at the manufacturer’s concentration and buffered with TEAB for a final concentration of 200 mM. The labeling reaction was quenched using 0.5% hydroxylamine (Sigma-Aldrich) for 1 h at room temperature. Finally, clusters of three single barcoded oocytes were pooled into plexDIA sets for subsequent mass spectrometry analysis (Petelski et al., 2021). Each plexDIA set contained either three oocytes or two oocytes along with a negative control that had undergone all the sample preparation steps.

The individual single oocyte sets were injected at 1 μl volumes using a Dionex UltiMate 3000 UHPLC (Thermo Fisher Scientific, Waltham, MA, USA) with online nLC with a 15 cm × 75 µm IonOpticks Aurora Series UHPLC column. Xcalibur (Thermo Fisher Scientific) was used to control the instrument. Upon being separated by liquid chromatography, peptide samples were subjected to electrospray ionization and sprayed into a Q Exactive instrument (Thermo Fisher Scientific). In these experiments, Buffer A was 0.1% formic acid (Thermo Fisher Scientific) diluted in LC-MS-grade water (Thermo Fisher Scientific), while Buffer B was 80% acetonitrile (Thermo Fisher Scientific) and 0.1% formic acid also diluted in LC-MS-grade water. The gradient (total run-time of 95 min) was designed as follows: 4% Buffer B (minutes 0–11.5), 4–8% Buffer B (minutes 11.5–12), 8–32% Buffer B (minutes 12–75), 32–95% Buffer B (minutes 75–77), 95% Buffer B (minutes 77–80), 95–4% Buffer B (minutes 80–80.1), 4% Buffer B (minutes 80.1–95). During the gradient, the flow remained at 200 nl/min. The duty cycle for each run consisted of one MS1 followed by 25 DIA MS2 windows of variable m/z length (specifically: 18 windows of 20 Th, 2 windows of 40 Th, 3 windows of 80 Th, and 2 windows of 160 Th). The entire span of analysis ranged from 378 to 1370 m/z. Each MS1 scan was conducted at 70 000 resolving power, 3 × 106 AGC maximum, and 300-ms injection time. Each MS2 scan was conducted at 35 000 resolving power, 3 × 106 AGC maximum, and 110-ms injection time. NCE was set to 27% with a default charge state of 2.

MS raw files were searched using the DIA-NN software (version 1.8.1 beta 16) (Demichev et al., 2020), using the human spectral library, as described previously (Derks et al. 2023). The following parameters were used: scan window = 5, mass accuracy = 10 ppm, and MS1 accuracy = 5 ppm. Library generation was set to ‘IDs, RT and IM Profiling’ and Quantification Strategy was set to ‘Peak Height’. Additionally, the following commands were entered into the DIA-NN command line GUI: (i) {-fixed-mod mTRAQ, 140.0949630177, nK}, (ii) {-channels mTRAQ, 0, nK, 0:0; mTRAQ, 4, nK, 4.0070994:4.0070994; mTRAQ, 8, nK, 8.0141988132:8.0141988132}, (iii) -peak-translation, (iv) {-original-mods}, (v) {-report-lib-info}, and (vi) {-ms1-isotope-quant}. After the data were searched using DIA-NN, MS1 level quantitation was used to normalize the precursors, which were then collapsed into protein-level data. The final data contains Log2 transformed protein abundances that are relative to the global mean.

After quality control, 13 samples were excluded from further analysis, as they either had low proteome coverage (<65%) or did not exhibit good agreement among peptides mapping to the same proteins. The final selected and excluded oocytes are listed in Supplementary Table S1.

Statistical analysis of proteomic data

The analysis was restricted to proteins identified in at least 80% of the samples within each group. Differentially abundant proteins were detected between the experimental groups using the non-parametric Mann–Whitney U test with Benjamini Hochberg correction applied with fold change set at ǀFCǀ > 1.5, and an adjusted P-value (P.adj) of ≤ 0.05. Proteins with fold change ǀFCǀ > 1.5 and an adjusted P-value of ≤ 0.5 were considered to exhibit trends of differential abundance. Correlation analysis was performed using the Spearman test, with a strong significance correlation determined by the thresholds |R| ≥ 0.5 and P.adj ≤ 0.2, while correlations with moderate significance were determined by the thresholds 0.3 ≤ |R| ˂ 0.5 and P-value ≤ 0.05. For protein complexes composed of several subunits, correlation with age was assessed using the mean correlation coefficient (Rmean) values of their subunits.

Statistical validation of the mean correlation coefficient was performed by randomizing the data 104 times and comparing the Rmean of our data with the permutation distribution of Rmean.

Protein set enrichment analysis

Biological processes and pathways were identified after comparing the levels of total proteins belonging to each gene ontology term between the two groups, by applying the Mann–Whitney U test. The ontology terms were acquired by the Biological_Process_2021, Cellular_Compartment_2021 and, KEGG_2021_Human libraries (Xie et al., 2021). Those with less than five annotated proteins were excluded. Biological processes and pathways were considered to differ significantly between the two groups when they had at least 50% of the protein of term identified and a P.adj ≤ 0.05. Data visualization was performed using R packages, ggplot2 for the volcano plots, scatter plots, histogram, and Dot plots and ComplexHeatmap for heatmaps (Gu et al. 2016; Wickham 2016).

Rescue IVM and proteasome complex inhibition

Human immature denuded oocytes, GV and MI oocytes, were cultured in drops of 20 μl G‐2™PLUS (Vitrolife) covered with Ovoil (Vitrolife) at 37°C and 6% CO2 to reach nuclear maturation (in vitro matured MII, IVM-MII). rIVM was performed in the absence (0.1% dimethyl sulfoxide; control) or presence of 10 μM MG-132, a cell-permeable, potent, and reversible proteasome inhibitor (Sigma-Aldrich). After 6 h of culture, the oocytes were transferred to fresh G‐2™PLUS medium to continue the rIVM process for up to 48 h. The oocytes were closely monitored for their maturation status, based on the extrusion of the first polar body.

Immunofluorescence staining

Following the designated culture period for rIVM, oocytes were rinsed in prewarmed PBS, fixed in 4% paraformaldehyde (PFA)/PBS for 15 min at room temperature, washed in PBST (PBS 0.1% Tween-20) for 10 min and stored in PBST at 4°C until processing. For immunostaining, oocytes were permeabilized with 0.5% Triton X-100 in PBS for 20 min, then blocked in a solution of 5% normal goat serum, 2% bovine serum albumin, and 0.1% Tween-20 in PBS for 3 h at room temperature, and incubated overnight at 4°C with rabbit monoclonal anti-proteasome 20S alpha and beta antibody (1:300; ab22673; Abcam; Cambridge, UK) or with mouse monoclonal anti-α-tubulin antibody (1:1000; T6199; Sigma-Aldrich-Merck KGaA, Darmstadt, Germany) in blocking solution. The negative controls were incubated overnight in a blocking solution. Once washed in PBST, samples were incubated for 1 h at room temperature with secondary antibody diluted 1:500 (Alexa Fluor 568 goat anti-rabbit IgG; Invitrogen, Carlsbad, CA, USA or Alexa Fluor 488 goat anti-mouse IgG (H + L); Thermo Fisher Scientific). After washing, the DNA was stained with 2 μg/ml Hoechst 33342 (Thermo Fisher Scientific). Samples were rinsed in PBST and immediately imaged using μ-slide 15-well glass bottom dishes (81507; ibidi; Grafelfing, Germany).

Image acquisition and analysis

Stained oocytes were imaged using the Nikon Eclipse Ti2 (Nikon Europe B.V., Amstelveen, The Netherlands) stand attached to an Andor Dragonfly 505 high-speed confocal microscope equipped with the multimode optical fiber illumination system BoreallisTM Integrated Laser Engine containing the 405, 445, 488, 514, 561, 594, and 637 nm solid-state lasers (Andor Technologies, Inc., Belfast, UK). Samples were imaged through a 60× water objective. Laser power and photomultiplier settings for each staining were kept constant for all samples. Imaging data were analyzed using the open-source image processing software ImageJ (Rasband, W.S., ImageJ, U. S. National Institutes of Health, Bethesda, MD, USA, https://imagej.nih.gov/ij/, 1997–2018) and Imaris software (v10.1, Bitplane, Belfast, Northern Ireland, UK).

Results

The proteomic landscape of human oocytes changes during meiotic maturation

We primarily focused on characterizing the proteomic profiles of human immature (GV) and mature (MII) oocytes to identify changes upon the resumption of meiosis. To begin, we compared the profiles of GV versus MII oocytes only from young women as a reference since these oocytes are expected to have good quality.

Specifically, in Young oocytes, we identified a total of 1368 proteins in both maturation stages from which 26 proteins were less abundant (including YBOX2, PS14, RS16) and 28 more abundant in MII oocytes (including AURKA, WEE2, BUB1B) compared to GV oocytes (Fig. 1a and c; Supplementary Table S3). The proteins that showed lower abundance in MII oocytes primarily participate in the translation process with many of them being ribosomal subunits (Table 1). In contrast, the proteins that displayed high abundance in MII oocytes were mainly associated with the regulation of the cell cycle and microtubule organization (Table 1).

Proteomic changes during the final steps of human oocyte maturation. DAPs were identified during the meiotic maturation of human oocytes. Volcano plots show DAPs identified by plexDIA between MII and GV oocytes from the (a) Young and (b) AMA groups. Protein name is indicated for statistically significant DAPs (P.adj ≤ 0.05, Wilcoxon test, ǀfold changeǀ> 1.5). Dot colour indicates protein abundance in MII oocytes compared to GV: purple (more abundant), green (less abundant), and grey (stable levels). (c) Heatmap showing the Log2 levels of DAPs for all oocyte groups, red (high levels), blue (low levels). (d) Ontology terms representing the pathways that statistically differ between GV and MII oocytes in Young and AMA groups (Wilcoxon test, P.adj ≤ 0.05). Dot size reflects the ratio of identified proteins that change during GV to MII transition to the total proteins within the respective pathway. Dot color represents the P. adjusted value (Wilcoxon test), red (high values), blue (low values). AMA, advanced maternal age; DAPs, differentially abundant proteins; GV, germinal vesicle; MII, metaphase II; Young, 18–30 years; AMA, 37–43 years.
Figure 1.

Proteomic changes during the final steps of human oocyte maturation. DAPs were identified during the meiotic maturation of human oocytes. Volcano plots show DAPs identified by plexDIA between MII and GV oocytes from the (a) Young and (b) AMA groups. Protein name is indicated for statistically significant DAPs (P.adj ≤ 0.05, Wilcoxon test, ǀfold changeǀ> 1.5). Dot colour indicates protein abundance in MII oocytes compared to GV: purple (more abundant), green (less abundant), and grey (stable levels). (c) Heatmap showing the Log2 levels of DAPs for all oocyte groups, red (high levels), blue (low levels). (d) Ontology terms representing the pathways that statistically differ between GV and MII oocytes in Young and AMA groups (Wilcoxon test, P.adj ≤ 0.05). Dot size reflects the ratio of identified proteins that change during GV to MII transition to the total proteins within the respective pathway. Dot color represents the P. adjusted value (Wilcoxon test), red (high values), blue (low values). AMA, advanced maternal age; DAPs, differentially abundant proteins; GV, germinal vesicle; MII, metaphase II; Young, 18–30 years; AMA, 37–43 years.

Table 1.

Human oocyte maturation-related proteome.

Young group
AMA group
Low in MII vs GVHigh in MII vs GVLow in MII vs GVHigh in MII vs GV
TranslationYBOX2, RS14, RL10A, RS16, RS9, RS17, RS8, RS20, KS6A3NDYBOX2, RSSA, ZAR1, CAPR2, RL23A, PATL2, RL8, RL24, RS18ND
Microtubule cytoskeletonFLNA, DCTN1, GCP3, TBB5TACC3, ACTL8, PCNA, MP2K1, NUDC2, TBCANDACTL8, PCNA, MP2K1, TBB8B, TBA4B
Cell cycle (meiosis)H18SPDLY, AURKA, WEE2, BUB1BH18SPDLY, AURKA, BUB1B, WEE2, REEP4
Young group
AMA group
Low in MII vs GVHigh in MII vs GVLow in MII vs GVHigh in MII vs GV
TranslationYBOX2, RS14, RL10A, RS16, RS9, RS17, RS8, RS20, KS6A3NDYBOX2, RSSA, ZAR1, CAPR2, RL23A, PATL2, RL8, RL24, RS18ND
Microtubule cytoskeletonFLNA, DCTN1, GCP3, TBB5TACC3, ACTL8, PCNA, MP2K1, NUDC2, TBCANDACTL8, PCNA, MP2K1, TBB8B, TBA4B
Cell cycle (meiosis)H18SPDLY, AURKA, WEE2, BUB1BH18SPDLY, AURKA, BUB1B, WEE2, REEP4

ND, non-detected; AMA, advanced maternal age; GV, germinal vesicle; MII, metaphase II; Young: 18–30 years; AMA: 37–43 years.

Table 1.

Human oocyte maturation-related proteome.

Young group
AMA group
Low in MII vs GVHigh in MII vs GVLow in MII vs GVHigh in MII vs GV
TranslationYBOX2, RS14, RL10A, RS16, RS9, RS17, RS8, RS20, KS6A3NDYBOX2, RSSA, ZAR1, CAPR2, RL23A, PATL2, RL8, RL24, RS18ND
Microtubule cytoskeletonFLNA, DCTN1, GCP3, TBB5TACC3, ACTL8, PCNA, MP2K1, NUDC2, TBCANDACTL8, PCNA, MP2K1, TBB8B, TBA4B
Cell cycle (meiosis)H18SPDLY, AURKA, WEE2, BUB1BH18SPDLY, AURKA, BUB1B, WEE2, REEP4
Young group
AMA group
Low in MII vs GVHigh in MII vs GVLow in MII vs GVHigh in MII vs GV
TranslationYBOX2, RS14, RL10A, RS16, RS9, RS17, RS8, RS20, KS6A3NDYBOX2, RSSA, ZAR1, CAPR2, RL23A, PATL2, RL8, RL24, RS18ND
Microtubule cytoskeletonFLNA, DCTN1, GCP3, TBB5TACC3, ACTL8, PCNA, MP2K1, NUDC2, TBCANDACTL8, PCNA, MP2K1, TBB8B, TBA4B
Cell cycle (meiosis)H18SPDLY, AURKA, WEE2, BUB1BH18SPDLY, AURKA, BUB1B, WEE2, REEP4

ND, non-detected; AMA, advanced maternal age; GV, germinal vesicle; MII, metaphase II; Young: 18–30 years; AMA: 37–43 years.

We further evaluated the biological processes, cellular compartments, and pathways that undergo overall changes from GV to MII transition by applying protein set enrichment analysis. We found that several pathways, including cytoplasmic translation, maintenance of DNA methylation, Arp2/3 complex-mediated actin nucleation, and proteasome complex differed significantly between GV and MII oocytes (Fig. 1d; Supplementary Table S4).

The proteomic landscape of meiotic maturation is maintained in AMA oocytes

We performed a similar analysis for oocytes in the AMA group to evaluate whether the overall protein composition and pathways are maintained with AMA. In total, 1451 proteins were identified both in GV and MII AMA oocytes, 23 proteins with lower abundance (including YBOX2, ZAR1, RS18) and 17 proteins with higher abundance in MII when compared to GV (including AURKA, WEE2, BUB1B) (Fig. 1b and c; Supplementary Table S5). As with the Young group, the differentially abundant proteins were mainly ribosomal subunits (low in MII), cell cycle regulators and microtubule-related proteins (high in MII) (Table 1). Furthermore, the majority of pathways undergoing overall changes during GV to MII transition, in AMA oocytes, exhibited similarities to the Young group. Interestingly, the negative regulation of endoplasmic reticulum unfolded protein response, the Arp2/3 complex-mediated actin nucleation, and the proteasome complex, showed different patterns (Fig. 1d; Supplementary Table S6).

AMA disturbs the proteome of immature GV oocytes

Next, we looked at the impact of age on the oocyte proteome at each maturation stage.

To identify putative protein targets that may explain chromosome segregation errors or early cytoplasmic alterations in oocytes of women of AMA, we focused on GV oocytes. These oocytes have not completed the first meiotic division and retain all pairs of homologous chromosomes. The comparison between GV Young and GV AMA groups did not yield significant differences in protein abundance (Supplementary Table S7), but several proteins exhibited notable trends (Supplementary Fig. S1). The lack of significance in this comparison could stem from the variability among women’s ages. Therefore, we further analyzed the relationship between age and the oocyte proteome. Our analysis revealed a strong correlation (ǀRǀ ≥ 0.5) with age, showing a negative association for the level of 12 proteins and a positive association for eight proteins (Table 2). Additionally, the levels of 134 proteins exhibited a moderate correlation (0.3 ≤ ǀRǀ ˂ 0.5) (Supplementary Table S8).

Table 2.

Age-correlated proteins in germinal vesicle and MII human oocytes.

Uniprot IDProtein symbol (name)RP. adjusted
GV oocytesP62195PRS8 (26S proteasome regulatory subunit 8)−0.710.030
P622581433E (14-3-3 protein epsilon)−0.700.031
P11142HSP7C (heat shock cognate 71 kDa protein)−0.650.117
Q9UNS2CSN3 (COP9 signalosome complex subunit 3)−0.640.117
P09936UCHL1 (ubiquitin carboxyl-terminal hydrolase isozyme L1)−0.630.117
P17980PRS6A (26S proteasome regulatory subunit 6A)−0.620.117
P31948-2STIP1 (stress-induced-phosphoprotein 1)−0.620.117
Q96FJ2DYL2 (dynein light chain 2, cytoplasmic)−0.620.109
Q9UIC8LCMT1 (leucine carboxyl methyltransferase 1)−0.610.109
P47756-2CAPZB (F-actin-capping protein subunit beta)−0.610.119
Q02790FKBP4 (peptidyl-prolyl cis-trans isomerase)−0.580.148
Q99832TCPH (T-complex protein 1 subunit eta)−0.580.159
P35232PHB1 (prohibitin 1)0.570.180
Q9H3N1TMX1 (thioredoxin-related transmembrane protein 1)0.580.196
Q16891MIC60 (MICOS complex subunit)0.580.148
Q9UBS4DJB11 (DnaJ homolog subfamily B member 11)0.590.148
O75964ATP5L (ATP synthase subunit g, mitochondrial)0.600.119
O00592PODXL (podocalyxin)0.640.107
P18084ITB5 (integrin beta-5)0.650.139
Q5VV41ARHGG (rho guanine nucleotide exchange factor 16)0.810.004
MII oocytesP01857IGHG1 (immunoglobulin heavy constant gamma 1)−0.690.047
Q6UB35C1TM (monofunctional C1-tetrahydrofolate synthase, mitochondrial)−0.690.071
Q14894CRYM (ketimine reductase mu-crystallin)−0.680.047
O60547GMDS (GDP-mannose 4,6 dehydratase)−0.610.145
Q9NQI0DDX4 (probable ATP-dependent RNA helicase)−0.600.160
P80723BASP1 (brain acid soluble protein 1)0.670.070
Q9UJS0S2513 (electrogenic aspartate/glutamate antiporter SLC25A13, mitochondrial)0.610.160
Uniprot IDProtein symbol (name)RP. adjusted
GV oocytesP62195PRS8 (26S proteasome regulatory subunit 8)−0.710.030
P622581433E (14-3-3 protein epsilon)−0.700.031
P11142HSP7C (heat shock cognate 71 kDa protein)−0.650.117
Q9UNS2CSN3 (COP9 signalosome complex subunit 3)−0.640.117
P09936UCHL1 (ubiquitin carboxyl-terminal hydrolase isozyme L1)−0.630.117
P17980PRS6A (26S proteasome regulatory subunit 6A)−0.620.117
P31948-2STIP1 (stress-induced-phosphoprotein 1)−0.620.117
Q96FJ2DYL2 (dynein light chain 2, cytoplasmic)−0.620.109
Q9UIC8LCMT1 (leucine carboxyl methyltransferase 1)−0.610.109
P47756-2CAPZB (F-actin-capping protein subunit beta)−0.610.119
Q02790FKBP4 (peptidyl-prolyl cis-trans isomerase)−0.580.148
Q99832TCPH (T-complex protein 1 subunit eta)−0.580.159
P35232PHB1 (prohibitin 1)0.570.180
Q9H3N1TMX1 (thioredoxin-related transmembrane protein 1)0.580.196
Q16891MIC60 (MICOS complex subunit)0.580.148
Q9UBS4DJB11 (DnaJ homolog subfamily B member 11)0.590.148
O75964ATP5L (ATP synthase subunit g, mitochondrial)0.600.119
O00592PODXL (podocalyxin)0.640.107
P18084ITB5 (integrin beta-5)0.650.139
Q5VV41ARHGG (rho guanine nucleotide exchange factor 16)0.810.004
MII oocytesP01857IGHG1 (immunoglobulin heavy constant gamma 1)−0.690.047
Q6UB35C1TM (monofunctional C1-tetrahydrofolate synthase, mitochondrial)−0.690.071
Q14894CRYM (ketimine reductase mu-crystallin)−0.680.047
O60547GMDS (GDP-mannose 4,6 dehydratase)−0.610.145
Q9NQI0DDX4 (probable ATP-dependent RNA helicase)−0.600.160
P80723BASP1 (brain acid soluble protein 1)0.670.070
Q9UJS0S2513 (electrogenic aspartate/glutamate antiporter SLC25A13, mitochondrial)0.610.160

Spearman test: R≥ ǀ0.5|, P.adj ≤ 0.2; GV, germinal vesicle; MII, metaphase II.

Table 2.

Age-correlated proteins in germinal vesicle and MII human oocytes.

Uniprot IDProtein symbol (name)RP. adjusted
GV oocytesP62195PRS8 (26S proteasome regulatory subunit 8)−0.710.030
P622581433E (14-3-3 protein epsilon)−0.700.031
P11142HSP7C (heat shock cognate 71 kDa protein)−0.650.117
Q9UNS2CSN3 (COP9 signalosome complex subunit 3)−0.640.117
P09936UCHL1 (ubiquitin carboxyl-terminal hydrolase isozyme L1)−0.630.117
P17980PRS6A (26S proteasome regulatory subunit 6A)−0.620.117
P31948-2STIP1 (stress-induced-phosphoprotein 1)−0.620.117
Q96FJ2DYL2 (dynein light chain 2, cytoplasmic)−0.620.109
Q9UIC8LCMT1 (leucine carboxyl methyltransferase 1)−0.610.109
P47756-2CAPZB (F-actin-capping protein subunit beta)−0.610.119
Q02790FKBP4 (peptidyl-prolyl cis-trans isomerase)−0.580.148
Q99832TCPH (T-complex protein 1 subunit eta)−0.580.159
P35232PHB1 (prohibitin 1)0.570.180
Q9H3N1TMX1 (thioredoxin-related transmembrane protein 1)0.580.196
Q16891MIC60 (MICOS complex subunit)0.580.148
Q9UBS4DJB11 (DnaJ homolog subfamily B member 11)0.590.148
O75964ATP5L (ATP synthase subunit g, mitochondrial)0.600.119
O00592PODXL (podocalyxin)0.640.107
P18084ITB5 (integrin beta-5)0.650.139
Q5VV41ARHGG (rho guanine nucleotide exchange factor 16)0.810.004
MII oocytesP01857IGHG1 (immunoglobulin heavy constant gamma 1)−0.690.047
Q6UB35C1TM (monofunctional C1-tetrahydrofolate synthase, mitochondrial)−0.690.071
Q14894CRYM (ketimine reductase mu-crystallin)−0.680.047
O60547GMDS (GDP-mannose 4,6 dehydratase)−0.610.145
Q9NQI0DDX4 (probable ATP-dependent RNA helicase)−0.600.160
P80723BASP1 (brain acid soluble protein 1)0.670.070
Q9UJS0S2513 (electrogenic aspartate/glutamate antiporter SLC25A13, mitochondrial)0.610.160
Uniprot IDProtein symbol (name)RP. adjusted
GV oocytesP62195PRS8 (26S proteasome regulatory subunit 8)−0.710.030
P622581433E (14-3-3 protein epsilon)−0.700.031
P11142HSP7C (heat shock cognate 71 kDa protein)−0.650.117
Q9UNS2CSN3 (COP9 signalosome complex subunit 3)−0.640.117
P09936UCHL1 (ubiquitin carboxyl-terminal hydrolase isozyme L1)−0.630.117
P17980PRS6A (26S proteasome regulatory subunit 6A)−0.620.117
P31948-2STIP1 (stress-induced-phosphoprotein 1)−0.620.117
Q96FJ2DYL2 (dynein light chain 2, cytoplasmic)−0.620.109
Q9UIC8LCMT1 (leucine carboxyl methyltransferase 1)−0.610.109
P47756-2CAPZB (F-actin-capping protein subunit beta)−0.610.119
Q02790FKBP4 (peptidyl-prolyl cis-trans isomerase)−0.580.148
Q99832TCPH (T-complex protein 1 subunit eta)−0.580.159
P35232PHB1 (prohibitin 1)0.570.180
Q9H3N1TMX1 (thioredoxin-related transmembrane protein 1)0.580.196
Q16891MIC60 (MICOS complex subunit)0.580.148
Q9UBS4DJB11 (DnaJ homolog subfamily B member 11)0.590.148
O75964ATP5L (ATP synthase subunit g, mitochondrial)0.600.119
O00592PODXL (podocalyxin)0.640.107
P18084ITB5 (integrin beta-5)0.650.139
Q5VV41ARHGG (rho guanine nucleotide exchange factor 16)0.810.004
MII oocytesP01857IGHG1 (immunoglobulin heavy constant gamma 1)−0.690.047
Q6UB35C1TM (monofunctional C1-tetrahydrofolate synthase, mitochondrial)−0.690.071
Q14894CRYM (ketimine reductase mu-crystallin)−0.680.047
O60547GMDS (GDP-mannose 4,6 dehydratase)−0.610.145
Q9NQI0DDX4 (probable ATP-dependent RNA helicase)−0.600.160
P80723BASP1 (brain acid soluble protein 1)0.670.070
Q9UJS0S2513 (electrogenic aspartate/glutamate antiporter SLC25A13, mitochondrial)0.610.160

Spearman test: R≥ ǀ0.5|, P.adj ≤ 0.2; GV, germinal vesicle; MII, metaphase II.

Among the proteins whose abundance declines with age, we identified meiosis key factors, such as 1433E, proteasome subunits, CDK1, regulators of proteostasis (UCHL1, HSP7C, CSN3), and (co)-chaperones (e.g. TRiC complex subunits). Conversely, the proteins that showed an increase in abundance with age were primarily associated with mitochondrial functions (e.g. ATP5L, MIC60) (Table 2, Supplementary Table S8).

We then focused on the proteasome and the TRiC complex since these complexes have an important role in meiosis and proteostasis networks. The proteasome complex participates in regulating the progression of the cell cycle (Homer et al., 2009) and in maintaining proteostasis in the germline (Café et al., 2021), while the TRiC complex is a chaperonin which assists in the correct folding of several proteins, including actin and tubulin (Sternlicht et al., 1993). Upon analyzing the proteasome complex comprehensively, 35 subunits were quantified in GV oocytes. Among them, five subunits (PRS8, PRS6A, PRS10, PSA6, PSMF1) showed a negative correlation with age (R from −0.71 to −0.40) (Fig. 2a–e; Supplementary Table S9). The negative correlation of the five subunits results in a non-random negative pattern with age within the entire complex (Rmean= −0.14) (Fig. 2f; Supplementary Table S10).

Age effect on the proteasome complex levels in human oocytes. (a–e) Scatter plots showing the levels of the proteasome complex subunits which were found to be strongly correlated (P.adj ≤ 0.02, P ≤ 0.05, ǀRǀ ≥ 0.5 with age or to have moderate correlation (P ≤ 0.05, ǀR ǀ ≥ 0.3) in GV oocytes. (f) Distribution of proteasome subunits mean correlation coefficient (Rmean) of GV oocytes with age in 104 times randomized data; the proteasome subunits mean correlation coefficient in the original data is represented by the dashed line. GV, germinal vesicle; age range: 18–43 years.
Figure 2.

Age effect on the proteasome complex levels in human oocytes. (ae) Scatter plots showing the levels of the proteasome complex subunits which were found to be strongly correlated (P.adj ≤ 0.02, P ≤ 0.05, ǀRǀ ≥ 0.5 with age or to have moderate correlation (P ≤ 0.05, ǀR ǀ ≥ 0.3) in GV oocytes. (f) Distribution of proteasome subunits mean correlation coefficient (Rmean) of GV oocytes with age in 104 times randomized data; the proteasome subunits mean correlation coefficient in the original data is represented by the dashed line. GV, germinal vesicle; age range: 18–43 years.

Focusing on the TRiC complex, eight subunits of the complex were quantified in the data (Fig. 3a; Supplementary Table S11). Of these, four were negatively correlated with age, TCPH, TCPA, TCPQ, TCPE (R= −0.57 to −0.40) (Fig. 3b; Supplementary Table S11), leading again to a non-random negative pattern in the entire complex with age (Rmean = −0.36) (Fig. 3c; Supplementary Table S10).

Age effect on TRiC complex levels in human oocytes. (a) Box plots showing the levels of the TRiC complex subunits in GV oocytes from the Young (black box) and AMA (red box) groups. (b) Scatter plot showing the levels of the TRiC complex subunit TCPH which was found to be strongly correlated with age in GV oocytes (P.adj ≤ 0.02, P ≤0.05, ǀRǀ ≥ 0.5). (c) Distribution of TRiC subunits mean correlation coefficient (Rmean) of GV oocytes with age in 104 times randomized data; the TRiC subunits mean correlation coefficient in the original data is represented by the dashed line. (d) Box plots showing the levels of the TRiC complex subunits in MII oocytes from the Young (black box) and AMA (red box) groups. (e) Scatter plot showing the levels of the TRiC complex subunit TCPD which shown a moderate correlation with age in MII oocytes (P ≤ 0.05, ǀRǀ ≥ 0.3). (f) Distribution of TRiC subunits mean correlation coefficient (Rmean) of MII oocytes with age in 104 times randomized data; the TRiC subunits mean correlation coefficient in the original data is represented by the dashed line. AMA, advanced maternal age; GV, germinal vesicle; MII, metaphase II; Young, 18–30 years; AMA: 37–43 years.
Figure 3.

Age effect on TRiC complex levels in human oocytes. (a) Box plots showing the levels of the TRiC complex subunits in GV oocytes from the Young (black box) and AMA (red box) groups. (b) Scatter plot showing the levels of the TRiC complex subunit TCPH which was found to be strongly correlated with age in GV oocytes (P.adj ≤ 0.02, P ≤0.05, ǀRǀ ≥ 0.5). (c) Distribution of TRiC subunits mean correlation coefficient (Rmean) of GV oocytes with age in 104 times randomized data; the TRiC subunits mean correlation coefficient in the original data is represented by the dashed line. (d) Box plots showing the levels of the TRiC complex subunits in MII oocytes from the Young (black box) and AMA (red box) groups. (e) Scatter plot showing the levels of the TRiC complex subunit TCPD which shown a moderate correlation with age in MII oocytes (P ≤ 0.05, ǀRǀ ≥ 0.3). (f) Distribution of TRiC subunits mean correlation coefficient (Rmean) of MII oocytes with age in 104 times randomized data; the TRiC subunits mean correlation coefficient in the original data is represented by the dashed line. AMA, advanced maternal age; GV, germinal vesicle; MII, metaphase II; Young, 18–30 years; AMA: 37–43 years.

Finally, pathways such as WNT signaling, regulation of telomerase RNA localization, and Arp 2/3 complex-mediated actin nucleation appeared to be negatively influenced by age in GV oocytes (Supplementary Table S12).

Age-related changes in the proteome of mature MII oocytes

Next, we focused on MII oocytes. We aimed to explore whether differences in protein levels in MII oocytes from AMA women arise after the completion of the first meiotic division or as a consequence of alterations that occurred during the GV stage. For instance, reduced protein abundance in GV oocytes may lead to aberrant abundance of downstream proteins in MII oocytes. Similar to GV, we did not identify significant changes when comparing MII Young and MII AMA groups (Supplementary Table S13 and Supplementary Fig. S1). However, our analysis revealed that the abundance of seven proteins in MII oocytes showed strong age-related correlations. Among them, five proteins were negatively and two positively correlated with age (Table 2). We identified a further 99 proteins that exhibited moderate correlations with age (Supplementary Table S14).

Moreover, the abundance of the TRiC complex exhibited a non-random negative pattern in MII oocytes with maternal age (Rmean= −0.26) (Fig. 3d–f; Supplementary Tables S15 and S16). Interestingly, we found that the levels of two isoforms of tubulin beta, TBB5 and TBB8B, which are known targets of the TRiC complex, increase with age (R = 0.47 and 0.40, respectively) (Supplementary Table S14). Moreover, our analysis reaffirmed that AMA is associated with alterations of the telomerase RNA localization process, as in GV (Supplementary Table S17).

Proteasome activity is crucial during the final steps of meiotic maturation

Our findings revealed a decline in the levels of the proteasome complex from the GV to MII stage of oocyte maturation, and we also observed a negative correlation between its abundance and age. Considering the crucial role of the proteasome in meiosis, these results prompted us to undertake further investigations to study its role during oocyte maturation. Understanding the dynamics of the proteasome complex during oocyte development is of significant interest, as the proteasome regulates meiosis progression and plays a pivotal role in protein degradation and maintaining cellular proteostasis.

We localized the proteasome of immature GV oocytes from young women (age ≤ 35 years old) with an antibody against the 20S (alpha and beta) subunits to identify their cellular distribution. We observed that the complex was mainly localized in the nucleus (GV) of oocytes, which suggests a possible role in chromatin reorganization and spindle formation before GVBD (Fig. 4a). To further examine this hypothesis, we cultured GV oocytes from young women in rIVM medium in the presence or absence of the proteasome inhibitor MG-132 for 6 h. After the initial culture, oocytes were washed and placed in fresh rIVM media for an additional 42 h. Following the extended culture period, the maturation rate was assessed. The oocytes that successfully reached the MII stage (IVM-MII) were then further analyzed to evaluate the alignment of their chromosomes in the MII plate. The results showed that three of five GV and all four MI oocytes successfully resumed maturation (IVM-MII) in the control group, presenting aligned chromosomes in their MII plates (Fig. 4b–d). Two control GV oocytes were degenerated at the end of the rIVM culture. Of the GV oocytes (n = 5), that were submitted to rIVM culture in the presence of the proteasome inhibitor, two appeared arrested at the MI stage and three reached the MII stage. However, their MII plates were characterized by misaligned chromosomes (Fig. 4b–d).

Functional analysis of proteasome complex during the last step of human oocyte maturation. (a) Immunofluorescence staining of the proteasome and chromosomes in human GV oocytes. The proteasome complex was stained with an antibody against 20S alpha and beta subunits (red), and DNA were counterstained with Hoechst 33342 (pink). Left panel, DNA; middle panel, proteasome; right panel, merged image. Scale = 10 µm. (b) rIVM rates (%) for GV and MI oocytes cultured in presence or absence of 10 µM of the proteasome inhibitor MG-132, for up to 48 h. (c) Immunofluorescence staining of the spindle with an antibody against TUBA (yellow) and chromosomes (DNA, Hoechst 33342) (pink) of human oocytes after rIVM in the presence or absence of 10 µM of MG-132. Scale = 10 µm. (d) Percentages of rIVM-MII oocytes with correct alignment (pink bar) or misalignment (black bar) of their chromosomes. AMA, advanced maternal age; GV, germinal vesicle; MI, metaphase I; MII, metaphase II; rIVM, rescue IVM; TUBA, tubulin alpha isoform.
Figure 4.

Functional analysis of proteasome complex during the last step of human oocyte maturation. (a) Immunofluorescence staining of the proteasome and chromosomes in human GV oocytes. The proteasome complex was stained with an antibody against 20S alpha and beta subunits (red), and DNA were counterstained with Hoechst 33342 (pink). Left panel, DNA; middle panel, proteasome; right panel, merged image. Scale = 10 µm. (b) rIVM rates (%) for GV and MI oocytes cultured in presence or absence of 10 µM of the proteasome inhibitor MG-132, for up to 48 h. (c) Immunofluorescence staining of the spindle with an antibody against TUBA (yellow) and chromosomes (DNA, Hoechst 33342) (pink) of human oocytes after rIVM in the presence or absence of 10 µM of MG-132. Scale = 10 µm. (d) Percentages of rIVM-MII oocytes with correct alignment (pink bar) or misalignment (black bar) of their chromosomes. AMA, advanced maternal age; GV, germinal vesicle; MI, metaphase I; MII, metaphase II; rIVM, rescue IVM; TUBA, tubulin alpha isoform.

To assess if proteasome activity is required for oocyte maturation after GVBD and closer to the time of chromosome segregation, we performed rIVM on MI oocytes. These MI oocytes have already undergone GVBD in vivo but had not extruded the first polar body, indicating that they had not completed meiosis I. All MI oocytes cultured in the absence of the proteasome inhibitor reached the IVM-MII stage and displayed correct alignment of their chromosomes in the metaphase plate. However, in the presence of MG-132, four out of five MI oocytes reached the IVM-MII stage and three out of four (75%) exhibited misalignment of their chromosomes, while one IVM-MII oocyte presented aligned chromosomes (Fig. 4b–d).

Discussion

Women of AMA face subfertility, which is largely attributed to the decreased quality of their oocytes. To gain a deeper understanding of the proteomic basis of the effect of maternal age on oocyte quality, we applied the single-cell plexDIA method to human oocytes from Young and AMA women.

Using this method, we have characterized the biological processes occurring in oocytes during meiotic maturation and examined the relationship between maternal age and oocyte proteomic content. In total, 2105 proteins were quantified; building on the findings of two previous single-cell proteomic analyses of human oocytes (Virant-Klun et al., 2016; Guo et al., 2022).

Our study revealed that human oocytes undergo specific adjustments in the abundance of various proteins during the final stages of meiotic maturation (GV to MII transition). These include, among others, ribosomal subunits, translation factors, cytoskeleton and cell cycle proteins, which are likely required for the successful acquisition of developmental competence. These results are in accordance with data from mouse studies, which show that many of the transcripts produced during oocyte growth are stored in translationally inactive ribonucleoprotein particles and translated into proteins at the appropriate time during oocyte maturation (Gosden and Lee, 2010; Susor et al., 2015; Luong et al., 2020).

In addition, we observed changes in several biological processes including translation, Arp2/3-mediated actin nucleation, maintenance of DNA methylation as well as the proteasome complex between GV and MII oocytes. These findings are also consistent with reports in mice, providing further support for the relevance of these events during oocyte maturation across species (Huo et al., 2004; Sun et al., 2011; Susor et al., 2015; Maenohara et al., 2017).

This data provides a comprehensive description of the proteomic landscape of oocyte maturation. Moreover, we noted that this landscape does not undergo major changes with age, since most of the observed protein and pathway alterations during the GV to MII transition exhibit similar patterns in both Young and AMA oocytes. However, our analysis revealed a few alterations, which could potentially contribute to the loss of developmental competence.

In addition, we observed correlations between the abundance of various proteins and maternal age, particularly at the GV stage. The decline in abundance of several proteasomal subunits with age is particularly noteworthy. The proteasome plays an essential role in oocytes; it is involved in regulating cell cycle progression (Homer et al., 2009) and participates in protein quality control through the ubiquitin-proteasome (UPS) system and maintenance of proteostasis (Café et al., 2021).

The proteasome is instrumental in regulating cell cycle progression by targeting key cell cycle factors, including cyclin B and securin. Proteasome-dependent inactivation of the maturation-promoting factor (MPF, composed of cyclin B and CDK1) is required for the successful exit from meiosis I and the transition to meiosis II (Jones, 2004; Li et al., 2019). In our study, we noted a drop in the levels of the proteasome complex during the GV to MII transition, with this decline being evident only in Young oocytes. Furthermore, we observed a negative correlation between the levels of proteasome subunits and maternal age. Additionally, there was a decline in the levels of CDK1, a critical component of MPF, and its indirect regulator 1433E, with age.

Based on these findings, we hypothesize that the age-dependent alteration in the levels of the proteasome, 1433E and CDK1 may lead to dysregulation of MPF activity, potentially resulting in the disruption of meiosis and aneuploidy. Elevated MPF activity has also been observed in aged mouse oocytes and was suggested to impact the accurate segregation of chromosomes during oocyte maturation (Koncicka et al., 2018). Our hypothesis is further supported by studies on mouse and rat oocytes, which have demonstrated that inhibiting the proteasome results in MI arrest or abnormal meiotic progression, leading to a higher proportion of aneuploid oocytes (Josefsberg et al., 2000; Mailhes et al. 2002). Similarly, as seen in our study, inhibiting the proteasome in human oocytes led to some oocytes arresting at MI stage, while others reached the MII stage but exhibited misalignment of the chromosomes in the metaphase plate. These observations provide compelling evidence that highlights the importance of proteasome activity during oocyte maturation.

In addition to its role in regulating meiosis and MPF activity, the proteasome complex plays a crucial role in maintaining proteostasis through the UPS system, which is responsible for selectively degrading and eliminating damaged or misfolded proteins (Kelmer Sacramento et al., 2020; Sala and Morimoto, 2022). Dysfunction of the proteasome and UPS has been associated with aging in various cell types, including oocytes (Keller et al., 2000; Mihalas et al., 2018; Kelmer Sacramento et al., 2020). We found that proteasomal subunits and UPS-related protein levels, including UCHL1 and CSN3, decline with advancing maternal age. We also identified changes in the abundance of multiple (co)-chaperones, including HSP7C, DJB11, and TCPH, that participate in protein folding and maintenance of a functional proteome (Chen et al., 2017; Fernández-Fernández and Valpuesta, 2018; Grantham, 2020).

The abundance of the TRiC complex, a chaperonin which assists in the folding of about 10% of the proteome, including actin and tubulin isoforms (Sternlicht et al., 1993), and participates in proteostatic control of telomerase (Freund et al., 2014), was also negatively associated with age in oocytes. Interestingly, the levels of tubulin isoforms TBB5 and TBB8B exhibited a positive correlation in MII with age, which could be potentially attributed to the decreased abundance of the TRiC complex in GV and MII oocytes from AMA women. Whether the activity of TRiC complex is affected in AMA oocytes, resulting in the accumulation of TBB5 and TBB8B, potentially misfolded, is a matter of further study.

Taken together, the identified protein alterations suggest a progressive failure of proteostasis in oocytes from women of AMA. The failure of protesostasis could account for the poor quality of oocytes, either independently or by interfering with crucial cellular processes like meiosis, as previously suggested (Sala and Morimoto, 2022).

Building on our findings, mitochondrial proteins are also influenced by the proteasome–UPS system. Mitochondrial proteins are synthesized in the cytoplasm as unfolded polypeptides and rely on chaperones for proper folding before being imported into the mitochondria (Quiles and Gustafsson, 2020).

This post-translational import mechanism is tightly regulated by the proteasome–UPS system, which ensures the degradation of non-functional polypeptides and damaged proteins that have already been imported into the mitochondria (Krämer et al., 2021). In addition, accumulation of mitochondrial precursors in the cytosol has been associated with mitochondria-mediated cell death (Wang and Chen, 2015; Coyne and Chen, 2018). Interestingly, we observed that some mitochondrial proteins displayed increased levels with age in GV oocytes. This accumulation of mitochondrial proteins may be attributed to insufficient post-translational control by the proteasome and chaperones, which are found in lower abundance in GV oocytes from AMA women.

In our analysis of MII oocytes, we identified five proteins with reduced levels and two proteins with increased levels that correlate with age. Notably, among them, IGHG1 and BASP1 have been previously reported to play roles in oocytes. BASP1, is a peptide which probably is involved in fertilization-induced oocyte activation (Zakharova and Zakharov, 2017) while the immunoglobulin (IGHG1) was proposed to counteract increased reactive oxygen species levels and assist the oocyte to survive in adverse environments (Wang et al., 2022). Additionally, DDX4, the human ortholog of VASA, is a well-known germ cell marker that has also been suggested to be involved in the regulation of translation (Castrillon et al., 2000; Sundaram Buitrago et al., 2023). The roles of IGHG1, BASP1, and DDX4 in oocyte function and translation regulation suggest that they may be critical factors in maintaining oocyte quality.

Our findings deliver important insights into the proteomic landscape of oocyte maturation and the impact of maternal age on the global oocyte proteome, yet it is essential to acknowledge some limitations. First, to ensure statistical robustness, we chose a stringent criterion of including only proteins present in at least 80% of the samples. While this approach enhanced the reliability of our analysis, it is possible that some proteins in lower abundance were not captured in our study. Secondly, MII oocytes underwent vitrification and warming prior to being included in the study due to clinical protocols. Although these procedures are commonly used in IVF treatment, they may introduce some uncontrolled variability in the proteomic profiles of the oocytes. Additionally, the rIVM maturation of GV and MI oocytes was conducted without the presence of cumulus cells, which may have impacted the maturation process. Nevertheless, the identification of age-correlated proteins and their potential roles in oocyte function provides valuable insights for future research in reproductive medicine. Ultimately, our results shed light on the negative impact of aging on oocyte developmental competence, pointing at the proteostasis and meiosis networks. The altered proteins identified in aged oocytes hold promise as potential targets for interventions aimed at improving oocyte quality and reproductive outcomes in women of AMA. By delving into the complexities of oocyte maturation and aging, our study opens new opportunities in the field of reproductive medicine, paving the way for future research into improved treatment options and outcomes for women facing age-related fertility challenges.

Supplementary data

Supplementary data are available at Molecular Human Reproduction online.

Data availability

The data underlying this study are publicly available in the MASSIVE database (ID: MSV000093870). Processed data, metadata, and R scripts code used for statistical analysis and plotting have been deposited publicly in github (https://github.com/SlavovLab/single_cell_oocyte) in accordance with the community best practices (Gatto et al., 2023) and available at https://scp.slavovlab.net/Galatidou_et_al_2024.

Acknowledgements

We would like to thank Laura Sabater from Clinica Eugin for their help in sample handling and all the laboratory staff from the clinics for their support.

Authors’ roles

S.G. contributed to design the study, collected, and processed the samples, analyzed, and interpreted the data, and have drafted the manuscript; A.A.P. prepared and processed the samples for MS analysis, analyzed the raw MS data, performed preliminary biological analysis, and contributed to interpretation of the data. A.P. and K.L. contributed to samples collection; L.B.L. contributed to analysis of the immunofluorescence images; T.F. and M.P. contributed to the interpretation of the data and substantially revised the manuscript; R.V. designed the study, contributed in the interpretation of the data, and substantively revised the manuscript; N.S. contributed in the analysis and interpretation of the data and substantively revised the manuscript; M.B.M. designed the study, analyzed and interpreted the data, and substantively revised the manuscript.

Funding

This project has received intramural funding from the Eugin Group, funding from the European Union’s Horizon 2020 research and innovation program under the Marie Sklodowska-Curie grant agreement No. 860960 to S.G., an Allen Distinguished Investigator award through the Paul G. Allen Frontiers Group to N.S., a Bits to Bytes grant from the Massachusetts Life Sciences Center to N.S., and a Seed Networks Award from CZI CZF2019-002424 to N.S.

Conflict of interest

N.S. is a founding director and CEO of Parallel Squared Technology Institute, which is a nonprofit research institute. The other authors declare that they have no conflict of interest.

References

Baird
DT
,
Collins
J
,
Egozcue
J
,
Evers
LH
,
Gianaroli
L
,
Leridon
H
,
Sunde
A
,
Templeton
A
,
Van Steirteghem
A
,
Cohen
J
 et al. ;
ESHRE Capri Workshop Group
.
Fertility and ageing
.
Hum Reprod Update
 
2005
;
11
:
261
276
.

Blazquez
A
,
Guillén
JJ
,
Colomé
C
,
Coll
O
,
Vassena
R
,
Vernaeve
V.
 
Empty follicle syndrome prevalence and management in oocyte donors
.
Hum Reprod
 
2014
;
29
:
2221
2227
.

Café
SL
,
Nixon
B
,
Ecroyd
H
,
Martin
JH
,
Skerrett-Byrne
DA
,
Bromfield
EG.
 
Proteostasis in the male and female germline: a new outlook on the maintenance of reproductive health
.
Front Cell Dev Biol
 
2021
;
9
:
660626
.

Castrillon
DH
,
Quade
BJ
,
Wang
TY
,
Quigley
C
,
Crum
CP.
 
The human VASA gene is specifically expressed in the germ cell lineage
.
Proc Natl Acad Sci USA
 
2000
;
97
:
9585
9590
.

Chen
KC
,
Qu
S
,
Chowdhury
S
,
Noxon
IC
,
Schonhoft
JD
,
Plate
L
,
Powers
ET
,
Kelly
JW
,
Lander
GC
,
Wiseman
RL.
 
The endoplasmic reticulum HSP40 co-chaperone ERdj3/DNAJB11 assembles and functions as a tetramer
.
EMBO J
 
2017
;
36
:
2296
2309
.

Cornet-Bartolomé
D
,
Barragán
M
,
Zambelli
F
,
Ferrer-Vaquer
A
,
Tiscornia
G
,
Balcells
S
,
Rodriguez
A
,
Grinberg
D
,
Vassena
R.
 
Human oocyte meiotic maturation is associated with a specific profile of alternatively spliced transcript isoforms
.
Mol Reprod Dev
 
2021
;
88
:
605
617
.

Coyne
LP
,
Chen
XJ.
 
mPOS is a novel mitochondrial trigger of cell death—implications for neurodegeneration
.
FEBS Lett
 
2018
;
592
:
759
775
.

Demichev
V
,
Messner
CB
,
Vernardis
SI
,
Lilley
KS
,
Ralser
M.
 
DIA-NN: neural networks and interference correction enable deep proteome coverage in high throughput
.
Nat Methods
 
2020
;
17
:
41
44
.

Derks
J
,
Leduc
A
,
Wallmann
G
,
Huffman
RG
,
Willetts
M
,
Khan
S
,
Specht
H
,
Ralser
M
,
Demichev
V
,
Slavov
N.
 
Increasing the throughput of sensitive proteomics by plexDIA
.
Nat Biotechnol
 
2023
;
41
:
50
59
.

Derks
J
,
Slavov
N.
 
Strategies for increasing the depth and throughput of protein analysis by plexdia
.
J Proteome Res
 
2023
;
22
:
697
705
.

Duncan
FE
,
Jasti
S
,
Paulson
A
,
Kelsh
JM
,
Fegley
B
,
Gerton
JL.
 
Age-associated dysregulation of protein metabolism in the mammalian oocyte
.
Aging Cell
 
2017
;
16
:
1381
1393
.

Fernández-Fernández
MR
,
Valpuesta
JM.
 
Hsp70 chaperone: a master player in protein homeostasis
.
F1000Res
 
2018
;
7
:
F1000 Faculty Rev-1497
.

Freund
A
,
Zhong
FL
,
Venteicher
AS
,
Meng
Z
,
Veenstra
TD
,
Frydman
J
,
Artandi
SE.
 
Proteostatic control of telomerase function through TRiC-mediated folding of TCAB1
.
Cell
 
2014
;
159
:
1389
1403
.

Gatto
L
,
Aebersold
R
,
Cox
J
,
Demichev
V
,
Derks
J
,
Emmott
E
,
Franks
AM
,
Ivanov
AR
,
Kelly
RT
,
Khoury
L
 et al.  
Initial recommendations for performing, benchmarking and reporting single-cell proteomics experiment
.
Nat Methods
 
2023
;
20
:
375
386
.

Gosden
R
,
Lee
B.
 
Portrait of an oocyte: our obscure origin
.
J Clin Invest
 
2010
;
120
:
973
983
.

Grantham
J.
 
The molecular chaperone CCT/TRiC: an essential component of proteostasis and a potential modulator of protein aggregation
.
Front Genet
 
2020
;
11
:
172
.

Gu
Z
,
Eils
R
,
Schlesner
M.
 
Complex heatmaps reveal patterns and correlations in multidimensional genomic data
.
Bioinformatics
 
2016
;
32
:
2847
2849
.

Guo
Y
,
Cai
L
,
Liu
X
,
Ma
L
,
Zhang
H
,
Wang
B
,
Qi
Y
,
Liu
J
,
Diao
F
,
Sha
J
 et al.  
Single-cell quantitative proteomic analysis of human oocyte maturation revealed high heterogeneity in in vitro-matured oocytes
.
Mol Cell Proteomics
 
2022
;
21
:
100267
.

Hassold
T
,
Hunt
P.
 
To err (meiotically) is human: the genesis of human aneuploidy
.
Nat Rev Genet
 
2001
;
2
:
280
291
.

Herbert
M
,
Kalleas
D
,
Cooney
D
,
Lamb
M
,
Lister
L.
 
Meiosis and maternal aging: insights from aneuploid oocytes and trisomy births
.
Cold Spring Harb Perspect Biol
 
2015
;
7
:
a017970
.

Hipp
MS
,
Kasturi
P
,
Hartl
FU.
 
The proteostasis network and its decline in ageing
.
Nat Rev Mol Cell Biol
 
2019
;
20
:
421
435
.

Homer
H
,
Gui
L
,
Carroll
J.
 
A spindle assembly checkpoint protein functions in prophase I arrest and prometaphase progression
.
Science
 
2009
;
326
:
991
994
.

Huo
LJ
,
Fan
HY
,
Zhong
ZS
,
Chen
DY
,
Schatten
H
,
Sun
QY.
 
Ubiquitin-proteasome pathway modulates mouse oocyte meiotic maturation and fertilization via regulation of MAPK cascade and cyclin B1 degradation
.
Mech Dev
 
2004
;
121
:
1275
1287
.

Igarashi
H
,
Takahashi
T
,
Nagase
S.
 
Oocyte aging underlies female reproductive aging: biological mechanisms and therapeutic strategies
.
Reprod Med Biol
 
2015
;
14
:
159
169
.

Jones
KT.
 
Turning it on and off: M-phase promoting factor during meiotic maturation and fertilization
.
Mol Hum Reprod
 
2004
;
10
:
1
5
.

Josefsberg
LB
,
Galiani
D
,
Dantes
A
,
Amsterdam
A
,
Dekel
N.
 
The proteasome is involved in the first metaphase-to-anaphase transition of meiosis in rat oocytes
.
Biol Reprod
 
2000
;
62
:
1270
1277
.

Keller
JN
,
Huang
FF
,
Markesbery
WR.
 
Decreased levels of proteasome activity and proteasome expression in aging spinal cord
.
Neuroscience
 
2000
;
98
:
149
156
.

Kelmer Sacramento
E
,
Kirkpatrick
JM
,
Mazzetto
M
,
Baumgart
M
,
Bartolome
A
,
Di Sanzo
S
,
Caterino
C
,
Sanguanini
M
,
Papaevgeniou
N
,
Lefaki
M
 et al.  
Reduced proteasome activity in the aging brain results in ribosome stoichiometry loss and aggregation
.
Mol Syst Biol
 
2020
;
16
:
e9596
.

Klaips
CL
,
Jayaraj
GG
,
Hartl
FU.
 
Pathways of cellular proteostasis in aging and disease
.
J Cell Biol
 
2018
;
217
:
51
63
.

Koncicka
M
,
Tetkova
A
,
Jansova
D
,
Del Llano
E
,
Gahurova
L
,
Kracmarova
J
,
Prokesova
S
,
Masek
T
,
Pospisek
M
,
Bruce
AW
 et al.  
Increased expression of maturation promoting factor components speeds up meiosis in oocytes from aged females
.
Int J Mol Sci
 
2018
;
19
:
2841
.

Krämer
L
,
Groh
C
,
Herrmann
JM.
 
The proteasome: friend and foe of mitochondrial biogenesis
.
FEBS Lett
 
2021
;
595
:
1223
1238
.

Leridon
H.
 
Can assisted reproduction technology compensate for the natural decline in fertility with age? A model assessment
.
Hum Reprod
 
2004
;
19
:
1548
1553
.

Li
J
,
Qian
WP
,
Sun
QY.
 
Cyclins regulating oocyte meiotic cell cycle progression
.
Biol Reprod
 
2019
;
101
:
878
881
.

Luong
XG
,
Daldello
EM
,
Rajkovic
G
,
Yang
CR
,
Conti
M.
 
Genome-wide analysis reveals a switch in the translational program upon oocyte meiotic resumption
.
Nucleic Acids Res
 
2020
;
48
:
3257
3276
.

MacCoss
MJ
,
Alfaro
JA
,
Faivre
DA
,
Wu
CC
,
Wanunu
M
,
Slavov
N.
 
Sampling the proteome by emerging single-molecule and mass spectrometry methods
.
Nat Methods
 
2023
;
20
:
339
346
.

Maenohara
S
,
Unoki
M
,
Toh
H
,
Ohishi
H
,
Sharif
J
,
Koseki
H
,
Sasaki
H.
 
Role of UHRF1 in de novo DNA methylation in oocytes and maintenance methylation in preimplantation embryos
.
PLoS Genet
 
2017
;
13
:
e1007042
.

Mailhes
JB
,
Hilliard
C
,
Lowery
M
,
London
SN.
 
MG-132, an inhibitor of proteasomes and calpains, induced inhibition of oocyte maturation and aneuploidy in mouse oocytes
.
Cell Chromosome
 
2002
;
1
:
2
.

Menken
J
,
Trussell
J
,
Larsen
U.
 
Age and infertility
.
Science
 
1986
;
233
:
1389
1394
.

Mihalas
BP
,
Bromfield
EG
,
Sutherland
JM
,
De Iuliis
GN
,
McLaughlin
EA
,
Aitken
RJ
,
Nixon
B.
 
Oxidative damage in naturally aged mouse oocytes is exacerbated by dysregulation of proteasomal activity
.
J Biol Chem
 
2018
;
293
:
18944
18964
.

Olivennes
F
,
Fanchin
R
,
Bouchard
P
,
Taïeb
J
,
Selva
J
,
Frydman
R.
 
Scheduled administration of a gonadotrophin-releasing hormone antagonist (Cetrorelix) on day 8 of in-vitro fertilization cycles: a pilot study
.
Hum Reprod
 
1995
;
10
:
1382
1386
.

Petelski
AA
,
Emmott
E
,
Leduc
A
,
Huffman
RG
,
Specht
H
,
Perlman
DH
,
Slavov
N.
 
Multiplexed single-cell proteomics using SCoPE2
.
Nat Protoc
 
2021
;
16
:
5398
5425
.

Quiles
JM
,
Gustafsson
ÅB.
 
Mitochondrial quality control and cellular proteostasis: two sides of the same coin
.
Front Physiol
 
2020
;
11
:
515
.

Reader
KL
,
Stanton
JL
,
Juengel
JL.
 
The role of oocyte organelles in determining developmental competence
.
Biology (Basel)
 
2017
;
6
:
35
.

Sala
AJ
,
Morimoto
RI.
 
Protecting the future: balancing proteostasis for reproduction
.
Trends Cell Biol
 
2022
;
32
:
202
215
.

Schmidt
L
,
Sobotka
T
,
Bentzen
JG
,
Nyboe Andersen
A
;
ESHRE Reproduction and Society Task Force
.
Demographic and medical consequences of the postponement of parenthood
.
Hum Reprod Update
 
2012
;
18
:
29
43
.

Slavov
N.
 
Driving single cell proteomics forward with innovation
.
J Proteome Res
 
2021
;
20
:
4915
4918
.

Slavov
N.
 
Single-cell proteomics: quantifying post-transcriptional regulation during development with mass-spectrometry
.
Development
 
2023
;
150
:
dev20149
.

Specht
H
,
Slavov
N.
 
Transformative opportunities for single-cell proteomics
.
J Proteome Res
 
2018
;
17
:
2565
2571
.

Sternlicht
H
,
Farr
GW
,
Sternlicht
ML
,
Driscoll
JK
,
Willison
K
,
Yaffe
MB.
 
The t-complex polypeptide 1 complex is a chaperonin for tubulin and actin in vivo
.
Proc Natl Acad Sci USA
 
1993
;
90
:
9422
9426
.

Sun
SC
,
Wang
ZB
,
Xu
YN
,
Lee
SE
,
Cui
XS
,
Kim
NH.
 
Arp2/3 complex regulates asymmetric division and cytokinesis in mouse oocytes
.
PLoS One
 
2011
;
6
:
e18392
.

Sundaram Buitrago
PA
,
Rao
K
,
Yajima
M.
 
Vasa, a regulator of localized mRNA translation on the spindle
.
Bioessays
 
2023
;
45
:
e2300004
.

Susor
A
,
Jansova
D
,
Cerna
R
,
Danylevska
A
,
Anger
M
,
Toralova
T
,
Malik
R
,
Supolikova
J
,
Cook
MS
,
Oh
JS
 et al.  
Temporal and spatial regulation of translation in the mammalian oocyte via the mTOR-eIF4F pathway
.
Nat Commun
 
2015
;
6
:
6078
.

Vassena
R
,
Boué
S
,
González-Roca
E
,
Aran
B
,
Auer
H
,
Veiga
A
,
Izpisua Belmonte
JC.
 
Waves of early transcriptional activation and pluripotency program initiation during human preimplantation development
.
Development
 
2011
;
138
:
3699
3709
.

Virant-Klun
I
,
Leicht
S
,
Hughes
C
,
Krijgsveld
J.
 
Identification of maturation-specific proteins by single-cell proteomics of human oocytes
.
Mol Cell Proteomics
 
2016
;
15
:
2616
2627
.

Wallmann
G
,
Leduc
A
,
Slavov
N.
 
Data-driven optimization of DIA mass spectrometry by DO-MS
.
J Proteome Res
 
2023
;
22
:
3149
3158
.

Wang
X
,
Chen
XJ.
 
A cytosolic network suppressing mitochondria-mediated proteostatic stress and cell death
.
Nature
 
2015
;
524
:
481
484
.

Wang
Y
,
Luo
FQ
,
He
YH
,
Yang
ZX
,
Wang
X
,
Li
CR
,
Cai
BQ
,
Chen
LJ
,
Wang
ZB
,
Zhang
CL
 et al.  
Oocytes could rearrange immunoglobulin production to survive over adverse environmental stimuli
.
Front Immunol
 
2022
;
13
:
990077
.

Wickham
H.
(
2016
). ggplot2: Elegant Graphics for Data Analysis.
New York
:
Springer-Verlag
. https://ggplot2.tidyverse.org.

Xie
Z
,
Bailey
A
,
Kuleshov
MV
,
Clarke
DJB
,
Evangelista
JE
,
Jenkins
SL
,
Lachmann
A
,
Wojciechowicz
ML
,
Kropiwnicki
E
,
Jagodnik
KM
et al
Gene set knowledge discovery with enrichr
.
Curr Protoc
 
2021
;
1
:
e90
.

Yang
J
,
Winkler
K
,
Yoshida
M
,
Kornbluth
S.
 
Maintenance of G2 arrest in the Xenopus oocyte: a role for 14-3-3-mediated inhibition of Cdc25 nuclear import
.
EMBO J
 
1999
;
18
:
2174
2183
.

Zakharova
FM
,
Zakharov
VV.
 
Identification of brain proteins BASP1 and gap-43 in mouse oocytes and zygotes
.
Russ J Dev Biol
 
2017
;
48
:
159
168
.

Author notes

Present address for Rita Vassena: Fecundis, Barcelona, Spain

This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://dbpia.nl.go.kr/pages/standard-publication-reuse-rights)

Supplementary data