Extended fertility and longevity: The genetic and epigenetic link

Kerem Wainer-Katsir, James Y. Zou, Michal Linial*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations


Many women now choose to develop their careers before having children. Thus, it is becoming increasingly important to assess a woman's potential for extended fertility and to understand the health consequences of having children at a late age. In particular, there is a striking positive correlation between extended fertility and longevity in women, which poses important implications for medicine, biology, and evolution. In this article we review the diverse epidemiologic evidence for the link between fertility potential, age of menopause, and women's lifespan. Then we discuss the recent advances using genomic technology to better understand biological mechanisms driving this association. At the genetic level, there are polymorphisms that may be driving both extended fertility and longevity. At the cellular and molecular levels, changes in the genome (both nuclear and mitochondrial), epigenome, and transcriptome during oocyte aging have important implications for fertility. By synthesizing results from diverse domains, we hope to provide a genomic-era conceptual framework in which this important connection can be investigated and understood.

Original languageAmerican English
Pages (from-to)1117-1124
Number of pages8
JournalFertility and Sterility
Issue number5
StatePublished - 1 May 2015

Bibliographical note

Publisher Copyright:
© 2015 American Society for Reproductive Medicine.


  • DNA array
  • Transcriptomics
  • genome-wide association study
  • mitochondrial genome
  • telomeres


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