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Recombinant human anti-Müllerian hormone (rhAMH) is a protein-based therapeutic that mimics the action of the endogenous AMH, a member of the TGF-β superfamily. Developed primarily by researchers at Massachusetts General Hospital and the biotech startup Oviva Therapeutics, rhAMH is being investigated for its ability to regulate ovarian function. Its primary mechanism involves binding to the Anti-Müllerian hormone receptor type 2 (AMHR2), which inhibits the activation of primordial follicles and modulates steroidogenesis. Clinical and preclinical applications include the treatment of polycystic ovary syndrome (PCOS), preservation of the ovarian reserve during chemotherapy, and use as a non-steroidal contraceptive by inducing ovulatory quiescence. Recent research also indicates that rhAMH exposure can influence the transcriptomic profile of pre-implantation embryos, specifically affecting genes involved in hCG production and estrogen synthesis.
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