“…Specifically, as age increases, the cross-regional transport of substances such as pyruvate and lactate salts from granulosa cells to oocytes decreases, but metabolites such as pyruvate, lactate salts, and glutamine gradually accumulate in the oocytes [7,22]. Glucose [7], glucose-6-phosphate [7], sorbitol [13], mannitol [13], urea cycle intermediates such as aspartate [7], ornithine [7], and arginine [7] increase in oocytes of older mothers, indicating that energy substrates are diverted to the pentose phosphate pathway, hexosamine synthesis pathway, and urea cycle; the TCA cycle cannot process available substrates. Furthermore, the TCA cycle intermediates succinate [7], fumarate [7], citrate [11],…”