In the present invention, inventors shows that
exposure to high AMH levels during mini-puberty in mice causes PCOS-like reproductive and metabolic defects in both sexes. Inventors designed and developed several neutralizing antibodies against AMH
receptor 2 (AMHR2) and discovered that administering the
neutralizing antibody Ha13 during mini-puberty to a preclinical model of PCOS termed PAMH, which retains high circulating AMH levels, prevents the appearance of reproductive and metabolic abnormalities in adulthood. These findings suggest that
exposure to
elevated serum AMH levels during early postnatal life plays a causal role in the
pathophysiology of PCOS. They also demonstrate the promise of AMHR2-
targeting therapy in preventing both the onset and inheritance of PCOS-traits. Accordingly, the invention relates to new neutralizing antibodies that specifically binds with high affinity AMHR2, especially the
epitope region involved in the interaction with the natural ligand AMH. Thus, these specific antibodies can be used for the prevention and / or therapy of
polycystic ovary syndrome (PCOS).