Tamadon Amin, Park Kyu-Hyung, Kim Yoon Young, Kang Byeong-Cheol, Ku Seung-Yup
1Department of Obstetrics and Gynecology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080 Korea.
2Biomedical Research Institute, Seoul National University Hospital, Seoul, Korea.
Tissue Eng Regen Med. 2016 Oct 20;13(5):447-454. doi: 10.1007/s13770-016-9107-0. eCollection 2016 Oct.
Current investigations on the bioengineering of female reproductive tissues have created new hopes for the women suffering from reproductive organ failure including congenital anomaly of the female reproductive tract or serious injuries. There are many surgically restore forms that constitute congenital anomaly, however, to date, there is no treatment except surgical treatment of transplantation for patients who are suffering from anomaly or dysfunction organs like vagina and uterus. Restoring and maintaining the normal function of ovary and uterus require the establishment of biological substitutes that can cover the roles of structural support for cells and passage of secreting molecules. As in the case of constructing other functional organs, reproductive organ manufacturing also needs biological matrices which can provide an appropriate condition for attachment, growth, proliferation and signaling of various kinds of grafted cells. Among the organs, uterus needs special features such as plasticity due to their amazing changes in volume when they are in the state of pregnancy. Although numerous natural and synthetic biomaterials are still at the experimental stage, some biomaterials have already been evaluated their efficacy for the reconstruction of female reproductive tissues. In this review, all the biomaterials cited in recent literature that have ever been used and that have a potential for the tissue engineering of female reproductive organs were reviewed, especially focused on bioengineered ovary and uterus.
目前关于女性生殖组织生物工程的研究为患有生殖器官衰竭的女性带来了新希望,这些女性包括患有女性生殖道先天性异常或严重损伤的患者。有许多手术修复形式构成先天性异常,然而,迄今为止,对于患有阴道和子宫等异常或功能障碍器官的患者,除了移植手术治疗外没有其他治疗方法。恢复和维持卵巢和子宫的正常功能需要建立生物替代物,这些替代物可以承担起对细胞的结构支持以及分泌分子传递的作用。如同构建其他功能器官一样,生殖器官制造也需要生物基质,这种生物基质能够为各种移植细胞的附着、生长、增殖和信号传导提供适宜条件。在这些器官中,子宫因其在妊娠状态时体积会发生惊人变化而需要具备诸如可塑性等特殊特性。尽管众多天然和合成生物材料仍处于实验阶段,但一些生物材料已被评估其在女性生殖组织重建中的功效。在本综述中,对近期文献中引用的所有已使用过且有潜力用于女性生殖器官组织工程的生物材料进行了综述,尤其聚焦于生物工程卵巢和子宫。