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Asherman 综合征中的子宫内膜再生:干细胞疗法的临床和转化证据。

Endometrial Regeneration in Asherman's Syndrome: Clinical and Translational evidence of Stem Cell Therapies.

机构信息

Department of Reproductive Medicine, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China.

Department of Gynaecology and Obstetrics, Geneva University Hospital, 30, bvd de la Cluse, 1205, Geneve, Switzerland.

出版信息

Curr Stem Cell Res Ther. 2019;14(6):454-459. doi: 10.2174/1574888X14666190213100528.

DOI:10.2174/1574888X14666190213100528
PMID:30760192
Abstract

Asherman's Syndrome or Intrauterine adhesions is an acquired uterine condition where fibrous scarring forms within the uterine cavity, resulting in reduced menstrual flow, pelvic pain and infertility. Until recently, the molecular mechanisms leading to the formation of fibrosis were poorly understood, and the treatment of Asherman's syndrome has largely focused on hysteroscopic resection of adhesions, hormonal therapy, and physical barriers. Numerous studies have begun exploring the molecular mechanisms behind the fibrotic process underlying Asherman's Syndrome as well as the role of stem cells in the regeneration of the endometrium as a treatment modality. The present review offers a summary of available stem cell-based regeneration studies, as well as highlighting current gaps in research.

摘要

Asherman 综合征或宫腔粘连是一种获得性子宫疾病,其中子宫腔内形成纤维性瘢痕,导致月经量减少、盆腔疼痛和不孕。直到最近,导致纤维化形成的分子机制还知之甚少,Asherman 综合征的治疗主要集中在宫腔镜粘连切除术、激素治疗和物理屏障上。许多研究已经开始探索 Asherman 综合征纤维化过程背后的分子机制以及干细胞在子宫内膜再生中的作用作为一种治疗方式。本综述总结了现有的基于干细胞的再生研究,并强调了研究中的当前空白。

相似文献

1
Endometrial Regeneration in Asherman's Syndrome: Clinical and Translational evidence of Stem Cell Therapies.Asherman 综合征中的子宫内膜再生:干细胞疗法的临床和转化证据。
Curr Stem Cell Res Ther. 2019;14(6):454-459. doi: 10.2174/1574888X14666190213100528.
2
Bone Marrow-Derived Stem Cell (BMDSC) transplantation improves fertility in a murine model of Asherman's syndrome.骨髓源性干细胞(BMDSC)移植可改善阿谢曼综合征小鼠模型的生育能力。
PLoS One. 2014 May 12;9(5):e96662. doi: 10.1371/journal.pone.0096662. eCollection 2014.
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Autologous cell therapy with CD133+ bone marrow-derived stem cells for refractory Asherman's syndrome and endometrial atrophy: a pilot cohort study.自体细胞疗法联合 CD133+ 骨髓源性干细胞治疗难治性 Asherman 综合征和子宫内膜萎缩:一项初步队列研究。
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Effect of Autologous Adipose-Derived Stromal Vascular Fraction Transplantation on Endometrial Regeneration in Patients of Asherman's Syndrome: a Pilot Study.自体脂肪来源的基质血管成分移植治疗 Asherman 综合征患者的子宫内膜再生:一项初步研究。
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Regenerating endometrium from stem/progenitor cells: is it abnormal in endometriosis, Asherman's syndrome and infertility?从干细胞/祖细胞再生子宫内膜:在子宫内膜异位症、Asherman 综合征和不孕中是否异常?
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[Intrauterine adhesions--Asherman's syndrome].[宫腔粘连——阿什曼综合征]
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Hysteroscopic Management of Asherman's Syndrome.宫腔镜在 Asherman 综合征中的处理。
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A comprehensive review of Asherman's syndrome: causes, symptoms and treatment options.阿谢曼综合征综述:病因、症状及治疗选择
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Single cell-derived clonally expanded mesenchymal progenitor cells from somatic cell nuclear transfer-derived pluripotent stem cells ameliorate the endometrial function in the uterus of a murine model with Asherman's syndrome.来源于体细胞核移植多能干细胞的单细胞克隆扩增间充质祖细胞改善了阿舍曼氏综合征小鼠模型子宫中的子宫内膜功能。
Cell Prolif. 2019 May;52(3):e12597. doi: 10.1111/cpr.12597. Epub 2019 Mar 21.

引用本文的文献

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The application of tissue engineering strategies for uterine regeneration.组织工程策略在子宫再生中的应用。
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2
Transcriptomic profiling analysis of human endometrial stromal cells treated with autologous platelet-rich plasma.对接受自体富血小板血浆治疗的人子宫内膜基质细胞进行转录组分析。
Reprod Med Biol. 2023 Jan 22;22(1):e12498. doi: 10.1002/rmb2.12498. eCollection 2023 Jan-Dec.
3
Human umbilical cord blood-derived MSCs trans-differentiate into endometrial cells and regulate Th17/Treg balance through NF-κB signaling in rabbit intrauterine adhesions endometrium.
人脐带血间充质干细胞向子宫内膜细胞转分化并通过 NF-κB 信号通路调节兔宫腔粘连内膜中的 Th17/Treg 平衡。
Stem Cell Res Ther. 2022 Jul 15;13(1):301. doi: 10.1186/s13287-022-02990-1.
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Human Platelet-Rich Plasma Facilitates Angiogenesis to Restore Impaired Uterine Environments with Asherman's Syndrome for Embryo Implantation and Following Pregnancy in Mice.人血小板富集血浆促进血管生成以恢复患有阿舍尔曼综合征的小鼠的受损子宫环境,从而有利于胚胎着床和随后的妊娠。
Cells. 2022 May 5;11(9):1549. doi: 10.3390/cells11091549.
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Cell-based therapy in thin endometrium and Asherman syndrome.基于细胞的治疗在薄型子宫内膜和 Asherman 综合征中的应用。
Stem Cell Res Ther. 2022 Jan 28;13(1):33. doi: 10.1186/s13287-021-02698-8.
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Unresponsive thin endometrium caused by Asherman syndrome treated with umbilical cord mesenchymal stem cells on collagen scaffolds: a pilot study.宫腔粘连导致无反应性薄型子宫内膜采用脐带间充质干细胞复合胶原支架治疗的初步研究。
Stem Cell Res Ther. 2021 Jul 22;12(1):420. doi: 10.1186/s13287-021-02499-z.
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Recent developments in bio-scaffold materials as delivery strategies for therapeutics for endometrium regeneration.生物支架材料作为子宫内膜再生治疗递送策略的最新进展。
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