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生物工程女性生殖组织中的再生医学方法

Regenerative Medicine Approaches in Bioengineering Female Reproductive Tissues.

作者信息

Sittadjody Sivanandane, Criswell Tracy, Jackson John D, Atala Anthony, Yoo James J

机构信息

Wake Forest Institute for Regenerative Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, 27101, USA.

出版信息

Reprod Sci. 2021 Jun;28(6):1573-1595. doi: 10.1007/s43032-021-00548-9. Epub 2021 Apr 20.

Abstract

Diseases, disorders, and dysfunctions of the female reproductive tract tissues can result in either infertility and/or hormonal imbalance. Current treatment options are limited and often do not result in tissue function restoration, requiring alternative therapeutic approaches. Regenerative medicine offers potential new therapies through the bioengineering of female reproductive tissues. This review focuses on some of the current technologies that could address the restoration of functional female reproductive tissues, including the use of stem cells, biomaterial scaffolds, bio-printing, and bio-fabrication of tissues or organoids. The use of these approaches could also be used to address issues in infertility. Strategies such as cell-based hormone replacement therapy could provide a more natural means of restoring normal ovarian physiology. Engineering of reproductive tissues and organs could serve as a powerful tool for correcting developmental anomalies. Organ-on-a-chip technologies could be used to perform drug screening for personalized medicine approaches and scientific investigations of the complex physiological interactions between the female reproductive tissues and other organ systems. While some of these technologies have already been developed, others have not been translated for clinical application. The continuous evolution of biomaterials and techniques, advances in bioprinting, along with emerging ideas for new approaches, shows a promising future for treating female reproductive tract-related disorders and dysfunctions.

摘要

女性生殖道组织的疾病、紊乱和功能障碍可导致不孕和/或激素失衡。目前的治疗选择有限,且往往无法恢复组织功能,因此需要其他治疗方法。再生医学通过女性生殖组织的生物工程提供了潜在的新疗法。本综述重点关注一些当前可用于恢复功能性女性生殖组织的技术,包括干细胞的使用、生物材料支架、生物打印以及组织或类器官的生物制造。这些方法的应用还可用于解决不孕问题。基于细胞的激素替代疗法等策略可为恢复正常卵巢生理提供更自然的方式。生殖组织和器官的工程化可作为纠正发育异常的有力工具。芯片器官技术可用于进行药物筛选,以实现个性化医疗方法,并对女性生殖组织与其他器官系统之间复杂的生理相互作用进行科学研究。虽然其中一些技术已经得到开发,但其他技术尚未转化为临床应用。生物材料和技术的不断发展、生物打印的进步以及新方法的不断涌现,为治疗女性生殖道相关疾病和功能障碍展现了光明的前景。

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