Li X, Lv H-F, Zhao R, Ying M-F, Samuriwo A T, Zhao Y-Z
Department of Pharmacy, Xiasha Campus, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University (Hangzhou Xiasha Hospital), Hangzhou 310018, China.
School of Pharmacy, Hangzhou Medical College, Hangzhou 310053, China.
Mater Today Bio. 2021 Feb 25;11:100101. doi: 10.1016/j.mtbio.2021.100101. eCollection 2021 Jun.
Intrauterine adhesions (IUAs) refer to the repair disorder after endometrial injury and may lead to uterine infertility, recurrent miscarriage, abnormal menstrual bleeding, and other obstetric complications. It is a pressing public health issue among women of childbearing age. Presently, there are limited clinical treatments for IUA, and there is no sufficient evidence that these treatment modalities can effectively promote regeneration after severe endometrial injury or improve pregnancy outcome. The inhibitory pathological micro-environment is the main factor hindering the repair of endometrial damaged tissues. To address this, tissue engineering and regenerative medicine have been achieving promising developments. Particularly, biomaterials have been used to load stem cells or therapeutic factors or construct an delivery system as a treatment strategy for endometrial injury repair. This article comprehensively discusses the characteristics of various bio-scaffold materials and their application as stem cell or therapeutic factor delivery systems constructed for uterine tissue regeneration.
宫腔粘连(IUAs)是指子宫内膜损伤后的修复紊乱,可能导致子宫性不孕、复发性流产、异常子宫出血及其他产科并发症。这是育龄期女性面临的一个紧迫的公共卫生问题。目前,宫腔粘连的临床治疗方法有限,且没有充分证据表明这些治疗方式能有效促进严重子宫内膜损伤后的再生或改善妊娠结局。抑制性病理微环境是阻碍子宫内膜受损组织修复的主要因素。为解决这一问题,组织工程和再生医学取得了有前景的进展。特别是,生物材料已被用于负载干细胞或治疗因子或构建递送系统,作为子宫内膜损伤修复的治疗策略。本文全面讨论了各种生物支架材料的特性及其作为用于子宫组织再生的干细胞或治疗因子递送系统的应用。