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针对年轻女性乳腺癌患者的人工卵巢

Artificial Ovary for Young Female Breast Cancer Patients.

作者信息

Chen Jing, Torres-de la Roche Luz Angela, Kahlert Ulf D, Isachenko Vladimir, Huang Hui, Hennefründ Jörg, Yan Xiaohong, Chen Qionghua, Shi Wenjie, Li Youzhu

机构信息

Reproductive Medicine Center, The First Affiliated Hospital of Xiamen University, Xiamen, China.

University Hospital for Gynecology, Pius-Hospital, University Medicine Oldenburg, Oldenburg, Germany.

出版信息

Front Med (Lausanne). 2022 Mar 17;9:837022. doi: 10.3389/fmed.2022.837022. eCollection 2022.

Abstract

In recent decades, there has been increasing attention toward the quality of life of breast cancer (BC) survivors. Meeting the growing expectations of fertility preservation and the generation of biological offspring remains a great challenge for these patients. Conventional strategies for fertility preservation such as oocyte and embryo cryopreservation are not suitable for prepubertal cancer patients or in patients who need immediate cancer therapy. Ovarian tissue cryopreservation (OTC) before anticancer therapy and autotransplantation is an alternative option for these specific indications but has a risk of retransplantation malignant cells. An emerging strategy to resolve these issues is by constructing an artificial ovary combined with stem cells, which can support follicle proliferation and ensure sex hormone secretion. This promising technique can meet both demands of improving the quality of life and meanwhile fulfilling their expectation of biological offspring without the risk of cancer recurrence.

摘要

近几十年来,乳腺癌幸存者的生活质量越来越受到关注。满足这些患者对生育力保存和生育亲生后代的不断增长的期望,对他们来说仍然是一项巨大的挑战。传统的生育力保存策略,如卵母细胞和胚胎冷冻保存,不适用于青春期前的癌症患者或需要立即进行癌症治疗的患者。在抗癌治疗前进行卵巢组织冷冻保存(OTC)并自体移植是这些特定适应症的一种替代选择,但存在重新移植恶性细胞的风险。解决这些问题的一种新兴策略是构建结合干细胞的人工卵巢,它可以支持卵泡增殖并确保性激素分泌。这项有前景的技术既能满足提高生活质量的需求,同时又能满足他们生育亲生后代的期望,且没有癌症复发的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6b7/8969104/d434fed78391/fmed-09-837022-g0001.jpg

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