Chen Lixuan, Li Ling, Mo Qinglin, Zhang Xiaomin, Chen Chaolin, Wu Yingnan, Zeng Xiaoli, Deng Kaixian, Liu Nanbo, Zhu Ping, Liu Mingxing, Xiao Yang
Guangzhou University of Chinese Medicine Guangzhou Guangdong China.
Jinshazhou Hospital of Guangzhou University of Chinese Medicine Guangzhou Guangdong China.
Bioeng Transl Med. 2022 May 18;8(1):e10328. doi: 10.1002/btm2.10328. eCollection 2023 Jan.
Abnormal endometrial receptivity is a major cause of the failure of embryo transplantation, which may lead to infertility, adverse pregnancy, and neonatal outcomes. While hormonal treatment has dramatically improved the fertility outcomes in women with endometriosis, a substantial unmet need persists in the treatment. In this study, methacrylate gelatin (GelMA) and methacrylate sericin (SerMA) hydrogel with human umbilical cord mesenchymal stem cells (HUMSC) encapsulation was designed for facilitating endometrial regeneration and fertility restoration through in situ injection. The presented GelMA/10%SerMA hydrogel showed appropriate swelling ratio, good mechanical properties, and degradation stability. In vitro cell experiments showed that the prepared hydrogels had excellent biocompatibility and cell encapsulation ability of HUMSC. Further in vivo experiments demonstrated that GelMA/SerMA@HUMSC hydrogel could increase the thickness of endometrium and improve the endometrial interstitial fibrosis. Moreover, regenerated endometrial tissue was more receptive to transfer embryos. Summary, we believed that GelMA/SerMA@HUMSC hydrogel will hold tremendous promise to repair or regenerate damaged endometrium.
子宫内膜容受性异常是胚胎移植失败的主要原因,这可能导致不孕、不良妊娠及新生儿结局。虽然激素治疗显著改善了子宫内膜异位症女性的生育结局,但该治疗仍存在大量未满足的需求。在本研究中,设计了包封人脐带间充质干细胞(HUMSC)的甲基丙烯酸明胶(GelMA)和甲基丙烯酸丝胶蛋白(SerMA)水凝胶,用于通过原位注射促进子宫内膜再生和生育功能恢复。所呈现的GelMA/10%SerMA水凝胶表现出合适的溶胀率、良好的机械性能和降解稳定性。体外细胞实验表明,制备的水凝胶具有优异的生物相容性和HUMSC细胞包封能力。进一步的体内实验证明,GelMA/SerMA@HUMSC水凝胶可增加子宫内膜厚度并改善子宫内膜间质纤维化。此外,再生的子宫内膜组织对移植胚胎的接受性更强。总之,我们认为GelMA/SerMA@HUMSC水凝胶在修复或再生受损子宫内膜方面具有巨大潜力。