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干细胞治疗男性不育的研究进展。

Current Progress in Stem Cell Therapy for Male Infertility.

机构信息

Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.

Andrology Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.

出版信息

Stem Cell Rev Rep. 2023 Oct;19(7):2073-2093. doi: 10.1007/s12015-023-10577-3. Epub 2023 Jul 13.

DOI:10.1007/s12015-023-10577-3
PMID:37440145
Abstract

Infertility has become one of the most common issues worldwide, which has negatively affected society and infertile couples. Meanwhile, male infertility is responsible for about 50% of infertility. Accordingly, a great number of researchers have focused on its treatment during the last few years; however, current therapies such as assisted reproductive technology (ART) are not effective enough in treating male infertility. Because of their self-renewal and differentiation capabilities and unlimited sources, stem cells have recently raised great hope in the treatment of reproductive system disorders. Stem cells are undifferentiated cells that can induce different numbers of specific cells, such as male and female gametes, demonstrating their potential application in the treatment of infertility. The present review aimed at identifying the causes and potential factors that influence male fertility. Besides, we highlighted the recent studies that investigated the efficiency of stem cells such as spermatogonial stem cells (SSCs), embryonic stem cells (ESCs), very small embryonic-like stem cells (VSELs), induced pluripotent stem cells (iPSCs), and mesenchymal stem cells (MSCs) in the treatment of various types of male infertility.

摘要

不育症已成为全球最常见的问题之一,对社会和不育夫妇产生了负面影响。同时,男性不育症约占不育症的 50%。因此,在过去的几年中,大量研究人员专注于其治疗方法;然而,目前的治疗方法,如辅助生殖技术(ART),在治疗男性不育症方面效果还不够理想。由于其自我更新和分化能力以及无限的来源,干细胞最近在治疗生殖系统疾病方面带来了很大的希望。干细胞是未分化的细胞,可以诱导产生不同数量的特定细胞,如雄性和雌性配子,这表明它们在治疗不育症方面具有潜在的应用。本综述旨在确定影响男性生育能力的原因和潜在因素。此外,我们还强调了最近的研究,这些研究调查了精原干细胞(SSCs)、胚胎干细胞(ESCs)、非常小的胚胎样干细胞(VSELs)、诱导多能干细胞(iPSCs)和间充质干细胞(MSCs)等干细胞在治疗各种类型男性不育症方面的效率。

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Current Progress in Stem Cell Therapy for Male Infertility.干细胞治疗男性不育的研究进展。
Stem Cell Rev Rep. 2023 Oct;19(7):2073-2093. doi: 10.1007/s12015-023-10577-3. Epub 2023 Jul 13.
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Do PGCCs in Solid Tumors Appear Due to Treatment-related Stress or Clonal Expansion of CSCs that Survive Oncotherapy?实体瘤中的肿瘤干细胞样细胞(PGCCs)是由治疗相关应激导致的,还是由抗癌治疗后存活的肿瘤干细胞(CSCs)克隆性扩增产生的?
Stem Cell Rev Rep. 2025 May 8. doi: 10.1007/s12015-025-10891-y.
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Mesenchymal Stem Cell Secretome: Potential Applications in Human Infertility Caused by Hormonal Imbalance, External Damage, or Immune Factors.

本文引用的文献

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Alpha-tocopherol enhances spermatogonial stem cell proliferation and restores mouse spermatogenesis by up-regulating BMI1.α-生育酚通过上调BMI1促进精原干细胞增殖并恢复小鼠精子发生。
Front Nutr. 2023 Apr 17;10:1141964. doi: 10.3389/fnut.2023.1141964. eCollection 2023.
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Trans differentiating human adipose-derived mesenchymal stem cells into male germ-like cells utilizing Rabbit Sertoli cells: An experimental study.利用兔支持细胞将人脂肪来源间充质干细胞转分化为雄性生殖样细胞:一项实验研究。
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Therapeutic potential of bone marrow mesenchymal stem cells in cyclophosphamide-induced infertility.
间充质干细胞分泌组:在由激素失衡、外部损伤或免疫因素引起的人类不孕症中的潜在应用
Biomedicines. 2025 Feb 27;13(3):586. doi: 10.3390/biomedicines13030586.
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Decoding the Epigenetics of Infertility: Mechanisms, Environmental Influences, and Therapeutic Strategies.解读不孕症的表观遗传学:机制、环境影响及治疗策略
Epigenomes. 2024 Sep 5;8(3):34. doi: 10.3390/epigenomes8030034.
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The Evolutionary Route of in vitro Human Spermatogenesis: What is the Next Destination?体外人类精子发生的进化途径:下一个目标是什么?
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Enhancing Spermatogenesis in Non-obstructive Azoospermia Through Mesenchymal Stem Cell Therapy22.通过间充质干细胞治疗增强非梗阻性无精子症中的精子发生 22.
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骨髓间充质干细胞在环磷酰胺诱导的不孕症中的治疗潜力。
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Cisplatin-induced azoospermia and testicular damage ameliorated by adipose-derived mesenchymal stem cells.脂肪间充质干细胞改善顺铂诱导的无精子症和睾丸损伤。
Biol Res. 2023 Jan 19;56(1):2. doi: 10.1186/s40659-022-00410-5.
5
Conditioned medium of bone marrow mesenchymal stem cells improves sperm parameters and reduces histological alteration in rat testicular ischaemia/reperfusion model.骨髓间充质干细胞条件培养基可改善大鼠睾丸缺血/再灌注模型的精子参数并减轻组织学改变。
Andrologia. 2022 Dec;54(11):e14624. doi: 10.1111/and.14624. Epub 2022 Oct 21.
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SAG-dihydrochloride enhanced the expression of germ cell markers in the human bone marrow- mesenchymal stem cells (BM-MSCs) through the activation of GLI-independent hedgehog signaling pathway.SAG-二盐酸盐通过激活非 GLI 依赖性 hedgehog 信号通路增强了人骨髓间充质干细胞(BM-MSCs)中生殖细胞标志物的表达。
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Safety of Human Embryonic Stem Cell-derived Mesenchymal Stem Cells for Treating Interstitial Cystitis: A Phase I Study.人胚胎干细胞来源的间充质干细胞治疗间质性膀胱炎的安全性:I 期研究。
Stem Cells Transl Med. 2022 Oct 21;11(10):1010-1020. doi: 10.1093/stcltm/szac065.
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RNF144B stimulates the proliferation and inhibits the apoptosis of human spermatogonial stem cells via the FCER2/NOTCH2/HES1 pathway and its abnormality is associated with azoospermia.RNF144B通过FCER2/NOTCH2/HES1途径刺激人精原干细胞增殖并抑制其凋亡,其异常与无精子症相关。
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Hum Reprod Update. 2022 Aug 25;28(5):609-628. doi: 10.1093/humupd/dmac016.