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释放间充质干细胞在妇科领域的潜力:我们目前进展如何?

Unlocking the Potential of Mesenchymal Stem Cells in Gynecology: Where Are We Now?

作者信息

Erceg Ivkošić Ivana, Fureš Rajko, Ćosić Vesna, Mikelin Nika, Bulić Luka, Dobranić Domagoj, Brlek Petar, Primorac Dragan

机构信息

St. Catherine Specialty Hospital, 10000 Zagreb, Croatia.

Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia.

出版信息

J Pers Med. 2023 Aug 13;13(8):1253. doi: 10.3390/jpm13081253.

Abstract

Stem cells, with their remarkable capacity for differentiation into diverse cell types, are vital for the development as well as maintenance of health and homeostasis. Two unique abilities set them apart from other cells: self-renewal and the capacity for differentiation. They play important roles in embryogenesis, development, regeneration, and various other processes. Over the last decade, there has been increased interest in their potential use in the treatment of numerous diseases and disorders across multiple fields of medicine in acute, chronic, innate, and acquired diseases. Stem cells are key to maintaining the body's homeostasis and regulating growth and tissue functions. There are several types of stem cells-embryonic, adult, and human-induced pluripotent cells. Currently, mesenchymal stem cells are of great interest due to their regenerative, immunomodulatory, analgesic, and antimicrobial (anti-inflammatory) effects. Recent studies have shown the potent regenerative effect of stem cell therapy in gynecologic diseases such as infertility, Asherman syndrome, lichen sclerosus, polycystic ovary syndrome, premature ovarian insufficiency, genitourinary syndrome of menopause, and rectovaginal fistulas. Moreover, the successful isolation of oogonial stem cells could lead to a revolution in the field of gynecology and the potential treatment of the conditions discussed. This review aims to provide a better understanding of the latest therapeutic options involving stem cells and raise awareness of this promising yet not widely known topic in gynecology and medicine in general.

摘要

干细胞具有分化为多种不同细胞类型的卓越能力,对发育以及健康和体内平衡的维持至关重要。两项独特的能力使它们有别于其他细胞:自我更新和分化能力。它们在胚胎发生、发育、再生及其他各种过程中发挥着重要作用。在过去十年里,人们对其在治疗多个医学领域的众多急慢性、先天性和后天性疾病中的潜在用途兴趣日增。干细胞是维持身体内环境稳定以及调节生长和组织功能的关键。干细胞有几种类型——胚胎干细胞、成体干细胞和人类诱导多能干细胞。目前,间充质干细胞因其再生、免疫调节、镇痛和抗菌(抗炎)作用而备受关注。最近的研究表明,干细胞疗法在妇科疾病如不孕症、阿谢曼综合征、硬化性苔藓、多囊卵巢综合征、卵巢早衰、绝经泌尿生殖综合征和直肠阴道瘘等方面具有强大的再生作用。此外,卵原干细胞的成功分离可能会引发妇科领域的一场革命,并为上述疾病带来潜在的治疗方法。本综述旨在更深入地了解涉及干细胞的最新治疗选择,并提高人们对这一在妇科及整个医学领域有前景但尚未广为人知的话题的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86d6/10455325/59a51720ce7b/jpm-13-01253-g001.jpg

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