Sadeghi Somaye, Mosaffa Nariman, Huang Boxian, Ramezani Tehrani Fahimeh
Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Advanced Therapy Medicinal Product (ATMP) Department, Breast Cancer Research Center, Motamed Cancer Institute, ACECR, Tehran, Iran.
Heliyon. 2023 Dec 6;10(1):e23271. doi: 10.1016/j.heliyon.2023.e23271. eCollection 2024 Jan 15.
Premature ovarian insufficiency (POI) has far-reaching consequences on women's life quality. Due to the lack of full recognition of the etiology and complexity of this disease, there is no appropriate treatment for infected patients. Recently, stem cell therapy has attracted the attention of regenerative medicine scholars and offered promising outcomes for POI patients. Several kinds of stem cells, such as embryonic stem cells (ESCs), mesenchymal stem cells (MSCs), and induced pluripotent stem cells (iPSCs) have been used for the treatment of ovarian diseases. However, their potential protective mechanisms are still unknown. Undoubtedly, a better understanding of the therapeutic molecular and cellular mechanisms of stem cells will address uncover strategies to increase their clinical application for multiple disorders such as POI. This paper describes a detailed account of the potential properties of different types of stem cells and provides a comprehensive review of their protective mechanisms, particularly MSC, in POI disorder. In addition, ongoing challenges and several strategies to improve the efficacy of MSC in clinical use are addressed. Therefore, this review will provide proof-of-concept for further clinical application of stem cells in POI.
卵巢早衰(POI)对女性生活质量有着深远影响。由于对该疾病的病因及复杂性缺乏充分认识,目前尚无针对患病患者的合适治疗方法。近来,干细胞疗法引起了再生医学学者的关注,并为POI患者带来了有前景的治疗效果。几种干细胞,如胚胎干细胞(ESC)、间充质干细胞(MSC)和诱导多能干细胞(iPSC)已被用于治疗卵巢疾病。然而,它们潜在的保护机制仍不清楚。毫无疑问,更好地理解干细胞的治疗分子和细胞机制将有助于揭示提高其在诸如POI等多种疾病临床应用的策略。本文详细阐述了不同类型干细胞的潜在特性,并全面综述了它们在POI病症中的保护机制,特别是MSC的保护机制。此外,还讨论了当前面临的挑战以及提高MSC临床应用疗效的几种策略。因此,本综述将为干细胞在POI中的进一步临床应用提供概念验证。