Department of Obstetrics, Gynecology, and Reproductive Science, the Department of Bioengineering, Swanson School of Engineering, and The McGowan Institute of Regenerative Medicine, University of Pittsburgh, Magee-Women's Research Institute, University of Pittsburgh Medical Center, and the Division of Urogynecology and Reconstructive Pelvic Surgery, University of Pittsburgh Medical Center Magee-Women's Hospital, Pittsburgh, Pennsylvania.
Obstet Gynecol. 2024 Jun 1;143(6):767-773. doi: 10.1097/AOG.0000000000005590. Epub 2024 Apr 25.
The female reproductive tract undergoes dynamic changes across the life span. Congenital abnormalities, life events, and medical interventions can negatively affect the structure and function of reproductive tract organs, resulting in lifelong sequelae. The objective of regenerative gynecology is to discover and promote endogenous mechanisms by which a healthy tissue maintains overall tissue integrity after injury, after disease, or with age. In this review, we discuss some of the key state-of-the-art cell-based and scaffolding therapies that have been applied to regenerate gynecologic tissues and organs primarily in animal and tissue culture models. We further discuss the limitations of current technologies, problems of implementation and scalability, and future outlook of the field.
女性生殖系统在整个生命周期中会发生动态变化。先天异常、生活事件和医疗干预都可能对生殖系统器官的结构和功能产生负面影响,导致终生后遗症。再生妇科的目标是发现和促进内源性机制,使健康组织在受伤后、患病后或随着年龄的增长保持整体组织完整性。在这篇综述中,我们讨论了一些关键的基于细胞和支架的治疗方法,这些方法主要应用于动物和组织培养模型中,以再生妇科组织和器官。我们还进一步讨论了当前技术的局限性、实施和可扩展性问题以及该领域的未来前景。