Sanjeev Krithika, Guruprasad Megaswana, Vikram Rachna, Priyadarshini Snigdha, Mazumder Adhish, Inderchand Manjubala
School of BioSciences and Technology, Vellore Institute of Technology, Vellore, Tamil Nadu, India.
Curr Pharm Biotechnol. 2025;26(2):208-221. doi: 10.2174/0113892010316780240807104149.
In the last few decades, the rates of infertility among women have been on the rise, usually due to complications with the uterus and related tissue. A wide variety of reasons can cause uterine factor infertility and can be congenital or a result of disease. Uterine transplantation is currently used as a means to enable women with fertility issues to have a natural birth. However, multiple risk factors are involved in uterine transplantation that threaten the lives of the growing fetus and the mother, as a result of which the procedure is not prominently practiced. Uterine tissue engineering provides a potential solution to infertility through the regeneration of replacement of damaged tissue, thus allowing healing and restoration of reproductive capacity. It involves the use of stem cells from the patient incorporated within biocompatible scaffolds to regenerate the entire tissue. This manuscript discusses the need for uterine tissue engineering, giving an overview of the biological and organic material involved in the process. There are numerous existing animal models in which this procedure has been actualized, and the observations from them have been compiled here. These models are used to develop a further understanding of the integration of engineered tissues and the scope of tissue engineering as a treatment for uterine disorders. Additionally, this paper examines the scope and limitations of the procedure.
在过去几十年中,女性不孕症的发生率一直在上升,这通常是由子宫及相关组织的并发症引起的。多种原因可导致子宫因素不孕症,这些原因可能是先天性的,也可能是疾病所致。子宫移植目前被用作一种手段,使有生育问题的女性能够自然分娩。然而,子宫移植涉及多种危险因素,这些因素会威胁到发育中胎儿和母亲的生命,因此该手术并未广泛开展。子宫组织工程通过再生受损组织来替代,为不孕症提供了一种潜在的解决方案,从而实现愈合并恢复生殖能力。它涉及将患者的干细胞整合到生物相容性支架中,以再生整个组织。本文讨论了子宫组织工程的必要性,概述了该过程中涉及的生物和有机材料。有许多现有的动物模型已实现了这一过程,这里汇集了从这些模型中得到的观察结果。这些模型用于进一步了解工程组织的整合情况以及组织工程作为子宫疾病治疗方法的应用范围。此外,本文还探讨了该手术的应用范围和局限性。