Agustina-Hernández Marcos, Francés-Herrero Emilio, Gómez-Álvarez María, Alonso-Frías Paula, Romeu Mónica, Monzó Ana, Ferrero Hortensia, Bueno-Fernandez Clara, Cervelló Irene
IVIRMA Global Research Alliance, IVI Foundation, Instituto de Investigación Sanitaria La Fe (IIS La Fe), Valencia, Spain.
Assisted Human Reproduction Unit, La Fe University and Polytechnic Hospital, Valencia, Spain.
Front Bioeng Biotechnol. 2024 Dec 3;12:1495338. doi: 10.3389/fbioe.2024.1495338. eCollection 2024.
The endometrium plays a fundamental role in the reproductive system yet many etiologies of infertility-related endometrial diseases such as endometriosis, adenomyosis, Asherman's syndrome or endometrial cancer remain unknown. There are currently no treatments that minimize the effects of this devastating disorder. Appropriate model systems that closely mimic the architecture and function of the endometrium in healthy and pathological states are needed to understand the underlying molecular pathways and develop novel or more effective treatments. This review summarizes the key milestones of culture models of the human endometrium throughout history, as well as the applications of advanced bioengineering techniques in the modelling of both healthy and pathological endometrium. Opportunities for future approaches are also discussed.
子宫内膜在生殖系统中起着基础性作用,但许多与不孕相关的子宫内膜疾病,如子宫内膜异位症、子宫腺肌病、阿谢曼综合征或子宫内膜癌的病因仍不清楚。目前尚无能够将这种破坏性疾病的影响降至最低的治疗方法。需要有合适的模型系统来密切模拟健康和病理状态下子宫内膜的结构和功能,以了解其潜在的分子途径并开发新的或更有效的治疗方法。本文综述了人类子宫内膜培养模型的历史关键节点,以及先进生物工程技术在健康和病理子宫内膜建模中的应用。还讨论了未来方法的机遇。