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男性不育的生物工程方法:从微环境再生到体外受精

Bioengineering Approaches for Male Infertility: From Microenvironmental Regeneration to in vitro Fertilization.

作者信息

Önen Selin, Gizer Merve, Çolak İmran Özge, Korkusuz Petek

机构信息

METU MEMS Center, Ankara, Turkey.

Department of Stem Cell Sciences, Graduate School of Health Sciences, Hacettepe University, Ankara, Turkey.

出版信息

Adv Exp Med Biol. 2025;1479:59-72. doi: 10.1007/5584_2024_844.

DOI:10.1007/5584_2024_844
PMID:39881052
Abstract

Male factor accounts for 30-50% of infertility cases and may occur due to congenital anomalies or acquired disorders. In such infertility cases where a limited number of mature sperm is produced, a solution is offered to patients with ART applications; however, these methods are inadequate in patients with germ cell aplasia due to damaged microenvironment. Since monolayer cell culture and static culture conditions do not provide the physical conditions of the 3D microenvironment, they have a limited effect on ensuring the execution of in vitro spermatogenesis properly. For this reason, current treatment approaches turn to biomaterial-implemented, microfluidic, and bioreactor systems where 3D physical conditions are provided. This book chapter focuses on static and dynamic culture conditions, as well as the use of biomaterials to increase the success of ex vivo spermatogenesis and microfluidic device-assisted sperm selection in ART.

摘要

男性因素占不孕病例的30%-50%,可能由先天性异常或后天性疾病引起。在产生成熟精子数量有限的此类不孕病例中,辅助生殖技术(ART)应用为患者提供了一种解决方案;然而,对于因微环境受损导致生殖细胞发育不全的患者,这些方法并不充分。由于单层细胞培养和静态培养条件无法提供三维微环境的物理条件,它们在确保体外精子发生正常进行方面的作用有限。因此,当前的治疗方法转向了提供三维物理条件的生物材料植入、微流体和生物反应器系统。本章重点介绍静态和动态培养条件,以及使用生物材料提高体外精子发生成功率和在辅助生殖技术中利用微流体装置辅助精子筛选的情况。

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Bioengineering Approaches for Male Infertility: From Microenvironmental Regeneration to in vitro Fertilization.男性不育的生物工程方法:从微环境再生到体外受精
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2
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本文引用的文献

1
Testicular Cancer Survivorship and Fertility Preservation.睾丸癌幸存者与生育力保存
Urol Clin North Am. 2024 Aug;51(3):429-438. doi: 10.1016/j.ucl.2024.03.011. Epub 2024 Apr 16.
2
In vitro proliferation and differentiation of mouse spermatogonial stem cells in decellularized human placenta matrix.脱细胞人胎盘基质中鼠精原干细胞的体外增殖和分化。
J Biomed Mater Res B Appl Biomater. 2024 May;112(5):e35414. doi: 10.1002/jbm.b.35414.
3
Microfluidics as an emerging paradigm for assisted reproductive technology: A sperm separation perspective.
微流控技术作为辅助生殖技术的新兴范例:从精子分离角度来看。
Biomed Microdevices. 2024 Apr 23;26(2):23. doi: 10.1007/s10544-024-00705-2.
4
Cryptorchidism and puberty.隐睾症与青春期。
Front Endocrinol (Lausanne). 2024 Mar 12;15:1347435. doi: 10.3389/fendo.2024.1347435. eCollection 2024.
5
Microfluidic sperm sorting selects a subpopulation of high-quality sperm with a higher potential for fertilization.微流控精子分选技术可筛选出具有较高受精潜力的优质精子亚群。
Hum Reprod. 2024 May 2;39(5):902-911. doi: 10.1093/humrep/deae045.
6
Microfluidic chip as a promising evaluation method in assisted reproduction: A systematic review.微流控芯片作为辅助生殖中一种有前景的评估方法:一项系统综述。
Bioeng Transl Med. 2023 Nov 24;9(2):e10625. doi: 10.1002/btm2.10625. eCollection 2024 Mar.
7
Sperm Preparation with Microfluidic Sperm Sorting Chip May Improve Intracytoplasmic Sperm Injection Outcomes Compared to Density Gradient Centrifugation.微流控精子分选芯片处理精子可改善卵胞浆内单精子注射结局,优于密度梯度离心法。
Reprod Sci. 2024 Jun;31(6):1695-1704. doi: 10.1007/s43032-024-01483-1. Epub 2024 Feb 23.
8
The impact of microfluidics sperm processing on blastocyst euploidy rates compared with density gradient centrifugation: a sibling oocyte double-blinded prospective randomized clinical trial.微流控精子处理对与密度梯度离心相比囊胚整倍体率的影响:一项姐妹卵母细胞双盲前瞻性随机临床试验。
Fertil Steril. 2024 Jul;122(1):85-94. doi: 10.1016/j.fertnstert.2024.02.021. Epub 2024 Feb 15.
9
Advances in microfluidic technology for sperm screening and in vitro fertilization.微流控技术在精子筛选和体外受精中的进展。
Anal Bioanal Chem. 2024 Jul;416(16):3717-3735. doi: 10.1007/s00216-023-05120-9. Epub 2024 Jan 8.
10
Varicocele and testicular cord torsion: immune testicular microenvironment imbalance.精索静脉曲张与睾丸扭转:免疫性睾丸微环境失衡
Front Cell Dev Biol. 2023 Nov 30;11:1282579. doi: 10.3389/fcell.2023.1282579. eCollection 2023.