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人脐带间充质干细胞改善多囊卵巢综合征小鼠生育能力的有效性和安全性

Efficacy and Safety of Human Umbilical Cord Mesenchymal Stem Cells in Improving Fertility in Polycystic Ovary Syndrome Mice.

作者信息

Jin Lukuo, Ren Chenchen, Yang Li, Zhu Yuanhang, Li Genxia, Chang Yun, Du Junxiao, Yang Zhaoyuan, Yuan Yuchao

机构信息

Department of Gynecology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, P.R. China.

Department of Obstetrics and Gynecology, The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, P.R. China.

出版信息

Curr Stem Cell Res Ther. 2025;20(3):279-290. doi: 10.2174/011574888X287937240424074937.

Abstract

BACKGROUND

Polycystic ovary syndrome (PCOS) is the most prevalent reproductive endocrine illness in women of reproductive age and is one of the most important causes of female infertility. The pathogenesis of PCOS is complex. Although mesenchymal stem cell therapy is anticipated to be a successful treatment for PCOS, its long-term safety, including tumorigenesis in patients, remains unknown.

OBJECTIVE

This study aimed to confirm the efficacy and safety of human umbilical cord mesenchymal stem cells in improving fertility in PCOS mice.

METHODS

In this study, dehydroepiandrosterone (DHEA) was used to construct a C56BL/6 mouse PCOS model, human umbilical cord mesenchymal stem cells (hUC-MSCs) were used as a treatment, and the reproductive phenotype was observed in parallel breeding experiments to confirm the efficacy of the treatment. A 4-month follow-up period, final blood tests, and organ histology were carried out to confirm the long-term safety of the treatment.

RESULTS

After hUC-MSCs treatment, the sex hormone disorder of mice was corrected, the morphology and function of the ovary were improved, the number of offspring was significantly increased compared to the control group, and no adverse reactions related to stem cell transplantation such as tumor formation were found within 4 months.

CONCLUSION

The treatment of hUC-MSCs is safe and effective in treating PCOS over the long term.

摘要

背景

多囊卵巢综合征(PCOS)是育龄女性中最常见的生殖内分泌疾病,也是女性不孕的最重要原因之一。PCOS的发病机制复杂。尽管间充质干细胞疗法有望成为治疗PCOS的成功方法,但其长期安全性,包括患者体内的肿瘤发生情况,仍然未知。

目的

本研究旨在证实人脐带间充质干细胞改善PCOS小鼠生育能力的有效性和安全性。

方法

在本研究中,使用脱氢表雄酮(DHEA)构建C56BL/6小鼠PCOS模型,用人脐带间充质干细胞(hUC-MSCs)进行治疗,并在平行繁殖实验中观察生殖表型以确认治疗效果。进行为期4个月的随访、最终血液检测和器官组织学检查以确认治疗的长期安全性。

结果

hUC-MSCs治疗后,小鼠的性激素紊乱得到纠正,卵巢的形态和功能得到改善,与对照组相比后代数量显著增加,并且在4个月内未发现与干细胞移植相关的不良反应,如肿瘤形成。

结论

长期来看,hUC-MSCs治疗PCOS安全有效。

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