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三维生物打印与不孕症相关的女性生殖系统疾病:当前及未来应用综述

Three-Dimensional Bioprinting and Infertility-Related Female Reproductive System Diseases: A Review of Current and Future Applications.

作者信息

Liu Yanyan, Ma Yuanyuan, Wang Lihong, Liu Congmei, Huang Xianghua, Zhang Jingkun

机构信息

Department of Gynecology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.

Hebei Key Laboratory of Regenerative Medicine of Obstetrics and Gynecology, Shijiazhuang, China.

出版信息

Tissue Eng Regen Med. 2025 Aug 19. doi: 10.1007/s13770-025-00754-5.

DOI:10.1007/s13770-025-00754-5
PMID:40828232
Abstract

BACKGROUND

Infertility has a significant impact on women, affecting them both mentally and physically. Some of the current infertility-related diseases include intrauterine adhesions, endometriosis, polycystic ovary syndrome, primary ovarian insufficiency, and cancer. While existing treatments can help slow diseases progression and improve fertility for some patients, overall recovery rates remain low. The use of three-dimensional bioprinting (3D bioprinting) is becoming increasingly popular in clinical settings due to its high precision, customizable materials, and mechanical properties. In the state of infertility, its therapeutic potential is becoming more evident.

METHODS

In this paper, we summarized the current treatment status of female infertility-related diseases, including cervical cancer, ovarian cancer, endometrial cancer, polycystic ovary syndrome, intrauterine adhesions, MRKH syndrome and other diseases, used databases such as PubMed, described the research progress and future development direction of 3D bioprinting in these diseases.

RESULTS

3D bioprinting technology could help repair damaged endometrial and ovarian tissue, and was able to create cell-loaded biological scaffolds to help restore the structure and function of affected organs. Furthermore, the development of organoids is opening new ways for research in regenerative medicine. It is expected that 3D bioprinting will not only be able to create organoid structures for research purposes but will also be utilized in clinical settings to effectively address infertility.

CONCLUSIONS

3D bioprinting is gaining popularity in the clinical field due to its high resolution, adjustable composition, and mechanical qualities. Infertility-related disorders damage women by inflicting a psychological and functional double blow. According to the current research, the application of 3D bioprinting technology to help patients restore fertility function has endless possibilities in the future.

摘要

背景

不孕症对女性有重大影响,在心理和生理上都会影响她们。当前一些与不孕相关的疾病包括宫腔粘连、子宫内膜异位症、多囊卵巢综合征、原发性卵巢功能不全和癌症。虽然现有治疗方法可以帮助减缓某些患者疾病的进展并提高生育能力,但总体治愈率仍然较低。由于其高精度、可定制材料和机械性能,三维生物打印(3D生物打印)在临床环境中越来越受欢迎。在不孕症领域,其治疗潜力正变得越来越明显。

方法

在本文中,我们总结了女性不孕相关疾病(包括宫颈癌、卵巢癌、子宫内膜癌、多囊卵巢综合征、宫腔粘连、MRKH综合征等疾病)的当前治疗状况,使用了如PubMed等数据库,描述了3D生物打印在这些疾病中的研究进展和未来发展方向。

结果

3D生物打印技术可以帮助修复受损的子宫内膜和卵巢组织,并且能够创建负载细胞的生物支架来帮助恢复受影响器官的结构和功能。此外,类器官的发展为再生医学研究开辟了新途径。预计3D生物打印不仅能够创建用于研究目的的类器官结构,还将被应用于临床环境以有效解决不孕症问题。

结论

3D生物打印因其高分辨率、可调节成分和机械特性在临床领域越来越受欢迎。与不孕相关的疾病通过造成心理和功能上的双重打击来损害女性。根据目前的研究,应用3D生物打印技术帮助患者恢复生育功能在未来有着无限可能。

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本文引用的文献

1
3D Printing of Bone Substitutes Based on Vat Photopolymerization Processes: A Systematic Review.基于光固化成型工艺的骨替代物3D打印:一项系统综述
J Tissue Eng Regen Med. 2023 Apr 8;2023:3901448. doi: 10.1155/2023/3901448. eCollection 2023.
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Pan-cancer analysis of DCBLD1 and its association with the diagnosis, immunotherapy, and prognosis of cervical cancer.DCBLD1的泛癌分析及其与宫颈癌诊断、免疫治疗和预后的关联
Int Immunopharmacol. 2025 Feb 20;148:114167. doi: 10.1016/j.intimp.2025.114167. Epub 2025 Jan 28.
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A comparative analysis of toxicity and treatment outcomes of adaptive radiotherapy and intensity-modulated radiotherapy in cervical cancer.
宫颈癌自适应放疗与调强放疗的毒性及治疗结果对比分析
Sci Rep. 2025 Jan 10;15(1):1609. doi: 10.1038/s41598-024-85074-9.
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Endocrine disruptor chemicals exposure and female fertility declining: from pathophysiology to epigenetic risks.内分泌干扰物化学物质暴露与女性生育力下降:从病理生理学到表观遗传风险
Front Public Health. 2024 Dec 12;12:1466967. doi: 10.3389/fpubh.2024.1466967. eCollection 2024.
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Exploring the molecular mechanism of estrogen therapy effectiveness after TCRA in IUA patients at single-cell level.在单细胞水平上探索宫腔粘连(IUA)患者宫腔镜下子宫粘连切除术(TCRA)后雌激素治疗有效性的分子机制。
Biol Direct. 2024 Dec 26;19(1):142. doi: 10.1186/s13062-024-00583-x.
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Impact of psychological stress on ovarian function: Insights, mechanisms and intervention strategies (Review).心理应激对卵巢功能的影响:见解、机制及干预策略(综述)
Int J Mol Med. 2025 Feb;55(2). doi: 10.3892/ijmm.2024.5475. Epub 2024 Dec 20.
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3D extrusion bioprinting of microbial inks for biomedical applications.用于生物医学应用的微生物墨水的3D挤出生物打印
Adv Drug Deliv Rev. 2025 Feb;217:115505. doi: 10.1016/j.addr.2024.115505. Epub 2024 Dec 19.
8
The Role of the Vaginal and Endometrial Microbiomes in Infertility and Their Impact on Pregnancy Outcomes in Light of Recent Literature.鉴于近期文献,阴道和子宫内膜微生物群在不孕症中的作用及其对妊娠结局的影响
Int J Mol Sci. 2024 Dec 9;25(23):13227. doi: 10.3390/ijms252313227.
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Photocrosslinkable Biomaterials for 3D Bioprinting: Mechanisms, Recent Advances, and Future Prospects.用于3D生物打印的可光交联生物材料:作用机制、最新进展及未来展望
Int J Mol Sci. 2024 Nov 22;25(23):12567. doi: 10.3390/ijms252312567.
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Causal Relationship Between Endometriosis, Female Infertility, and Primary Ovarian Failure Through Bidirectional Mendelian Randomization.通过双向孟德尔随机化研究子宫内膜异位症、女性不孕症和原发性卵巢功能不全之间的因果关系。
Int J Womens Health. 2024 Dec 9;16:2143-2155. doi: 10.2147/IJWH.S488351. eCollection 2024.