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间充质干细胞和富血小板血浆治疗卵巢早衰的范围综述

Mesenchymal stem cells and platelet rich plasma in the treatment of premature ovarian insufficiency: a scoping review.

作者信息

Gemayel Jack, Harb Frédéric, Karam Farah, Tahan Donna, Younes Monique, Saliba Yvanna, Chaker Diana, Ibrahim Ahmad, Azar Albert, Chaaban Mustapha, Chebly Alain, Akouch Khalil, Khalil Charbel

机构信息

Faculty of Health Sciences, University of Balamand, P.O.Box: 55251, Sin El Fil, Lebanon.

FMPS Holding BIOTECKNO s.a.l. Research & Quality Solutions, Naccash, P.O Box 60 247, Beirut, Lebanon.

出版信息

Contracept Reprod Med. 2025 Sep 25;10(1):57. doi: 10.1186/s40834-025-00368-1.

Abstract

Premature ovarian Insufficiency (POI) is characterized by amenorrhea, hypergonadotropic hypogonadism, estrogen deficiency, and reduced follicle counts leading to infertility under the age of 40. It occurs in 1 to 3% of women. Several therapeutic strategies have been explored in clinic for POI. Platelet Rich Plasma (PRP) a blood product applied in regenerative medicine, which is based on the releasing of the growth factors present in platelet. Mesenchymal Stem Cells derived from Bone marrow, adipose tissue or cord blood tissue are undifferentiated cells with a potential for self-renewal and differentiation into multiple mature cell type. Mesenchymal stem cells secretome can stimulate cellular process and activate multipotent stem cells to generate new younger tissue and blood vessels relevant to ovarian rejuvenation and endometrial regeneration. This review provides a critical analysis on novel treatments that have not achieve routine clinical practice status yet but have recently emerged as promising potential therapy.

摘要

卵巢早衰(POI)的特征是闭经、高促性腺激素性性腺功能减退、雌激素缺乏以及卵泡数量减少,导致40岁以下女性不孕。其在1%至3%的女性中发生。临床上已针对POI探索了多种治疗策略。富血小板血浆(PRP)是一种应用于再生医学的血液制品,它基于血小板中生长因子的释放。源自骨髓、脂肪组织或脐带血组织的间充质干细胞是未分化细胞,具有自我更新和分化为多种成熟细胞类型的潜力。间充质干细胞分泌组可刺激细胞过程并激活多能干细胞,以生成与卵巢年轻化和子宫内膜再生相关的新的年轻组织和血管。本综述对尚未达到常规临床实践地位但最近已成为有前景的潜在疗法的新型治疗方法进行了批判性分析。

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