Reproductive Medicine Center & Department of Obstetrics and Gynecology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.
Wannan Medical College, Wuhu, China.
Cell Transplant. 2023 Jan-Dec;32:9636897231159561. doi: 10.1177/09636897231159561.
Intrauterine adhesion (IUA), resulting from pregnancy or nonpregnant uterine trauma, is one of the major causes of abnormal menstruation, infertility, or repeated pregnancy loss. Although a few methods, including hysteroscopy and hormone therapy, are routinely used for its diagnosis and treatment, they cannot restore tissue regeneration. Stem cells, which have self-renewal and tissue regeneration abilities, have been proposed as a promising therapy for patients with severe IUAs. In this review, we summarize the origin and features of endometrium-associated stem cells and their applications in the treatment of IUAs based on animal models and human clinical trials. We expect that this information will help to elucidate the underlying mechanism for tissue regeneration and to improve the design of stem cell-based therapies for IUAs.
宫腔粘连(IUA)是由妊娠或非妊娠子宫创伤引起的,是异常月经、不孕或反复妊娠丢失的主要原因之一。虽然宫腔镜和激素治疗等少数方法常用于其诊断和治疗,但它们不能恢复组织再生。具有自我更新和组织再生能力的干细胞已被提议作为严重 IUA 患者的一种有前途的治疗方法。在这篇综述中,我们根据动物模型和人类临床试验总结了与子宫内膜相关的干细胞的来源和特征及其在治疗 IUA 中的应用。我们希望这些信息将有助于阐明组织再生的潜在机制,并改进基于干细胞的 IUA 治疗方法的设计。