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细胞疗法治疗子宫内膜异位症的前景。

The prospects of cell therapy for endometriosis.

机构信息

Avtsyn Research Institute of Human Morphology of Federal State Budgetary Scientific Institution "Petrovsky National Research Centre of Surgery", Moscow, Russia.

Research Institute of Molecular and Cellular Medicine, Peoples' Friendship University of Russia (RUDN University), Moscow, Russia.

出版信息

J Assist Reprod Genet. 2023 May;40(5):955-967. doi: 10.1007/s10815-023-02772-5.

Abstract

Endometriosis is a chronic inflammatory estrogen-dependent disease characterized by the growth of endometrial-like tissue outside the physiological region. Despite the fact that this disease is common, laparoscopic surgery is currently the gold standard in the treatment of endometriosis. In this regard, it is necessary to develop new effective methods of minimally invasive therapy for endometriosis. One of the promising areas in the treatment of endometriosis is cell therapy. Cellular therapy is a vast branch of therapeutic methods with various agents. Potential cell therapies for endometriosis may be based on the principle of targeting aspects of the pathogenesis of the disease: suppression of estrogen receptor activity, angiogenesis, fibrosis, and a decrease in the content of stem cells in endometriosis foci. In addition, immune cells such as NK cells and macrophages may be promising agents for cell therapy of endometriosis. Standing apart in the methods of cell therapy is the replacement therapy of endometriosis. Thus, many studies in the field of the pathogenesis of endometriosis can shed light not only on the causes of the disease and may contribute to the development of new methods for personalized cell therapy of endometriosis.

摘要

子宫内膜异位症是一种慢性炎症性雌激素依赖性疾病,其特征是在生理区域外生长类似子宫内膜的组织。尽管这种疾病很常见,但腹腔镜手术目前是治疗子宫内膜异位症的金标准。在这方面,有必要为子宫内膜异位症开发新的微创治疗方法。子宫内膜异位症治疗的一个有前途的领域是细胞疗法。细胞疗法是具有各种制剂的治疗方法的广泛分支。子宫内膜异位症的潜在细胞疗法可能基于针对疾病发病机制各个方面的原则:抑制雌激素受体活性、血管生成、纤维化和减少子宫内膜异位症病灶中的干细胞含量。此外,NK 细胞和巨噬细胞等免疫细胞可能是子宫内膜异位症细胞治疗的有前途的药物。在细胞治疗方法中脱颖而出的是子宫内膜异位症的替代疗法。因此,子宫内膜异位症发病机制领域的许多研究不仅可以阐明疾病的病因,而且可能有助于开发针对子宫内膜异位症的个性化细胞治疗的新方法。

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