国际生殖健康/计划生育 ›› 2020, Vol. 39 ›› Issue (6): 504-508.

• 综述 • 上一篇    下一篇

干细胞治疗宫腔粘连及薄型子宫内膜的研究进展

郭杉,刘英   

  1. 100026  北京,首都医科大学附属北京妇产医院生殖医学科
  • 收稿日期:2020-05-18 修回日期:2020-06-25 出版日期:2020-11-15 发布日期:2020-11-15
  • 通讯作者: 刘英,E-mail:yingliubj@hotmail.com E-mail:yingliubj@hotmail.com
  • 基金资助:
    国家自然科学基金(81471520);北京市自然科学基金(7182054);北京市科技新星交叉学科合作课题(Z191100001119015)

Advances of Stem Cell Therapy in Infertile Women with Endometrium Factors 

GUO Shan,LIU Ying   

  1. Department of Reproductive Medicine,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100026,China
  • Received:2020-05-18 Revised:2020-06-25 Published:2020-11-15 Online:2020-11-15
  • Contact: LIU Ying,E-mail:yingliubj@hotmail.com E-mail:yingliubj@hotmail.com

摘要: 育龄女性子宫内膜经历随激素水平波动的增殖、分泌、脱落的周期性变化,或蜕膜化以接受胚胎种植等一系列变化。因先天性、人工或疾病等原因,子宫内膜受损,导致宫腔粘连(intrauterine adhesion,IUA)及子宫内膜薄,进而使患者遭受不孕不育的困扰。目前,此类患者的临床治疗手段有限,治疗效果也不理想,干细胞治疗给这类患者带来了希望。近年许多临床研究表明,自体干细胞治疗可使部分子宫内膜因素致不孕不育患者宫腔粘连情况缓解,子宫内膜增厚,自然受孕成功。本文总结了目前在子宫内膜损伤修复相关的干细胞基础研究及临床应用进展。虽然干细胞疗法前期研究成果良好,但后续临床范围的推广仍需考虑干细胞治疗临床应用的安全性问题。并且,治疗选用的干细胞种类及来源性(自体或异体),也是需要探讨的科学问题。

关键词: 干细胞;, 子宫疾病;, 组织黏连;, 子宫内膜;, 不育, 女(雌)性;, 动物实验;, 治疗

Abstract: Endometrium undergoes proliferation, secretion and scaling, or decidualization for embryo implantation, in women of reproductive age. Endometrium injury induced by innate causes, artificial factors or disease leads to intrauterine adhesion (IUA) and thin endometrium, which resulting in female infertility. Limited therapeutic options can offer for these patients, with unsatisfactory therapeutic effect. As a novel mean of treatment, stem cell therapies bring a new hope to these patients. Many clinical studies showed that autologous stem cell therapies could improve endometrium thickness and clinical pregnancy rate of the patients with IUA. This review offers a summary of clinical and experimental evidence of stem cell-based therapy in IUA and thin endometrium. The safety of stem cell therapies, and autologous or allosome origin of stem cell, are two crucial issues of stem cell-based therapy in the present clinical practice.

Key words: Stem cells;, Uterine diseases;, Tissue adhesions;, Endometrium;, Infertility, female;, Animal experimentation;, Therapy