脂肪組織(Adipose tissue)提取之幹細胞可用於子宮內膜受損之修復 動物實驗顯示可提高著床率 & 賀爾蒙接受體 (estrogen progesterone receptor)之表現
Zygote. 2019 Dec;27(6):367-374.
Adipose-derived stem cells
transplantation improves endometrial injury repair
Endometrial injury is an important cause of intrauterine
adhesion (IUA), amenorrhea and infertility in women, with limited effective
therapies. Recently, stem cells have been used in animal experiments to repair
and improve injured endometrium. To date, our understanding of adipose-derived
stem cells (ADSCs) in endometrial injury repair and their further therapeutic
mechanisms is incomplete. Here, we examined the benefit of ADSCs in restoration
of injured endometrium by applying a rat endometrial injury model. The results
revealed by immunofluorescence showed that green fluorescent protein
(GFP)-labelled ADSCs can differentiate into endometrial epithelial cells in
vivo. At 30 days after ADSCs transplantation, injured endometrium was
significantly improved, with increased microvessel density, endometrial
thickness and glands when compared with the model group. Furthermore, the
fertility of rats with injured endometrium in ADSCs group was improved and had
a higher conception rate (60% vs 20%, P = 0.014) compared with the control
phosphate-buffered saline (PBS) group. However, there was no difference in the
control group compared with the sham group. In addition, expression levels of
the oestrogen receptor Eα/β (ERα, ERβ) and progesterone receptor (PR) detected
by western blot and enzyme-linked immunosorbent assay (ELISA) were higher in
the ADSCs group than in the PBS group. Taken together, these results suggested
that ADSC transplantation could improve endometrial injury as a novel therapy
for IUA.
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