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Adult stem cell therapy for premature ovarian failure: from bench to bedside.

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机构: [1]Laboratory of Stem Cell and Tissue Engineering, Orthopedic Research Institute, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center of Biotherapy, Chengdu, China
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关键词: premature ovarian failure stem cell-based therapy clinical trial regenerative medicine

摘要:
Premature ovarian failure (POF) is a devastating condition for women of childbearing age with serious health consequences including distress, infertility, osteoporosis, autoimmune disorders, ischemic heart disease, and increased mortality. In addition to the mainstay estrogen therapy, stem cell therapy has been tested as the result of rapid progress in stem cell biology and cell reprogramming. We hereby provide a review for recent research and issues related with stem-cell-based therapy for POF, and provide a commentary on various methods for enhancing the effect of stem cell therapy for POF. Large amount of animal studies have demonstrated an extensive benefit of stem cells for failed ovarian recovering. As shown by such studies, stem cell therapy can result in recovery of hormone levels, follicle activation, ovarian angiogenesis and function restoration. Meanwhile, study of molecular pathways revealed that the function of stem cells mainly depends on their paracrine actions, which may produce multiple factors for the promotion of ovarian angiogenesis and regulation of cellular functions. Nevertheless, study of the disease model also revealed certain drawbacks. Clinical trials have shown that menstrual cycle and even pregnancy may occur following transplantation of stem cells in POF cases, albeit the limitations including inadequate number of cases and space for the improvement of transplantation methodology. Only with the improvement of safety and function assessment and expansion of clinical trials, can stem cell therapy bring benefits to more women with POF. Additionally, effective pre-treatments and appropriate transplantation methods for stem cells are also required. Taken together, stem cell therapy has shown a great potential for POF recovery and is promising to step from bench to bedside.

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出版当年[2021]版
大类 | 2 区 医学
小类 | 2 区 细胞与组织工程 2 区 细胞生物学 2 区 工程:生物医学 2 区 材料科学:生物材料
最新[2023]版
大类 | 2 区 医学
小类 | 3 区 细胞与组织工程 3 区 细胞生物学 3 区 工程:生物医学 3 区 材料科学:生物材料
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第一作者机构: [1]Laboratory of Stem Cell and Tissue Engineering, Orthopedic Research Institute, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center of Biotherapy, Chengdu, China
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通讯机构: [1]Laboratory of Stem Cell and Tissue Engineering, Orthopedic Research Institute, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University and Collaborative Innovation Center of Biotherapy, Chengdu, China [*1]Laboratory of Stem Cell and Tissue Engineering Orthopedic Research Institute State Key Laboratory of Biotherapy and Cancer Center West China Hospital Sichuan University and Collaborative Innovation Center of Biotherapy 1 Keyuan 4th Road Gaopeng Street Chengdu Sichuan 610041 China
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