4.4 Review

Cell-based endometrial regeneration: current status and future perspectives

Journal

CELL AND TISSUE RESEARCH
Volume 384, Issue 2, Pages 241-254

Publisher

SPRINGER
DOI: 10.1007/s00441-021-03419-6

Keywords

Regeneration therapy; Endometrial disorders; Scaffold; Cell-based engineering

Categories

Funding

  1. Women's Reproductive Health Research Center

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Endometrial-related disorders present with various symptoms and treatment options have shown limited success. The development of regenerative therapeutic strategies, including scaffolds and cell therapy, offer new avenues for addressing these issues. Cell-based treatments show potential for endometrial regeneration.
Endometrial-related disorders including Asherman's syndrome, thin endometrium, pelvic organ prolapse, and cesarean scar pregnancies can be accompanied by different symptoms such as amenorrhea, infertility, abnormal placental implantation and recurrent miscarriage. Different methods have been introduced to overcome these problems such as surgery and hormonal therapy but none of them has shown promising outcomes. On the other hand, the development of novel regenerative therapeutic strategies has opened new avenues for the treatment of endometrial-related deficiencies. In this regard, different types of scaffolds, acellular matrices and also cell therapy with adult or stem cells have been investigated for the treatment of endometrial-related deficiencies. In this paper, we review the current status of cell-based endometrium regeneration using scaffold dependent and scaffold-free methods and future perspectives in this field. Moreover, we discuss the endometrial diseases that can be candidates for cell-based treatments. Also, the cells with the potential for endometrial regeneration are explained.

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