Steps towards the clinical application of endometrial and menstrual fluid mesenchymal stem cells for the treatment of gynecological disorders.

IF 3.6 3区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
Expert Opinion on Biological Therapy Pub Date : 2025-03-01 Epub Date: 2025-02-19 DOI:10.1080/14712598.2025.2465826
Alexander Sadiasa, Jerome A Werkmeister, Shanti Gurung, Caroline E Gargett
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引用次数: 0

Abstract

Introduction: The human endometrium is a highly regenerative tissue that contains mesenchymal stem/stromal cells (MSCs). These MSCs are sourced via office-based biopsies and menstrual fluid, providing a less invasive and readily available option for cell-based therapies. This review provides an update on endometrial-derived MSCs as a treatment option for gynecological diseases.

Areas covered: This narrative review covers the characterization and therapeutic mechanisms of endometrium biopsy-derived MSCs (eMSCs) and menstrual fluid-derived mesenchymal stromal cells (MenSCs), highlighting similarities and differences. It also covers studies of their application in preclinical animal models and in clinical trials as potential cell-based therapies for gynecological diseases.

Expert opinion: eMSCs and MenSCs from a homologous tissue source have the potential to promote regenerative activity as a treatment for gynecological diseases. Both eMSCs and MenSCs demonstrate therapeutic benefits through their paracrine activity in tissue regeneration, immunomodulation, angiogenesis, and mitigating fibrosis. Further research is essential to establish standardized isolation and characterization protocols, particularly for heterogeneous MenSCs, and to fully understand their mechanisms of action. Implementing SUSD2 magnetic bead sorting for purifying eMSCs from endometrial tissues and menstrual fluid is crucial for their use in future cell-based therapies. Optimization of production, storage, and delivery methods will maximize their therapeutic effectiveness.

子宫内膜和月经液间充质干细胞在妇科疾病治疗中的临床应用进展。
人类子宫内膜是一种高度再生的组织,含有间充质干细胞/基质细胞(MSCs)。这些间充质干细胞是通过办公室活检和月经液获得的,为细胞治疗提供了一种侵入性较小且易于获得的选择。这篇综述提供了子宫内膜源性间充质干细胞作为妇科疾病治疗选择的最新进展。涵盖领域:本文综述了子宫内膜活检来源的间充质间质细胞(eMSCs)和月经液来源的间充质间质细胞(MenSCs)的特征和治疗机制,强调了它们的异同。它还涵盖了它们在临床前动物模型中的应用研究,以及作为妇科疾病潜在细胞疗法的临床试验。专家意见:同源组织来源的eMSCs和MenSCs具有促进再生活性的潜力,可用于妇科疾病的治疗。eMSCs和MenSCs通过其在组织再生、免疫调节、血管生成和减轻纤维化方面的旁分泌活性显示出治疗益处。进一步的研究对于建立标准化的分离和表征方案,特别是对于异质MenSCs,并充分了解其作用机制至关重要。实施SUSD2磁珠分选纯化子宫内膜组织和月经液中的eMSCs对于未来细胞疗法的应用至关重要。优化生产、储存和运送方法将使其治疗效果最大化。
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来源期刊
Expert Opinion on Biological Therapy
Expert Opinion on Biological Therapy 医学-生物工程与应用微生物
CiteScore
8.60
自引率
0.00%
发文量
96
审稿时长
3-8 weeks
期刊介绍: Expert Opinion on Biological Therapy (1471-2598; 1744-7682) is a MEDLINE-indexed, international journal publishing peer-reviewed research across all aspects of biological therapy. Each article is structured to incorporate the author’s own expert opinion on the impact of the topic on research and clinical practice and the scope for future development. The audience consists of scientists and managers in the healthcare and biopharmaceutical industries and others closely involved in the development and application of biological therapies for the treatment of human disease. The journal welcomes: Reviews covering therapeutic antibodies and vaccines, peptides and proteins, gene therapies and gene transfer technologies, cell-based therapies and regenerative medicine Drug evaluations reviewing the clinical data on a particular biological agent Original research papers reporting the results of clinical investigations on biological agents and biotherapeutic-based studies with a strong link to clinical practice Comprehensive coverage in each review is complemented by the unique Expert Collection format and includes the following sections: Expert Opinion – a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results; Article Highlights – an executive summary of the author’s most critical points.
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