治疗卵巢早衰的再生医学选择

Roxana-Elena Busuioc, D. Păduraru, A. Stănescu, Didina Cătălina Barbălată, F. Musat, A. Albu, O. Andronic
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引用次数: 0

摘要

不孕症通常被定义为在12个月或更长时间的无保护性交后仍未怀孕。卵巢早衰(POF)是女性不孕的原因之一,据估计影响总人口的1%。这种情况是指40岁以下的女性由于缺乏活跃的卵泡数量而导致卵巢激素和生殖活动的丧失。再生医学代表了一种复杂的治疗选择,它包括诸如使用干细胞、组织工程和基因治疗单独或不同组合等技术。虽然目前再生医学的边界还没有明确的概述,但本文旨在回顾其未来治疗POF的可能性,更多地关注干细胞治疗的使用。干细胞治疗是治疗POF的一种可行的方法,因为干细胞容易获得。然而,还需要更多的临床研究,因为到目前为止,大多数文献都集中在动物模型上,以评估干细胞在治疗POF中的作用。此外,POF的富血小板血浆(PRP)方法应牢记在心,因为它已被证明在多种类型组织的再生中有用。
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Regenerative medicine options in treating premature ovarian failure
Infertility is generally defined as the failure to achieve a pregnancy after 12 months or more of regular unprotected sexual intercourse. premature ovarian failure (POF) is a cause of female infertility, being estimated to affect 1% of the general population. This condition represents a loss of hormonal and germinative activity of the ovaries due to a lack in the number of active follicles in women under 40 years old. Regenerative medicine represents a complex therapeutic option and it consists of technologies such as the use of stem cells, tissue engineering, and gene therapy alone or in different combinations. Although the boundaries of regenerative medicine are not clearly outlined at present, this paper is aiming to review its possibility of treatment in the future in what concerns POF, focusing more on the use of stem cell therapy. Stem cell therapy could be a feasible therapeutic approach for POF as the cells can be easily obtained. However, additional clinical studies are needed because until now the majority of the literature focuses on animal models for the evaluation of the role of stem cells on treating POF. Additionally, the platelet-rich plasma (PRP) approach for POF should be kept in mind as it was shown to be useful in the regeneration of multiple types of tissue.
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