Cell-based therapy in thin endometrium and Asherman syndrome

Abstract Numerous treatment strategies have so far been proposed for treating refractory thin endometrium either without or with the Asherman syndrome. Inconsistency in the improvement of endometrial thickness is a common limitation of such therapies including tamoxifen citrate as an ovulation induc...

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Main Authors: Nastaran Gharibeh, Leili Aghebati-Maleki, Javad Madani, Ramin Pourakbari, Mehdi Yousefi, Javad Ahmadian Heris
Format: Article
Language:English
Published: BMC 2022-01-01
Series:Stem Cell Research & Therapy
Subjects:
Online Access:https://doi.org/10.1186/s13287-021-02698-8
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author Nastaran Gharibeh
Leili Aghebati-Maleki
Javad Madani
Ramin Pourakbari
Mehdi Yousefi
Javad Ahmadian Heris
author_facet Nastaran Gharibeh
Leili Aghebati-Maleki
Javad Madani
Ramin Pourakbari
Mehdi Yousefi
Javad Ahmadian Heris
author_sort Nastaran Gharibeh
collection DOAJ
description Abstract Numerous treatment strategies have so far been proposed for treating refractory thin endometrium either without or with the Asherman syndrome. Inconsistency in the improvement of endometrial thickness is a common limitation of such therapies including tamoxifen citrate as an ovulation induction agent, acupuncture, long-term pentoxifylline and tocopherol or tocopherol only, low-dose human chorionic gonadotropin during endometrial preparation, aspirin, luteal gonadotropin-releasing hormone agonist supplementation, and extended estrogen therapy. Recently, cell therapy has been proposed as an ideal alternative for endometrium regeneration, including the employment of stem cells, platelet-rich plasma, and growth factors as therapeutic agents. The mechanisms of action of cell therapy include the cytokine induction, growth factor production, natural killer cell activity reduction, Th17 and Th1 decrease, and Treg cell and Th2 increase. Since cell therapy is personalized, dynamic, interactive, and specific and could be an effective strategy. Despite its promising nature, further research is required for improving the procedure and the safety of this strategy. These methods and their results are discussed in this article.
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spelling doaj.art-27b3e721475240ecad72ec53eb669fef2022-12-21T17:23:22ZengBMCStem Cell Research & Therapy1757-65122022-01-0113111310.1186/s13287-021-02698-8Cell-based therapy in thin endometrium and Asherman syndromeNastaran Gharibeh0Leili Aghebati-Maleki1Javad Madani2Ramin Pourakbari3Mehdi Yousefi4Javad Ahmadian Heris5Student’s Research Committee, Tabriz University of Medical SciencesImmunology Research Center, Tabriz University of Medical SciencesStem Cell Research Center, Tabriz University of Medical SciencesStudent’s Research Committee, Tabriz University of Medical SciencesStem Cell Research Center, Tabriz University of Medical SciencesDepartment of Allergy and Clinical Immunology, Pediatric Hospital, Tabriz University of Medical SciencesAbstract Numerous treatment strategies have so far been proposed for treating refractory thin endometrium either without or with the Asherman syndrome. Inconsistency in the improvement of endometrial thickness is a common limitation of such therapies including tamoxifen citrate as an ovulation induction agent, acupuncture, long-term pentoxifylline and tocopherol or tocopherol only, low-dose human chorionic gonadotropin during endometrial preparation, aspirin, luteal gonadotropin-releasing hormone agonist supplementation, and extended estrogen therapy. Recently, cell therapy has been proposed as an ideal alternative for endometrium regeneration, including the employment of stem cells, platelet-rich plasma, and growth factors as therapeutic agents. The mechanisms of action of cell therapy include the cytokine induction, growth factor production, natural killer cell activity reduction, Th17 and Th1 decrease, and Treg cell and Th2 increase. Since cell therapy is personalized, dynamic, interactive, and specific and could be an effective strategy. Despite its promising nature, further research is required for improving the procedure and the safety of this strategy. These methods and their results are discussed in this article.https://doi.org/10.1186/s13287-021-02698-8Cell therapyEndometriumAsherman syndrome
spellingShingle Nastaran Gharibeh
Leili Aghebati-Maleki
Javad Madani
Ramin Pourakbari
Mehdi Yousefi
Javad Ahmadian Heris
Cell-based therapy in thin endometrium and Asherman syndrome
Stem Cell Research & Therapy
Cell therapy
Endometrium
Asherman syndrome
title Cell-based therapy in thin endometrium and Asherman syndrome
title_full Cell-based therapy in thin endometrium and Asherman syndrome
title_fullStr Cell-based therapy in thin endometrium and Asherman syndrome
title_full_unstemmed Cell-based therapy in thin endometrium and Asherman syndrome
title_short Cell-based therapy in thin endometrium and Asherman syndrome
title_sort cell based therapy in thin endometrium and asherman syndrome
topic Cell therapy
Endometrium
Asherman syndrome
url https://doi.org/10.1186/s13287-021-02698-8
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