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Promotion of uterine reconstruction by a tissue-engineered uterus with biomimetic structure and extracellular matrix microenvironment.


ABSTRACT: The recurrence rate for severe intrauterine adhesions is as high as 60%, and there is still lack of effective prevention and treatment. Inspired by the nature of uterus, we have developed a bilayer scaffold (ECM-SPS) with biomimetic heterogeneous features and extracellular matrix (ECM) microenvironment of the uterus. As proved by subtotal uterine reconstruction experiments, the mechanical and antiadhesion properties of the bilayer scaffold could meet the requirement for uterine repair. With the modification with tissue-specific cell-derived ECM, the ECM-SPS had the ECM microenvironment signatures of both the endometrium and myometrium and exhibited the property of inducing stem cell-directed differentiation. Furthermore, the ECM-SPS has recruited more endogenous stem cells to promote endometrial regeneration at the initial stage of repair, which was accompanied by more smooth muscle regeneration and a higher pregnancy rate. The reconstructed uterus could also sustain normal pregnancy and live birth. The ECM-SPS may thereby provide a potential treatment for women with severe intrauterine adhesions.

SUBMITTER: Zhao LM 

PROVIDER: S-EPMC10651121 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature

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Promotion of uterine reconstruction by a tissue-engineered uterus with biomimetic structure and extracellular matrix microenvironment.

Zhao Long-Mei LM   Da Lin-Cui LC   Wang Rui R   Wang Long L   Jiang Yan-Lin YL   Zhang Xiu-Zhen XZ   Li Ya-Xing YX   Lei Xiong-Xin XX   Song Yu-Ting YT   Zou Chen-Yu CY   Huang Li-Ping LP   Zhang Wen-Qian WQ   Zhang Qing-Yi QY   Li Qian-Jin QJ   Nie Rong R   Zhang Yi Y   Liang Yan Y   Li-Ling Jesse J   Xie Hui-Qi HQ  

Science advances 20231115 46


The recurrence rate for severe intrauterine adhesions is as high as 60%, and there is still lack of effective prevention and treatment. Inspired by the nature of uterus, we have developed a bilayer scaffold (ECM-SPS) with biomimetic heterogeneous features and extracellular matrix (ECM) microenvironment of the uterus. As proved by subtotal uterine reconstruction experiments, the mechanical and antiadhesion properties of the bilayer scaffold could meet the requirement for uterine repair. With the  ...[more]

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