Update review on five top clinical applications of human amniotic membrane in regenerative medicine

Placenta. 2021 Jan 1:103:104-119. doi: 10.1016/j.placenta.2020.10.026. Epub 2020 Oct 22.

Abstract

Due to the increasing number of studies performed in the field of regenerative medicine during the last two decades, more analytic studies are still needed to clarify the future prospect of this area of science. The main aim of this research was to review the clinical applications of human Amniotic membrane in the field of regenerative medicine critically. Furthermore, in the light of increasing numbers of available products derived from amniotic membrane, we aimed look in depth to see whether regenerative medicine research strategies have a place in the clinical setting. More specifically, in the present study, we attempted to provide insight on developing the new indication for more research and in the next step, for market leaders companies to expand cost-effectiveness of new derived AM products. 20 companies or distributers have offered some commercial products in this field. Survey on more than 90 clinical trials in last five years showed dermatology (and more specific wound healing), orthopedic, and ophthalmology are heavily biased toward multibillion dollar industry. Moreover, urology and dentistry with fewer numbers of clinical data in comparison with the above-mentioned areas, currently are in the path of translation (especially dentistry). In addition, otolaryngology and oncology with the lowest number showed more potential of research thorough understanding the properties that will help guiding the use of AM-derived products in these two areas in future. More than 50% of clinical studies were done or are developing in USA, which have the biggest share in market products. Subsequently, China, Egypt, India, Iran, and Germany with the ongoing clinical trials in different phases may have more approved products in near future.

Keywords: Amniotic membrane; Cell therapy; Clinical trial; Regenerative medicine.

Publication types

  • Review

MeSH terms

  • Amnion / physiology*
  • Amnion / transplantation
  • Female
  • Humans
  • Pregnancy
  • Regenerative Medicine / methods
  • Tissue Engineering / methods*
  • Tissue Engineering / trends
  • Tissue Transplantation / methods
  • Tissue Transplantation / trends
  • Wound Healing / physiology