Regenerative Medicine Approaches in Bioengineering Female Reproductive Tissues

Reprod Sci. 2021 Jun;28(6):1573-1595. doi: 10.1007/s43032-021-00548-9. Epub 2021 Apr 20.

Abstract

Diseases, disorders, and dysfunctions of the female reproductive tract tissues can result in either infertility and/or hormonal imbalance. Current treatment options are limited and often do not result in tissue function restoration, requiring alternative therapeutic approaches. Regenerative medicine offers potential new therapies through the bioengineering of female reproductive tissues. This review focuses on some of the current technologies that could address the restoration of functional female reproductive tissues, including the use of stem cells, biomaterial scaffolds, bio-printing, and bio-fabrication of tissues or organoids. The use of these approaches could also be used to address issues in infertility. Strategies such as cell-based hormone replacement therapy could provide a more natural means of restoring normal ovarian physiology. Engineering of reproductive tissues and organs could serve as a powerful tool for correcting developmental anomalies. Organ-on-a-chip technologies could be used to perform drug screening for personalized medicine approaches and scientific investigations of the complex physiological interactions between the female reproductive tissues and other organ systems. While some of these technologies have already been developed, others have not been translated for clinical application. The continuous evolution of biomaterials and techniques, advances in bioprinting, along with emerging ideas for new approaches, shows a promising future for treating female reproductive tract-related disorders and dysfunctions.

Keywords: Bioengineering; Female infertility; Regenerative medicine; Reproductive tract dysfunction; Stem cells.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult Stem Cells
  • Cell Culture Techniques, Three Dimensional
  • Embryonic Stem Cells
  • Fallopian Tubes
  • Female
  • Genital Diseases, Female / physiopathology
  • Genital Diseases, Female / therapy*
  • Genitalia, Female* / physiopathology
  • Gonadal Steroid Hormones
  • Humans
  • In Vitro Oocyte Maturation Techniques
  • Oogenesis
  • Ovary
  • Pregnancy
  • Regenerative Medicine / methods*
  • Tissue Engineering / methods*
  • Uterus

Substances

  • Gonadal Steroid Hormones