Animal models in intrauterine adhesion research

J Obstet Gynaecol. 2022 Nov;42(8):3409-3415. doi: 10.1080/01443615.2022.2124854. Epub 2022 Sep 21.

Abstract

Intrauterine adhesion (IUA) is a gynaecological disease caused by uterine cavity surgeries and infections that leads to partial or total occlusion of the uterine cavity. However, the underlying mechanism(s) and progression of the disease have not yet been identified. IUA has a high recurrence rate and poor prognosis, and effective drugs to prevent adhesion are lacking. Therefore, establishing an effective animal model of IUA is of great significance for revealing the pathogenesis of IUA and the mechanism(s) governing drug effects. Rats, mice, rabbits, and other animals are currently used to establish intrauterine adhesion models. The IUA induction methods include chemical, thermal, or mechanical damage and mechanical damage combined with an infective method. We analysed the advantages and disadvantages of various models and their clinical simulations in order to provide a precise animal model for exploring the pathogenesis, treatment strategies, and prevention of IUA.

Keywords: Intrauterine adhesion; animal model; endometrial damage; modelling methods.

MeSH terms

  • Animals
  • Disease Models, Animal
  • Endometrium* / pathology
  • Female
  • Humans
  • Mice
  • Rabbits
  • Rats
  • Tissue Adhesions / pathology
  • Uterine Diseases* / pathology
  • Uterus / pathology