オカノ テルオ   Okano Teruo
  岡野 光夫
   所属   医学研究科 医学研究科 (医学部医学科をご参照ください)
   職種   評議員
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Human Mesenchymal Stem Cell Sheets Improve Uterine Incision Repair in a Rodent Hysterotomy Model.
掲載誌名 正式名:American journal of perinatology
略  称:Am J Perinatol
ISSNコード:10988785/07351631
掲載区分国外
巻・号・頁 39(11),pp.1212-1222
著者・共著者 KURAMOTO Goro†, HAMMAD Ibrahim A*, EINERSON Brett D, ALLSHOUSE AManda A, DEBBINK Michelle, GRAINGER Davied W, SILVER Robert M, OKANO Teruo
担当区分 最終著者
発行年月 2020/12
概要 OBJECTIVE: The study aimed to assess the feasibility of creating and transplanting human umbilical cord mesenchymal stem cell sheets applied to a rat model of hysterotomy, and additionally to determine benefits of human umbilical cord mesenchymal stem cell sheet transplantation in reducing uterine fibrosis and scarring.STUDY DESIGN: Human umbilical cord mesenchymal stem cell sheets are generated by culturing human umbilical cord mesenchymal stem cells on thermo-responsive cell culture plates. The temperature-sensitive property of these culture dishes facilitates normal cell culture in a thin contiguous layer and allows for reliable recovery of intact stem cell sheets without use of destructive proteolytic enzymes.We developed a rat hysterotomy model using nude rats. The rat uterus has two distinct horns: one horn provided a control/untreated scarring site, while the second horn was the cell sheet transplantation site.On day 14 following surgery, complete uteri were harvested and subjected to histologic evaluations of all hysterotomy sites.RESULTS: The stem cell sheet culture process yielded human umbilical cord mesenchymal stem cell sheets with surface area of approximately 1 cm2.Mean myometrial thickness in the cell sheet-transplanted group was 274 µm compared with 191 µm in the control group (p = 0.02). Mean fibrotic surface area in the human umbilical cord mesenchymal stem cell sheet-transplanted group was 95,861 µm2 compared with 129,185 µm2 in the control group. Compared with control horn sites, cell sheet-transplanted horns exhibited significantly smaller fibrotic-to-normal myometrium ratios (0.18 vs. 0.27, respectively, p = 0.029). Mean number of fibroblasts in cell sheet-transplanted horns was significantly smaller than the control horns (483 vs. 716/mm2, respectively, p = 0.001).
DOI 10.1055/s-0040-1721718
PMID 33368093