Stem/Progenitor Cells in the Human Endometrium

In: Uterine Endometrial Function · 2016 · pp. 139–155 · doi:10.1007/978-4-431-55972-6_9 · W2465858718
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Human endometrium contains epithelial progenitor cells, mesenchymal stem cells, and side population cells responsible for its monthly regeneration and homeostasis.

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This review summarizes the evidence that human endometrium contains adult stem/progenitor cell populations—specifically epithelial progenitor cells (EPCs), mesenchymal stem cells (MSCs), and side population cells (SPCs)—and explains how they may support cyclical endometrial remodeling. It discusses identification approaches and the proposed roles of these populations in tissue homeostasis, regeneration, and repair in response to fluctuating ovarian steroid hormones across reproductive life. A key caveat is that the chapter is a synthesis of evidence rather than a single new study, and it does not resolve ongoing uncertainty in how best to define or functionally validate stem/progenitor cells in vivo. This paper is centrally about endometriosis and/or adenomyosis-related mechanisms only insofar as it frames endometrial stem/progenitor cells in the context of endometrial regeneration pathways linked to the pathogenesis of endometriosis, including references to “stem cells and the pathogenesis of endometriosis.”

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Abstract

Adult stem cells, also termed tissue stem cells or somatic stem cells, are rare populations residing in almost all adult tissues. They can self-renew and possess the capacity for multi-lineage differentiation. They play critical roles in tissue homeostasis, regeneration, repair, and response to injury. It has long been believed that stem/progenitor cells exist in the human endometrium based on its unique capacity to regenerate and regress cyclically in response to fluctuating ovarian steroid hormones during each menstrual cycle throughout a reproductive life. There is increasing evidence that human endometrium contains small populations of epithelial progenitor cells (EPCs), mesenchymal stem cells (MSCs), and side population cells (SPCs) that are likely responsible for its monthly regeneration and tissue homeostasis. This review summarizes the identification of EPCs, MSCs, and SPCs and discusses how they are involved in the physiological remodeling and regeneration of the human endometrium. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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Acknowledgments I wish to thank Hirotaka Masuda, Kaoru Miyazaki, Masanori Ono, Takashi Kajitani, Hiroshi Uchida, and the other members of my research group for their contributions, assistance, and discussions. I sincerely thank Hideyuki Okano and Yumi Matsuzaki for their generous collaboration. I also thank Rika Shibata for secretarial assistance. This work was partly supported by grant-in-aids from the Japan Society for the Promotion of Science (to T.M and Y.Y.), a grant-in-aid from Keio University Sakaguchi-Memorial Medical Science Fund (to T.M.), and a grant-in-aid from the Japan Medical Association (to T.M.). Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2016 Springer Japan About this chapter Cite this chapter Maruyama, T. (2016). Stem/Progenitor Cells in the Human Endometrium. In: Kanzaki, H. (eds) Uterine Endometrial Function. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55972-6_9 Download citation DOI: https://doi.org/10.1007/978-4-431-55972-6_9 Published: Publisher Name: Springer, Tokyo Print ISBN: 978-4-431-55970-2 Online ISBN: 978-4-431-55972-6 eBook Packages: MedicineMedicine (R0)

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