Primary culture of endometrial mesenchymal stem cells derived from ectopic lesions of patients with adenomyosis
The enzymatic explant method, enhanced with A83-01, efficiently isolates and expands adenomyotic lesion-derived endometrial mesenchymal stem cells with increased proliferation and differentiation potential.
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This study aimed to develop an efficient in vitro protocol to isolate and expand endometrial mesenchymal stem cells derived from adenomyotic ectopic lesions (A-eMSCs) from patients with adenomyosis, comparing enzymatic, explant, and enzymatic-explant isolation approaches. Using the enzymatic-explant method, the authors reported improved cell morphology, faster confluence, and higher SUSD2 enrichment, with isolated cells showing significantly greater proliferation and differentiation potential in vitro than cells obtained by the other methods. They further tested the TGF-β type I receptor inhibitor A83-01 and found it reduced confluence time during isolation, increased A-eMSC enrichment, and enhanced proliferation while maintaining differentiation potential during expansion, with the authors emphasizing the protocol’s robustness and cost-effectiveness as a foundation for further pathogenesis and treatment work. This paper is centrally about endometriosis and adenomyosis — it specifically focuses on isolating and expanding adenomyosis-derived endometrial mesenchymal stem cells and modulating them with a TGF-βR1 inhibitor.
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