Evidence mapPaperPMID 40312421Full record

ArticleStem cell research & therapy2025

Intrauterine infusion of autologous endometrial stem cells for the treatment of moderate and severe intrauterine adhesions: a before-and-after study.

Enuo Peng, Yayue Zeng, Da He, Xiaojun Tan, Dabao Xu, Xingping Zhao

Abstract read
In one paragraph

Article in Stem cell research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Enuo PengDepartment of Gynecology, the Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Yayue ZengReproductive Center, Xiangtan Central Hospital, Xiangtan, Hunan, China.
Da HeReproductive Center, Xiangtan Central Hospital, Xiangtan, Hunan, China.
Xiaojun TanReproductive Center, Xiangtan Central Hospital, Xiangtan, Hunan, China.
Dabao Xu *Department of Gynecology, the Third Xiangya Hospital, Central South University, Changsha, Hunan, China. dabaoxu2022@163.com.ORCID http://orcid.org/0009-0006-5486-763X
Xingping Zhao *Department of Gynecology, the Third Xiangya Hospital, Central South University, Changsha, Hunan, China. zxp8846@126.com.

Funding

the Hunan Natural Science Foundation 2024JJ9154the Hunan Provincial Clinical Medical Technology Innovation Guiding Project 2021SK52404the Hunan Provincial Clinical Medical Technology Innovation Guiding Project 2021SK53704the Key Research and Development Program of Hunan province 2022SK2033the Scientific Research Program of FuRong Laboratory 2023SK2109
6 · The paper itself

Abstract

backgroundIntrauterine adhesions (IUAs) can easily cause female infertility or recurrent abortion, but there is still no effective treatment to improve the pregnancy and live birth rates in patients with IUAs. In recent years, great advances have been made in stem cell therapy; however, additional clarity is needed on the clinical efficacy of endometrial stem cells in the treatment of IUAs. MATERIALS AND

methodsFifteen patients with moderate-to-severe IUAs were included in the study at Xiangtan Central Hospital from 2018 to 2020. Patients were treated with endometrial stem cells and sodium hyaluronate gel by intrauterine perfusion in combination with estrogen and acetylsalicylic acid support therapy. Then, data on the pregnancy and live birth status was collected within two years after treatment. To explore the underlying mechanism, primary endometrial stem cells from healthy individuals and IUA patients, as well as fifth-generation endometrial stem cells from IUA patients, were further conducted with RNA sequencing to screen for differentially expressed genes, which were subsequently used for functional enrichment analysis.

resultsAfter endometrial stem cell transplantation into the uterine cavity, the American Fertility Society scores of all patients decreased, and hysteroscopy revealed an improvement in the uterine condition and a reduction in adhesion symptoms. The total pregnancy rate of the 15 patients was 60.0% and the live birth rate was 53.3%. In addition, RNA sequencing analysis revealed that the cytokine - cytokine receptor interaction was associated with endometrial repair by endometrial stem cells.

conclusionsIntrauterine infusion of autologous endometrial stem cells is highly effective for patients with moderate-to-severe IUA, and is a promising treatment strategy.

trial registrationChinese Clinical Trial Registry, CHICTR1800016769, Registered 22 June 2018- Retrospectively registered, https://www.chictr.org.cn/showproj.html?proj=27042 .

Indexed as

EndometriumStem CellsStem Cell TransplantationUterine DiseasesAdultFemaleHumansPregnancyTissue AdhesionsTransplantation, AutologousEndometrial stem cellsIntrauterine adhesionsRNA sequencingSodium hyaluronate gel

Identifiers

PMID40312421
PMCPMC12044799

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.