Evidence mapPaperPMID 41998676Full record

SynthesisReproductive biology and endocrinology : RB&E2026

Stem cell therapy-based approaches in experimental endometriosis: a systematic review.

Isabel Suárez-Carrasco, María Ángeles De Pedro, María Pulido, Verónica Álvarez, Francisco Miguel Sánchez-Margallo, Esther López

Abstract readSystematic Review
In one paragraph

Synthesis in Reproductive biology and endocrinology : RB&E, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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.

Isabel Suárez-CarrascoStem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain.
María Ángeles De PedroStem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain.
María PulidoStem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain.
Verónica ÁlvarezStem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain.
Francisco Miguel Sánchez-MargalloStem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain. msanchez@ccmijesususon.com.
Esther LópezStem Cell Therapy Unit, Jesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain.

Funding

Consejería de Educación, Ciencia y Formación Profesional of the Junta de Extremadura, co-funded by the European Regional Development Fund (ERDF) GR24210Instituto de Salud Carlos III (ISCIII) through RICORS/TERAV supported by European Union's NextGenerationEU and Plan de Recuperación, Transformación y Resiliencia RD21/0017/0014
6 · The paper itself

Abstract

backgroundStem cell-based therapies have emerged as a promising approach for endometriosis due to their regenerative and immunomodulatory properties. Although numerous preclinical studies have reported beneficial effects, no systematic synthesis has yet evaluated their impact, the models employed and associated biomarkers. Therefore, the aim of this systematic review is to synthesise all available preclinical evidence (both in vitro and in vivo) assessing stem cell-based therapies and stem cell-derived products in experimental models of endometriosis.

methodsFollowing PRISMA guidelines, PubMed, Scopus and Web of Science were searched from 1 January 2015 up to 11 February 2025. Preclinical studies (in vitro and in vivo) evaluating stem cell-based therapies in experimental models of endometriosis were included. Data were extracted regarding the models employed, cell sources, analysed biomarkers and reported cellular outcomes.

resultsTwenty preclinical studies were included, employing a wide range of in vitro models (most commonly endometriotic cells) and predominantly murine in vivo models induced by intraperitoneal injection of uterine tissue. Adipose-derived stem cells (ADSCs) and bone marrow-mesenchymal stem cells (BMMSCs) were the most frequently investigated cell sources. Across the studies, VEGFA, TNFA, metalloproteinases (MMPs) and components of the PI3K/AKT/mTOR pathway were the most consistently analysed biomarkers, primarily assessed by PCR and immunohistochemistry. Overall, 72 of the 92 reported outcomes were positive, with ADSCs demonstrating the most pronounced therapeutic effects and being characterised by their immunomodulatory, anti-inflammatory and regenerative activity. Negative or neutral findings, such as increased cellular adhesion and invasion, were limited and largely associated with ADSCs and umbilical cord mesenchymal stem cells (UCMSCs).

conclusionsStem cell-based therapies demonstrate promising effects in experimental endometriosis, with most studies reporting improvements in lesion characteristics and inflammatory pathways. However, substantial variability in models, cell types and outcomes limits the strength of current evidence. More standardised and rigorous preclinical research is needed to confirm these findings and support the translation of stem cell therapy-based approaches into future clinical practice.

Indexed as

EndometriosisStem Cell TransplantationAnimalsDisease Models, AnimalFemaleHumansMesenchymal Stem CellsMesenchymal Stem Cell TransplantationEndometriosisPreclinical modelsStem cells

Identifiers

PMID41998676
PMCPMC13218035

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.