Journal of International Obstetrics and Gynecology ›› 2026, Vol. 53 ›› Issue (1): 53-59.doi: 10.12280/gjfckx.20250917

• Gynecological Disease & Related Research: Review • Previous Articles     Next Articles

Research Progress on the Treatment of Endometriosis with Mesenchymal Stem Cells

ZHANG Xiu-xia, WU Xue-li, MA Yue, LI Hong-li, LIU Chang()   

  1. The First School of Clinical Medicine of Lanzhou University, Lanzhou 730000, China (ZHANG Xiu-xia, WU Xue-li, MA Yue); Department of Obstetrics and Gynecology, The First Hospital of Lanzhou University, Gansu Provincial Clinical Research Center for Gynecological Oncology, Lanzhou 730000, China (LI Hong-li, LIU Chang)
  • Received:2025-08-15 Published:2026-02-15 Online:2026-03-11
  • Contact: LIU Chang E-mail:lch@lzu.edu.cn

Abstract:

Endometriosis (EMs) is a common gynecological disease. Traditional treatment methods have limitations such as high recurrence rates and damage to ovarian function. Mesenchymal stem cells (MSCs) have emerged as a novel therapeutic approach due to their multi-directional differentiation potential and immunomodulatory properties. This review summarizes the dual roles of MSCs in EMs: pathogenic MSCs drive disease progression through abnormal proliferation and fibrosis, while therapeutic MSCs exert effects through mechanisms such as immunomodulation and anti-angiogenesis. The review focuses on the progress of strategies such as stem cell transplantation, cell-free therapy, gene modification, and combination therapy, and analyzes the challenges in clinical translation, including drug delivery safety, long-term efficacy, and standardization issues. Future research should optimize the delivery system and improve the evaluation criteria to promote the clinical application of MSC therapy.

Key words: Mesenchymal stem cells, Endometriosis, Mesenchymal stem cell transplantation, Exosomes, Immunomodulation