1. Advances in stem cell research for the treatment of primary hypogonadism
- Author
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Vassilios Papadopoulos and Lu Li
- Subjects
Male ,0301 basic medicine ,Infertility ,Hypothalamo-Hypophyseal System ,endocrine system ,Hormone Replacement Therapy ,Urology ,Induced Pluripotent Stem Cells ,Cell ,In Vitro Techniques ,Bioinformatics ,Chorionic Gonadotropin ,03 medical and health sciences ,0302 clinical medicine ,Testis ,medicine ,Animals ,Humans ,Testosterone ,Induced pluripotent stem cell ,Embryonic Stem Cells ,Leydig cell ,business.industry ,Hypogonadism ,Mesenchymal stem cell ,Leydig Cells ,Mesenchymal Stem Cells ,Leydig cell differentiation ,Luteinizing Hormone ,medicine.disease ,Adult Stem Cells ,030104 developmental biology ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Androgens ,Reproductive Control Agents ,Stem cell ,business ,Stem Cell Transplantation - Abstract
In Leydig cell dysfunction, cells respond weakly to stimulation by pituitary luteinizing hormone, and, therefore, produce less testosterone, leading to primary hypogonadism. The most widely used treatment for primary hypogonadism is testosterone replacement therapy (TRT). However, TRT causes infertility and has been associated with other adverse effects, such as causing erythrocytosis and gynaecomastia, worsening obstructive sleep apnoea and increasing cardiovascular morbidity and mortality risks. Stem-cell-based therapy that re-establishes testosterone-producing cell lineages in the body has, therefore, become a promising prospect for treating primary hypogonadism. Over the past two decades, substantial advances have been made in the identification of Leydig cell sources for use in transplantation surgery, including the artificial induction of Leydig-like cells from different types of stem cells, for example, stem Leydig cells, mesenchymal stem cells, and pluripotent stem cells (PSCs). PSC-derived Leydig-like cells have already provided a powerful in vitro model to study the molecular mechanisms underlying Leydig cell differentiation and could be used to treat men with primary hypogonadism in a more specific and personalized approach.
- Published
- 2021
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