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. 2022 Dec 15;19(3):651–666. doi: 10.1007/s12015-022-10493-y

Table 1.

Data from pre-clinical and clinical research supporting the efficacy of using hUC-MSCs to treat POF

# Regenerative Factor Delivery method Year Study sample Dosage Title of study Research Outcome Reference
1 UC-MSCs Intra-ovaries injections 2013 Mice 2 × 105 “The Therapeutic Potential of Umbilical Cord Mesenchymal Stem Cells in Mice Premature Ovarian Failure” Recovery in Sex Hormone (E2) Levels as a result improve Ovary Function. Granulosa Cells Apoptosis is reduced by UCMSCs (S. Wang et al. 2013)
2 hUC-MSCs Intravenous 2016 Rat 5 × 106 “Human Umbilical Cord Mesenchymal Stem Cells Therapy in Cyclophosphamide-Induced Premature Ovarian Failure Rat Model” Recovered disturbed hormone secretion and folliculogenesis and reduced ovarian cell apoptosis (Li et al. 2016)
3 hUC-MSCs Intravenous 2019 Mice 1 × 106 “Distribution of the CM-Dil-Labeled Human Umbilical Cord Vein Mesenchymal Stem Cells Migrated to the Cyclophosphamide-Injured Ovaries in C57BL/6 Mice” Increased chemokines in the damaged and inflamed tissues of ovaries affect the growth of blood vessels and prevent apoptosis (Jalalie et al. 2019)
4 hUC-MSCs Intra-ovaries injections 2019 Mice 2 × 105 “Transplantation of umbilical cord-derived mesenchymal stem cells on a collagen scaffold improves ovarian function in a premature ovarian failure model of mice." Increased CD31 expression (promote ovarian angiogenesis) (Yang et al. [81])
5 hUC-MSCs Intravenous 2019 Rat 5 × 106 “Umbilical Cord Mesenchymal Stem Cell Transplantation Prevents Chemotherapy-Induced Ovarian Failure " UCMSC Transplantation Improved Pregnant Rate and Embryos Numbers of POF Rats (Zheng et al. 2019)
6 hUC-MSCs Tail vein injection 2020 Rats 0.25 × 106 1.00 × 106 4.00 × 106 “Mesenchymal Stem Cell Therapy Using Human Umbilical Cord in a Rat Model of Autoimmune-Induced Premature Ovarian Failure" Cellular proliferation of the ovary is promoted, cell apoptosis of ovary is reduced, the expression of related genes is regulated (Z. Wang et al. [69])
7 hUC-MSCs Intravenous/Intra-ovarian injection 2022 Rats 2 × 106 “Umbilical Cord Mesenchymal Stem Cells Ameliorate Premature Ovarian Insufficiency in Rats” The decrease in number of apoptotic granulosa cells The increase in number of follicles, and the serum level of E2 and AMH was increased, promoting the ovarian function restoration (Zhang et al. [84])
8 hUC-MSCs Unknown 2012 Human n = 40 Unknown “Stem cell therapy combined hormone replacement therapy in patients with premature ovarian failure." Not available NCT01742533
9 hUC-MSCs Bilateral ovarian injection 2015 Human n = 23 1 × 107 ”Transplantation of hUC-MSCs with injectable collagen scaffold for POF” Not available NCT02644447
10 hUC-MSCs Intraovarian injection under ultrasonic 2016 Human n = 320 unknown “hUC-MSCs transplantation in women with POF” Not available NCT03033277
11 hUC-MSCs Intravenous injection 2018 Human n = 12

3 × 107

6 × 107

9 × 107

“The safety and efficiency study of MSC in premature ovarian insufficiency” Not available NCT03816852
12 hUC-MSCs Intraovarian injections 2020 Human n = 61 1 × 107 “Clinical analysis of human umbilical cord mesenchymal stem cell allotransplantation in patients with premature ovarian insufficiency” (VEGF), (FGF-2), (EGF), (IGF-1), (HGF), secreted by MSCs, upregulates (Bcl-2), reducing apoptosis in granulosa cells, facilitating neovascularization, and inhibiting ovarian aging (Yan et al. 2020)
13 hUC-MSCs Intraovarian injection under ultrasonic 2022 Human n = 66 10 × 106 “Clinical Study of Human Umbilical Cord Mesenchymal Stem Cells in the Treatment of Premature Ovarian Insufficiency” Not available NCT05308342

Premature Ovarian Failure (POF), Human Umbilical Cord Mesenchymal Stem Cells (hUC-MSCs), Mesenchymal Stem Cells (MSCs), Vascular Endothelial Growth Factor (VEGF), Fibroblast Growth Factor 2 (FGF2), Fibroblast Growth Factor (FGF), Hepatocyte Growth Factor (HGF), Insulin-Like Growth Factor Factor 1 (IGF-1), Estradiol (E2), Anti-Müllerian hormone (AMH), Follicle-stimulating hormone (FSH)