Evidence map›Paper›PMID 39262711›Full record

ArticleAmerican journal of translational research2024

Improvement of endometrial thickness and

Dinorah Hernández-Melchor, Ginna Ortiz, Iván Madrazo, Juan José Suarez, Norma Barrera, Leonardo M Porchia, Fernando Chávez, Francisco Velázquez-Aranda, Aarón González-Espinosa, América Padilla and 1 more

Abstract read
In one paragraph

Article in American journal of translational research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 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

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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
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

11 authors.

Dinorah Hernández-MelchorScience, Technology and Society Program, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional México City, México.
Ginna OrtizInvestigación Clínica, Instituto de Infertilidad y Genética Ingenes México, México City, México.
Iván MadrazoInvestigación Clínica, Instituto de Infertilidad y Genética Ingenes México, México City, México.
Juan José SuarezInvestigación Clínica, Instituto de Infertilidad y Genética Ingenes México, México City, México.
Norma BarreraInstituto de Fertilidad y Genética Puebla Puebla, México.
Leonardo M PorchiaInstituto Regenera SC, México City, México.
Fernando ChávezInstituto Regenera SC, México City, México.
Francisco Velázquez-ArandaInstituto Regenera SC, México City, México.
Aarón González-EspinosaInstituto Regenera SC, México City, México.
América PadillaScience, Technology and Society Program, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional México City, México.
Esther López-BayghenScience, Technology and Society Program, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional México City, México.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePatients with Asherman's Syndrome (AS) and an endometrial thickness (EMT) less than 7 mm are infertile women with suboptimal endometrium due to uterine scarring or endometrial atrophy. This study aimed to examine the effect of intrauterine injections of adipose-derived mesenchymal stem cells (ADMSC) from the Stromal Vascular Fraction (SVF) of adipose tissue on EMT and in vitro fertilization (IVF) outcomes: which are improvements in EMT and pregnancy rates.

methodsThis double-arm retrospective study included 41 AS patients with hysteroscopic adhesiolysis. Twenty-one patients with AS refractory endometrium (Group 2) were given ADMSC to improve EMT, and 20 non-treated, age-matched patients served as controls (Group 1). For Group 2, SVF was isolated from 15 ml of adipose tissue and transmyometrial injected into the patient's uterine cavity. For all patients, EMT was examined using ultrasound before embryo transfer.

resultsIn Group 2, after ADMSC treatment, EMT significantly improved (3.2 ± 1.8 mm, P<0.001). Afterward, three patients spontaneously became pregnant, and eighteen underwent frozen embryo transfer. A significant increase in implantation (66.7% vs. 4.8%, P = 0.002) and live birth rates (0.0% vs. 47.6%, P = 0.001) were recorded. No significant difference was observed in EMT, cycle implantation, or clinical pregnancy between the two groups, but the live birth rate in Group 2 after ADMSC treatment was higher than in Group 1.

conclusionThe results demonstrate that autologous intrauterine ADMSC injection can improve EMT, implantation, and pregnancy rates in AS patients with refractory endometrium. This research underscores the life-changing potential of autologous ADMSC treatment for patients with refractory endometrium, providing a promising avenue for future treatments.

Indexed as

Asherman’s syndromeEndometrial receptivityfrozen embryo transferrecurrent implantation failurerefractory thin endometriumstromal vascular fraction

Identifiers

PMID39262711
PMCPMC11384418

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.