Evidence map›Paper›PMID 42645166›Full record

ReviewCells2026

Adipose Stem Cell Mitochondrial Transplantation in ART: From Biological Rationale to Clinical Milestone.

Helaruwan Pasan Kumara Wijethunga Arachchilage, Sanath Udayanga Kankanam Gamage, Atsushi Morimoto, Yoshiharu Morimoto

Abstract readReview
In one paragraph

Review in Cells, 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

4 authors.

Helaruwan Pasan Kumara Wijethunga ArachchilageWish Fertility Hospital Pvt Ltd., 30 Elhena Rd, Maharagama 10230, Sri Lanka.
Sanath Udayanga Kankanam GamageHORAC Grand Front Osaka Clinic, 3-1 Ofukacho, Kita Ward, Osaka 530-0011, Japan.
Atsushi MorimotoHORAC Grand Front Osaka Clinic, 3-1 Ofukacho, Kita Ward, Osaka 530-0011, Japan.
Yoshiharu MorimotoHORAC Grand Front Osaka Clinic, 3-1 Ofukacho, Kita Ward, Osaka 530-0011, Japan.ORCID 0000-0003-2834-2726

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Oocyte quality is the primary determinant of success in assisted reproductive technologies (ART), and mitochondrial dysfunction is increasingly recognized as a central mediator of poor oocyte competence across advanced maternal age, recurrent implantation failure, polycystic ovary syndrome, endometriosis, and obesity. Chemical interventions improve the mitochondrial microenvironment but cannot restore depleted mitochondrial mass, while heterologous mitochondrial replacement remains constrained by ethical, legal, and biological limitations. This review examines the biological basis for mitochondrial intervention in oocytes, evaluates chemical and cellular therapeutic approaches, and assesses the evidence for autologous Adipose Stem Cell-derived Mitochondria ENergy Transfer (ASCENT). Mitochondria govern oocyte ATP production, calcium-mediated meiotic integrity, and redox homeostasis, and their disruption contributes to aneuploidy, fertilization failure, and embryonic arrest. Among cellular interventions, autologous adipose-derived stem cell mitochondrial transplantation offers minimally invasive tissue accessibility, morphological compatibility with oocyte mitochondria, robust membrane potential, and a preclinically validated Mito-ICSI delivery platform. Notably, ASCENT is currently the only autologous approach for which safety across three consecutive offspring generations has been reported in a mammalian model, with primary maternal origin of offspring mtDNA confirmed. Together, preclinical efficacy, transgenerational safety, and human proof-of-concept support progression toward a rigorously designed clinical trial, while ASC-derived mitochondria hold broader relevance in regenerative medicine.

Indexed as

Adipose TissueMitochondriaReproductive Techniques, AssistedStem CellsStem Cell TransplantationAnimalsFemaleHumansOocytesadipose-derived stem cellsAdipose Stem Cell Energy Transfer (ASCENT)autologous therapymitochondrial dysfunctionmitochondrial transplantationMito-ICSI

Identifiers

PMID42645166
PMCPMC13511072

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.