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What will the future hold for artificial organs in the service of assisted reproduction: prospects and considerations |
Mara Simopoulou1,2(), Konstantinos Sfakianoudis3, Petroula Tsioulou1, Anna Rapani1, Polina Giannelou1,3, Nikolaos Kiriakopoulos1, Agni Pantou3, Nikolaos Vlahos1, George Anifandis4, Stamatis Bolaris5, Konstantinos Pantos3, Michael Koutsilieris1 |
1. Department of Physiology, Medical School, National and Kapodistrian University of Athens, Mikras Asias, 11527, Athens, Greece 2. Assisted Conception Unit, 2nd Department of Obstetrics and Gynecology, Aretaieion Hospital, Medical School, National and Kapodistrian University of Athens, Vasilissis Sofias str., 11528, Athens, Greece 3. Centre for Human Reproduction, Genesis Athens Clinic, Papanikoli, 15232, Athens, Greece 4. Department of Histology and Embryology, Faculty of Medicine, University of Thessaly, 41500, Larisa, Greece 5. Assisted Conception Unit, General-Maternity District Hospital “Elena Venizelou,” Plateia Elenas Venizelou, 11521, Athens, Greece |
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Abstract Assisted reproduction provides a wide spectrum of treatments and strategies addressing infertility. However, distinct groups of infertile patients with unexplained infertility, congenital disorders, and other complex cases pose a challenge in in vitro fertilization (IVF) practices. This special cohort of patients is associated with futile attempts, IVF overuse, and dead ends in management. Cutting edge research on animal models introduced this concept, along with the development of artificial organs with the aim to mimic the respective physiological functions in reproduction. Extrapolation on clinical application leads to the future use of infertility management in humans. To date, the successful clinical application of artificial reproductive organs in humans is not feasible because further animal model studies are required prior to clinical trials. The application of these artificial organs could provide a solution to infertility cases with no other options. This manuscript presents an overview on the current status, future prospects, and considerations on the potential clinical application of artificial ovary, uterus, and gametes in humans. This paper presents how the IVF practice landscape may be shaped and challenged in the future, along with the subsequent concerns in assisted reproductive treatments.
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Keywords
artificial ovary
artificial uterus
artificial gametes
assisted reproduction
considerations
in vitro fertilization
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Corresponding Author(s):
Mara Simopoulou
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Just Accepted Date: 13 June 2019
Online First Date: 17 July 2019
Issue Date: 16 December 2019
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