{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T08:33:46Z","timestamp":1787906026986,"version":"build-2784847793"},"reference-count":77,"publisher":"CSIRO Publishing","issue":"13","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"vor","delay-in-days":96,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"funder":[{"DOI":"10.13039\/501100020638","name":"Kementerian Riset dan Teknologi \/Badan Riset dan Inovasi Nasional","doi-asserted-by":"publisher","award":["NKB-235\/UN2.RST\/HKP.05.00\/2021."],"award-info":[{"award-number":["NKB-235\/UN2.RST\/HKP.05.00\/2021."]}],"id":[{"id":"10.13039\/501100020638","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,21]]},"abstract":"<jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Thin endometrium with Asherman\u2019s syndrome is a challenge in in vitro fertilisation, as patients cannot conceive even if the embryo is well.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to regenerate thin endometria unresponsive to treatments, using autologous endometrial cells and acellular amnion bilayer as a womb patch.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This preliminary quasi-experimental study investigated thin endometria before and after intervention with an amnion bilayer (AB) and AB with self-endometrial cells (AB\u00a0+\u00a0Cells). Patients were IVF candidates with oligomenorrhea, endometrial thickness (EMT) &amp;lt; 7\u00a0mm, unresponsive towards hormonal treatment, and three courses of platelet-rich plasma applications. Intervention responses were indicated by (i) EMT measurement, (ii) endometrial cell epitopes, (iii) histoarchitecture and immunohistochemistry, and (iv) relative expression of the endometrial receptivity genes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Key results<\/jats:title>\n                    <jats:p>Average EMT increased significantly from 5.03\u00a0\u00b1\u00a00.95\u00a0mm to 6.75\u00a0\u00b1\u00a01.39\u00a0mm after AB, and further to 7.33\u00a0\u00b1\u00a01.92\u00a0mm after AB\u00a0+\u00a0Cells. Cell density was significantly higher after AB\u00a0+\u00a0Cells. The histoarchitecture after AB\u00a0+\u00a0Cells developed into a complex tubular system, and E-cadherin and oestrogen receptor alpha (ER-\u03b1) was detected. Homeobox A10 (HOXA10) expression increased significantly, up to 4.5-fold after AB\u00a0+\u00a0Cells treatment compared with before treatment (P\u00a0=\u00a00.01), while leukaemia inhibitory factor (LIF) and osteopontin (SPP1) levels also increased, but not significantly. Significant changes in gene expression and cell populations were observed, with improvements in receptivity genes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients with thin endometria showed improvement in EMT, histoarchitecture, and receptivity genes after AB and AB\u00a0+\u00a0Cells intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>The study demonstrates the potential of using a 3D amnion bilayer scaffold with endometrial cells to improve endometrial regeneration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/rd24200","type":"journal-article","created":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T02:30:10Z","timestamp":1755138610000},"source":"Crossref","is-referenced-by-count":1,"title":["Reconstruction of endometrial 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