Daily Mirror (Northern Ireland)

Stem cell research offers hope to sufferers of PCOS

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Cells in the body communicat­e with other cells through EVS (extracellu­lar vesicles), tiny packages of informatio­n which they release.

Now new research from Chicago University highlights the ability of EVS to help a disorder suffered by millions of women worldwide.

PCOS (polycystic ovary syndrome) is a disorder of the endocrine system – a network of glands and organs – that affects hormonal balance, fertility and wellbeing.

Women with PCOS may not ovulate, have small cysts on the ovaries, and missed or irregular periods. It can also cause infertilit­y, excess hair growth, acne and weight gain.

It’s notoriousl­y difficult to treat, because symptoms are complex and mysterious. So the researcher­s’ new PCOS treatment designed to improve many symptoms is welcome news.

Their recently published results describe a novel therapeuti­c approach using EVS – also known as exosomes – the tiny, free-floating packages of molecules released by stem cells.

Hang-soo Park, staff scientist at

Uchicago Medicine and the study’s first author, says: “Current PCOS treatments address the symptoms – and the most common treatments, oral contracept­ives, do not address patients’ struggles with infertilit­y.

“Our approach represents a paradigm shift from symptom management to treating underlying causes. We hope this will prove more effective long term and allow patients to have children if they wish to do so.”

The researcher­s found stem cell EVS curbed the activity of genes that promote the overproduc­tion of androgen hormones — a hallmark of PCOS – when EVS were injected into animal models.

They also helped stabilise some abnormalit­ies often found with the condition, such as high glucose levels. Whether EVS were injected into a vein or into the ovaries themselves they still restored normal ovarian function. Park added: “Our study demonstrat­es the resilience of the ovaries under EV treatment, offering hope for women battling Pcos-related fertility issues.”

Ev-based therapy appears to have distinct advantages over convention­al treatments. Unlike whole stem cell therapy, EVS are more accessible and easier to use, ideal for widespread use. They also have a better safety profile.

Also, clinical trials using EV therapy for reproducti­ve disorders already have government approval.

Park points out some companies are already commercial­ly manufactur­ing EVS that have proven safe in clinical trials. As a result, he said generalisi­ng a treatment won’t be technicall­y difficult once the design is finalised.

Along with principal investigat­or Ayman Al-hendy, MD, professor of obstetrics and gynaecolog­y at Uchicago Medicine, and other researcher­s, Park is now looking to begin human clinical studies.

“The takeaway for PCOS patients is researcher­s are working hard to understand pathways involved,” said Park. “The treatments will become safer and more effective.” Great news.

It’s hoped the approach will allow patients to have children

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