Event Abstract Back to Event Endometrial-engineered cell sheets for resumption of fertility Chien-Cheng Tai1*, Wen-Ling Cheng2* and How Tseng1, 2* 1 Taipei Medical University, Graduate Institute of Medical Sciences, Taiwan 2 Taipei Medical University, Department of Biochemistry and Molecular Cell Biology, Taiwan Introduction: Women with endometriosis or experience of abortion surgery may suffer from endometrial stromal injury, and this injury can sometimes cause female infertility. In view of this situation, we studied the use of autologous endometrial cells as a source of cells for the reconstruction of endometrium. We proposed a method to engineer cell sheets as an alternative therapy of endometrial reconstruction. Materials and Methods: Briefly, we harvested endometrial cell sheets on a transparent polyvinylidene fluoride (PVDF) membrane grafted disulfide bond-containing amino acid and biopolymer in order, and the disulfide bond can be cleaved by adding amino acidic reductant so that the cell sheet can be detached from the surface of the membrane[1]. In this study, the endometrium from the mouse carrying a luminescence gene was used as a cell source. After tissue separation, DMEM/F12 medium with 10% charcoal-stripped serum were used to culture endometrial cell on the disulfide-bonding containing membrane as mention above. After cultivation, the reductant were added, and the multi-layered cell sheets were detached and were transferred onto electrospun poly L-lactide (PLLA) carrier. After that, vital assay, haematoxylin staining and immune-histochemical staining assay were used to evaluate engineered cell sheet. Results and Discussion: The water contact angle decrease from the original untreated PVDF membrane, 70.9 ± 1.45°, to 26.1 ± 2.39° after two-stage surface modification by γ-PGA. The water contact angle was 37.8 ± 4.87° when Cysteine was used as a reducing agent to cleave the disulfide bond and release the residue γ-PGA. In addition, the ESCA analysis (shown in Figure 1) show the element changes at every response as expected, respectively. This further confirms that these membranes surface were successfully modified and by adding reducing agent, the disulfide bonds can be easily cleaved. The cultured transgenic mice endometrial cell show good biocompatibility on the modified PVDF membranes, and also normally express FVB/N-Tg (PolII-luc) Ltc gene (see Figure 2(A) and 2(C)). Furthermore, the cell sheet was successfully detached from the modified PVDF membranes (Figure 2 (B)) by adding Cysteine after culture for one week. Finally, that most of endometrial cell in the detached cell sheet shows highly survival state were confirmed by high green florescent expression and ultra-low red florescent expression in vital assay (Figure 3). Conclusion: In summary, engineered mouse endometrial cell sheet were successfully fabricated by a cultured cell sheet system that we proposed. The PLLA carrier was applied to hold the cell sheet for operation-ready, and the cell sheets were at survival state confirmed by the vital assay. Based on these results, follow-up experiments and assessments in clinical practice are needed to evaluate this method. The authors sincerely appreciate the grant were supported by MOST 104-2221-E-038-005 from Ministry of Science and Technology, ROC.