Adipose-derived mesenchymal stem cell therapy for connective tissue diseases and complications.

Takuya Kotani, Takashi Saito, Takayasu Suzuka, Shogo Matsuda
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Abstract

Mesenchymal stem cells (MSCs) may be effective in treating connective tissue disease and associated organ damage, leveraging their anti-inflammatory and immunoregulatory effects. Moreover, MSCs may possess the ability to produce antiapoptotic, proliferative, growth, angiogenic, and antifibrotic factors. Among MSCs, adipose-derived MSCs (ASCs) stand out for their relative ease of harvesting and abundance. Additionally, studies have indicated that compared with bone marrow-derived MSCs, ASCs have superior immunomodulatory, proangiogenic, antiapoptotic, and antioxidative properties. However, relatively few reviews have focused on the efficacy of ASC therapy in treating connective tissue disease (CTD) and interstitial lung disease (ILD). Therefore, this review aims to evaluate evidence from preclinical studies that investigate the effectiveness of MSC therapy, specifically ASC therapy, in managing CTD and ILD. Moreover, we explore the outcomes of documented clinical trials. We also introduce an innovative approach involving the utilization of pharmacologically primed ASCs in the CTD model to address the current challenges associated with ASC therapy.

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脂肪间充质干细胞治疗结缔组织疾病和并发症。
间充质干细胞(MSCs)具有抗炎和免疫调节作用,可有效治疗结缔组织疾病和相关器官损伤。此外,间充质干细胞可能具有产生抗凋亡、增殖、生长、血管生成和抗纤维化因子的能力。在间充质干细胞中,脂肪来源的间充质干细胞(ASCs)因其相对容易采集和数量丰富而脱颖而出。此外,有研究表明,与骨髓间充质干细胞相比,脂肪间充质干细胞具有更好的免疫调节、促血管生成、抗细胞凋亡和抗氧化特性。然而,有关间充质干细胞治疗结缔组织病(CTD)和间质性肺病(ILD)疗效的综述相对较少。因此,本综述旨在评估来自临床前研究的证据,这些研究调查了间充质干细胞疗法(尤其是 ASC疗法)在治疗结缔组织病和间质性肺病方面的有效性。此外,我们还探讨了有据可查的临床试验结果。我们还介绍了一种创新方法,即在 CTD 模型中利用药理诱导的间充质干细胞来应对目前与间充质干细胞疗法相关的挑战。
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