Erroneous Differentiation of Tendon Stem/Progenitor Cells in the Pathogenesis of Tendinopathy: Current Evidence and Future Perspectives.

IF 4.5 3区 医学 Q2 CELL & TISSUE ENGINEERING Stem Cell Reviews and Reports Pub Date : 2024-11-23 DOI:10.1007/s12015-024-10826-z
Yucheng Gao, Hao Wang, Liu Shi, Panpan Lu, Guangchun Dai, Ming Zhang, Bowen Han, Mumin Cao, Yingjuan Li, Yunfeng Rui
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Abstract

Tendinopathy is a condition characterized by persistent tendon pain, structural damage, and compromised functionality. Presently, the treatment for tendinopathy remains a formidable challenge, partly because of its unclear pathogenesis. Tendon stem/progenitor cells (TSPCs) are essential for tendon homeostasis, regeneration, remodeling, and repair. An innovative theory has been previously proposed, with insufficient evidence, that the erroneous differentiation of TSPCs may constitute one of the fundamental mechanisms underpinning tendinopathy. Over the past few years, there has been accumulating evidence for plausibility of this theory. In this review, we delve into alterations in the differentiation potential of TSPCs and the underlying mechanisms in the context of injury-induced tendinopathy, diabetic tendinopathy, and age-related tendinopathy to provide updated evidence on the erroneous differentiation theory. Despite certain limitations inherent in the existing body of evidence, the erroneous differentiation theory emerges as a promising and highly pertinent avenue for understanding tendinopathy. In the future, advanced methodologies will be harnessed to further deepen comprehension of this theory, paving the way for prospective developments in clinical therapies targeting TSPCs for the management of tendinopathy.

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肌腱干细胞/祖细胞在肌腱病发病机制中的错误分化:当前证据与未来展望》。
肌腱病是一种以持续性肌腱疼痛、结构性损伤和功能受损为特征的疾病。目前,肌腱病的治疗仍是一项艰巨的挑战,部分原因是其发病机制尚不清楚。肌腱干/祖细胞(TSPCs)对肌腱的平衡、再生、重塑和修复至关重要。以前曾有人提出一种创新理论,认为肌腱干/祖细胞的错误分化可能是导致肌腱病的基本机制之一,但证据不足。在过去几年中,越来越多的证据证明了这一理论的合理性。在这篇综述中,我们深入研究了损伤诱发的腱鞘炎、糖尿病性腱鞘炎和老年性腱鞘炎中 TSPCs 分化潜能的改变及其内在机制,为错误分化理论提供了最新证据。尽管现有的证据存在某些固有的局限性,但错误分化理论仍是了解肌腱病的一个前景广阔且高度相关的途径。未来,将利用先进的方法进一步加深对这一理论的理解,为针对 TSPC 的临床疗法的发展前景铺平道路,以治疗肌腱病。
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来源期刊
Stem Cell Reviews and Reports
Stem Cell Reviews and Reports 医学-细胞生物学
CiteScore
9.30
自引率
4.20%
发文量
0
审稿时长
3 months
期刊介绍: The purpose of Stem Cell Reviews and Reports is to cover contemporary and emerging areas in stem cell research and regenerative medicine. The journal will consider for publication: i) solicited or unsolicited reviews of topical areas of stem cell biology that highlight, critique and synthesize recent important findings in the field. ii) full length and short reports presenting original experimental work. iii) translational stem cell studies describing results of clinical trials using stem cells as therapeutics. iv) papers focused on diseases of stem cells. v) hypothesis and commentary articles as opinion-based pieces in which authors can propose a new theory, interpretation of a controversial area in stem cell biology, or a stem cell biology question or paradigm. These articles contain more speculation than reviews, but they should be based on solid rationale. vi) protocols as peer-reviewed procedures that provide step-by-step descriptions, outlined in sufficient detail, so that both experts and novices can apply them to their own research. vii) letters to the editor and correspondence. In order to facilitate this exchange of scientific information and exciting novel ideas, the journal has created five thematic sections, focusing on: i) the role of adult stem cells in tissue regeneration; ii) progress in research on induced pluripotent stem cells, embryonic stem cells and mechanism governing embryogenesis and tissue development; iii) the role of microenvironment and extracellular microvesicles in directing the fate of stem cells; iv) mechanisms of stem cell trafficking, stem cell mobilization and homing with special emphasis on hematopoiesis; v) the role of stem cells in aging processes and cancerogenesis.
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