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Dual Role of Exosome in Neurodegenerative Diseases: A Review Study. 外泌体在神经退行性疾病中的双重作用:一项回顾性研究。
IF 2.7 4区 医学 Q4 CELL & TISSUE ENGINEERING Pub Date : 2024-01-01 DOI: 10.2174/1574888X18666230726161035
Mohsen Sheykhhasan, Fatemeh Heidari, Mohsen Eslami Farsani, Maryam Azimzadeh, Naser Kalhor, Shima Ababzadeh, Reihaneh Seyedebrahimi

Introduction: Extracellular vesicles (EVs) are one of the crucial means of intercellular communication, which takes many different forms. They are heterogeneous, secreted by a range of cell types, and can be generally classified into microvesicles and exosomes depending on their location and function. Exosomes are small EVs with diameters of about 30-150 nm and diverse cell sources.

Methods: The MEDLINE/PubMed database was reviewed for papers written in English and publication dates of recent years, using the search string "Exosome" and "Neurodegenerative diseases."

Results: The exosomes have attracted interest as a significant biomarker for a better understanding of disease development, gene silencing delivery, and alternatives to stem cell-based therapy because of their low-invasive therapeutic approach, repeatable distribution in the central nervous system (CNS), and high efficiency. Also, they are nanovesicles that carry various substances, which can have an impact on neural plasticity and cognitive functioning in both healthy and pathological circumstances. Therefore, exosomes are conceived as nanovesicles containing proteins, lipids, and nucleic acids. However, their composition varies considerably depending on the cells from which they are produced.

Conclusion: In the present review, we discuss several techniques for the isolation of exosomes from different cell sources. Furthermore, reviewing research on exosomes' possible functions as carriers of bioactive substances implicated in the etiology of neurodegenerative illnesses, we further examine them. We also analyze the preclinical and clinical research that shows exosomes to have therapeutic potential.

简介细胞外囊泡(EVs)是细胞间交流的重要途径之一,其形式多种多样。它们是由各种类型的细胞分泌的异质性物质,一般可根据其位置和功能分为微囊泡和外泌体。外泌体是直径约为 30-150 纳米的小型 EV,细胞来源多种多样:方法:以 "外泌体 "和 "神经退行性疾病 "为检索字符串,在 MEDLINE/PubMed 数据库中检索近年来发表的英文论文:外泌体是一种重要的生物标志物,可用于更好地了解疾病的发展、基因沉默传递以及干细胞疗法的替代疗法,这是因为外泌体具有低侵入性治疗方法、可在中枢神经系统(CNS)中重复分布以及高效率等特点。此外,外泌体是一种携带多种物质的纳米颗粒,在健康和病理情况下都会对神经可塑性和认知功能产生影响。因此,外泌体被认为是含有蛋白质、脂质和核酸的纳米囊泡。然而,根据产生外泌体的细胞不同,外泌体的组成也有很大差异:在本综述中,我们讨论了从不同细胞来源中分离外泌体的几种技术。此外,我们还回顾了有关外泌体作为生物活性物质载体的可能功能的研究,这些生物活性物质与神经退行性疾病的病因有关联。我们还分析了显示外泌体具有治疗潜力的临床前和临床研究。
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引用次数: 0
Characterization of Central and Nasal Orbital Adipose Stem Cells and their Neural Differentiation Footprints. 中央和鼻眶脂肪干细胞的特征及其神经分化足迹
IF 2.7 4区 医学 Q4 CELL & TISSUE ENGINEERING Pub Date : 2024-01-01 DOI: 10.2174/1574888X19666230905114246
Fatemeh Sanie-Jahromi, M Hossein Nowroozzadeh, Mina Shaabanian, Behzad Khademi, Naser Owji, Davood Mehrabani

Background: The unique potential of stem cells to restore vision and regenerate damaged ocular cells has led to the increased attraction of researchers and ophthalmologists to ocular regenerative medicine in recent decades. In addition, advantages such as easy access to ocular tissues, non-invasive follow-up, and ocular immunologic privilege have enhanced the desire to develop ocular regenerative medicine.

Objective: This study aimed to characterize central and nasal orbital adipose stem cells (OASCs) and their neural differentiation potential.

Methods: The central and nasal orbital adipose tissues extracted during an upper blepharoplasty surgery were explant-cultured in Dulbecco's Modified Eagle Medium (DMEM)/F12 supplemented with 10% fetal bovine serum (FBS). Cells from passage 3 were characterized morphologically by osteogenic and adipogenic differentiation potential and by flow cytometry for expression of mesenchymal (CD73, CD90, and CD105) and hematopoietic (CD34 and CD45) markers. The potential of OASCs for the expression of NGF, PI3K, and MAPK and to induce neurogenesis was assessed by real-time PCR.

Results: OASCs were spindle-shaped and positive for adipogenic and osteogenic induction. They were also positive for mesenchymal and negative for hematopoietic markers. They were positive for NGF expression in the absence of any significant alteration in the expression of PI3K and MAPK genes. Nasal OASCs had higher expression of CD90, higher potential for adipogenesis, a higher level of NGF expression under serum-free supplementation, and more potential for neuron-like morphology.

Conclusion: We suggested the explant method of culture as an easy and suitable method for the expansion of OASCs. Our findings denote mesenchymal properties of both central and nasal OASCs, while mesenchymal and neural characteristics were expressed stronger in nasal OASCs when compared to central ones. These findings can be added to the literature when cell transplantation is targeted in the treatment of neuro-retinal degenerative disorders.

背景:近几十年来,干细胞在恢复视力和再生受损眼部细胞方面的独特潜力吸引了越来越多的研究人员和眼科医生关注眼部再生医学。此外,易于获取眼组织、无创随访和眼免疫特权等优势也增强了发展眼再生医学的愿望:本研究旨在描述中央和鼻眶脂肪干细胞(OASCs)的特征及其神经分化潜能:方法:在眼睑上部整形手术中提取的中央和鼻眶脂肪组织在添加了10%胎牛血清(FBS)的Dulbecco改良鹰培养基(DMEM)/F12中进行外植培养。第 3 期细胞的形态学特征是成骨和成脂分化潜能,流式细胞仪检测间质(CD73、CD90 和 CD105)和造血(CD34 和 CD45)标记物的表达。实时 PCR 评估了 OASCs 表达 NGF、PI3K 和 MAPK 以及诱导神经发生的潜力:结果:OASCs呈纺锤形,成脂和成骨诱导阳性。结果:OASCs呈纺锤形,成脂和成骨诱导阳性,间质标记阳性,造血标记阴性。在 PI3K 和 MAPK 基因表达无明显变化的情况下,它们的 NGF 表达呈阳性。鼻腔 OASCs 的 CD90 表达更高,脂肪生成的潜力更大,在无血清补充的情况下 NGF 表达水平更高,神经元样形态的潜力更大:结论:我们认为外植体培养法是一种简便、适用的 OASCs 扩增方法。我们的研究结果表明,中枢性和鼻腔OASCs均具有间充质特性,而与中枢性OASCs相比,鼻腔OASCs的间充质和神经特性表达更强。这些发现可作为文献资料,用于治疗神经视网膜退行性疾病的细胞移植。
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引用次数: 0
Transcriptional Factors Mediated Reprogramming to Pluripotency. 转录因子介导的多能性重编程
IF 2.7 4区 医学 Q4 CELL & TISSUE ENGINEERING Pub Date : 2024-01-01 DOI: 10.2174/1574888X18666230417084518
Nazira Fatima, Muhammad Saif Ur Rahman, Muhammad Qasim, Usman Ali Ashfaq, Uzair Ahmed, Muhammad Shareef Masoud

A unique kind of pluripotent cell, i.e., Induced pluripotent stem cells (iPSCs), now being targeted for iPSC synthesis, are produced by reprogramming animal and human differentiated cells (with no change in genetic makeup for the sake of high efficacy iPSCs formation). The conversion of specific cells to iPSCs has revolutionized stem cell research by making pluripotent cells more controllable for regenerative therapy. For the past 15 years, somatic cell reprogramming to pluripotency with force expression of specified factors has been a fascinating field of biomedical study. For that technological primary viewpoint reprogramming method, a cocktail of four transcription factors (TF) has required: Kruppel-like factor 4 (KLF4), four-octamer binding protein 34 (OCT3/4), MYC and SOX2 (together referred to as OSKM) and host cells. IPS cells have great potential for future tissue replacement treatments because of their ability to self-renew and specialize in all adult cell types, although factor-mediated reprogramming mechanisms are still poorly understood medically. This technique has dramatically improved performance and efficiency, making it more useful in drug discovery, disease remodeling, and regenerative medicine. Moreover, in these four TF cocktails, more than 30 reprogramming combinations were proposed, but for reprogramming effectiveness, only a few numbers have been demonstrated for the somatic cells of humans and mice. Stoichiometry, a combination of reprogramming agents and chromatin remodeling compounds, impacts kinetics, quality, and efficiency in stem cell research.

一种独特的多能细胞,即诱导多能干细胞(iPSCs),目前正成为 iPSC 合成的目标,它是通过对动物和人类分化细胞进行重编程而产生的(为了形成高效的 iPSCs,不改变基因组成)。将特定细胞转化为 iPSCs 使多能细胞在再生治疗中更加可控,从而彻底改变了干细胞研究。在过去的 15 年里,通过强制表达特定因子将体细胞重编程为多能性细胞一直是生物医学研究的一个引人入胜的领域。该技术的主要观点重编程方法需要四种转录因子(TF)的鸡尾酒:Kruppel-like factor 4 (KLF4)、four-octamer binding protein 34 (OCT3/4)、MYC 和 SOX2(合称 OSKM)以及宿主细胞。尽管医学界对因子介导的重编程机制仍知之甚少,但IPS细胞具有自我更新和专化所有成体细胞类型的能力,因此在未来的组织替代治疗中具有巨大潜力。这种技术大大提高了性能和效率,使其在药物发现、疾病重塑和再生医学中更加有用。此外,在这四种 TF 鸡尾酒中,提出了 30 多种重编程组合,但就重编程的有效性而言,只有少数几种组合在人类和小鼠的体细胞中得到了证实。重新编程剂和染色质重塑化合物的组合 "配比 "影响着干细胞研究的动力学、质量和效率。
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引用次数: 0
Induced Pluripotent Stem Cells in the Era of Precise Genome Editing. 精确基因组编辑时代的诱导多能干细胞。
IF 2.7 4区 医学 Q4 CELL & TISSUE ENGINEERING Pub Date : 2024-01-01 DOI: 10.2174/1574888X18666230307115326
Meeti Punetha, Sheetal Saini, Suman Chaudhary, Prem Singh Yadav, Kristin Whitworth, Jonathan Green, Dharmendra Kumar, Wilfried A Kues

Genome editing has enhanced our ability to understand the role of genetics in a number of diseases by facilitating the development of more precise cellular and animal models to study pathophysiological processes. These advances have shown extraordinary promise in a multitude of areas, from basic research to applied bioengineering and biomedical research. Induced pluripotent stem cells (iPSCs) are known for their high replicative capacity and are excellent targets for genetic manipulation as they can be clonally expanded from a single cell without compromising their pluripotency. Clustered, regularly interspaced short palindromic repeats (CRISPR) and CRISPR/Cas RNA-guided nucleases have rapidly become the method of choice for gene editing due to their high specificity, simplicity, low cost, and versatility. Coupling the cellular versatility of iPSCs differentiation with CRISPR/Cas9-mediated genome editing technology can be an effective experimental technique for providing new insights into the therapeutic use of this technology. However, before using these techniques for gene therapy, their therapeutic safety and efficacy following models need to be assessed. In this review, we cover the remarkable progress that has been made in the use of genome editing tools in iPSCs, their applications in disease research and gene therapy as well as the hurdles that remain in the actual implementation of CRISPR/Cas systems.

基因组编辑有助于开发更精确的细胞和动物模型来研究病理生理过程,从而提高了我们了解遗传在一些疾病中的作用的能力。这些进步在从基础研究到应用生物工程和生物医学研究的众多领域都展现出了非凡的前景。众所周知,诱导多能干细胞(iPSC)具有很强的复制能力,可以从单个细胞克隆扩增而不影响其多能性,因此是基因操作的绝佳目标。成簇、规则间隔短回文重复序列(CRISPR)和 CRISPR/Cas RNA 引导的核酸酶因其特异性高、简便、低成本和多功能性而迅速成为基因编辑的首选方法。将 iPSCs 分化的细胞多功能性与 CRISPR/Cas9 介导的基因组编辑技术相结合,可以成为一种有效的实验技术,为该技术的治疗用途提供新的见解。然而,在将这些技术用于基因治疗之前,需要对其在模型中的治疗安全性和有效性进行评估。在这篇综述中,我们将介绍在 iPSCs 中使用基因组编辑工具所取得的显著进展、这些工具在疾病研究和基因治疗中的应用,以及 CRISPR/Cas 系统在实际应用中仍然存在的障碍。
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引用次数: 0
Secretome Derived from Mesenchymal Stem/Stromal Cells: A Promising Strategy for Diabetes and its Complications. 间充质干细胞/基质细胞分泌物:治疗糖尿病及其并发症的有效策略
IF 2.1 4区 医学 Q4 CELL & TISSUE ENGINEERING Pub Date : 2024-01-01 DOI: 10.2174/1574888X19666230913154544
Ling Li, Siyu Hua, Lianghui You, Tianying Zhong

Diabetes is a complex metabolic disease with a high global prevalence. The health and quality of life of patients with diabetes are threatened by many complications, including diabetic foot ulcers, diabetic kidney diseases, diabetic retinopathy, and diabetic peripheral neuropathy. The application of mesenchymal stem/stromal cells (MSCs) in cell therapies has been recognized as a potential treatment for diabetes and its complications. MSCs were originally thought to exert biological effects exclusively by differentiating and replacing specific impaired cells. However, the paracrine function of factors secreted by MSCs may exert additional protective effects. MSCs secrete multiple compounds, including proteins, such as growth factors, chemokines, and other cytokines; nucleic acids, such as miRNAs; and lipids, extracellular vesicles (EVs), and exosomes (Exos). Collectively, these secreted compounds are called the MSC secretome, and usage of these chemicals in cell-free therapies may provide stronger effects with greater safety and convenience. Recent studies have demonstrated positive effects of the MSC secretome, including improved insulin sensitivity, reduced inflammation, decreased endoplasmic reticulum stress, enhanced M2 polarization of macrophages, and increased angiogenesis and autophagy; however, the mechanisms leading to these effects are not fully understood. This review summarizes the current research regarding the secretome derived from MSCs, including efforts to quantify effectiveness and uncover potential molecular mechanisms in the treatment of diabetes and related disorders. In addition, limitations and challenges are also discussed so as to facilitate applications of the MSC secretome as a cell-free therapy for diabetes and its complications.

糖尿病是一种复杂的代谢性疾病,全球发病率很高。糖尿病足溃疡、糖尿病肾病、糖尿病视网膜病变和糖尿病周围神经病变等多种并发症威胁着糖尿病患者的健康和生活质量。间充质干细胞/基质细胞(MSCs)在细胞疗法中的应用已被认为是治疗糖尿病及其并发症的一种潜在方法。间充质干细胞最初被认为只能通过分化和替代特定受损细胞来发挥生物效应。然而,间充质干细胞分泌因子的旁分泌功能可能会产生额外的保护作用。间充质干细胞分泌多种化合物,包括蛋白质,如生长因子、趋化因子和其他细胞因子;核酸,如 miRNA;脂质、细胞外囊泡(EV)和外泌体(Exos)。这些分泌的化合物统称为间叶干细胞分泌组,在无细胞疗法中使用这些化学物质可能会产生更强的效果,而且更安全、更方便。最近的研究证明了间充质干细胞分泌物组的积极作用,包括改善胰岛素敏感性、减少炎症反应、降低内质网应激、增强巨噬细胞的M2极化、增加血管生成和自噬。本综述总结了目前有关间充质干细胞分泌组的研究,包括量化治疗糖尿病和相关疾病的效果和揭示潜在分子机制的努力。此外,还讨论了局限性和挑战,以促进间充质干细胞分泌物组作为无细胞疗法治疗糖尿病及其并发症的应用。
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引用次数: 0
Research Progress on the Effect of Autophagy and Exosomes on Liver Fibrosis. 自噬和外泌体对肝纤维化影响的研究进展。
IF 2.7 4区 医学 Q4 CELL & TISSUE ENGINEERING Pub Date : 2024-01-01 DOI: 10.2174/1574888X18666230427112930
Yikuan Du, Silin Zhu, Haojie Zeng, Zhenjie Wang, Yixing Huang, Yuqi Zhou, Weichui Zhang, Jinfeng Zhu, Chun Yang

Chronic liver disease is a known risk factor for the development of liver cancer, and the development of microRNA (miRNA) liver therapies has been hampered by the difficulty of delivering miRNA to damaged tissues. In recent years, numerous studies have shown that hepatic stellate cell (HSC) autophagy and exosomes play an important role in maintaining liver homeostasis and ameliorating liver fibrosis. In addition, the interaction between HSC autophagy and exosomes also affects the progression of liver fibrosis. In this paper, we review the research progress of mesenchymal stem cell-derived exosomes (MSC-EVs) loaded with specific miRNA and autophagy, and their related signaling pathways in liver fibrosis, which will provide a more reliable basis for the use of MSC-EVs for therapeutic delivery of miRNAs targeting the chronic liver disease.

慢性肝病是肝癌发病的一个已知风险因素,而microRNA(miRNA)肝脏疗法的开发一直受阻于向受损组织输送miRNA的困难。近年来,大量研究表明,肝星状细胞(HSC)自噬和外泌体在维持肝脏稳态和改善肝纤维化方面发挥着重要作用。此外,造血干细胞自噬与外泌体之间的相互作用也会影响肝纤维化的进展。本文综述了间充质干细胞衍生外泌体(MSC-EVs)负载特定miRNA和自噬的研究进展,以及它们在肝纤维化中的相关信号通路,这将为利用间充质干细胞衍生外泌体靶向慢性肝病治疗递送miRNA提供更可靠的依据。
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引用次数: 0
Mitochondrial Transplantation and Immune Response of Human Bone Marrow Mesenchymal Stem Cells for the Therapeutic of Ischemic Stroke. 用于治疗缺血性中风的人骨髓间充质干细胞的线粒体移植和免疫反应。
IF 2.7 4区 医学 Q4 CELL & TISSUE ENGINEERING Pub Date : 2024-01-01 DOI: 10.2174/1574888X18666230505103407
Yidong Liao, Jiang Ming, Wenxue Song, Guangtang Chen, Junshuan Cui, Longcai He, Zili Wang, Xudong Wang, Mingsong Xiong, Hua Yang, Kaya Xu

Ischemic stroke is the leading cause of death and disability worldwide, with increasing incidence and mortality, imposing a significant social and economic burden on patients and their families. However, cerebral vascular occlusion leads to acute loss of neurons and destruction of synaptic structures. The limited treatment options cannot adequately address intra-neuronal mitochondrial dysfunction due to stroke. Therefore, stem cell-derived mitochondria transplantation plays an important role in neuronal protection and recovery after stroke, when combined with the intracranial and extracranial immunoregulatory effects of stem cell therapy, revealing the mechanism of transferred mitochondria in stem cells in protecting neurological function among chronic-phase ischemic stroke by affecting the endogenous apoptotic pathway of neuronal cells. This research elaborated on the mitochondrial dysfunction in neurons after ischemic stroke, followed by human bone marrow mesenchymal stem cells (hBMSC) rescued damaged neurons by mitochondrial transfer through tunneling nanotubes (TNTs), and the immunomodulatory effect of the preferential transfer of stem cells to the spleen when transplanted into the body.which created an immune environment for nerve repair, as well as improved neurological recovery after the chronic phase of stroke. This review is expected to provide a novel idea for applying intracranial stem cell transplantation in chronic-phase ischemic stroke treatment.

缺血性中风是全球死亡和残疾的主要原因,其发病率和死亡率不断上升,给患者及其家庭带来了巨大的社会和经济负担。然而,脑血管闭塞会导致神经元的急性缺失和突触结构的破坏。有限的治疗方案无法充分解决中风导致的神经元内线粒体功能障碍。因此,干细胞线粒体移植与干细胞治疗的颅内外免疫调节作用相结合,在脑卒中后神经元保护和恢复中发挥着重要作用,揭示了干细胞线粒体移植通过影响神经细胞内源性凋亡途径保护慢性期缺血性脑卒中神经功能的机制。该研究阐述了缺血性脑卒中后神经元线粒体功能障碍,随后人骨髓间充质干细胞(hBMSC)通过隧道纳米管(TNTs)转移线粒体挽救受损神经元,以及干细胞移植到脾脏后优先转移到体内的免疫调节作用,为神经修复创造了免疫环境,并改善了脑卒中慢性期后的神经功能恢复。这篇综述有望为颅内干细胞移植在慢性期缺血性中风治疗中的应用提供新的思路。
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引用次数: 0
Identification of Cancer Stem Cell-related Gene by Single-cell and Machine Learning Predicts Immune Status, Chemotherapy Drug, and Prognosis in Lung Adenocarcinoma. 通过单细胞和机器学习识别癌症干细胞相关基因预测肺腺癌的免疫状态、化疗药物和预后
IF 2.7 4区 医学 Q4 CELL & TISSUE ENGINEERING Pub Date : 2024-01-01 DOI: 10.2174/1574888X18666230714151746
Chengcheng Yang, Jinna Zhang, Jintao Xie, Lu Li, Xinyu Zhao, Jinshuang Liu, Xinyan Wang

Aim: This study aimed to identify the molecular type and prognostic model of lung adenocarcinoma (LUAD) based on cancer stem cell-related genes. Studies have shown that cancer stem cells (CSC) are involved in the development, recurrence, metastasis, and drug resistance of tumors.

Method: The clinical information and RNA-seq of LUAD were obtained from the TCGA database. scRNA dataset GSE131907 and 5 GSE datasets were downloaded from the GEO database. Molecular subtypes were identified by ConsensusClusterPlus. A CSC-related prognostic signature was then constructed via univariate Cox and LASSO Cox-regression analysis.

Result: A scRNA-seq GSE131907 dataset was employed to obtain 11 cell clusters, among which, 173 differentially expressed genes in CSC were identified. Moreover, the CSC score and mRNAsi were higher in tumor samples. 18 of 173 genes were survival time-associated genes in both the TCGA-LUDA dataset and the GSE dataset. Next, two molecular subtypes (namely, CSC1 and CSC2) were identified based on 18 survival-related CSC genes with distinct immune profiles and noticeably different prognoses as well as differences in the sensitivity of chemotherapy drugs. 8 genes were used to build a prognostic model in the TCGA-LUAD dataset. High-risk patients faced worse survival than those with a low risk. The robust predictive ability of the risk score was validated by the time-dependent ROC curve revealed as well as the GSE dataset. TIDE analysis showed a higher sensitivity of patients in the low group to immunotherapy.

Conclusion: This study has revealed the effect of CSC on the heterogeneity of LUAD, and created an 8 genes prognosis model that can be potentially valuable for predicting the prognosis of LUAD and response to immunotherapy.

目的:本研究旨在根据癌症干细胞相关基因确定肺腺癌(LUAD)的分子类型和预后模型。研究表明,癌症干细胞(CSC)参与了肿瘤的发生、复发、转移和耐药性:方法:从TCGA数据库获取LUAD的临床信息和RNA-seq数据,从GEO数据库下载scRNA数据集GSE131907和5个GSE数据集。分子亚型由ConsensusClusterPlus鉴定。然后通过单变量 Cox 和 LASSO Cox 回归分析构建了与 CSC 相关的预后特征:结果:通过scRNA-seq GSE131907数据集获得了11个细胞集群,其中发现了173个CSC差异表达基因。此外,肿瘤样本中的 CSC 评分和 mRNAsi 均较高。在TCGA-LUDA数据集和GSE数据集中,173个基因中有18个是与生存时间相关的基因。接下来,根据18个与生存相关的CSC基因确定了两个分子亚型(即CSC1和CSC2),这两个亚型具有不同的免疫特征、明显不同的预后以及对化疗药物敏感性的差异。8 个基因被用于在 TCGA-LUAD 数据集中建立预后模型。与低风险患者相比,高风险患者的生存率更低。随时间变化的ROC曲线以及GSE数据集验证了风险评分的稳健预测能力。TIDE分析显示,低风险组患者对免疫疗法的敏感性更高:本研究揭示了CSC对LUAD异质性的影响,并建立了一个8基因预后模型,该模型对预测LUAD的预后和免疫治疗反应具有潜在价值。
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引用次数: 0
Advances in Cell Transplantation Therapy for Limbal Stem Cell Deficiency. 细胞移植治疗肢端干细胞缺乏症的进展。
IF 2.7 4区 医学 Q4 CELL & TISSUE ENGINEERING Pub Date : 2024-01-01 DOI: 10.2174/1574888X18666230821102450
Yujia Gui, Yuxi He, Di Wang, Shurong Wang, Yan Zhang

Background: Limbal stem cells (LSCs) are essential for maintaining corneal transparency and ocular surface integrity. Many external factors or genetic diseases can lead to corneal limbal stem cell deficiency (LSCD), resulting in the loss of barrier and corneal epithelial cell renewal functions. Stem cell transplantation is one of the primary treatments for LSCD, including limbal transplantation and cultivated limbal epithelial transplantation. In addition, a variety of non-limbal stem cell lines have been experimented with for LSCD treatment. Biological scaffolds are also used to support in vitro stem cell culture and transplantation. Here, we review the mechanisms of corneal maintenance by LSCs, the clinical stage and surgical treatment of LSCD, the source of stem cells, and the biological scaffolds required for in vitro culture.

Methods: This study is a narrative retrospective study aimed at collecting available information on various aspects of surgical treatments for LSCD. Relevant literature was searched in a range of online databases, including Web of Science, Scopus, and PubMed from 2005 to March, 2023.

Results: A total of 397 relevant articles were found, and 49 articles with strong relevance to the studies in this paper were obtained and analyzed. Moreover, 11 of these articles were on the concept of LSCD and the mechanism of LESCs maintaining the corneal epithelium, 3 articles on the staging and grading of LSCD, 17 articles on cell transplantation methods and donor cell sources, and 18 articles on scaffolds for delivering stem cells. We also summarized the advantages and disadvantages of different cell transplantation methods and the benefits and limitations of scaffolds based on the above literature.

Conclusion: The treatment of LSCD is determined by the clinical stage and whether it involves monocular or binocular eyes. Appropriate surgical techniques should be taken for LSCD patients in order to reconstruct the ocular surface, relieve symptoms, and restore visual function. Meanwhile, biological scaffolds assist in the ex vivo culture and implantation of stem cells.

背景:角膜缘干细胞对维持角膜透明度和眼表完整性至关重要。许多外部因素或遗传疾病都可能导致角膜缘干细胞缺乏症(LSCD),导致角膜屏障和角膜上皮细胞更新功能丧失。干细胞移植是治疗 LSCD 的主要方法之一,包括角膜缘移植和培养角膜缘上皮移植。此外,各种非角膜缘干细胞系也被用于治疗 LSCD。生物支架也被用于支持体外干细胞培养和移植。在此,我们回顾了LSCs维护角膜的机制、LSCD的临床阶段和手术治疗、干细胞来源以及体外培养所需的生物支架:本研究是一项叙事性回顾研究,旨在收集有关 LSCD 手术治疗各方面的现有信息。从 2005 年到 2023 年 3 月,在一系列在线数据库(包括 Web of Science、Scopus 和 PubMed)中检索了相关文献:结果:共找到 397 篇相关文章,其中 49 篇与本文研究密切相关,并对其进行了分析。此外,其中11篇文章涉及LSCD的概念和LESCs维持角膜上皮的机制,3篇文章涉及LSCD的分期和分级,17篇文章涉及细胞移植方法和供体细胞来源,18篇文章涉及输送干细胞的支架。我们还根据上述文献总结了不同细胞移植方法的优缺点以及支架的优点和局限性:结论:LSCD的治疗方法取决于临床分期以及是单眼还是双眼。对 LSCD 患者应采取适当的手术技术,以重建眼表,缓解症状,恢复视功能。同时,生物支架有助于干细胞的体外培养和植入。
{"title":"Advances in Cell Transplantation Therapy for Limbal Stem Cell Deficiency.","authors":"Yujia Gui, Yuxi He, Di Wang, Shurong Wang, Yan Zhang","doi":"10.2174/1574888X18666230821102450","DOIUrl":"10.2174/1574888X18666230821102450","url":null,"abstract":"<p><strong>Background: </strong>Limbal stem cells (LSCs) are essential for maintaining corneal transparency and ocular surface integrity. Many external factors or genetic diseases can lead to corneal limbal stem cell deficiency (LSCD), resulting in the loss of barrier and corneal epithelial cell renewal functions. Stem cell transplantation is one of the primary treatments for LSCD, including limbal transplantation and cultivated limbal epithelial transplantation. In addition, a variety of non-limbal stem cell lines have been experimented with for LSCD treatment. Biological scaffolds are also used to support <i>in vitro</i> stem cell culture and transplantation. Here, we review the mechanisms of corneal maintenance by LSCs, the clinical stage and surgical treatment of LSCD, the source of stem cells, and the biological scaffolds required for <i>in vitro</i> culture.</p><p><strong>Methods: </strong>This study is a narrative retrospective study aimed at collecting available information on various aspects of surgical treatments for LSCD. Relevant literature was searched in a range of online databases, including Web of Science, Scopus, and PubMed from 2005 to March, 2023.</p><p><strong>Results: </strong>A total of 397 relevant articles were found, and 49 articles with strong relevance to the studies in this paper were obtained and analyzed. Moreover, 11 of these articles were on the concept of LSCD and the mechanism of LESCs maintaining the corneal epithelium, 3 articles on the staging and grading of LSCD, 17 articles on cell transplantation methods and donor cell sources, and 18 articles on scaffolds for delivering stem cells. We also summarized the advantages and disadvantages of different cell transplantation methods and the benefits and limitations of scaffolds based on the above literature.</p><p><strong>Conclusion: </strong>The treatment of LSCD is determined by the clinical stage and whether it involves monocular or binocular eyes. Appropriate surgical techniques should be taken for LSCD patients in order to reconstruct the ocular surface, relieve symptoms, and restore visual function. Meanwhile, biological scaffolds assist in the <i>ex vivo</i> culture and implantation of stem cells.</p>","PeriodicalId":10979,"journal":{"name":"Current stem cell research & therapy","volume":" ","pages":"933-941"},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10037230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mechanically Activated Adipose Tissue as a Source for Novel Therapies in Neurological Disease/Injury. 机械活化脂肪组织作为神经疾病/损伤新疗法的来源。
IF 2.7 4区 医学 Q4 CELL & TISSUE ENGINEERING Pub Date : 2024-01-01 DOI: 10.2174/1574888X18666230605120546
Alfredo Gorio, Hongkun Gao, Marco Klinger, Valeriano Vinci, Francesca Paino

In this review, we describe a new avenue that involves the therapeutic use of human adipose tissue. In the past two decades, thousands of papers have described the potential clinical use of human fat and adipose tissue. Moreover, mesenchymal stem cells have been a source of great enthusiasm in clinical studies, and these have generated curiosity at academic levels. On the other hand, they have created considerable commercial business opportunities. High expectations have emerged for curing some recalcitrant diseases or reconstructing anatomically defective human body parts, but several concerns have been raised by generating criticism on the clinical practice that have not been substantiated by rigorous scientific evidence. However, in general, the consensus is that human adipose-derived mesenchymal stem cells inhibit the production of inflammatory cytokines and stimulate the production of anti-inflammatory cytokines. Here, we show that the application of a mechanical elliptical force for several minutes to human abdominal fat activates anti-inflammatory properties and gene-related expression. This may pave the way for new unexpected clinical developments.

在这篇综述中,我们将介绍一条涉及人体脂肪组织治疗用途的新途径。在过去的二十年里,数以千计的论文描述了人类脂肪和脂肪组织的潜在临床用途。此外,间充质干细胞也在临床研究中引起了极大的反响,在学术界引起了强烈的好奇心。另一方面,它们也创造了大量商业机会。人们对治疗某些顽固疾病或重建解剖学上有缺陷的人体器官寄予了很高的期望,但对临床实践的批评也引起了一些担忧,因为这些批评并没有经过严格的科学论证。不过,总的来说,人类脂肪间充质干细胞可抑制炎症细胞因子的产生,并刺激抗炎细胞因子的产生,这一点已达成共识。在这里,我们展示了在人体腹部脂肪上施加椭圆形机械力几分钟,可激活抗炎特性和基因相关表达。这可能会为意想不到的临床新发展铺平道路。
{"title":"Mechanically Activated Adipose Tissue as a Source for Novel Therapies in Neurological Disease/Injury.","authors":"Alfredo Gorio, Hongkun Gao, Marco Klinger, Valeriano Vinci, Francesca Paino","doi":"10.2174/1574888X18666230605120546","DOIUrl":"10.2174/1574888X18666230605120546","url":null,"abstract":"<p><p>In this review, we describe a new avenue that involves the therapeutic use of human adipose tissue. In the past two decades, thousands of papers have described the potential clinical use of human fat and adipose tissue. Moreover, mesenchymal stem cells have been a source of great enthusiasm in clinical studies, and these have generated curiosity at academic levels. On the other hand, they have created considerable commercial business opportunities. High expectations have emerged for curing some recalcitrant diseases or reconstructing anatomically defective human body parts, but several concerns have been raised by generating criticism on the clinical practice that have not been substantiated by rigorous scientific evidence. However, in general, the consensus is that human adipose-derived mesenchymal stem cells inhibit the production of inflammatory cytokines and stimulate the production of anti-inflammatory cytokines. Here, we show that the application of a mechanical elliptical force for several minutes to human abdominal fat activates anti-inflammatory properties and gene-related expression. This may pave the way for new unexpected clinical developments.</p>","PeriodicalId":10979,"journal":{"name":"Current stem cell research & therapy","volume":" ","pages":"688-699"},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9584784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Current stem cell research & therapy
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