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Exploring the Potential of Wharton's Jelly-Derived Mesenchymal Stem Cells as a Therapeutic Approach for Preterm Premature Rupture of Membranes. 探索沃顿果冻源间充质干细胞作为早产儿胎膜早破治疗方法的潜力。
IF 2.4 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-03-11 DOI: 10.15283/ijsc25048
Hyeongseop Kim, Hyunju Kim, Suyeon Jeon, Soo-Young Oh, Sang Eon Park, Hong Bae Jeon, Jung-Sun Kim, Suk-Joo Choi, Jong Wook Chang

Preterm premature rupture of membranes (PPROM) is a major cause of preterm birth and neonatal morbidity, with no established treatment to restore membrane integrity. Mesenchymal stem cells (MSCs), known for their regenerative and immunomodulatory properties, harbor promising therapeutic potential for fetal membranes repair. This study aimed to evaluate the rapid barrier reinforcement effect of Wharton's jelly-derived mesenchymal stem cells (WJ-MSCs) using in vitro and ex vivo models of PPROM. A wound healing assay was conducted to assess the effect of WJ-MSCs on human amniotic epithelial cells proliferation and migration. An ex vivo PPROM model was established using incised human fetal membranes to simulate membrane rupture. WJ-MSCs were directly applied to the lesion site at varying doses. Therapeutic efficacy was evaluated by a leak test and histological analysis. WJ-MSCs and their conditioned medium significantly enhanced epithelial wound closure in vitro, demonstrating that soluble paracrine factors secreted by WJ-MSCs have the potential to aid membrane injury restoration. In the ex vivo PPROM model, WJ-MSCs treatment reduced both leakage area and frequency of fetal membranes, with the most significant effect observed at a medium dose (5.0×105 cells). Histological evaluations revealed partial recovery of the fetal membranes, particularly the chorion layer. These findings suggest that WJ-MSCs contribute to rapid barrier reinforcement of injured fetal membranes. Taken together, WJ-MSCs enhance epithelial healing and support restoration of membrane integrity, highlighting their potential as a therapeutic approach for PPROM. Further, in vivo studies are required to confirm therapeutic efficacy and evaluate safety.

早产胎膜早破(PPROM)是早产和新生儿发病的主要原因,目前尚无恢复胎膜完整性的有效治疗方法。间充质干细胞(MSCs)以其再生和免疫调节特性而闻名,在胎儿膜修复中具有良好的治疗潜力。本研究旨在通过体外和离体PPROM模型评估Wharton’s jelly-derived mesenchymal stem cells (WJ-MSCs)的快速屏障强化作用。通过伤口愈合实验评估WJ-MSCs对人羊膜上皮细胞增殖和迁移的影响。采用人胎膜切开模拟胎膜破裂,建立离体PPROM模型。WJ-MSCs以不同剂量直接应用于病变部位。通过泄漏试验和组织学分析评估治疗效果。WJ-MSCs及其条件培养基在体外显著增强上皮伤口愈合,表明WJ-MSCs分泌的可溶性旁分泌因子具有帮助膜损伤修复的潜力。在离体PPROM模型中,WJ-MSCs处理减少了胎膜渗漏面积和频率,其中中剂量效果最显著(5.0×105细胞)。组织学检查显示胎膜部分恢复,特别是绒毛膜层。这些发现表明WJ-MSCs有助于损伤胎膜的快速屏障增强。综上所述,WJ-MSCs可以促进上皮细胞愈合并支持膜完整性的恢复,这突出了它们作为PPROM治疗方法的潜力。此外,还需要进行体内研究来确认治疗效果和评估安全性。
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引用次数: 0
PRPS1 (p.V42L) Mutation in Arts Syndrome Induces Aberrant Neural Stem Cell Development and Neuronal Senescence-Like Phenotype: Rescue by Nicotinamide Mononucleotide Supplementation. PRPS1 (p.V42L)突变诱导神经干细胞发育异常和神经衰老样表型:通过补充烟酰胺单核苷酸来拯救
IF 2.4 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-03-06 DOI: 10.15283/ijsc25127
Ji-Hee Kim, Su-Jung Park, Jeong-A Lee, Chong Kun Cheon

Arts syndrome is a rare X-linked recessive neurodevelopmental disorder arising from pathogenic variants in PRPS1, which encodes phosphoribosyl pyrophosphate synthetase 1-an enzyme essential for de novo nucleotide biosynthesis. Affected individuals typically exhibit sensorineural hearing loss, intellectual disability, cerebellar ataxia, and recurrent infections. However, despite the severity of these clinical manifestations, therapeutic interventions remain limited, largely due to an incomplete understanding of the cellular pathophysiology underlying the disorder. In this study, we generated patient-specific induced pluripotent stem cells harboring the PRPS1 p.V42L variant and differentiated them into neural stem cells (NSCs) and neurons to elucidate disease mechanisms and explore potential therapeutic strategies. Patient-derived NSCs demonstrated significantly reduced proliferative capacity, aberrant nuclear morphology, and increased neuronal senescence, while mitochondrial integrity and function were largely preserved. Neurons differentiated from these NSCs exhibited impaired neurite outgrowth and reduced branching complexity, indicative of disrupted neurodevelopmental processes. Notably, supplementation with nicotinamide mononucleotide, a precursor of nicotinamide adenine dinucleotide (NAD), partially ameliorated defects in NSC proliferation, nuclear architecture, and neuronal morphology. Collectively, these findings delineate key cellular mechanisms underlying PRPS1-associated neurodevelopmental pathology and identify NAD metabolic augmentation as a promising therapeutic avenue for Arts syndrome and related PRPS1-mediated disorders.

Arts综合征是一种罕见的x连锁隐性神经发育障碍,由PRPS1的致病变异引起,PRPS1编码磷酸核糖基焦磷酸合成酶1,这是从头合成核苷酸所必需的酶。受影响的个体通常表现为感音神经性听力丧失、智力残疾、小脑性共济失调和复发性感染。然而,尽管这些临床表现的严重性,治疗干预仍然有限,很大程度上是由于对疾病的细胞病理生理学的不完全理解。在这项研究中,我们生成了含有PRPS1 p.V42L变异的患者特异性诱导多能干细胞,并将其分化为神经干细胞(NSCs)和神经元,以阐明疾病机制并探索潜在的治疗策略。患者来源的NSCs表现出明显的增殖能力降低、核形态异常和神经元衰老增加,而线粒体的完整性和功能在很大程度上得到了保留。从这些NSCs分化出来的神经元表现出神经突生长受损和分支复杂性降低,表明神经发育过程被破坏。值得注意的是,补充烟酰胺单核苷酸,烟酰胺腺嘌呤二核苷酸(NAD+)的前体,部分改善了NSC增殖、核结构和神经元形态的缺陷。总的来说,这些发现描述了prps1相关神经发育病理学的关键细胞机制,并确定NAD+代谢增强是Arts综合征和相关prps1介导疾病的有希望的治疗途径。
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引用次数: 0
Investigating the Causal Links between the Aging Process and Alzheimer's Disease Pathogenesis. 研究衰老过程与阿尔茨海默病发病机制的因果关系。
IF 2.4 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-03-06 DOI: 10.15283/ijsc25100
Jaewoo Seok, Hyein Lee, Jinsoo Seo

As global societies age, the prevalence of neurodegenerative disorders, such as Alzheimer's disease, is rapidly increasing, intensifying the need to understand the mechanisms of aging and their contribution to these conditions. Consequently, the focus of aging research has shifted from the traditional concept of chronological age to a more nuanced understanding of biological age. This has spurred active investigation into robust biomarkers, including cellular senescence. However, the application of classical senescence markers to the brain presents a substantial challenge, as their validity in post-mitotic cells, such as neurons, remains unclear. In this review, we highlight the limitations of the current metrics for cellular senescence as indicators of biological aging, and propose a path forward focused on identifying and modeling cell-type-specific aging markers within the brain.

随着全球社会的老龄化,神经退行性疾病(如阿尔茨海默病)的患病率正在迅速增加,这加剧了了解衰老机制及其对这些疾病的贡献的必要性。因此,衰老研究的重点已经从传统的实足年龄概念转向对生物年龄的更细致入微的理解。这激发了对包括细胞衰老在内的强大生物标志物的积极研究。然而,经典衰老标记在大脑中的应用面临着巨大的挑战,因为它们在有丝分裂后细胞(如神经元)中的有效性尚不清楚。在这篇综述中,我们强调了当前细胞衰老指标作为生物衰老指标的局限性,并提出了一条专注于识别和模拟大脑中细胞类型特异性衰老标志物的前进道路。
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引用次数: 0
Induced Pluripotent Stem Cells derived CD71CD235a Erythroblasts Were Increased by Sirtuin 1 Activator. Sirtuin 1激活剂诱导CD71+CD235a+红母细胞增殖。
IF 2.4 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-02-28 Epub Date: 2025-08-05 DOI: 10.15283/ijsc25040
Changyeong Kim, Kyung Hwan Park, Soo-Been Jeon, A-Reum Han, Ji Yoon Lee, Young-Sup Yoon

Induced pluripotent stem cells (iPSCs) are a promising cell source for regenerative medicine. Clinical applications require a large number of functional red blood cells (RBCs), making it essential to ensure the proliferation of actively dividing, nucleated erythroblasts derived from iPSCs. Small molecules can enhance the efficiency and frequency of iPSC-derived cell differentiation. Sirtuin 1, a key enzyme in multiple biological processes, has been implicated in enhancing iPSC-derived cell differentiation. However, the specific effects of Sirtuin 1 on erythroblast proliferation from iPSCs remain unclear. Here, we developed a protocol to examine the effects of Sirtuin 1 on erythroblasts after endothelial-to-hematopoietic transition (EHT). We found that Sirtuin 1 activation increased the frequency of CD71CD235a erythroblasts at the early stage after EHT, suggesting a role for Sirtuin 1 in the proliferation of these specified erythroblasts. These findings reveal that Sirtuin 1 activation benefits erythroblast proliferation and could be considered for translational application in large-scale RBC culture.

诱导多能干细胞(iPSCs)是一种很有前途的再生医学细胞来源。临床应用需要大量的功能性红细胞(rbc),这就必须确保ipsc衍生的活跃分裂、有核的红母细胞的增殖。小分子可以提高ipsc衍生细胞分化的效率和频率。Sirtuin 1是多种生物过程中的关键酶,与ipsc衍生的细胞分化有关。然而,Sirtuin 1对iPSCs红母细胞增殖的具体影响尚不清楚。在这里,我们制定了一个方案来检查Sirtuin 1对内皮细胞向造血细胞转化(EHT)后的红母细胞的影响。我们发现,在EHT后的早期,Sirtuin 1激活增加了CD71+CD235a+红母细胞的频率,这表明Sirtuin 1在这些特定红母细胞的增殖中起作用。这些发现表明Sirtuin 1激活有利于红母细胞增殖,可以考虑在大规模红细胞培养中进行翻译应用。
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引用次数: 0
Proteomic Profiling of Exosomes Derived from Endometrial Stem Cells and Adipose-Derived Stem Cells. 子宫内膜干细胞和脂肪干细胞外泌体的蛋白质组学分析。
IF 2.4 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-02-28 Epub Date: 2025-06-18 DOI: 10.15283/ijsc25031
Jungwon Park, Jeongmin Lee, Yeon-Suk Kim, Yohan Oh

Endometrial stem cells (EnSCs) are mesenchymal stem cells (MSCs) derived from endometrial tissue and serve as a valuable MSC source, as they are naturally replenished during menstruation. Exosomes, vesicles secreted by cells, contain various biomolecules such as proteins and nucleic acids and play crucial roles in intracellular communication, protein and nucleic acid metabolism, immune response regulation, and antigen presentation. This study investigated the protein profiles of EnSC-derived exosomes isolated from the endometrium of menstruating women and compared them with those of adipose-derived stem cell (ASC)-derived exosomes. After isolating EnSCs and ASCs, MSC characteristics were confirmed, and the purified exosomes were analyzed to determine their individual protein compositions. EnSCs, which can be obtained through non-invasive methods, exhibit multipotency similar to other MSCs and demonstrate rapid proliferation in vitro. Proteomic analysis of exosomal proteins revealed that 236 proteins were significantly more abundant in EnSC-derived exosomes than in ASC-derived exosomes, whereas 84 proteins were significantly more abundant in ASC-derived exosomes than in EnSC-derived exosomes. These findings indicate that EnSC-derived exosomes contain unique proteins compared to ASC-derived exosomes, as demonstrated through proteomic profiling. While further clinical studies are required, EnSCs hold promise as a potential therapeutic option in regenerative medicine, similar to current cell therapy products under development.

子宫内膜干细胞(EnSCs)是来源于子宫内膜组织的间充质干细胞(MSCs),是一种有价值的间充质干细胞来源,因为它们在月经期间会自然补充。外泌体是细胞分泌的囊泡,含有多种生物分子,如蛋白质和核酸,在细胞内通讯、蛋白质和核酸代谢、免疫反应调节和抗原递呈等方面发挥重要作用。本研究研究了从月经期女性子宫内膜分离的ensc衍生外泌体的蛋白质谱,并将其与脂肪来源干细胞(ASC)衍生外泌体进行了比较。分离EnSCs和ASCs后,确认MSC特性,并分析纯化的外泌体以确定其单个蛋白质组成。EnSCs可以通过非侵入性方法获得,具有与其他MSCs相似的多能性,并且在体外具有快速增殖能力。外泌体蛋白的蛋白质组学分析显示,236种蛋白在ensc衍生的外泌体中明显比在asc衍生的外泌体中丰富,而84种蛋白在asc衍生的外泌体中明显比在ensc衍生的外泌体中丰富。这些发现表明,与asc衍生的外泌体相比,ensc衍生的外泌体含有独特的蛋白质,这一点通过蛋白质组学分析得到了证实。虽然需要进一步的临床研究,但EnSCs有望成为再生医学的潜在治疗选择,类似于目前正在开发的细胞治疗产品。
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引用次数: 0
Extracellular Vesicles in Liver Disease: Redefining Diagnostic and Therapeutic Strategies. 肝脏疾病中的细胞外囊泡:重新定义诊断和治疗策略。
IF 2.4 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-02-28 Epub Date: 2026-01-23 DOI: 10.15283/ijsc25052
A-Reum Kim, Minseok Kang, Dong-Young Kim, Kidus Haile Yemaneberhan, Dongho Choi

Extracellular vesicles (EVs) are crucial mediators of intercellular communication, which facilitate the transfer of bioactive molecules such as proteins, lipids, and nucleic acids. Their high biocompatibility and intrinsic targeting abilities make them promising candidates for therapeutics, drug delivery, and disease biomarkers. In liver diseases, EVs are essential in liver regeneration, fibrosis modulation, and ischemia-reperfusion injury repair, and EV-derived biomarkers have shown potential for non-invasive disease monitoring, particularly in hepatitis B virus infection, non-alcoholic fatty liver disease, and hepatocellular carcinoma. This review provides a comprehensive overview of EV biology, cellular sources, isolation techniques, and strategies to enhance their therapeutic potential. Furthermore, we discuss the role of EVs in liver regeneration and their clinical application in biomarker discovery. Despite significant advancements in EV-based therapies, challenges such as scalability, standardization, immunogenicity, and regulatory approval remain key hurdles for clinical translation. Future research should focus on optimizing EV bioengineering, refining isolation methods, and addressing regulatory concerns to facilitate successful application of EVs in liver disease management and precision medicine.

细胞外囊泡(EVs)是细胞间通讯的重要介质,它促进生物活性分子(如蛋白质、脂质和核酸)的转移。它们的高生物相容性和内在靶向能力使它们成为治疗、药物传递和疾病生物标志物的有希望的候选者。在肝脏疾病中,ev在肝脏再生、纤维化调节和缺血-再灌注损伤修复中至关重要,并且ev衍生的生物标志物已显示出非侵入性疾病监测的潜力,特别是在乙型肝炎病毒感染、非酒精性脂肪性肝病和肝细胞癌中。本文综述了EV的生物学、细胞来源、分离技术和提高其治疗潜力的策略。此外,我们还讨论了ev在肝脏再生中的作用及其在生物标志物发现中的临床应用。尽管基于ev的疗法取得了重大进展,但可扩展性、标准化、免疫原性和监管批准等挑战仍然是临床转化的主要障碍。未来的研究应着眼于优化电动汽车生物工程,完善分离方法,解决监管问题,以促进电动汽车在肝脏疾病管理和精准医学中的成功应用。
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引用次数: 0
Chemically Derived Hepatic Progenitors Are Reprogrammed through Autophagy Suppression by A83-01. 化学来源的肝祖细胞通过A83-01抑制自噬被重编程。
IF 2.4 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-02-28 Epub Date: 2026-01-23 DOI: 10.15283/ijsc25004
Hayoon Kim, Seunghee Kim, Soraya Salas-Silva, Dongho Choi, Ji Hyun Shin

Human chemically derived hepatic progenitors (hCdHs) reprogrammed using three chemicals-HGF, A83-01, and CHIR99021 (collectively denoted as "HAC")-have been suggested as a novel therapeutic for patients with severe liver diseases in our previous study. Despite its high proliferation and re-differentiation ability into functional hepatocytes, the reprogramming mechanism of hCdHs remained unknown. Recently, it has been reported that autophagy, a self-degradation process, is responsible for stem cell metabolism. In this study, we investigated whether autophagy regulates the generation mechanism of CdHs, mainly using hepatocytes from C57BL/6 mice, with additional analysis using human hepatocytes. As a result, we found that autophagy flux is inhibited during the generation of mouse CdHs (mCdHs) by A83-01, which is compensated by CHIR99021. Moreover, the suppression of autophagy by bafilomycin A1 enhanced the proliferation ability of mCdHs during the generation process. hCdHs also showed a similar autophagy inhibition pattern to mCdHs during the generation process. Taken together, our study indicates that autophagy is downregulated during the generation of CdHs, promoting their proliferation. This may contribute to the production of hCdHs with stable productivity, which may serve as a therapeutic for severe liver diseases.

人类化学衍生的肝祖细胞(hcdh)使用三种化学物质——hgf、A83-01和CHIR99021(统称为“HAC”)进行重编程,在我们之前的研究中被认为是一种治疗严重肝脏疾病的新方法。尽管hcdh具有高增殖和向功能性肝细胞再分化的能力,但其重编程机制尚不清楚。近年来,有报道称自噬是一种自我降解过程,负责干细胞的代谢。在本研究中,我们主要利用C57BL/6小鼠的肝细胞,研究了自噬是否调节cdh的生成机制,并利用人肝细胞进行了额外的分析。因此,我们发现A83-01在小鼠cdh (mCdHs)生成过程中抑制了自噬通量,并由CHIR99021进行补偿。此外,巴菲霉素A1对自噬的抑制增强了mCdHs在生成过程中的增殖能力。在生成过程中,hcdh也表现出与mCdHs相似的自噬抑制模式。综上所述,我们的研究表明,自噬在cdh的产生过程中被下调,促进了cdh的增殖。这可能有助于产生具有稳定生产力的hCdHs,这可能作为严重肝脏疾病的治疗方法。
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引用次数: 0
Protective Effect of Brain Derived Neurotrophic Factor-Overexpressing Wharton's Jelly-Derived Mesenchymal Stromal Cells in Severe Intraventricular Hemorrhage in Newborn Rats. 脑源性神经营养因子过表达Wharton’s胶状间充质间质细胞对新生大鼠严重脑室内出血的保护作用。
IF 2.4 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-02-28 Epub Date: 2026-01-19 DOI: 10.15283/ijsc25016
So Yeon Jung, Misun Yang, Young Eun Kim, Dong Kyung Sung, Se In Sung, Chang-Woo Lee, Yun Sil Chang, So Yoon Ahn

The brain-derived neurotrophic factor (BDNF) plays a crucial role in neuroprotection, and we have previously demonstrated BDNF-mediated neuroprotective effects in mesenchymal stromal cells (MSCs). The present study aimed to investigate whether BDNF-overexpressing MSCs enhance the therapeutic efficacy of naïve MSCs in a preclinical model of severe neonatal intraventricular hemorrhage (IVH). We exposed primary rat neuronal cells to 40 U of thrombin overnight in vitro. Subsequently, the neuronal cells were co-cultured with either naïve MSCs or BDNF-overexpressing MSCs (1×105 cells in 1 mL media) for 24 hours. Next, 300 μL of maternal blood was injected into bilateral ventricles on postnatal day (P)4 to induce severe IVH in newborn Sprague-Dawley male rats. At P6, either naïve MSCs or BDNF-overexpressing MSCs (1×105 cells in 10 μL saline) were transplanted intraventricularly. Behavioral function tests, including passive avoidance, followed by endpoint analyses of brain tissue and cerebrospinal fluid were performed at P35. BDNF-overexpressing MSCs enhanced the effects of naïve MSCs against cell death, cytotoxicity, and oxidative stress in vitro. Notably, naïve and BDNF-overexpressing MSCs did not attenuate post-hemorrhagic ventricular dilatation, neuronal cell death, or gliosis. However, BDNF-overexpressing MSCs attenuated microglial activation. Furthermore, inflammatory cytokine (interleukin [IL]-1α, IL-1β, IL-6, and tumor necrosis factor-α) levels and memory function assessed using a passive avoidance test significantly improved in the BDNF-overexpressing MSC transplanted group compared with the naïve MSC transplanted group. Our data suggest that BDNF-overexpressing MSCs may offer superior protective effects to naïve MSCs in a neonatal IVH model.

脑源性神经营养因子(BDNF)在神经保护中起着至关重要的作用,我们之前已经证明了BDNF介导的间充质间质细胞(MSCs)的神经保护作用。本研究旨在探讨bdnf过表达的MSCs是否能增强naïve MSCs在新生儿重度脑室内出血(IVH)临床前模型中的治疗效果。我们将原代大鼠神经细胞暴露于40u凝血酶体外过夜。随后,将神经元细胞与naïve MSCs或过表达bdnf的MSCs (1×105细胞在1ml培养基中)共培养24小时。然后,在出生后第4天(P),双侧脑室注射300 μL母血,诱导新生儿Sprague-Dawley雄性大鼠重度IVH。在P6时,将naïve MSCs或bdnf过表达的MSCs (1×105细胞在10 μL生理盐水中)在脑室内移植。行为功能测试,包括被动回避,随后进行脑组织和脑脊液的终点分析。bdnf过表达的MSCs增强了naïve MSCs抗细胞死亡、细胞毒性和体外氧化应激的作用。值得注意的是,naïve和bdnf过表达的MSCs并没有减轻出血性心室扩张、神经元细胞死亡或胶质瘤。然而,过表达bdnf的MSCs会减弱小胶质细胞的激活。此外,炎症细胞因子(白细胞介素[IL]-1α、IL-1β、IL-6和肿瘤坏死因子-α)水平和记忆功能在bdnf过表达的MSC移植组与naïve MSC移植组相比有显著改善。我们的数据表明,在新生儿IVH模型中,bdnf过表达的MSCs可能对naïve MSCs具有优越的保护作用。
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引用次数: 0
Organoid Technology as a Promising Frontier in Organ Transplantation and Regenerative Medicine. 类器官技术是器官移植和再生医学的一个有前途的前沿。
IF 2.4 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-02-28 Epub Date: 2025-09-12 DOI: 10.15283/ijsc25042
Aeri Shin, Min Kyu Yum, Woong Sun

The advent of medical advances has resulted in the development of an array of treatments aimed at restoring damaged organs in humans. However, when chemical treatments, such as drug therapies, are constrained, organ transplantation may ultimately emerge as the sole viable solution. Nevertheless, despite the continually increasing demand for organ donations, the actual number of donated organs remains insufficient to meet this demand. Recently, a variety of organoids have been generated using stem cells and have been demonstrated to exhibit functionality comparable to that of native organs. This indicates that organoids may be a viable option for use in organ transplantation. However, while numerous recent publications have documented the regenerative effects of diverse organoid types when implanted into damaged regions, significant technical and ethical considerations must be addressed before organoids can be utilized as a replacement for human organs. This review presents an overview of experimental endeavors in regenerative therapies through organoid transplantation, while also addressing the challenges that must be overcome to enhance the feasibility of organoid use as a surrogate organ. As organoid technology continues to advance, organoids may eventually become a widely utilized surrogate source for organ replacement in clinical settings.

医学的进步导致了一系列旨在恢复人体受损器官的治疗方法的发展。然而,当化学治疗,如药物治疗受到限制时,器官移植可能最终成为唯一可行的解决方案。然而,尽管对器官捐赠的需求不断增加,但实际捐赠器官的数量仍然不足以满足这一需求。最近,利用干细胞产生了多种类器官,并已被证明具有与天然器官相当的功能。这表明类器官可能是器官移植中一个可行的选择。然而,尽管许多最近的出版物已经记录了不同类型的类器官在植入受损区域时的再生效果,但在类器官被用作人体器官的替代品之前,必须解决重大的技术和伦理问题。本文综述了通过类器官移植进行再生治疗的实验努力,同时也解决了必须克服的挑战,以提高类器官作为替代器官的可行性。随着类器官技术的不断进步,类器官可能最终成为临床器官替代的广泛使用的替代来源。
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引用次数: 0
Exosomes from Human Embryonic Stem Cell-Derived Mesenchymal Stem Cells Protect Lung Epithelium and Attenuate Fibrosis. 人胚胎干细胞衍生间充质干细胞外泌体保护肺上皮并减轻纤维化。
IF 2.4 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2026-02-28 Epub Date: 2026-01-23 DOI: 10.15283/ijsc25091
Sangryul Cha, Jooyeon Lee, Jimin Jang, Yeongcheol Kim, Dahee Han, Seok-Ho Hong, Seung-Jin Kim, Dae-Hee Lee, Chung Hyeun Ma, Han Pil Lee, Se-Ran Yang

Idiopathic pulmonary fibrosis (IPF) is characterized by maladaptive epithelial-mesenchymal crosstalk and progressive extracellular matrix accumulation, whereas currently available antifibrotic agents merely decelerate functional decline. This study investigated whether exosomes derived from human mesenchymal stem cells derived from embryonic stem cells (ESC-MSCs) restore epithelial stress responses and attenuate fibrotic remodeling. Human IPF lung transcriptomes were integrated with a bleomycin-induced murine model analyzed by RNA sequencing and protein signaling, together with cigarette smoke extract-induced injury in A549 epithelial cells. ESC-MSCs-derived exosomes exhibited typical morphology and size distribution, enrichment of tetraspanins, and absence of endoplasmic reticulum contamination, consistent with high-purity preparations. Across human IPF and bleomycin-injured lungs, transcriptomic profiling revealed prominent enrichment of extracellular matrix and cytoskeletal gene programs, whereas mitogen-activated protein kinase (MAPK) and Smad families displayed only modest alterations at the mRNA level. In vivo administration of exosomes during the fibrotic remodeling phase, via either intravenous or intratracheal delivery, resulted in improved body weight, reduced lung weight-to-body weight ratios, and decreased collagen deposition and Ashcroft scores. These structural and functional improvements were accompanied by suppression of profibrotic and mesenchymal markers and selective attenuation of activator protein-1 (AP-1) activity. In epithelial injury models, ESC-MSCs-derived exosomes enhanced cell viability, restored redox homeostasis, and constrained stress-induced mesenchymal gene expression and MAPK phosphorylation in both co-treatment and post-treatment settings. Collectively, these data support an epithelial-centered mechanism in which ESC-MSCs-derived exosomes re-establish oxidative balance and selectively restrict AP-1-driven stress signaling, thereby secondarily limiting extracellular matrix accumulation and fibrotic remodeling.

特发性肺纤维化(IPF)的特征是上皮-间质间质串扰失调和进行性细胞外基质积累,而目前可用的抗纤维化药物仅能减缓功能下降。本研究调查了来自胚胎干细胞的人间充质干细胞(ESC-MSCs)的外泌体是否能恢复上皮应激反应并减弱纤维化重塑。将人IPF肺转录组整合到博莱霉素诱导的小鼠模型中,通过RNA测序和蛋白质信号传导分析,以及香烟烟雾提取物诱导的A549上皮细胞损伤。esc - msc衍生的外泌体具有典型的形态和大小分布,丰富的四联蛋白,没有内质网污染,与高纯度制剂一致。在人类IPF和博莱霉素损伤的肺中,转录组学分析显示细胞外基质和细胞骨架基因程序显著富集,而丝裂原活化蛋白激酶(MAPK)和Smad家族在mRNA水平上仅显示适度的变化。在纤维化重塑阶段,通过静脉或气管内给药,体外给药外泌体可改善体重,降低肺重量与体重比,减少胶原沉积和Ashcroft评分。这些结构和功能的改善伴随着纤维化和间质标志物的抑制以及激活蛋白-1 (AP-1)活性的选择性衰减。在上皮损伤模型中,esc - mscs衍生的外泌体增强了细胞活力,恢复了氧化还原稳态,并在共处理和后处理环境中抑制了应激诱导的间充质基因表达和MAPK磷酸化。总的来说,这些数据支持一种以上皮为中心的机制,在这种机制中,esc - mscs衍生的外泌体重新建立氧化平衡,并选择性地限制ap -1驱动的应激信号,从而继发性地限制细胞外基质积累和纤维化重塑。
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International journal of stem cells
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