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Regenerative Therapy in Osteoarthritis Using Umbilical Cord-Origin Mesenchymal Stem Cells: A Critical Appraisal of Clinical Safety and Efficacy Through Systematic Review and Meta-Analysis. 利用脐带来源的间充质干细胞进行骨关节炎的再生治疗:通过系统回顾和荟萃分析对临床安全性和有效性的关键评价。
IF 3.3 3区 医学 Q2 CELL & TISSUE ENGINEERING Pub Date : 2025-12-02 eCollection Date: 2025-01-01 DOI: 10.1155/sci/4261166
Elnaz Lohrasbi, Soraya Babaie, Hadi Hamedfar, Samira Pourzeinali, Azizeh Farshbaf-Khalili, Vahideh Toopchizadeh
<p><strong>Introduction: </strong>Recent decades have witnessed a high prevalence of knee osteoarthritis among adults, which is associated with chronic pain, functional limitations, and decreased quality of life. Given the ineffectiveness of conventional cartilage regeneration approaches, umbilical cord-derived mesenchymal stem cells (UC-MSCs) have emerged as a potential regenerative therapy. In this study, it was aimed to determine whether UC-MSC treatment for knee osteoarthritis is effective, safe, and what is the optimal dosage to achieve optimal outcomes.</p><p><strong>Methods: </strong>This study was conducted as a systematic review and meta-analysis based on the PRISMA 2020 guideline. The dose of cells was divided into four groups: less than 25 × 10<sup>6</sup> (low), 25-50 × 10<sup>6</sup> (medium), more than 50 × 10<sup>6</sup> (high), and cases with no dose reported. An extensive search was conducted in PubMed, Embase, Scopus, Web of Science, ClinicalTrials.gov, and other sources up to September 2025. Randomized, phase I/II, and quasi-experimental clinical trial studies that used UC-MSCs in human patients with osteoarthritis were included in the analysis. Cochrane RoB and ROBINS-I tools were used to assess the quality of studies, and statistical analysis was performed using RevMan 5.4.</p><p><strong>Results: </strong>Of the 1427 identified articles, 8 studies with a total of 688 participants were finally included in the systematic review and meta-analysis. Although the analysis indicated that intra-articular injections of UC-MSCs reduced pain intensity (visual analog scale [VAS]) at both 6 months (standardized mean difference [SMD]: -0.86; 95% CI: -2.41 to 0.69; <i>p</i>=0.28) and 12 months (SMD: -1.02; 95% CI: -2.62 to 0.58; <i>p</i>=0.21), the observed reductions were not statistically significant. Notably, a subgroup analysis revealed that administration of a low-dose UC-MSC formulation resulted in a statistically significant reduction in pain scores at both 6 and 12 months (<i>p</i> ≤ 0.0001). In addition, there was also an improvement in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) total score at 6 months (SMD: -25.81; 95% CI: -45.15 to -6.46; <i>p</i>=0.009) compared to control. Compared to high-dose groups or control interventions (e.g., hyaluronic acid or placebo), low and medium doses (less than 25 × 10<sup>6</sup> and 25-50 × 10<sup>6</sup> million cells) demonstrated a superior efficacy. No serious treatment-related adverse events were reported, and the adverse events were mild, transient, and manageable.</p><p><strong>Conclusion: </strong>UC-MSC treatment in patients with knee osteoarthritis is a safe and effective method for improving pain and motor function, and it represents a promising alternative to traditional treatments. Given the promising results of this study, further prospective studies with a standardized design and economic evaluations are recommended to enable wider clinical applica
近几十年来,成人膝关节骨性关节炎的发病率很高,这与慢性疼痛、功能限制和生活质量下降有关。鉴于传统的软骨再生方法无效,脐带源性间充质干细胞(UC-MSCs)已成为一种潜在的再生疗法。在本研究中,旨在确定UC-MSC治疗膝关节骨性关节炎是否有效、安全,以及达到最佳效果的最佳剂量。方法:本研究基于PRISMA 2020指南进行系统综述和荟萃分析。将细胞剂量分为小于25 × 106(低)、25-50 × 106(中)、大于50 × 106(高)和未见剂量报告四组。在PubMed, Embase, Scopus, Web of Science, ClinicalTrials.gov和其他资源中进行了广泛的搜索,截止到2025年9月。使用UC-MSCs治疗人类骨关节炎患者的随机、I/II期和准实验性临床试验研究被纳入分析。采用Cochrane RoB和ROBINS-I工具评价研究质量,采用RevMan 5.4进行统计分析。结果:在1427篇纳入的文献中,8篇研究共688名受试者最终被纳入系统评价和meta分析。虽然分析表明关节内注射UC-MSCs在6个月(标准化平均差[SMD]: -0.86; 95% CI: -2.41至0.69;p=0.28)和12个月(SMD: -1.02; 95% CI: -2.62至0.58;p=0.21)时均可减轻疼痛强度(视觉模拟量表[VAS]),但观察到的减轻无统计学意义。值得注意的是,亚组分析显示,使用低剂量UC-MSC制剂可在6个月和12个月时显著降低疼痛评分(p≤0.0001)。此外,与对照组相比,西安大略省和麦克马斯特大学骨关节炎指数(WOMAC)总分在6个月时也有改善(SMD: -25.81; 95% CI: -45.15至-6.46;p=0.009)。与高剂量组或对照干预(如透明质酸或安慰剂)相比,低剂量和中剂量(小于25 × 106和25-50 × 106百万细胞)显示出优越的疗效。没有严重的治疗相关不良事件的报道,不良事件是轻微的,短暂的,可控的。结论:UC-MSC治疗膝关节骨性关节炎是一种安全有效的改善疼痛和运动功能的方法,是传统治疗方法的一种有前景的替代方法。鉴于本研究的良好结果,建议进一步进行标准化设计和经济评估的前瞻性研究,以使该方法得到更广泛的临床应用。
{"title":"Regenerative Therapy in Osteoarthritis Using Umbilical Cord-Origin Mesenchymal Stem Cells: A Critical Appraisal of Clinical Safety and Efficacy Through Systematic Review and Meta-Analysis.","authors":"Elnaz Lohrasbi, Soraya Babaie, Hadi Hamedfar, Samira Pourzeinali, Azizeh Farshbaf-Khalili, Vahideh Toopchizadeh","doi":"10.1155/sci/4261166","DOIUrl":"10.1155/sci/4261166","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Recent decades have witnessed a high prevalence of knee osteoarthritis among adults, which is associated with chronic pain, functional limitations, and decreased quality of life. Given the ineffectiveness of conventional cartilage regeneration approaches, umbilical cord-derived mesenchymal stem cells (UC-MSCs) have emerged as a potential regenerative therapy. In this study, it was aimed to determine whether UC-MSC treatment for knee osteoarthritis is effective, safe, and what is the optimal dosage to achieve optimal outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This study was conducted as a systematic review and meta-analysis based on the PRISMA 2020 guideline. The dose of cells was divided into four groups: less than 25 × 10&lt;sup&gt;6&lt;/sup&gt; (low), 25-50 × 10&lt;sup&gt;6&lt;/sup&gt; (medium), more than 50 × 10&lt;sup&gt;6&lt;/sup&gt; (high), and cases with no dose reported. An extensive search was conducted in PubMed, Embase, Scopus, Web of Science, ClinicalTrials.gov, and other sources up to September 2025. Randomized, phase I/II, and quasi-experimental clinical trial studies that used UC-MSCs in human patients with osteoarthritis were included in the analysis. Cochrane RoB and ROBINS-I tools were used to assess the quality of studies, and statistical analysis was performed using RevMan 5.4.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Of the 1427 identified articles, 8 studies with a total of 688 participants were finally included in the systematic review and meta-analysis. Although the analysis indicated that intra-articular injections of UC-MSCs reduced pain intensity (visual analog scale [VAS]) at both 6 months (standardized mean difference [SMD]: -0.86; 95% CI: -2.41 to 0.69; &lt;i&gt;p&lt;/i&gt;=0.28) and 12 months (SMD: -1.02; 95% CI: -2.62 to 0.58; &lt;i&gt;p&lt;/i&gt;=0.21), the observed reductions were not statistically significant. Notably, a subgroup analysis revealed that administration of a low-dose UC-MSC formulation resulted in a statistically significant reduction in pain scores at both 6 and 12 months (&lt;i&gt;p&lt;/i&gt; ≤ 0.0001). In addition, there was also an improvement in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) total score at 6 months (SMD: -25.81; 95% CI: -45.15 to -6.46; &lt;i&gt;p&lt;/i&gt;=0.009) compared to control. Compared to high-dose groups or control interventions (e.g., hyaluronic acid or placebo), low and medium doses (less than 25 × 10&lt;sup&gt;6&lt;/sup&gt; and 25-50 × 10&lt;sup&gt;6&lt;/sup&gt; million cells) demonstrated a superior efficacy. No serious treatment-related adverse events were reported, and the adverse events were mild, transient, and manageable.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;UC-MSC treatment in patients with knee osteoarthritis is a safe and effective method for improving pain and motor function, and it represents a promising alternative to traditional treatments. Given the promising results of this study, further prospective studies with a standardized design and economic evaluations are recommended to enable wider clinical applica","PeriodicalId":21962,"journal":{"name":"Stem Cells International","volume":"2025 ","pages":"4261166"},"PeriodicalIF":3.3,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12688636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145726224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
METTL3-Mediated m6A Modification Enhances the Function of Adipose-Derived Stem Cells Under Hypoxic Conditions Thereby Improving Fat Graft Retention. mettl3介导的m6A修饰增强了缺氧条件下脂肪源性干细胞的功能,从而改善脂肪移植保留。
IF 3.3 3区 医学 Q2 CELL & TISSUE ENGINEERING Pub Date : 2025-11-30 eCollection Date: 2025-01-01 DOI: 10.1155/sci/5589397
Yajie Guo, Mengmeng Hou, Jiawei Song, Han Peng, Shuai Liu, Jun Zhu, Qi Wang, Jipeng Li, Chenggang Yi, Huichen Li

Background: Adipose-derived stem cells (ADSCs) have important application prospects in the field of regenerative medicine, such as adjuvant autologous fat transplantation (AFT), due to their multidirectional differentiation and immunomodulatory functions. However, functional limitation of ADSCs in hypoxic environments may affect their effectiveness in clinical applications. Hypoxic preconditioning is a potential strategy to improve the function of ADSCs by enhancing the antioxidant capacity and metabolic adaptations of the cells, but the optimal hypoxic conditions and the mechanism of action have not yet been clarified.

Methods: ADSCs were extracted and pretreated with hypoxia in order to explore its effect on the function of ADSCs. The activity, apoptosis level, proliferation ability, and antioxidant capacity of ADSCs under normoxic and hypoxic conditions were evaluated using flow cytometry (FCM), live-dead cell fluorescence assay, and apoptosis flow assay. Further, the role of METTL3-mediated m6A modification in hypoxic preconditioning was explored by real-time fluorescence quantitative PCR, protein immunoblotting assay, and m6A modification level detection. Finally, the effect of hypoxic preconditioning of ADSCs on fat graft retention was verified by the mouse AFT model.

Results: We found that the survival of ADSCs was not affected by 5% O2 pretreatment. Moreover, the cell viability and proliferation of ADSCs were enhanced after 24 h of anoxic preconditioning. Therefore, we determined that 5% O2 treatment for 24 h was the best hypoxic pretreatment condition for ADSCs, which enhanced the antioxidant capacity of ADSCs, reduced apoptosis. METTL3-mediated m6A modification played a critical role in hypoxic preconditioning to reduce apoptosis in ADSCs. It was verified in a mouse model that hypoxia preconditioning of ADSCs significantly improved adipose graft retention and promoted neovascularization.

Conclusions: METTL3-mediated modification of m6A enhances the function of ADSCs under hypoxic conditions to improve adipose graft retention. These findings provide a new strategy and theoretical basis for improving the clinical outcome of fat grafting, as well as new molecular targets for future research.

背景:脂肪源性干细胞(ADSCs)因其多向分化和免疫调节功能,在辅助自体脂肪移植(AFT)等再生医学领域具有重要的应用前景。然而,ADSCs在缺氧环境下的功能限制可能会影响其临床应用的有效性。低氧预处理是通过增强细胞的抗氧化能力和代谢适应性来改善ADSCs功能的潜在策略,但最佳的低氧条件和作用机制尚未明确。方法:提取ADSCs,经缺氧预处理,探讨其对ADSCs功能的影响。采用流式细胞术(FCM)、活死细胞荧光法和细胞凋亡流动法检测ADSCs在常氧和缺氧条件下的活性、凋亡水平、增殖能力和抗氧化能力。通过实时荧光定量PCR、蛋白免疫印迹法和m6A修饰水平检测,探讨mettl3介导的m6A修饰在缺氧预处理中的作用。最后,通过小鼠AFT模型验证低氧预处理ADSCs对脂肪移植保留的影响。结果:5% O2预处理对ADSCs的存活无影响。缺氧预处理24 h后,ADSCs的细胞活力和增殖能力明显增强。因此,我们确定5% O2处理24 h是ADSCs的最佳缺氧预处理条件,可以增强ADSCs的抗氧化能力,减少细胞凋亡。mettl3介导的m6A修饰在缺氧预处理中减少ADSCs的凋亡中起关键作用。在小鼠模型中证实,缺氧预处理ADSCs可显著改善脂肪移植物潴留,促进新生血管形成。结论:mettl3介导的m6A修饰增强了缺氧条件下ADSCs的功能,改善了脂肪移植物潴留。这些发现为提高脂肪移植的临床效果提供了新的策略和理论依据,也为今后的研究提供了新的分子靶点。
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引用次数: 0
Human Umbilical Cord Mesenchymal Stem Cells Ameliorate Diabetic Neuropathic Pain via TRPV1-[Ca2+]i-AMPK Signaling-Mediated Mitochondrial Restoration in Schwann Cells. 人脐带间充质干细胞通过TRPV1-[Ca2+]i-AMPK信号介导的雪旺细胞线粒体修复改善糖尿病神经性疼痛
IF 3.3 3区 医学 Q2 CELL & TISSUE ENGINEERING Pub Date : 2025-11-26 eCollection Date: 2025-01-01 DOI: 10.1155/sci/5533136
Yi-Kun Zhou, Jun-Dong He, Xiao-Chun Yang, Li-Fen Yang, Pei-Yu Jiang, Zhi Liang, Yang Ou

Background: The therapeutic potential of human umbilical cord mesenchymal stem cells (HUCMSCs) for diabetic peripheral neuropathy (DPN) and the underlying mechanisms involving transient receptor potential vanilloid 1 (TRPV1) signaling remain incompletely defined.

Objective: This study aimed to elucidate the role of the TRPV1-[Ca2+]i-AMPK signaling axis in mediating the beneficial effects of HUCMSCs on neuropathic pain and Schwann cell (SC) dysfunction in DPN.

Methods: A murine model of DPN was established. Mechanical allodynia and thermal hyperalgesia were assessed using Von Frey filaments and the KW-LB hot plate test, respectively. Primary mouse SCs were isolated and cultured under high glucose (HG) conditions. Intracellular calcium ([Ca2+]i) levels were quantified by flow cytometry. Protein expression (TRPV1, p-TRPV1, AMPK, p-AMPK, cleaved-caspase-3, Bax, Bcl-2, Drp1, PGC-1α, TFAM, Mfn2) was analyzed via Western blotting. Apoptosis and cell proliferation were evaluated using TUNEL staining and the CCK-8 assay, respectively. Specific inhibitors (AMG9810 for TRPV1 and compound C for AMPK) were employed to probe pathway involvement.

Results: HUCMSC administration significantly alleviated mechanical allodynia and thermal hyperalgesia in diabetic mice. In vitro, HUCMSC coculture counteracted HG-induced effects in SCs by: (1) increasing the p-TRPV1/TRPV1 ratio and [Ca2+]i influx (effects blocked by AMG9810); (2) reducing apoptosis (decreased cleaved-caspase-3/Bax, increased Bcl-2); (3) enhancing the p-AMPK/AMPK ratio (attenuated by both AMG9810 and compound C); and (4) promoting mitochondrial homeostasis, increasing PGC-1α, TFAM, and Mfn2 expression, mitochondrial membrane potential and ATP levels, and decreasing Drp1 expression. These mitochondrial improvements were reversed by compound C.

Conclusion: HUCMSCs ameliorate diabetic neuropathic pain primarily through activation of the TRPV1-[Ca2+]i-AMPK signaling pathway in SCs, which may provide a new molecular target for enhancing the clinical therapeutic effect of HUCMSCs on DPN.

背景:人脐带间充质干细胞(HUCMSCs)治疗糖尿病周围神经病变(DPN)的潜力以及涉及瞬时受体电位香草样蛋白1 (TRPV1)信号传导的潜在机制仍未完全确定。目的:本研究旨在阐明TRPV1-[Ca2+]i-AMPK信号轴在介导HUCMSCs对DPN神经性疼痛和雪旺细胞(SC)功能障碍的有益作用中的作用。方法:建立小鼠DPN模型。分别采用Von Frey纤维法和KW-LB热板法评估机械异常性痛和热痛觉过敏。分离小鼠原代SCs并在高糖(HG)条件下培养。流式细胞术测定细胞内钙([Ca2+]i)水平。Western blotting分析蛋白表达(TRPV1、p-TRPV1、AMPK、p-AMPK、cleaved-caspase-3、Bax、Bcl-2、Drp1、PGC-1α、TFAM、Mfn2)。采用TUNEL染色和CCK-8法分别检测细胞凋亡和细胞增殖。特异性抑制剂(TRPV1的AMG9810和AMPK的化合物C)被用来探测通路参与。结果:HUCMSC给药可显著减轻糖尿病小鼠的机械异常性痛和热痛觉过敏。体外,HUCMSC共培养通过:(1)增加p-TRPV1/TRPV1比值和[Ca2+]i内流(作用被AMG9810阻断)抵消hg诱导的SCs效应;(2)减少细胞凋亡(cleaved-caspase-3/Bax减少,Bcl-2增加);(3)增强p-AMPK/AMPK比值(AMG9810和化合物C均能减弱);(4)促进线粒体稳态,提高PGC-1α、TFAM和Mfn2表达,线粒体膜电位和ATP水平,降低Drp1表达。结论:HUCMSCs主要通过激活SCs中的TRPV1-[Ca2+]i-AMPK信号通路改善糖尿病神经性疼痛,这可能为提高HUCMSCs对DPN的临床治疗效果提供新的分子靶点。
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引用次数: 0
Exendin-4 Reduces Senescence of Inflammation-Induced Periodontal Ligament Stem Cells Through SIRT1/Notch1 Signaling. Exendin-4通过SIRT1/Notch1信号传导减缓炎症诱导的牙周韧带干细胞衰老
IF 3.3 3区 医学 Q2 CELL & TISSUE ENGINEERING Pub Date : 2025-11-24 eCollection Date: 2025-01-01 DOI: 10.1155/sci/7639451
Yunxuan Xu, Jiawen Zheng, Min Liu, Zhuoyu Fu, Ping Wang

Periodontitis is a persistent inflammatory ailment that impacts periodontal tissues. Periodontal ligament stem cells (PDLSCs), also referred to as stem cells, possess advantageous attributes for tissue engineering and regenerative medicine due to their ability to self-renew with multi-directional differentiation potential. Nevertheless, the process of cellular senescence can compromise the restoration and regeneration of tissues, thereby impairing the normal regenerative and reparative functions of the periodontium. Exendin-4 (Ex-4) has protective effects against cellular senescence and apoptosis, but the impact of Ex-4 on inflammation-induced senescence of PDLSCs is unknown. This study used lipopolysaccharide (LPS) to simulate an inflammatory microenvironment, and then assessed the effect of Ex-4 on PDLSC senescence within that environment. Initially, PDLSCs were isolated and characterized and then cultured with LPS or LPS and Ex-4. Results demonstrated that the LPS-induced inflammatory microenvironment produced premature senescence of PDLSCs, which was reversible by treatment with Ex-4. Potential mechanisms underlying the effect were evaluated with regard to senescence-associated molecular pathways, and results demonstrated senescence of PDLSCs to be associated with Sirtuin 1 down-regulation and Notch1 upregulation. Our findings suggest that Ex-4 may mitigate the inflammation-induced senescence of PDLSCs through the SIRT1/Notch1 signaling pathway.

牙周炎是一种影响牙周组织的持续性炎症性疾病。牙周韧带干细胞(Periodontal ligament stem cells, PDLSCs)也被称为干细胞,由于其具有自我更新和多向分化的能力,在组织工程和再生医学中具有优势。然而,细胞衰老的过程会损害组织的恢复和再生,从而损害牙周组织的正常再生和修复功能。Exendin-4 (Ex-4)对细胞衰老和凋亡具有保护作用,但Ex-4对炎症诱导的PDLSCs衰老的影响尚不清楚。本研究使用脂多糖(LPS)模拟炎症微环境,然后评估Ex-4对该环境下PDLSC衰老的影响。首先,分离并表征PDLSCs,然后用LPS或LPS和Ex-4培养。结果表明,lps诱导的炎症微环境导致PDLSCs过早衰老,Ex-4可逆转这一过程。研究人员从衰老相关的分子途径评估了这种效应的潜在机制,结果表明PDLSCs的衰老与Sirtuin 1下调和Notch1上调有关。我们的研究结果表明,Ex-4可能通过SIRT1/Notch1信号通路减轻炎症诱导的PDLSCs衰老。
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引用次数: 0
The Epithelial Cell-Associated Gene PMAIP1 Serves as a Prognostic Biomarker for Lung Adenocarcinoma and Can Regulate the Stemness of Lung Cancer. 上皮细胞相关基因PMAIP1作为肺腺癌的预后生物标志物,可以调节肺癌的干性。
IF 3.3 3区 医学 Q2 CELL & TISSUE ENGINEERING Pub Date : 2025-11-21 eCollection Date: 2025-01-01 DOI: 10.1155/sci/2896484
Haoran Wang, Hui Zhang, Peipei Kang, Qin Ge, Xiaohong Chen, Gujun Cong

Epithelial cells are integral to tumor composition and engage with various immune cell types within the tumor microenvironment, influencing tumor progression and metastasis. A thorough exploration of the roles and mechanisms of these epithelial cells could enhance early detection strategies and treatment modalities for lung adenocarcinoma (LUAD). This research employed single-cell analysis techniques, complemented by machine learning algorithms, to identify genes associated with epithelial cells and evaluate their prognostic significance and implications for immunotherapy in LUAD patients. By leveraging multiple datasets and applying diverse clustering methods within machine learning, we successfully crafted and validated a diagnostic model specifically for LUAD. Among the genes linked to epithelial cells, the XGBoost and random forest techniques identified PMAIP1 as the most crucial gene in terms of prognosis. Additionally, this study investigated the relationship between PMAIP1 and the infiltration of immune cells. The expression levels of PMAIP1 and its relevance in LUAD were subsequently confirmed through immunohistochemical staining and in vitro cell experiments. This analysis revealed 17 key genes associated with epithelial cells by integrating single-cell analysis with clinical data from the TCGA-LUAD dataset, underscoring their significance in diagnosis, prognostic assessment, and possible treatment avenues for LUAD patients. Importantly, PMAIP1 is strongly linked to prognosis and responses to immunotherapy in LUAD, with experimental findings indicating its heightened expression in PRAD and its connection to adverse outcomes. Furthermore, reducing PMAIP1 expression has been shown to hinder the proliferation, metastasis, and stemness of LUAD cells. In summary, our findings indicate that PMAIP1 has potential as a prognostic biomarker and a target for immunotherapy in patients with LUAD.

上皮细胞是肿瘤组成的一部分,并与肿瘤微环境中的各种免疫细胞类型相互作用,影响肿瘤的进展和转移。深入探索这些上皮细胞的作用和机制可以提高肺腺癌(LUAD)的早期发现策略和治疗方式。本研究采用单细胞分析技术,辅以机器学习算法,鉴定与上皮细胞相关的基因,并评估其预后意义和对LUAD患者免疫治疗的影响。通过利用多个数据集并在机器学习中应用不同的聚类方法,我们成功地制作并验证了专门针对LUAD的诊断模型。在与上皮细胞相关的基因中,XGBoost和随机森林技术发现PMAIP1是影响预后的最关键基因。此外,本研究还探讨了PMAIP1与免疫细胞浸润的关系。随后通过免疫组化染色和体外细胞实验证实PMAIP1的表达水平及其在LUAD中的相关性。该分析通过将单细胞分析与TCGA-LUAD数据集的临床数据相结合,揭示了17个与上皮细胞相关的关键基因,强调了它们在LUAD患者的诊断、预后评估和可能的治疗途径中的重要性。重要的是,PMAIP1与LUAD患者的预后和免疫治疗反应密切相关,实验结果表明,PMAIP1在PRAD中的表达升高,与不良结局有关。此外,减少PMAIP1的表达已被证明可以抑制LUAD细胞的增殖、转移和干性。总之,我们的研究结果表明PMAIP1具有作为LUAD患者预后生物标志物和免疫治疗靶点的潜力。
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引用次数: 0
Escin Preincubation Enhances the Therapeutic Effect of Umbilical Cord-Derived Mesenchymal Stem Cells in a Rat Model of Myocardial Infarction. Escin预孵育增强脐带间充质干细胞对大鼠心肌梗死模型的治疗作用
IF 3.3 3区 医学 Q2 CELL & TISSUE ENGINEERING Pub Date : 2025-11-21 eCollection Date: 2025-01-01 DOI: 10.1155/sci/1115668
Xin Yu, Lihong Jiang, Xiaoyu Yang

Introduction: Umbilical cord-derived mesenchymal stem cells (UCMSCs) are promising candidates for the treatment of myocardial infarction (MI). However, their low mobility and survival limit their clinical applicability. This study aimed to enhance the therapeutic potential of UCMSCs by preincubating them with escin, a natural medicine derived from the dried mature seeds of Aesculus wilsonii.

Methods: We characterized the functional properties of UCMSCs before and after escin preconditioning in vitro. Additionally, we performed RNA sequencing (RNA-seq) to analyze the transcriptomic differences between untreated and escin-pretreated UCMSCs (E-UCMSCs), followed by Western blot (WB) validation of the differentially expressed genes. In vivo, an MI model was established in rats, which involved permanent ligation of the left anterior descending coronary artery, followed by intravenous administration of UCMSCs and E-UCMSCs through the tail vein. The therapeutic efficacy of UCMSCs and E-UCMSCs was assessed by cardiac function measurements and Masson's trichrome staining to quantify fibrosis.

Results: No significant differences were observed in the basic characteristics of the UCMSCs before and after escin pretreatment. RNA-seq results demonstrated higher expression of intercellular adhesion molecule 1 (ICAM1) and GATA-binding protein 4 (GATA4) in E-UCMSCs than in UCMSCs. Furthermore, WB results confirmed this phenomenon. Most importantly, E-UCMSCs significantly restored myocardial contractile function and reduced infarct size in MI rats.

Conclusions: The current study demonstrates that escin upregulated ICAM1 and GATA4 gene expression in UCMSCs, thereby enhancing the therapeutic efficacy of UCMSCs in rats with MI. Therefore, pretreatment of UCMSCs with escin is a promising approach for the treatment of MI.

脐带源性间充质干细胞(UCMSCs)是治疗心肌梗死(MI)的有希望的候选者。然而,它们的低流动性和存活率限制了它们的临床应用。本研究旨在通过用叶esin预培养UCMSCs,以增强其治疗潜力。叶esin是一种天然药物,从干燥的成熟七叶树种子中提取。方法:对体外escin预处理前后UCMSCs的功能特性进行表征。此外,我们进行了RNA测序(RNA-seq)来分析未经处理和escin预处理的UCMSCs (E-UCMSCs)之间的转录组差异,然后进行Western blot (WB)验证差异表达的基因。在体内,我们建立了大鼠心肌梗死模型,永久性结扎左冠状动脉前降支,然后通过尾静脉静脉给药UCMSCs和E-UCMSCs。通过心功能测量和马松三色染色定量纤维化来评估UCMSCs和E-UCMSCs的治疗效果。结果:escin预处理前后UCMSCs的基本特征无显著差异。RNA-seq结果显示,细胞间粘附分子1 (ICAM1)和gata结合蛋白4 (GATA4)在E-UCMSCs中的表达高于UCMSCs。WB结果进一步证实了这一现象。最重要的是,E-UCMSCs显著恢复心肌收缩功能,减少心肌梗死面积。结论:本研究表明,escin上调了UCMSCs中ICAM1和GATA4基因的表达,从而增强了UCMSCs对心肌梗死大鼠的治疗效果,因此,用escin预处理UCMSCs是治疗心肌梗死的一种很有前景的方法。
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引用次数: 0
RETRACTION: The Effects of Platelet-Derived Growth Factor-BB on Bone Marrow Stromal Cell-Mediated Vascularized Bone Regeneration. 撤回:血小板衍生生长因子- bb在骨髓基质细胞介导的血管化骨再生中的作用。
IF 3.3 3区 医学 Q2 CELL & TISSUE ENGINEERING Pub Date : 2025-11-20 eCollection Date: 2025-01-01 DOI: 10.1155/sci/9754568
Stem Cells International

[This retracts the article DOI: 10.1155/2018/3272098.].

[本文撤回文章DOI: 10.1155/2018/3272098]。
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引用次数: 0
Discovery of PAK2 as a Key Regulator of Cancer Stem Cell in Head and Neck Squamous Cell Carcinoma Using Multi-Omic Techniques. 利用多组学技术发现PAK2在头颈部鳞状细胞癌中作为肿瘤干细胞的关键调控因子。
IF 3.3 3区 医学 Q2 CELL & TISSUE ENGINEERING Pub Date : 2025-11-19 eCollection Date: 2025-01-01 DOI: 10.1155/sci/1325262
Puyu Wang, Shengshan Xu, Qian Guo, Yulin Zhao

Head and neck squamous cell carcinoma (HNSC) is an aggressive malignancy whose progression is closely associated with dysregulation of programed cell death (PCD) pathways and cancer stem cell (CSC) characteristics. To systematically screen for key pathogenic genes, this study performed single-cell analysis on the GSE150321 dataset. The identified cell-specific genes were intersected with PCD- and CSC-related genes, yielding 24 candidate genes for preliminary screening. Further refinement using multiple machine learning (ML) algorithms identified PAK2 as the most central gene among these candidates. Analysis of TCGA and external datasets confirmed that PAK2 is significantly overexpressed in HNSC tissues, demonstrating good diagnostic value and strong association with poor patient prognosis. Functional studies revealed that PAK2 overexpression positively correlates with malignant phenotypes such as metabolic reprograming and tumor metastasis. Notably, PAK2 expression showed a significant negative correlation with antitumor immune status and negatively regulated the infiltration of multiple immune cell types. Spatial transcriptomics and single-cell sequencing analyses revealed PAK2's specific expression patterns within the tumor microenvironment, confirming its influence on the activity of immune-related molecules and immunomodulators. Finally, through Connectivity Map (cMAP) screening and molecular docking, we identified the small molecule compound butein as an effective agent capable of reversing PAK2-mediated procancer molecular features. Butein exhibits stable binding to the PAK2 protein, suggesting its potential as a targeted therapeutic agent. In summary, through multi-omics integration analysis, this study first reveals that PAK2 plays a central role in the pathogenesis of HNSC by regulating PCD, tumor stem cell properties, and the immune microenvironment, and provides a candidate drug for its targeted therapy.

头颈部鳞状细胞癌(HNSC)是一种侵袭性恶性肿瘤,其进展与程序性细胞死亡(PCD)途径和癌症干细胞(CSC)特征的失调密切相关。为了系统筛选关键致病基因,本研究对GSE150321数据集进行了单细胞分析。将鉴定的细胞特异性基因与PCD和csc相关基因交叉,得到24个候选基因进行初步筛选。使用多种机器学习(ML)算法进一步细化,确定PAK2是这些候选基因中最核心的基因。TCGA和外部数据集分析证实,PAK2在HNSC组织中显著过表达,具有良好的诊断价值,且与患者预后不良密切相关。功能研究显示PAK2过表达与代谢重编程、肿瘤转移等恶性表型呈正相关。值得注意的是,PAK2的表达与抗肿瘤免疫状态呈显著负相关,负调控多种免疫细胞类型的浸润。空间转录组学和单细胞测序分析揭示了PAK2在肿瘤微环境中的特异性表达模式,证实了其对免疫相关分子和免疫调节剂活性的影响。最后,通过Connectivity Map (cMAP)筛选和分子对接,我们确定了小分子化合物butein是一种能够逆转pak2介导的原癌分子特征的有效药物。Butein与PAK2蛋白稳定结合,提示其作为靶向治疗剂的潜力。综上所述,本研究通过多组学整合分析,首次揭示了PAK2通过调控PCD、肿瘤干细胞特性和免疫微环境在HNSC发病过程中发挥核心作用,并为其靶向治疗提供了候选药物。
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引用次数: 0
Generation of Enucleated Erythrocytes From Lin-CD45-CD133+ Cells Isolated From Human Umbilical Cord Blood In Vitro. 人脐带血Lin-CD45-CD133+细胞体外生成去核红细胞的研究
IF 3.3 3区 医学 Q2 CELL & TISSUE ENGINEERING Pub Date : 2025-11-19 eCollection Date: 2025-01-01 DOI: 10.1155/sci/7714753
Ji He, Fang Wang, Qigang Zhan, Qi Sheng, Yanling Ying, Wei Zhang, Jinhui Liu, Faming Zhu

Background: At present, healthcare facilities often face blood shortages because of the low supply of donated blood relative to the high demand. Therefore, efforts to develop red blood cell (RBC) production methods have gained traction. In this work, Lin-CD45-CD133+ cells were isolated from human umbilical cord blood (UCB) and subsequently differentiated into erythrocytes in vitro in serum-free culture medium.

Methods: Lin-CD45-CD133+ cells were prepared from mononuclear cells (MNCs) using magnetic-activated cell sorting (MACS). The characteristics of Lin-CD45-CD133+ cells were confirmed using flow cytometry analysis, colony-forming unit (CFU) assays, morphological analysis, immunocytochemistry (ICC) analysis, and real-time fluorescent quantitative polymerase chain reaction (RT-PCR). Erythrocytes were differentiated in serum-free medium supplemented with stem cell factor (SCF), interleukin-3 (IL-3), erythropoietin (EPO), and FK506 for 13 days, after which autoplasma derived from UCB was added at a concentration of 5% beginning on day 14. Erythroid differentiation and maturation were examined using electron microscopy and flow cytometric analysis.

Results: Lin-CD45-CD133+ cells were successfully obtained from UCB. These cells were slightly smaller than normal RBCs and had a high nucleus-to-cytoplasm ratio. Oct-4 and Nanog were expressed at both the mRNA and protein levels in Lin-CD45-CD133+ cells. Most of the colonies were burst-forming unit-erythroid (BFU-E). After 7 days of in vitro culture, the Lin-CD45-CD133+ cells were negative for CD133 expression and positive for CD45 expression. The percentage of CD71+ cells gradually increased, peaked on day 10, and then started decreasing on day 13. The percentage of CD235a+ cells increased gradually after day 7 and peaked on day 13. CD240 expression was detected on day 18, with the highest level detected on day 20. The number of erythroid cells increased persistently during differentiation, and their morphology was consistent with that of normal erythrocytes.

Conclusion: An ex vivo culture system was developed that can generate human erythrocytes from Lin-CD45-CD133+ cells isolated from human UCB.

背景:目前,由于供血相对于高需求供血不足,卫生保健机构经常面临血液短缺。因此,开发红细胞(RBC)生产方法的努力获得了牵引力。在这项工作中,我们从人脐带血(UCB)中分离出Lin-CD45-CD133+细胞,随后在体外无血清培养基中分化为红细胞。方法:采用磁激活细胞分选(MACS)技术从单核细胞(MNCs)中制备Lin-CD45-CD133+细胞。采用流式细胞术、集落形成单位(CFU)、形态分析、免疫细胞化学(ICC)和实时荧光定量聚合酶链反应(RT-PCR)等方法对Lin-CD45-CD133+细胞的特征进行了验证。红细胞在无血清培养基中分化,培养基中添加干细胞因子(SCF)、白细胞介素-3 (IL-3)、促红细胞生成素(EPO)和FK506,培养13天,第14天开始加入浓度为5%的UCB自身浆。用电镜和流式细胞术观察红细胞分化和成熟情况。结果:成功从UCB中获得Lin-CD45-CD133+细胞。这些细胞比正常红细胞略小,核质比高。Oct-4和Nanog在Lin-CD45-CD133+细胞中mRNA和蛋白水平均有表达。大多数菌落为爆发形成单位-红系(BFU-E)。体外培养7 d后,Lin-CD45-CD133+细胞CD133表达阴性,CD45表达阳性。CD71+细胞百分比逐渐升高,第10天达到峰值,第13天开始下降。CD235a+细胞的比例在第7天逐渐增加,在第13天达到峰值。在第18天检测到CD240的表达,在第20天检测到最高水平。红细胞在分化过程中数量持续增加,形态与正常红细胞一致。结论:从人UCB中分离出Lin-CD45-CD133+细胞,建立了一种体外培养系统,可产生人红细胞。
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引用次数: 0
Optimization of Culture Media for Human Umbilical Cord-Derived Mesenchymal Stem Cell Production. 人脐带间充质干细胞培养培养基的优化。
IF 3.3 3区 医学 Q2 CELL & TISSUE ENGINEERING Pub Date : 2025-11-14 eCollection Date: 2025-01-01 DOI: 10.1155/sci/4806605
Wanglong Chu, Muyun Liu, Yan Shangguan, Fangtao He, Xiuping Zeng, Tao Guo, Tongjing Li, Fen Zhang, Qingfang Wang, Jianfu Wu, Zhenzhong Zhong, Xiao Liang

The development of robust and scalable culture systems is essential for the clinical-scale production of human umbilical cord (UC)-derived mesenchymal stem/stromal cells (MSCs) (UC-MSCs). While various basal and serum-free media are commercially available, systematic comparisons of their efficacy in supporting the expansion and functional properties of UC-MSCs remain limited. In this study, we conducted a comprehensive evaluation of multiple culture systems, including basal media (α-MEM, DMEM, and DMEM/F12) supplemented with human platelet lysate (HPL), and commercial serum-free media (Corning MSC Xeno-Free SFM, NutriStem XF Medium, Prime-XV MSC Expansion XSFM), for their ability to sustain UC-MSCs proliferation, maintain phenotypic properties, and support functional potency. The results demonstrated that all basal media supported cell growth, with α-MEM (Gibco) and DMEM/F12 showing superior performance over DMEM. Among serum-free formulations, Prime-XV with 2% HPL yielded the highest primary culture output and the shortest population doubling (PD) time (PDT) during passaging. Notably, cells expanded in commercial serum-free media exhibited reduced diameter and higher uniformity. Functional analyses revealed that NutriStem XF Medium supplemented with 2% HPL elicited the strongest immunomodulatory effects in mixed lymphocyte reactions (MLRs). Furthermore, all media maintained trilineage differentiation capacity and satisfied International Society for Cellular Therapy (ISCT) phenotypic criteria. Critically, no tumorigenic potential was detected in vitro or in vivo. Large-scale manufacturing using the selected medium (NutriStem XF + 2% HPL) confirmed consistent expansion kinetics, high viability, stable marker expression, and functional potency across seven production batches. This study provides a rigorous and clinically relevant framework for selecting culture media that ensure both scalability and functional integrity of UC-MSCs, highlighting the promise of serum-free systems for therapeutic manufacturing.

开发强大且可扩展的培养系统对于临床规模生产人脐带(UC)来源的间充质干细胞/基质细胞(UC-MSCs)至关重要。虽然市面上有各种基础培养基和无血清培养基,但系统比较它们在支持UC-MSCs扩增和功能特性方面的功效仍然有限。在这项研究中,我们对多种培养体系进行了综合评估,包括基础培养基(α-MEM、DMEM和DMEM/F12)和商业无血清培养基(康宁MSC Xeno-Free SFM、NutriStem XF Medium、Prime-XV MSC Expansion XSFM),以维持UC-MSCs的增殖、维持表型特性和支持功能效力。结果表明,所有基础培养基均能促进细胞生长,α-MEM (Gibco)和DMEM/F12表现优于DMEM。在无血清配方中,添加2% HPL的Prime-XV在传代过程中获得了最高的原代培养产量和最短的群体倍增时间。值得注意的是,在商业无血清培养基中扩增的细胞直径减小,均匀性更高。功能分析显示,添加2% HPL的NutriStem XF培养基对混合淋巴细胞反应(MLRs)的免疫调节作用最强。此外,所有培养基均保持三岁分化能力,并满足国际细胞治疗学会(ISCT)表型标准。关键的是,在体外或体内均未检测到致瘤潜力。使用选定的培养基(NutriStem XF + 2% HPL)进行大规模生产,在七个生产批次中证实了一致的膨胀动力学、高活力、稳定的标记表达和功能效价。这项研究为选择培养基提供了一个严格的和临床相关的框架,以确保UC-MSCs的可扩展性和功能完整性,突出了无血清系统用于治疗制造的前景。
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引用次数: 0
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Stem Cells International
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