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Autologous stem cell transplant for severe, progressive juvenile systemic sclerosis. 自体干细胞移植治疗严重进行性青少年系统性硬化症。
IF 4.9 2区 医学 Q1 CELL & TISSUE ENGINEERING Pub Date : 2026-03-23 DOI: 10.1093/stcltm/szag005
Shaikha Alqahtani, Fabiana Cacace, Andrea Bauchat, Brittany Paige DePriest, Timothy Alan Driscoll, Carmem Bonfim, Joanne Kurtzberg, Nicole Larrier, Jeffery Dvergsten, Kris Michael Mahadeo

Juvenile systemic sclerosis (jSSc) is a rare, chronic, autoimmune disease in children/adolescents and is associated with significant morbidity, skin thickening/hardening (scleroderma), organ toxicity and sub-optimal therapeutic options. In this report, autologous stem cell transplantation is associated with clinical improvement in a 17-year-old with refractory jSSc.

青少年系统性硬化症(jSSc)是儿童/青少年中一种罕见的慢性自身免疫性疾病,与显著的发病率、皮肤增厚/硬化(硬皮病)、器官毒性和次优治疗方案相关。在本报告中,自体干细胞移植与17岁难治性jSSc的临床改善相关。
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引用次数: 0
Senescence profiling and biomarker identification in cell product based on adipose tissue-derived mesenchymal stromal cells. 基于脂肪组织源性间充质间质细胞的细胞产物的衰老分析和生物标志物鉴定。
IF 4.9 2区 医学 Q1 CELL & TISSUE ENGINEERING Pub Date : 2026-02-25 DOI: 10.1093/stcltm/szag011
Ellen Mønsted Johansen, Cecilie Hoeeg, Rebekka Harary Søndergaard, Lisbeth Drozd Højgaard, Laura Lykke Lethager, Stine Bangsgaard, Jens Kastrup, Tu Hu, Thomas Litman, Morten Juhl Nørgaard

Background/aim: Adipose tissue-derived mesenchymal stromal cells (ASC) are used in advanced therapy medicinal products due to their regenerative and immunomodulatory properties. Increasing the number of dosages derived from each donor product is essential to reduce variability and improve scalability of cell therapy. However, extended in vitro expansion may induce cellular senescence, potentially compromising therapeutic efficacy. This study aimed to assess the remaining proliferative potential of a cryopreserved ASC product and identify robust transcriptomic -biomarkers of senescence.

Methods: ASC from five donors were cultured until replicative senescence or passage 10. Morphology, growth kinetics, and confluence were monitored. Bulk RNA sequencing was performed on samples from passage 1, 3, 6, and final passage. Principal component analysis, differential expression, gene set variation analysis, and variance partitioning were used to characterize transcriptional changes and identify biomarkers.

Results: ASC maintained stable proliferation and morphology for at least three passages post-thaw. Major transcriptional shifts occurred between passage 3 and later passages. Senescence-associated gene enrichment increased progressively, with donor-specific variation evident at intermediate passages. Forty biomarkers (20 upregulated, 20 downregulated) were identified with expression changes primarily attributable to passage rather than donor identity.

Conclusion: Cryopreserved ASC retain substantial proliferative capacity post-thaw. Senescence develops gradually and is detectable through consistent transcriptomic changes. These findings relate to proliferative and senescence-associated molecular changes and do not directly assess therapeutic efficacy. The identified biomarkers provide a foundation for developing senescence-focused quality control assays to support safe and effective ASC-based therapies.Significance statementThis study identifies promising biomarker candidates for developing a quality control assay to detect cellular senescence and evaluates the remaining replicative potential of a GMP-approved investigational medicinal product. These findings contribute to improving the safety and consistency of cell-based therapies by enabling detection of senescence-related changes.

背景/目的:脂肪组织来源的间充质间质细胞(ASC)由于其再生和免疫调节特性而被用于高级治疗药物。增加来自每种供体产品的剂量对于减少细胞治疗的可变性和提高可扩展性至关重要。然而,延长体外扩增可能诱导细胞衰老,潜在地影响治疗效果。本研究旨在评估冷冻保存的ASC产品的剩余增殖潜力,并确定衰老的强大转录组生物标志物。方法:5个供体的ASC培养至复制衰老或10代。形态学、生长动力学和汇流监测。对传代1、3、6和最后传代的样品进行大量RNA测序。使用主成分分析、差异表达、基因集变异分析和方差划分来表征转录变化和识别生物标志物。结果:ASC在解冻后至少三代保持稳定的增殖和形态。主要的转录变化发生在段落3和之后的段落之间。衰老相关基因的富集逐渐增加,在中间传代中存在明显的供体特异性变异。40个生物标志物(20个上调,20个下调)被鉴定出表达变化主要归因于传代而不是供体身份。结论:冷冻保存的ASC在解冻后仍具有较强的增殖能力。衰老逐渐发展,并可通过一致的转录组变化检测。这些发现与增殖和衰老相关的分子变化有关,并不能直接评估治疗效果。鉴定的生物标志物为开发以衰老为重点的质量控制分析提供了基础,以支持安全有效的基于asc的治疗。本研究确定了有希望的生物标志物候选物,用于开发质量控制分析,以检测细胞衰老,并评估gmp批准的临床试验药品的剩余复制潜力。这些发现有助于通过检测衰老相关变化来提高细胞疗法的安全性和一致性。
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引用次数: 0
Adamts4 coordinates the transcriptomic profile of primary rat costal chondrocytes. Adamts4协调大鼠肋软骨细胞的转录组谱。
IF 4.9 2区 医学 Q1 CELL & TISSUE ENGINEERING Pub Date : 2026-02-25 DOI: 10.1093/stcltm/szag004
Zhenxing Wei, Yijie Chen, Wanyi Kou, Yifan Zhang, Wenqi Sha, Ruixin Guo, Yuran Lei, Ningrui Zhang, Yanxia Shi, Zhenghui Wang

Chondrocytes play a pivotal role in cartilage tissue engineering. ADAMTS4 gene encodes aggrecanase-1, which is known to affect chondrocyte biology by regulating aggrecan degradation. However, the molecular mechanism by which ADAMTS4 regulates chondrocyte phenotype remains unclear. To comprehensively investigate Adamts4-regulated genes in primary rat costal chondrocytes, we conducted siRNA-mediated Adamts4 knockdown alongside RNA sequencing (RNA-seq), co-immunoprecipitation coupled with mass spectrometry (CO-IP/MS), and enhanced RNA immunoprecipitation sequencing (iRIP-seq). Our results demonstrated that Adamts4 knockdown did not affect chondrocyte apoptosis. However, Adamts4 silencing markedly changed the expression levels of numerous genes linked to cell differentiation and cell cycle progression. CO-IP/MS experiments showed that Adamts4 extensively interacted with RNA-binding proteins (RBPs) in rat chondrocytes. iRIP-seq data suggested that Adamts4 bound to a large number of transcripts, especially those with AU-rich motifs at coding regions. Most interestingly, we found three genes Hmox1, Acan, and Col2a1, which were deregulated upon Adamts4 silencing and enriched in the Adamts4 RIP samples. Altogether, these results indicate that Adamts4 knockdown remarkably modulates the transcriptomic profile of rat chondrocytes. Interactions with RBPs or target mRNAs might contribute to Adamts4-mediated alterations in gene expression. These findings warrant further investigation of the crucial target genes of ADAMTS4 in the regulation of human chondrocyte behaviors.

软骨细胞在软骨组织工程中起着举足轻重的作用。ADAMTS4基因编码聚集酶-1,已知其通过调节聚集蛋白降解影响软骨细胞生物学。然而,ADAMTS4调控软骨细胞表型的分子机制尚不清楚。为了全面研究Adamts4在原代大鼠肋软骨细胞中的调节基因,我们进行了sirna介导的Adamts4敲低与RNA测序(RNA-seq)、共免疫沉淀-质谱联用(CO-IP/MS)和增强RNA免疫沉淀测序(iip -seq)。我们的研究结果表明,Adamts4敲低不影响软骨细胞凋亡。然而,Adamts4沉默显著改变了许多与细胞分化和细胞周期进展相关的基因的表达水平。CO-IP/MS实验表明,Adamts4在大鼠软骨细胞中与rna结合蛋白(rbp)广泛相互作用。iip -seq数据表明,Adamts4与大量转录本结合,尤其是编码区富含au基序的转录本。最有趣的是,我们发现了三个基因Hmox1, Acan和Col2a1,它们在Adamts4沉默时被解除调控,并在Adamts4 RIP样品中富集。总之,这些结果表明,Adamts4敲低显著调节大鼠软骨细胞的转录组谱。与rbp或靶mrna的相互作用可能导致adamts4介导的基因表达改变。这些发现为进一步研究ADAMTS4调控人软骨细胞行为的关键靶基因提供了依据。
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引用次数: 0
FGF2 alters the calvarial suture niche homeostasis shifting skeletal stem cell/progenitors toward an osteo-angiogenic coupling fate. FGF2改变颅骨缝合生态位稳态,将骨骼干细胞/祖细胞转向骨-血管耦合命运。
IF 4.9 2区 医学 Q1 CELL & TISSUE ENGINEERING Pub Date : 2026-02-25 DOI: 10.1093/stcltm/szag003
Natalina Quarto, Siddharth Menon, Jason L Guo, Ankit Salhotra, Michael T Longaker

Calvarial sutures, the major growth centers for skull morphogenesis, are currently regarded as "niches" for calvarial stem cells. Our previous study has identified a skeletal stem/progenitor cell population resident within the suture mesenchyme. Moreover, we have shown that decrease and/or imbalance of their representation in the "niche" impact the fate of a non-fusing suture to fusing-suture and vice versa. Herein, taking advantage of an our established ex vivo calvarial suture explant model we investigated the impact triggered by FGF2, a pro-osteogenic and pro-angiogenic factor, on our skeletal stem/progenitor cell population resident in the suture mesenchyme. Multi-omics data integration combined with cell biology identifies dynamic changes in the representation of skeletal stem/progenitor cell population thus, unveiling within them functionally distinct populations with angiogenesis-competent properties. Findings altogether indicate that FGF2 stimuli may alter the suture "niche" homeostasis and that coordinate an osteogenesis-angiogenesis coupling within skeletal stem/progenitor cell sub-populations.

颅骨缝合线是颅骨形态发生的主要生长中心,目前被认为是颅骨干细胞的“小生境”。我们之前的研究已经确定了骨干/祖细胞群居住在缝合间质。此外,我们已经表明,它们在“生态位”中的代表性的减少和/或不平衡会影响非融合缝合到融合缝合的命运,反之亦然。在此,利用我们建立的离体颅骨缝线外植体模型,我们研究了FGF2(一种促成骨和促血管生成因子)对居住在缝线间质中的骨干/祖细胞群的影响。多组学数据集成与细胞生物学相结合,确定了骨骼干细胞/祖细胞群体表现的动态变化,从而揭示了它们内部具有血管生成能力特性的功能不同群体。研究结果表明,FGF2刺激可能改变骨缝“生态位”稳态,并协调骨干/祖细胞亚群内的成骨-血管生成耦合。
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引用次数: 0
MSC-small extracellular vesicles alleviated Th2-airway inflammation by regulating the metabolism of DCs in mice. msc -小细胞外囊泡通过调节小鼠dc的代谢来减轻th2气道炎症。
IF 4.9 2区 医学 Q1 CELL & TISSUE ENGINEERING Pub Date : 2026-02-25 DOI: 10.1093/stcltm/szag010
Long-Xin Huang, Lifen Wen, Tian Tian, Zi-Cong Wu, Chan-Gu Li, Qi- Sun, Ying-Chun Xie, Xiao-Qing Liu, Zhi-Rou Zhou, Zhi-Bin Xu, Bi-Xin He, Qing-Ling Fu

Background: Allergic airway inflammation is one of the chronic inflammatory diseases and is generally dominated by T helper 2 cells (Th2). Dendritic cells (DCs) are essential to mounting the Th2-mediated airway inflammation by presenting inhaled antigens to prime CD4+ T cells. Small extracellular vesicles (sEV) derived from mesenchymal stem cells (MSCs) exhibited great interest in intractable diseases. However, the effects and mechanisms of MSC-sEV on DCs in airway inflammation is still unclear.

Methods: We isolated MSC-sEV using anion-exchange chromatography. Mouse bone marrow-derived DCs (BMDCs) and human monocyte-derived DCs (moDCs) were used to study the effects of MSC-sEV on dendritic cell surface molecules and their cytokine release. Mice were sensitized with house dust mites (HDM) to induce airway inflammation, and treated with MSC-sEV, the effects of sEV on murine DCs were identified. Extracellular flux analysis techniques were used to study the effects of MSC-sEV on the metabolic state of dendritic cells. RNA sequencing to study altered gene expression in BMDCs after MSC-sEV treatment.

Results: MSC-sEV mitigated the accumulation of Th2-associated cDC2s and moDCs in mouse lung in response to HDM. In vitro, MSC-sEV treatment significantly attenuated the activation of BMDCs. Furthermore, we identified that DCs were able to take MSC-sEV in vitro and in vivo. Mechanistically, MSC-sEV exerted regulatory effects on the metabolic pathways of murine DCs, specifically enhancing the reliance on oxidative phosphorylation of BMDCs. Importantly, MSC-sEV displayed similar effects on human moDCs.

Conclusions: MSC-sEV are able to alter the metabolic state of DCs, favoring DCs to maintain OXPHOS (oxidative phosphorylation) rather than glycolysis, thereby reducing DCs-initiated inflammatory responses and attenuating Th2 lung inflammation, suggesting MSC-sEV can be a potential clinical therapy for airway inflammation.

背景:变应性气道炎症是一种慢性炎症性疾病,通常以辅助性T 2细胞(Th2)为主。树突状细胞(dc)通过将吸入的抗原呈递给主要的CD4+ T细胞,在th2介导的气道炎症中起着至关重要的作用。来自间充质干细胞(MSCs)的小细胞外囊泡(sEV)在顽固性疾病中表现出极大的兴趣。然而,MSC-sEV对气道炎症dc的作用和机制尚不清楚。方法:采用阴离子交换色谱法分离MSC-sEV。采用小鼠骨髓源性树突状细胞(bmdc)和人单核细胞源性树突状细胞(moDCs)研究MSC-sEV对树突状细胞表面分子及其细胞因子释放的影响。采用屋尘螨致敏诱导小鼠气道炎症,并应用MSC-sEV治疗,观察sEV对小鼠dc的影响。利用细胞外通量分析技术研究MSC-sEV对树突状细胞代谢状态的影响。RNA测序研究MSC-sEV治疗后bmdc中基因表达的改变。结果:mscs - sev减轻了小鼠肺中th2相关cDC2s和moDCs的积累。在体外,MSC-sEV处理显著减弱BMDCs的活化。此外,我们发现dc能够在体外和体内吸收MSC-sEV。在机制上,MSC-sEV对小鼠dc的代谢途径发挥调节作用,特别是增强对BMDCs氧化磷酸化的依赖。重要的是,MSC-sEV对人类moDCs显示出类似的作用。结论:MSC-sEV能够改变dc的代谢状态,使dc维持氧化磷酸化而非糖酵解,从而减少dc引发的炎症反应,减轻Th2肺炎症,提示MSC-sEV可能是一种潜在的气道炎症临床治疗方法。
{"title":"MSC-small extracellular vesicles alleviated Th2-airway inflammation by regulating the metabolism of DCs in mice.","authors":"Long-Xin Huang, Lifen Wen, Tian Tian, Zi-Cong Wu, Chan-Gu Li, Qi- Sun, Ying-Chun Xie, Xiao-Qing Liu, Zhi-Rou Zhou, Zhi-Bin Xu, Bi-Xin He, Qing-Ling Fu","doi":"10.1093/stcltm/szag010","DOIUrl":"10.1093/stcltm/szag010","url":null,"abstract":"<p><strong>Background: </strong>Allergic airway inflammation is one of the chronic inflammatory diseases and is generally dominated by T helper 2 cells (Th2). Dendritic cells (DCs) are essential to mounting the Th2-mediated airway inflammation by presenting inhaled antigens to prime CD4+ T cells. Small extracellular vesicles (sEV) derived from mesenchymal stem cells (MSCs) exhibited great interest in intractable diseases. However, the effects and mechanisms of MSC-sEV on DCs in airway inflammation is still unclear.</p><p><strong>Methods: </strong>We isolated MSC-sEV using anion-exchange chromatography. Mouse bone marrow-derived DCs (BMDCs) and human monocyte-derived DCs (moDCs) were used to study the effects of MSC-sEV on dendritic cell surface molecules and their cytokine release. Mice were sensitized with house dust mites (HDM) to induce airway inflammation, and treated with MSC-sEV, the effects of sEV on murine DCs were identified. Extracellular flux analysis techniques were used to study the effects of MSC-sEV on the metabolic state of dendritic cells. RNA sequencing to study altered gene expression in BMDCs after MSC-sEV treatment.</p><p><strong>Results: </strong>MSC-sEV mitigated the accumulation of Th2-associated cDC2s and moDCs in mouse lung in response to HDM. In vitro, MSC-sEV treatment significantly attenuated the activation of BMDCs. Furthermore, we identified that DCs were able to take MSC-sEV in vitro and in vivo. Mechanistically, MSC-sEV exerted regulatory effects on the metabolic pathways of murine DCs, specifically enhancing the reliance on oxidative phosphorylation of BMDCs. Importantly, MSC-sEV displayed similar effects on human moDCs.</p><p><strong>Conclusions: </strong>MSC-sEV are able to alter the metabolic state of DCs, favoring DCs to maintain OXPHOS (oxidative phosphorylation) rather than glycolysis, thereby reducing DCs-initiated inflammatory responses and attenuating Th2 lung inflammation, suggesting MSC-sEV can be a potential clinical therapy for airway inflammation.</p>","PeriodicalId":21986,"journal":{"name":"Stem Cells Translational Medicine","volume":"15 3","pages":""},"PeriodicalIF":4.9,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12945847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147310553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Extracellular vesicles conjugated with c(RGDyk) peptide targeting integrin αVβ3 repair optic nerve injury through YAP/TAZ and Smad2/3 signaling. 靶向整合素αVβ3的c(RGDyk)肽偶联胞外囊泡通过YAP/TAZ和Smad2/3信号通路修复视神经损伤。
IF 4.9 2区 医学 Q1 CELL & TISSUE ENGINEERING Pub Date : 2026-02-25 DOI: 10.1093/stcltm/szag006
Mira Park, Hyun Ah Shin, Hey Jin Lee, Jong Hyun Moon, Jun Yong Kim, Won-Kyu Rhim, Dong Keun Han, Helen Lew

Extracellular vesicles (EVs) derived from mesenchymal stem cells have therapeutic potential for optic nerve injury. However, further investigations are needed to increase their efficacy. In this study, we tried to enhance targeting and recovery function of EVs using conjugation with integrin αVβ3 antagonist-c(RGDyk) peptide. The molecular mechanism of neuronal repair was investigated as a potential treatment for optic nerve injury. EVs were shown to restore effectively the abnormal regulations of neuronal markers in optic nerve injury models. Notably, the functionally optimized c(RGDyK)_EVs exhibited superior targeting capabilities and modulated neuroregeneration in cases of hypoxic damage and inflammation. Single-cell RNA-seq analysis of R28 cells revealed significant regulation of transcription of genes involved in retinal ganglion cell (RGC) regeneration, neuronal growth, and inflammation by c(RGDyK)_EVs via the Yap-Taz signaling pathway. This study highlighted the enhanced therapeutic potential of c(RGDyK)_EVs over naïve EVs in the context of optic nerve disease. The findings suggested that c(RGDyK)_EVs hold promise as an alternative therapy for optic nerve injury.

来自间充质干细胞的细胞外囊泡(EVs)具有治疗视神经损伤的潜力。然而,需要进一步的研究来提高它们的功效。在本研究中,我们试图通过结合整合素αVβ3拮抗剂-c(RGDyk)肽增强ev的靶向和恢复功能。研究了视神经损伤后神经元修复的分子机制。在视神经损伤模型中,电动汽车能有效地恢复神经元标志物的异常调节。值得注意的是,功能优化的c(RGDyK) _ev在缺氧损伤和炎症情况下表现出优越的靶向能力和调节的神经再生。R28细胞的单细胞RNA-seq分析显示,c(RGDyK) _ev通过Yap-Taz信号通路显著调节视网膜神经节细胞(RGC)再生、神经元生长和炎症相关基因的转录。这项研究强调了c(RGDyK) _ev比naïve ev在视神经疾病中的治疗潜力。研究结果表明,c(RGDyK) _ev有望成为视神经损伤的替代疗法。
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引用次数: 0
Corneal regenerative contribution of endogenous and grafted limbal-corneal cells in a mouse model of simple limbal-corneal epithelial transplantation. 内源性和移植物角膜边缘细胞在单纯角膜边缘上皮移植小鼠模型中的角膜再生作用。
IF 4.9 2区 医学 Q1 CELL & TISSUE ENGINEERING Pub Date : 2026-02-25 DOI: 10.1093/stcltm/szag007
Marcia F D Costa, Nicola Piazza, Erika Bonacci, Sissi Dolci, Francesca Ciarpella, Marzia Di Chio, Stefania Zorzin, Andrea Corsi, Alessandro Piva, Cristiano Chiamulera, Zulkifal Malik, Riccardo Esposito, Francesco Bifari, Stefano Ugel, Adriano Fasolo, Antonella Motta, Stefano Ferrari, Emilio Pedrotti, Ilaria Decimo

Severe ocular damage, such as corneal alkali-injury, can compromise the limbal stem cell (LSC) niches, leading to LSC deficiency (LSCD) and resulting in significant vision impairment. Current insights into the wound healing process associated with simple limbal epithelial transplantation (SLET), a therapeutic intervention for LSCD, are derived solely from clinical studies, which impose methodological limitations and hinder a complete understanding of the cellular dynamics underlying SLET. For the first time, we adapted the clinical SLET procedure to a mouse model of LSCD, enabling a robust and detailed assessment of short- and long-term morphological, immunomodulatory and cell-fate outcomes in corneal regeneration. We demonstrated that simple limbal-corneal epithelial transplantation (SLCET) treatment effectively reduces corneal opacification, vascularization, and inflammation induced by alkali-injury, with persistent benefits. We used transgenic GFP-expressing mice to isolate GFP-positive limbal-corneal cells and trace their fate in the context of SLCET. Our results revealed that both endogenous and transplanted cells contribute to replenishing the depleted limbal-corneal cell population. Furthermore, we showed that the engrafted-cells retained a long-term proliferative capacity and stemness phenotype, underscoring their role in sustained corneal regeneration. Overall, our study provides a temporal and mechanistic overview of SLCET outcomes, highlighting the engrafted-cells as key players in corneal regeneration. This framework also holds a strong translational potential for enhancing SLET's efficacy and uncovering novel LSC modulators.

严重的眼部损伤,如角膜碱损伤,会损害角膜缘干细胞(LSC)的生态位,导致LSC缺乏症(LSCD),并导致严重的视力障碍。目前对单纯角膜缘上皮移植(SLET)相关伤口愈合过程的研究仅来自临床研究,这带来了方法学上的局限性,并阻碍了对SLET基础细胞动力学的全面理解。我们首次将临床SLET程序应用于LSCD小鼠模型,从而能够对角膜再生的短期和长期形态学、免疫调节和细胞命运结果进行稳健和详细的评估。我们证明,简单的角膜缘上皮移植(SLCET)治疗可以有效地减少角膜混浊、血管化和碱损伤引起的炎症,并具有持久的益处。我们使用转基因表达gfp的小鼠分离gfp阳性的角膜边缘细胞,并追踪它们在SLCET中的命运。我们的研究结果表明,内源性和移植细胞都有助于补充耗尽的边缘角膜细胞群。此外,我们发现移植细胞保持了长期的增殖能力和干性表型,强调了它们在持续角膜再生中的作用。总的来说,我们的研究提供了SLCET结果的时间和机制概述,强调了移植细胞在角膜再生中的关键作用。该框架在提高SLET的疗效和发现新的LSC调节剂方面也具有很强的转化潜力。
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引用次数: 0
Towards evolutionary guided precision medicine of acute myeloid leukemia and Fanconi anemia associated bone marrow failure. 进化引导下急性髓性白血病范可尼贫血伴骨髓衰竭的精准医学研究。
IF 4.9 2区 医学 Q1 CELL & TISSUE ENGINEERING Pub Date : 2026-02-25 DOI: 10.1093/stcltm/szag008
Robert A Beckman, Pamela S Becker, Julia Gallini, Gary M Kupfer, Alvin P Makohon-Moore, Matthew D McCoy, Oleksandr Sverdlov

Carcinogenesis and acquisition of multidrug resistance within established cancers are both multistep evolutionary processes in which stem cells play a role. This perspective will briefly review two corresponding theoretical constructs under development. Efficiency of carcinogenesis (EOC) considers multistep carcinogenesis and predicts the effect of differing dynamics on the efficiency of generating a transformed founder cell. EOC has been applied to evaluation of the role of genetic instability in carcinogenesis. Dynamic precision medicine (DPM) is a method for providing personalized treatment sequences for cancer while explicitly considering intracancer subclonal heterogeneity and evolutionary dynamics (growth and evolutionary rates). It adapts therapy frequently and proactively by anticipating the kinetics of multidrug resistance prior to its detection, and prioritizing its prevention. Simulations suggest potential to substantially increase survival and cure rates across a broad range of clinical presentations. Both of these problems implicate very small subclones within stem cell and/or differentiated compartments, and evolution may occur over months to years. We describe novel experimental technologies for quantifying longitudinal dynamics of very large numbers of cells for prolonged periods, allowing detection and tracking of rare events and their evolution over time. We further highlight two potential applications. In Fanconi anemia, optimal treatment sequences for minimizing bone marrow failure while not increasing the risk of leukemia may be designed using EOC and DPM and tested in laboratory models. In refractory acute myeloid leukemia, high throughput molecular characterization and drug sensitivity screening of subclones is showing clinical promise, and may be further optimized with DPM.

癌症的发生和获得多药耐药都是干细胞发挥作用的多步骤进化过程。这一视角将简要回顾正在发展的两个相应的理论建构。癌变效率(EOC)考虑了多步骤癌变,并预测了不同动力学对产生转化的创始细胞效率的影响。EOC已被应用于评估遗传不稳定性在癌变中的作用。动态精准医学(DPM)是一种在明确考虑癌内亚克隆异质性和进化动力学(生长和进化速率)的情况下为癌症提供个性化治疗序列的方法。它通过在检测到多药耐药之前预测其动力学,并优先考虑其预防,频繁和主动地调整治疗。模拟表明,在广泛的临床表现中,有可能大幅提高生存率和治愈率。这两个问题都涉及干细胞和/或分化区室中非常小的亚克隆,进化可能会持续数月至数年。我们描述了新的实验技术,用于量化长时间大量细胞的纵向动力学,允许检测和跟踪罕见事件及其随时间的演变。我们进一步强调两个潜在的应用。在范可尼贫血中,可以使用EOC和DPM设计最佳治疗序列,以最大限度地减少骨髓衰竭,同时不增加白血病的风险,并在实验室模型中进行测试。在难治性急性髓系白血病中,亚克隆的高通量分子表征和药敏筛选显示出临床应用前景,并可能进一步优化DPM。
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引用次数: 0
Alveolar ridge preservation with lyophilized microspheres of human dental pulp stem cells following 3D dynamic osteogenic induction. 三维动态成骨诱导后用冻干人牙髓干细胞微球保存牙槽嵴。
IF 4.9 2区 医学 Q1 CELL & TISSUE ENGINEERING Pub Date : 2026-02-25 DOI: 10.1093/stcltm/szag015
Yangyang Li, Jethro Zih-Shuo Wang, Zihan Yang, Fawen Wang, Haoyu Li, Chi Yang, Wenwen Yu, Zhiyuan Zhang

The clinical use of bone graft materials for alveolar ridge preservation following tooth extraction has become a standard procedure to facilitate subsequent implant restoration and prosthetic rehabilitation. However, the therapeutic efficacy of these materials is substantially limited by their bio-inertness, lack of cellular activity, and unpredictable resorption rates. The development of bioactive osteogenic materials capable of host integration and active promotion of bone regeneration would represent a significant advancement over current clinical protocols. To address this challenge, our research has focused on developing bioactive biomaterials using human dental pulp stem cells (hDPSCs). This study proposes a novel strategy for alveolar ridge repair utilizing lyophilized hDPSC microspheres preconditioned through a three-dimensional (3D) dynamic osteogenic induction system. We cultured hDPSCs into 3D microspheres and subjected them to osteogenic induction within our established dynamic culture system, followed by lyophilization to prepare "off-the-shelf" osteogenic tissues. The resulting lyophilized microsphere constructs were implanted into fresh extraction sockets of SD rats and New Zealand white rabbits and evaluated over 4 weeks. Comparative analysis demonstrated that the lyophilized microsphere group exhibited significantly enhanced alveolar bone preservation, superior new bone formation, and improved bone microarchitecture compared to both control groups and traditional artificial bone powder groups. This preclinical study validates the potential of lyophilized hDPSC microspheres as an efficient and clinically promising bioactive material for post-extraction alveolar ridge reconstruction.

临床使用骨移植材料保存拔牙后的牙槽嵴已成为一种标准的程序,以促进后续种植体修复和假体康复。然而,这些材料的治疗效果受到其生物惰性、缺乏细胞活性和不可预测的吸收率的限制。生物活性成骨材料的发展能够整合宿主,并积极促进骨再生将是目前临床方案的重大进步。为了应对这一挑战,我们的研究重点是利用人类牙髓干细胞(hDPSCs)开发生物活性生物材料。本研究提出了一种利用三维(3D)动态成骨诱导系统预处理的冻干hDPSC微球修复牙槽嵴的新策略。我们将hDPSCs培养成3D微球,并在我们建立的动态培养系统中进行成骨诱导,然后进行冻干以制备“现成的”成骨组织。将冻干后的微球植入SD大鼠和新西兰大白兔的新鲜提取孔中,并在4周内进行评价。对比分析表明,与对照组和传统人工骨粉组相比,冻干微球组的牙槽骨保存、新骨形成和骨微结构均有显著改善。这项临床前研究验证了冻干hDPSC微球作为一种高效的临床有前景的生物活性材料用于拔牙后牙槽嵴重建的潜力。
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引用次数: 0
The harmonies played by miR-302/367 cluster in pluripotency, reprogramming, and rejuvenation. miR-302/367在多能性、重编程和返老还童方面发挥的和声。
IF 4.9 2区 医学 Q1 CELL & TISSUE ENGINEERING Pub Date : 2026-01-26 DOI: 10.1093/stcltm/szaf072
Melika Zamanian, Sharif Moradi, Hossein Baharvand

The conserved, pluripotency-associated miR-302/367 cluster coordinates cell fate and aging via epigenetic, cell cycle, and signaling regulation. Highly expressed in pluripotent stem cells and silenced during differentiation, it promotes efficient somatic cell reprogramming by suppressing senescence mediators (eg, p16INK4a, p21) and replacing oncogenes such as c-Myc to minimize tumorigenic risks. Beyond pluripotency, the miR-302/367 cluster reduces oxidative stress, mitochondrial dysfunction, and fibrosis, indicating therapeutic potential in age-associated conditions such as neurodegenerative, ocular, and fibrotic diseases. This review summarizes the dual ability of miR-302/367 cluster in promoting cell state transitions and transiently resetting cellular aging to enable healthspan extension. We critically discuss the pivotal role of miR-302/367 cluster in pluripotency and reprogramming while countering aging hallmarks. Finally, we explore how combining single-miRNA therapeutics with clinically viable delivery systems (lipid nanoparticles and extracellular vesicles) can link cellular reprogramming with targeted rejuvenation therapies.

保守的、多能性相关的miR-302/367簇通过表观遗传、细胞周期和信号调控协调细胞命运和衰老。它在多能干细胞中高度表达,在分化过程中沉默,通过抑制衰老介质(如p16INK4a, p21)和取代癌基因(如c-Myc)来促进有效的体细胞重编程,以最大限度地降低致瘤风险。除了多能性外,miR-302/367簇还能减少氧化应激、线粒体功能障碍和纤维化,表明其在与年龄相关的疾病(如神经退行性疾病、眼部疾病和纤维化疾病)中的治疗潜力。本文综述了miR-302/367簇在促进细胞状态转变和瞬时重置细胞衰老以延长健康寿命方面的双重能力。我们批判性地讨论了miR-302/367集群在对抗衰老特征的多能性和重编程中的关键作用。最后,我们探讨了如何将单mirna治疗与临床可行的递送系统(脂质纳米颗粒和细胞外囊泡)结合起来,将细胞重编程与靶向年轻化治疗联系起来。
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引用次数: 0
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Stem Cells Translational Medicine
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