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ETV2-ECSCR-mTOR pathways regulate reprogramming to the endothelial lineage. ETV2-ECSCR-mTOR通路调节内皮细胞谱系的重编程。
IF 3.6 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-02-06 DOI: 10.1093/stmcls/sxaf075
Young Geun Choi, Satyabrata Das, Thijs A Larson, Anh Quynh Le, Usha Nagarajan, Hesham A Sadek, Jianyi Jay Zhang, Mary G Garry, Daniel J Garry

ETV2 is a pioneer factor that regulates cell fate decisions and direct reprogramming of the endothelial lineage. While ETV2 drives the cell fate conversion through epigenetic remodeling, its downstream targets also contribute to ETV2-mediated cell fate conversion. In this study, we defined Ecscr as a direct transcriptional target of ETV2 and a key regulator of ETV2-mediated cell reprogramming. Single-cell RNA sequencing analyses of ETV2-overexpressing embryoid body differentiation and embryonic fibroblast reprogramming revealed upregulation of Ecscr in ETV2-induced cell populations. ATAC-seq, ChIP-seq, gel shift, and transcriptional assays confirmed ETV2 binding to the Ecscr gene. In vivo analyses using 3.9 kb-Etv2-EYFP reporter transgenic mice and Etv2 null mice, in combination with single-cell RNA-seq of developing mouse embryos, further validated Ecscr as an ETV2 downstream target. Functionally, the knockdown of Ecscr significantly enhanced reprogramming rate, suggesting that Ecscr functions in a feedback mechanism to decrease the ETV2-mediated cell fate conversion. Mechanistically, Ecscr knockdown led to upregulation of Rptor, a core component of mTORC1 complex. The inhibition of mTORC1 signaling with rapamycin partially reversed the effect, supporting the notion that mTORC1 functions as a downstream mediator. Our findings uncover a novel ETV2 downstream target ECSCR that modulates ETV2-driven reprogramming through mTORC1 regulation, offering a target to improve endothelial reprogramming for regenerative applications.

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引用次数: 0
Unveiling the gut-pancreas axis: microbial influence on stemness and tumor microenvironment of PDAC. 揭示肠胰轴:微生物对PDAC干性和肿瘤微环境的影响。
IF 3.6 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-29 DOI: 10.1093/stmcls/sxaf064
Kirtana Arikath, Surinder K Batra, Moorthy P Ponnusamy

Pancreatic ductal adenocarcinoma (PDAC) is an aggressive and malignant cancer of the pancreas characterized by various genetic mutations and metabolic dysregulations. Stem cells play a critical role in the initiation, progression, and resistance of PDAC due to their plasticity, self-renewal capabilities, and ability to drive tumorigenesis. The gut microbiome, a diverse ecosystem of microorganisms, has a profound influence on systemic health, including the development of cancer. Recent studies have highlighted that the microbiome composition within the tumor can modulate stem cell behavior by shaping the tumor microenvironment (TME), enhancing cellular plasticity, and promoting the stemness properties of PDAC. In this review, we explore the potential crosstalk between the gut microbiome and PDAC stem cells, focusing on how microbiome-derived signals impact stem cell maintenance, inflammation, metastasis, TME modulation, and metabolic reprogramming.

胰腺导管腺癌(Pancreatic ductal adenocarcinoma, PDAC)是一种侵袭性胰腺恶性肿瘤,以多种基因突变和代谢失调为特征。干细胞由于其可塑性、自我更新能力和驱动肿瘤发生的能力,在PDAC的启动、进展和抗性中起着关键作用。肠道微生物群是一个多样化的微生物生态系统,对全身健康,包括癌症的发展有着深远的影响。最近的研究强调,肿瘤内的微生物组组成可以通过塑造肿瘤微环境(tumor microenvironment, TME)、增强细胞可塑性和促进PDAC的干性特性来调节干细胞的行为。在这篇综述中,我们探讨了肠道微生物组和PDAC干细胞之间潜在的串扰,重点关注微生物组来源的信号如何影响干细胞维持、炎症、转移、TME调节和代谢重编程。
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引用次数: 0
Critical insights into umbilical cord blood and tissue stem cells: navigating challenges to enhance clinical translation-a narrative review. 关键见解脐带血和组织干细胞:导航挑战,以加强临床翻译-叙述性回顾。
IF 3.6 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-29 DOI: 10.1093/stmcls/sxaf077
Kosar Fateh, Amir Atashi

Background: Umbilical cord blood (UCB) and umbilical cord tissue (UCT) are non-invasive, readily available sources of stem cells with significant potential for regenerative medicine and hematopoietic transplantation. While hematopoietic stem cells from UCB and mesenchymal stem cells from both UCB and UCT are clinically applied, other cord-derived populations remain under investigation, offering novel therapeutic opportunities alongside translational challenges.

Main body: This review synthesizes current knowledge on stem cell populations derived from UCB and UCT. Hematopoietic and mesenchymal stem cells have established clinical roles, whereas unrestricted somatic stem cells, embryonic-like stem cells, MUSE cells, and multipotent progenitor cells show preclinical promise. These populations differ in differentiation potential, therapeutic application, and biological characteristics. Translational barriers include limited cell numbers, variable engraftment, immune compatibility, and challenges in long-term preservation. Emerging strategies, such as ex vivo expansion, co-transplantation, and nanoparticle-assisted delivery, aim to enhance efficacy, precision, and safety.

Conclusion: This narrative review highlights both opportunities and challenges of umbilical cord stem cell therapies. Standardized protocols, interdisciplinary collaboration, and continued innovation are essential to optimize clinical outcomes and fully realize the translational potential of these diverse populations.

背景:脐带血(UCB)和脐带组织(UCT)是非侵入性的,容易获得的干细胞来源,具有再生医学和造血移植的巨大潜力。虽然来自UCB的造血干细胞和来自UCB和UCT的间充质干细胞在临床应用,但其他脐带来源的人群仍在研究中,在转化挑战的同时提供了新的治疗机会。主体:本文综述了目前关于UCB和UCT衍生的干细胞群体的知识。造血干细胞和间充质干细胞已经确立了临床作用,而不受限制的体细胞干细胞、胚胎样干细胞、MUSE细胞和多能祖细胞则具有临床前应用前景。这些人群在分化潜力、治疗应用和生物学特性方面存在差异。翻译障碍包括有限的细胞数量,可变的植入,免疫相容性和长期保存的挑战。新兴策略,如体外扩展、联合移植和纳米颗粒辅助递送,旨在提高疗效、准确性和安全性。结论:这篇叙述性综述强调了脐带干细胞治疗的机遇和挑战。标准化方案、跨学科合作和持续创新对于优化临床结果和充分实现这些不同人群的转化潜力至关重要。
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引用次数: 0
Age-associated T cell immunity decreases circulating endothelial progenitor cells. 年龄相关的T细胞免疫减少循环内皮祖细胞。
IF 3.6 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-29 DOI: 10.1093/stmcls/sxaf069
Fang Zhang, Qiuchen Zhao, Shuzhen Guo, Gen Hamanaka, Dong-Bin Back, Shin Ishikane, Ester Licastro, Ji-Hyun Park, Wenlu Li, Elga Esposito, Ksenia V Kastanenka, Brian J Bacskai, Kazuhide Hayakawa

A reduction in circulating endothelial progenitor cells (EPCs) comprise an important part of vascular aging. However, the underlying mechanisms that mediate this EPC decline remain unclear. Here, we demonstrate a novel molecular mechanism where aging increases inhibitory T cell subsets and impairs SDF1-mediated increase of circulating EPCs. SomaScan proteomics and western blot analysis revealed FABP4 as the top upregulated protein in plasma and was also increased in the bone marrow in aging. Importantly, treatment with FABP4 in bone marrow cells increased inhibitory T cells while decreased SDF-1 receptor, CXCR4 in EPCs, whereas blocking FABP4 signaling by BMS309403 or depleting these T cells restored surface expression of CXCR4 in EPCs. Notably, FABP4-mediated decrease of circulating EPC in aging were restored by therapeutic administration of mitochondria, wherein plasma FABP4 was decreased along with reducing inhibitory T cell induction in bone marrow and increasing circulating EPCs in older mice. Collectively, these findings provide new insight into the involvement of age-associated T cell immunity in EPC dysregulation, and FABP4 may be a therapeutic target to detain vascular aging.

循环内皮祖细胞(EPCs)的减少是血管老化的重要组成部分。然而,介导EPC下降的潜在机制仍不清楚。在这里,我们展示了一种新的分子机制,其中衰老增加了抑制性T细胞亚群并损害了sdf1介导的循环EPCs的增加。SomaScan蛋白组学和western blot分析显示,FABP4是血浆中上调最多的蛋白,在衰老过程中骨髓中也上调。重要的是,在骨髓细胞中使用FABP4治疗增加了抑制性T细胞,同时降低了EPCs中SDF-1受体CXCR4,而通过BMS309403阻断FABP4信号传导或消耗这些T细胞可恢复EPCs中CXCR4的表面表达。值得注意的是,通过给药线粒体恢复了FABP4介导的衰老过程中循环EPC的减少,在老年小鼠中,血浆FABP4随着骨髓抑制性T细胞诱导的减少和循环EPCs的增加而减少。总的来说,这些发现为年龄相关的T细胞免疫参与EPC失调提供了新的见解,FABP4可能是延缓血管衰老的治疗靶点。
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引用次数: 0
Macrophage heterogeneity and plasticity in liver injury and repair mechanisms. 巨噬细胞在肝损伤和修复机制中的异质性和可塑性。
IF 3.6 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-29 DOI: 10.1093/stmcls/sxaf072
Tianjiao Zhang, Paul Horn, Moritz Peiseler, Frank Tacke

Hepatic macrophages, encompassing embryonic Kupffer cells (emKCs) and monocyte-derived macrophages (MoMFs), are recognized as important regulators of hepatic homeostasis and key players in the pathogenesis of liver diseases such as metabolic dysfunction-associated steatotic liver disease (MASLD). Emerging research focuses on the critical role of hepatic macrophages in mediating liver repair and regeneration following injury, where they closely interact with hepatocytes as well as hepatic stellate cells (HSCs) to regulate inflammation, fibrosis, tissue remodeling, and regeneration. The latest single-cell and spatial omics technologies have profoundly deepened our understanding of the hepatic immune response, revealing the remarkable phenotypic and spatial heterogeneity of macrophages, including distinct subsets such as lipid-associated macrophages (LAMs) within steatotic and fibrotic regions. Macrophage subsets sense systemic (e.g. gut-liver axis, adipose tissue) and local stress signals and orchestrate disease-defining cellular responses in hepatocytes, HSC, and other immune cells. Dynamic tools such as intravital microscopy have further unveiled functional properties in the spatial context hitherto unknown. Herein, we review the multifaceted roles of hepatic macrophages in liver injury and repair, with an emphasis on their role in steatosis, inflammation, fibrosis, and regeneration. We also discuss how these insights may inform the development of novel macrophage-targeted therapeutic interventions.

肝巨噬细胞,包括胚胎库普弗细胞(emKCs)和单核细胞源性巨噬细胞(MoMFs),被认为是肝脏稳态的重要调节因子,也是肝脏疾病如代谢功能障碍相关脂肪变性肝病(MASLD)发病机制的关键角色。新兴研究重点关注肝巨噬细胞在介导损伤后肝脏修复和再生中的关键作用,它们与肝细胞以及肝星状细胞(hsc)密切相互作用,调节炎症、纤维化、组织重塑和再生。最新的单细胞和空间组学技术深刻加深了我们对肝脏免疫反应的理解,揭示了巨噬细胞的显着表型和空间异质性,包括不同的亚群,如脂肪变性和纤维化区域的脂质相关巨噬细胞(lam)。巨噬细胞亚群感知系统(如肠-肝轴、脂肪组织)和局部应激信号,并在肝细胞、HSC和其他免疫细胞中协调疾病定义细胞反应。活体显微镜等动态工具进一步揭示了迄今未知的空间背景下的功能特性。在此,我们回顾了肝巨噬细胞在肝脏损伤和修复中的多方面作用,重点是它们在脂肪变性、炎症、纤维化和再生中的作用。我们还讨论了这些见解如何为新型巨噬细胞靶向治疗干预的发展提供信息。
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引用次数: 0
Age-dependent role of histone deacetylase Sirt7 on haematopoiesis. 组蛋白去乙酰化酶Sirt7在造血中的年龄依赖性作用。
IF 3.6 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-29 DOI: 10.1093/stmcls/sxag005
Hannah Willems, Reinhard Bauer, Jörg P Müller

Sirt7 is a member of the sirtuin family of proteins, which are NAD+-dependent deacetylases and ADP-ribosyltransferases. It is involved in a wide range of cellular processes. To study the specific role of Sirt7 in haematopoiesis during aging, the gene was specifically inactivated in hematopoietic stem cells (HSC). Vav1 promoter mediated expression of CRE recombinase in floxed Sirt7 mice resulted in specific inactivation of Sirt7 in the haematopoietic stem and progenitor cells. Young mice exhibited a normal peripheral blood count and no detectable haematological aberrancies. Peripheral blood of 19-month-old Sirt7 knockout mice revealed a diminished abundance of lymphocytes, but elevated count of monocytes compared to control mice. The number of erythrocytes, platelets and haemoglobin concentration remained unchanged. In the bone marrow of aged mice, a reduced abundance of myeloid undifferentiated cells could be observed. The development of hepatomegaly due to Sirt7 gene inactivation could indicate a myeloproliferative influence. Taken together, our data demonstrate that Sirt7 functions as a critical suppressor on haematopoietic stem cells differentiation in aged mice.

Sirt7是sirtuin家族的一员,sirtuin家族是NAD+依赖性去乙酰化酶和adp -核糖基转移酶。它参与了广泛的细胞过程。为了研究Sirt7在衰老过程中造血中的具体作用,我们在造血干细胞(HSC)中特异性灭活了该基因。Vav1启动子介导的CRE重组酶在固定Sirt7小鼠中的表达导致造血干细胞和祖细胞中Sirt7的特异性失活。年轻小鼠表现出正常的外周血计数,没有检测到血液学异常。与对照组小鼠相比,19个月大的Sirt7基因敲除小鼠的外周血显示淋巴细胞丰度降低,但单核细胞计数升高。红细胞、血小板数量和血红蛋白浓度保持不变。在老年小鼠的骨髓中,可以观察到髓系未分化细胞丰度的减少。Sirt7基因失活导致肝肿大可能提示骨髓增生的影响。综上所述,我们的数据表明Sirt7是衰老小鼠造血干细胞分化的关键抑制因子。
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引用次数: 0
Stem cell specification and niche formation in developing incisor require actomyosin forces. 切牙发育过程中干细胞的分化和生态位的形成需要肌动球蛋白的作用。
IF 3.6 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-29 DOI: 10.1093/stmcls/sxaf074
Yasmin Mohtadi Hamadani, Laura Evers, Satu-Marja Myllymäki, Emma Juuri, Maria Jussila, Paul Gueguen, Mina Mina, Irma Thesleff, Anamaria Balic

Background: The precise timing of stem cell specification and niche formation during murine incisor development is poorly understood, and it is unclear whether these processes occur simultaneously or in a sequential manner. Functional dental epithelial stem cells are marked by the expression of Sox2, a transcription factor that is broadly expressed in the dental epithelium at the dentition onset and restricted to stem cells in fully developed incisor.

Methods: Using genetic lineage tracing in Sox2CreERT2/+; R26RmT/mG and Sox2CreERT2/+; R26RtdT/+ embryos along with a single-cell RNA sequencing at different stages of incisor development, we investigated the timing of the stem cell specification and its temporal relationship with niche formation.

Results: Our results reveal the presence of a Sox2-expressing stem cell-like population prior to formation of the functional niche. These cells localize to the leading edge of the advancing incisor epithelium where they are maintained in an undifferentiated state. Our data demonstrate presence of actomyosin network and a generation of a contractile tension, which helps confine Sox2+ stem cells to the leading edge.

Conclusion: This mechanical confinement likely plays an important role in maintaining their stemness until the niche is functionally and structurally established. Partial or complete disruption of the actomyosin network disables the clustering of Sox2-expressing cells, potentially triggering their premature differentiation, and ultimately leads to impaired formation of the functional stem cell niche and abnormal growth of the incisor.

小鼠门牙发育过程中干细胞分化和生态位形成的确切时间尚不清楚,也不清楚这些过程是同时发生还是顺序发生。功能性牙上皮干细胞以表达Sox2为标志,Sox2是一种转录因子,在牙列发生时广泛表达于牙上皮中,仅限于完全发育的门牙干细胞。Sox2CreERT2/+基因的遗传谱系追踪R26RmT / mGand Sox2CreERT2 / +;R26RtdT/+胚胎以及门牙发育不同阶段的单细胞RNA测序,我们研究了干细胞规范的时间及其与生态位形成的时间关系。我们的研究结果揭示了在功能生态位形成之前存在表达sox2的干细胞样群体。这些细胞位于前门牙上皮的前缘,在那里它们保持未分化状态。我们的数据证明了肌动球蛋白网络的存在和收缩张力的产生,这有助于将Sox2+干细胞限制在前沿。这种机械约束可能在维持它们的茎干性方面起着重要作用,直到生态位在功能和结构上建立起来。肌动球蛋白网络的部分或完全破坏使sox2表达细胞的聚集丧失能力,可能引发其过早分化,最终导致功能性干细胞生态位的形成受损和门牙的异常生长。
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引用次数: 0
Catechin promotes osteogenic differentiation via AMPK-mediated autophagy activation in bone marrow mesenchymal stem cells. 儿茶素通过ampk介导的骨髓间充质干细胞自噬激活促进成骨分化。
IF 3.6 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-29 DOI: 10.1093/stmcls/sxaf076
Haixia Liu, Ang Li, Jing Yue, Zhen Guo, Nian Zhou, Hang Yuan, Lijun Han, Yi Han, Guotao Peng, Yuanzhi Xu, Fuping Wen, Yiming Zhang

Background: Catechin (CH) exhibits protective effects on bone metabolism, but its underlying mechanism remains incompletely understood.

Methods: We investigated the osteogenic effects of CH and its molecular pathways using bone marrow mesenchymal stem cells and MC-3T3-E1 preosteoblasts. Cell viability was assessed after CH treatment (1-100 μg/mL). Osteogenic differentiation was evaluated by ALP activity, mineralization, and the expression of key markers (Runx2, Opn, Ocn, Sp7). Mechanistic studies involved examining autophagy markers (LC3-II, P62) and the AMPK pathway, using pharmacological inhibitors (compound C for AMPK; 3-methyladenine for autophagy). The protective role of CH under oxidative stress was tested in hydrogen peroxide-treated cells by measuring viability, ROS levels, NRF2 translocation, and osteogenic capacity.

Results: CH showed no significant cytotoxicity up to 100 μg/mL. At 10 μg/mL, it significantly enhanced osteogenic differentiation, increasing alkaline phosphatase activity (ALP), mineralization, and the gene/protein levels of osteogenic markers. CH activated autophagy (elevated LC3-II, decreased P62) and the AMPK pathway. Inhibition of AMPK or autophagy partially suppressed CH-induced osteogenesis, which was significantly rescued by CH co-treatment. Under oxidative stress, CH improved cell viability, reduced intracellular ROS, inhibited NRF2 nuclear translocation, and restored osteogenic differentiation.

Conclusion: CH promotes osteogenesis primarily via the AMPK-autophagy axis and reverses oxidative stress-induced suppression of osteogenic differentiation through ROS clearance. These findings highlight its therapeutic potential for bone regeneration and related disorders.

儿茶素对骨代谢具有保护作用,但其潜在机制尚不完全清楚。本研究旨在探讨CH在骨髓间充质干细胞(BMSCs)和MC-3T3-E1前成骨细胞中的促成骨作用及其潜在的分子通路。在1 ~ 100 μg/mL浓度范围内,CH均无明显的细胞毒性。在最佳浓度(10 μg/mL)下,CH显著增强成骨分化,表现为碱性磷酸酶(ALP)活性、矿化和成骨标志物(Runx2、Opn、Ocn和Sp7)在基因和蛋白水平上的上调。从机制上讲,CH激活了自噬,LC3-II的升高和P62表达的降低证明了这一点,并参与了AMPK信号通路——成骨和细胞能量稳态的关键调节因子。AMPK(与化合物C联合)或自噬(与3-MA联合)的药理抑制部分抑制了CH诱导的成骨作用,而CH联合治疗可显著挽救这些作用。此外,在h2o2诱导的氧化应激下,CH能有效提高细胞活力,降低细胞内活性氧(ROS),抑制NRF2核易位,恢复成骨分化能力。这些发现表明,CH主要通过ampk自噬轴促进成骨,并通过ROS清除逆转氧化应激诱导的成骨分化抑制,突出了其对骨缺损再生和其他骨疾病的治疗潜力。
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引用次数: 0
iPSC-derived modeling of HLA-lacking hematopoiesis reveals clonal diversity in eltrombopag response in acquired aplastic anemia. ipsc衍生的缺乏hla的造血模型揭示了获得性再生障碍性贫血中电凝反应的克隆多样性。
IF 3.6 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-24 DOI: 10.1093/stmcls/sxag004
Honoka Takahashi, Luna Seoka, Rio Takahashi, Yoshinori Yoshida, Kazuhisa Chonabayashi, Katsuto Takenaka, Koichi Akashi, Hiroyuki Takamatsu, Tatsuya Imi, Yoshitaka Zaimoku, Kohei Hosokawa, Takamasa Katagiri

Acquired aplastic anemia (AA) is an immune-mediated bone marrow failure in which cytotoxic T lymphocytes (CTLs) target hematopoietic stem cells (HSCs). Approximately 30% of AA patients develop immune escape clones lacking specific HLA class I alleles (HLA[-]) through loss of heterozygosity in chromosome 6p (6pLOH) or somatic loss-of-function mutations. Eltrombopag (EPAG), a thrombopoietin receptor agonist (TPO-RA), demonstrates clinical efficacy in AA in combination with immunosuppressive therapy; however, its impact on HLA(-) HSCs and hematopoietic progenitor cells (HPCs) remains poorly understood. In this study, we evaluated the hematopoietic effects of EPAG using umbilical cord blood-derived HPCs and a humanized hematopoiesis model in immunodeficient (BRGS) mice. Furthermore, we established induced pluripotent stem cell (iPSC)-derived hematopoietic models encompassing five wild-type (WT) clones and seven HLA-lacking clones, differentiated them into HPCs, and assessed their responses to EPAG. EPAG selectively conferred a proliferative advantage to specific hematopoietic fractions in HLA(-) HPCs, distinct from that observed in WT HPCs. Molecular analyses revealed clone-dependent differences in CD110 expression and downstream effectors, including phosphorylated STAT5, FOXM1, and E2F1, indicating differential activation of TPO receptor-mediated signaling pathways among clones. These findings highlight the functional diversity of HLA(-) hematopoiesis and suggest that the hematopoietic response to EPAG is governed by clone-intrinsic signaling programs. Furthermore, our results provide new insights into how eltrombopag modulates clonal competition and hematopoietic recovery in immune-escape hematopoiesis, with potential implications for optimizing therapeutic strategies and predicting clinical response in patients with acquired AA.

获得性再生障碍性贫血(AA)是一种免疫介导的骨髓衰竭,其中细胞毒性T淋巴细胞(ctl)靶向造血干细胞(hsc)。大约30%的AA患者通过6p染色体杂合性缺失(6pLOH)或体细胞功能缺失突变产生缺乏特异性HLA I类等位基因(HLA[-])的免疫逃逸克隆。血小板生成素受体激动剂(TPO-RA) Eltrombopag (EPAG)联合免疫抑制治疗AA的临床疗效;然而,其对HLA(-) hsc和造血祖细胞(HPCs)的影响仍知之甚少。在这项研究中,我们利用脐带血来源的造血干细胞和免疫缺陷(BRGS)小鼠的人源造血模型来评估EPAG的造血作用。此外,我们建立了诱导多能干细胞(iPSC)衍生的造血模型,包括5个野生型(WT)克隆和7个缺乏hla的克隆,将它们分化为HPCs,并评估它们对EPAG的反应。EPAG选择性地赋予HLA(-) HPCs中特定的造血组分增殖优势,这与在WT HPCs中观察到的不同。分子分析显示,CD110的表达和下游效应物(包括磷酸化的STAT5、FOXM1和E2F1)存在克隆依赖性差异,表明TPO受体介导的信号通路在克隆间的激活存在差异。这些发现强调了HLA(-)造血功能的多样性,并提示EPAG的造血反应是由克隆内在信号程序控制的。此外,我们的研究结果为eltrombopag如何调节免疫逃逸造血中的克隆竞争和造血恢复提供了新的见解,对优化治疗策略和预测获得性AA患者的临床反应具有潜在的意义。
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引用次数: 0
Stem Cell and Bioengineering Approaches for End-Stage Renal Disease: A Comprehensive Review. 干细胞和生物工程方法治疗终末期肾脏疾病:综述。
IF 3.6 2区 医学 Q2 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Pub Date : 2026-01-12 DOI: 10.1093/stmcls/sxag003
Yusuke Nishimura

End-stage renal disease (ESRD) is a major global health burden, and current treatments, such as dialysis and kidney transplantation, remain constrained by donor shortages, procedure-related complications, and reduced long-term quality of life. Regenerative medicine, particularly stem cell-based approaches, offers promising next-generation strategies for kidney repair and replacement. This review summarizes the current understanding of kidney development and intrinsic regenerative capacity and evaluates the therapeutic potential of hematopoietic stem cells, mesenchymal stem cells (MSCs), kidney-derived stem cells, and induced pluripotent stem cell (iPSC)-derived kidney organoids. Evidence from preclinical models demonstrates renoprotective and immunomodulatory effects across multiple stem cell types, whereas early-phase clinical trials have reported favorable safety profiles and preliminary signals of the efficacy of MSC-based therapies. iPSC- and organoid-based approaches present additional challenges, including incomplete vascularization, immature nephron structures, risks of tumorigenicity, immune compatibility issues, and the need for reproducible good manufacturing practice (GMP)-compliant manufacturing. Advances in biomaterials, organoid engineering, and vascularization strategies may help overcome these barriers. Overall, stem cell-based regenerative therapies show substantial potential to complement or ultimately reduce the reliance on dialysis and transplantation. Continued technological innovations and rigorously designed clinical trials are critical to translate these promising approaches into clinical practice.

终末期肾病(ESRD)是一个主要的全球健康负担,目前的治疗方法,如透析和肾移植,仍然受到供体短缺、手术相关并发症和长期生活质量下降的限制。再生医学,特别是基于干细胞的方法,为肾脏修复和替代提供了有希望的新一代策略。本文综述了目前对肾脏发育和内在再生能力的认识,并评估了造血干细胞、间充质干细胞(MSCs)、肾源性干细胞和诱导多能干细胞(iPSC)源性肾类器官的治疗潜力。来自临床前模型的证据表明,多种干细胞类型具有肾保护和免疫调节作用,而早期临床试验已经报告了良好的安全性和基于msc的治疗效果的初步信号。基于iPSC和类器官的方法带来了额外的挑战,包括血管化不完全、肾元结构不成熟、致瘤性风险、免疫相容性问题,以及需要可重复的符合GMP的生产。生物材料、类器官工程和血管化策略的进步可能有助于克服这些障碍。总的来说,基于干细胞的再生疗法显示出巨大的潜力,可以补充或最终减少对透析和移植的依赖。持续的技术创新和严格设计的临床试验对于将这些有前途的方法转化为临床实践至关重要。
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