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Adipose-derived regenerative therapies for the treatment of knee osteoarthritis 治疗膝关节骨关节炎的脂肪源再生疗法
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-04-26 DOI: 10.4252/wjsc.v16.i4.324
I. E. Epanomeritakis, Wasim S. Khan
Knee osteoarthritis is a degenerative condition with a significant disease burden and no disease-modifying therapy. Definitive treatment ultimately requires joint replacement. Therapies capable of regenerating cartilage could significantly reduce financial and clinical costs. The regenerative potential of mesenchymal stromal cells (MSCs) has been extensively studied in the context of knee osteoarthritis. This has yielded promising results in human studies, and is likely a product of immunomodulatory and chondroprotective biomolecules produced by MSCs in response to inflammation. Adipose-derived MSCs (ASCs) are becoming increasingly popular owing to their relative ease of isolation and high proliferative capacity. Stromal vascular fraction (SVF) and micro-fragmented adipose tissue (MFAT) are produced by the enzymatic and mechanical disruption of adipose tissue, respectively. This avoids expansion of isolated ASCs ex vivo and their composition of heterogeneous cell populations, including immune cells, may potentiate the reparative function of ASCs. In this editorial, we comment on a multicenter randomized trial regarding the efficacy of MFAT in treating knee osteoarthritis. We discuss the study’s findings in the context of emerging evidence regarding adipose-derived regenerative therapies. An underlying mechanism of action of ASCs is proposed while drawing important distinctions between the properties of isolated ASCs, SVF, and MFAT.
膝关节骨关节炎是一种退行性病变,疾病负担沉重,且没有任何疾病缓解疗法。最终治疗需要进行关节置换。能够再生软骨的疗法可以大大降低经济和临床成本。间充质干细胞(MSCs)的再生潜力已在膝关节骨关节炎方面得到广泛研究。这在人体研究中取得了可喜的成果,很可能是间充质干细胞在炎症反应中产生的免疫调节和软骨保护生物大分子的产物。脂肪来源间充质干细胞(ASCs)因其相对容易分离和增殖能力强而越来越受欢迎。基质血管成分(SVF)和微碎脂肪组织(MFAT)分别是通过酶解和机械破坏脂肪组织产生的。这就避免了离体间充质干细胞在体内的扩增,而其异质细胞群(包括免疫细胞)的组成可能会增强间充质干细胞的修复功能。在这篇社论中,我们对一项有关 MFAT 治疗膝骨关节炎疗效的多中心随机试验进行了评论。我们结合有关脂肪源性再生疗法的新证据讨论了这项研究的发现。我们提出了间充质干细胞的基本作用机制,同时对分离的间充质干细胞、SVF 和 MFAT 的特性进行了重要区分。
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引用次数: 0
Expansion of human umbilical cord derived mesenchymal stem cells in regenerative medicine 在再生医学中扩增人类脐带间充质干细胞
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-04-26 DOI: 10.4252/wjsc.v16.i4.410
S. Rajput, Bushra Kiran Naeem, Anwar Ali, A. Salim, Irfan Khan
BACKGROUND Stem cells are undifferentiated cells that possess the potential for self-renewal with the capacity to differentiate into multiple lineages. In humans, their limited numbers pose a challenge in fulfilling the necessary demands for the regeneration and repair of damaged tissues or organs. Studies suggested that mesenchymal stem cells (MSCs), necessary for repair and regeneration via transplantation, require doses ranging from 10 to 400 million cells. Furthermore, the limited expansion of MSCs restricts their therapeutic application. AIM To optimize a novel protocol to achieve qualitative and quantitative expansion of MSCs to reach the targeted number of cells for cellular transplantation and minimize the limitations in stem cell therapy protocols. METHODS Human umbilical cord (hUC) tissue derived MSCs were obtained and re-cultured. These cultured cells were subjected to the following evaluation procedures: Immunophenotyping, immunocytochemical staining, trilineage differentiation, population doubling time and number, gene expression markers for proliferation, cell cycle progression, senescence-associated β-galactosidase assay, human telomerase reverse transcriptase (hTERT) expression, mycoplasma, cytomegalovirus and endotoxin detection. RESULTS Analysis of pluripotent gene markers Oct4 , Sox2 , and Nanog in recultured hUC-MSC revealed no significant differences. The immunophenotypic markers CD90, CD73, CD105, CD44, vimentin, CD29, Stro-1, and Lin28 were positively expressed by these recultured expanded MSCs, and were found negative for CD34, CD11b, CD19, CD45, and HLA-DR. The recultured hUC-MSC population continued to expand through passage 15. Proliferative gene expression of Pax6 , BMP2 , and TGFb1 showed no significant variation between recultured hUC-MSC groups. Nevertheless, a significant increase (P < 0.001) in the mitotic phase of the cell cycle was observed in recultured hUC-MSCs. Cellular senescence markers (hTERT expression and β-galactosidase activity) did not show any negative effect on recultured hUC-MSCs. Additionally, quality control assessments consistently confirmed the absence of mycoplasma, cytomegalovirus, and endotoxin contamination. CONCLUSION This study proposes the development of a novel protocol for efficiently expanding stem cell population. This would address the growing demand for larger stem cell doses needed for cellular transplantation and will significantly improve the feasibility of stem cell based therapies.
背景 干细胞是一种未分化细胞,具有自我更新的潜能,可分化成多种细胞系。在人体中,干细胞数量有限,难以满足受损组织或器官再生和修复的必要需求。研究表明,间充质干细胞(MSCs)是通过移植进行修复和再生所必需的,其剂量从1千万到4亿个细胞不等。此外,间充质干细胞的有限扩增也限制了其治疗应用。目的 优化一种新型方案,实现间充质干细胞的定性和定量扩增,以达到细胞移植的目标细胞数量,并最大限度地减少干细胞治疗方案的局限性。方法 获取人脐带(hUC)组织提取的间充质干细胞并进行再培养。对这些培养细胞进行了以下评估程序:免疫分型、免疫细胞化学染色、三系分化、群体倍增时间和数量、增殖基因表达标记、细胞周期进展、衰老相关的β-半乳糖苷酶检测、人类端粒酶逆转录酶(hTERT)表达、支原体、巨细胞病毒和内毒素检测。结果 对重新培养的 hUC-MSC 中的多能基因标记 Oct4、Sox2 和 Nanog 进行分析后发现,它们之间没有显著差异。免疫表型标记CD90、CD73、CD105、CD44、波形蛋白、CD29、Stro-1和Lin28在这些再培养扩增的间充质干细胞中呈阳性表达,而CD34、CD11b、CD19、CD45和HLA-DR呈阴性表达。重新培养的 hUC 间充质干细胞继续扩增到第 15 个通道。Pax6、BMP2 和 TGFb1 的增殖基因表达在重新培养的 hUC-MSC 组间无明显差异。不过,在重新培养的 hUC-MSCs 中观察到细胞周期的有丝分裂期明显增加(P < 0.001)。细胞衰老标志物(hTERT表达和β-半乳糖苷酶活性)对重新培养的hUC-间充质干细胞没有任何负面影响。此外,质量控制评估一致证实没有支原体、巨细胞病毒和内毒素污染。结论 本研究提出了一种有效扩大干细胞群体的新方案。这将满足细胞移植对较大干细胞剂量日益增长的需求,并将显著提高干细胞疗法的可行性。
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引用次数: 0
Biological scaffold as potential platforms for stem cells: Current development and applications in wound healing 生物支架作为干细胞的潜在平台:伤口愈合的当前发展和应用
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-04-26 DOI: 10.4252/wjsc.v16.i4.334
Jie-Yu Xiang, Lin Kang, Zi‐Ming Li, Song-Lu Tseng, Li‐Quan Wang, Tian-Hao Li, Zhu‐Jun Li, Jiu‐Zuo Huang, Nan-Ze Yu, Xiao Long
Wound repair is a complex challenge for both clinical practitioners and researchers. Conventional approaches for wound repair have several limitations. Stem cell-based therapy has emerged as a novel strategy to address this issue, exhibiting significant potential for enhancing wound healing rates, improving wound quality, and promoting skin regeneration. However, the use of stem cells in skin regeneration presents several challenges. Recently, stem cells and biomaterials have been identified as crucial components of the wound-healing process. Combination therapy involving the development of biocompatible scaffolds, accompanying cells, multiple biological factors, and structures resembling the natural extracellular matrix (ECM) has gained considerable attention. Biological scaffolds encompass a range of biomaterials that serve as platforms for seeding stem cells, providing them with an environment conducive to growth, similar to that of the ECM. These scaffolds facilitate the delivery and application of stem cells for tissue regeneration and wound healing. This article provides a comprehensive review of the current developments and applications of biological scaffolds for stem cells in wound healing, emphasizing their capacity to facilitate stem cell adhesion, proliferation, differentiation, and paracrine functions. Additionally, we identify the pivotal characteristics of the scaffolds that contribute to enhanced cellular activity.
对于临床医师和研究人员来说,伤口修复都是一项复杂的挑战。传统的伤口修复方法存在一些局限性。干细胞疗法已成为解决这一问题的新策略,在提高伤口愈合率、改善伤口质量和促进皮肤再生方面表现出巨大潜力。然而,在皮肤再生中使用干细胞面临着一些挑战。最近,干细胞和生物材料被认为是伤口愈合过程中的关键组成部分。涉及开发生物相容性支架、伴随细胞、多种生物因子和类似天然细胞外基质(ECM)结构的组合疗法受到了广泛关注。生物支架包括一系列生物材料,可作为干细胞播种的平台,为干细胞提供类似于细胞外基质的生长环境。这些支架有利于干细胞的输送和应用,促进组织再生和伤口愈合。本文全面回顾了干细胞生物支架在伤口愈合中的发展和应用现状,强调了它们促进干细胞粘附、增殖、分化和旁分泌功能的能力。此外,我们还指出了支架有助于增强细胞活性的关键特性。
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引用次数: 0
Effects of high glucose and severe hypoxia on the biological behavior of mesenchymal stem cells at various passages 高糖和严重缺氧对不同传代间充质干细胞生物学行为的影响
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-04-26 DOI: 10.4252/wjsc.v16.i4.434
Fatimah A Almahasneh, Ejlal Abu-El-Rub, R. Khasawneh, Rawan Almazari
BACKGROUND Mesenchymal stem cells (MSCs) have been extensively studied for therapeutic potential, due to their regenerative and immunomodulatory properties. Serial passage and stress factors may affect the biological characteristics of MSCs, but the details of these effects have not been recognized yet. AIM To investigate the effects of stress factors (high glucose and severe hypoxia) on the biological characteristics of MSCs at different passages, in order to optimize the therapeutic applications of MSCs. METHODS In this study, we investigated the impact of two stress conditions; severe hypoxia and high glucose on human adipose-tissue derived MSCs (hAD-MSCs) at passages 6 (P6), P8, and P10. Proliferation, senescence and apoptosis were evaluated measuring WST-1, senescence-associated beta-galactosidase, and annexin V, respectively. RESULTS Cells at P6 showed decreased proliferation and increased apoptosis under conditions of high glucose and hypoxia compared to control, while the extent of senescence did not change significantly under stress conditions. At P8 hAD-MSCs cultured in stress conditions had a significant decrease in proliferation and apoptosis and a significant increase in senescence compared to counterpart cells at P6. Cells cultured in high glucose at P10 had lower proliferation and higher senescence than their counterparts in the previous passage, while no change in apoptosis was observed. On the other hand, MSCs cultured under hypoxia showed decreased senescence, increased apoptosis and no significant change in proliferation when compared to the same conditions at P8. CONCLUSION These results indicate that stress factors had distinct effects on the biological processes of MSCs at different passages, and suggest that senescence may be a protective mechanism for MSCs to survive under stress conditions at higher passage numbers.
背景间充质干细胞(MSCs)具有再生和免疫调节特性,其治疗潜力已被广泛研究。连续通道和应激因素可能会影响间充质干细胞的生物学特性,但这些影响的细节尚未得到确认。目的 研究应激因素(高糖和严重缺氧)对不同通道间充质干细胞生物学特性的影响,以优化间充质干细胞的治疗应用。方法 在本研究中,我们研究了两种应激条件(严重缺氧和高糖)对人脂肪组织衍生间充质干细胞(hAD-MSCs)在6、8和10代的影响。分别用 WST-1、衰老相关的 beta-半乳糖苷酶和附件素 V 评估细胞的增殖、衰老和凋亡。结果 与对照组相比,P6 细胞在高糖和缺氧条件下增殖减少,凋亡增加,而衰老程度在应激条件下没有显著变化。在应激条件下培养的 hAD-MSCs 在 P8 时与 P6 时的对应细胞相比,增殖和凋亡显著减少,衰老显著增加。在高糖条件下培养的间充质干细胞在P10时的增殖率和衰老率均低于前一阶段,而凋亡率则没有变化。另一方面,在低氧条件下培养的间充质干细胞与 P8 时的相同条件相比,衰老程度降低,凋亡增加,增殖无明显变化。结论 这些结果表明,应激因素对不同周期间充质干细胞的生物学过程有不同的影响,并表明衰老可能是间充质干细胞在应激条件下存活的一种保护机制。
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引用次数: 0
Self-assembly of differentiated dental pulp stem cells facilitates spheroid human dental organoid formation and prevascularization 分化牙髓干细胞的自我组装促进了球状人牙器官形成和血管前化
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-03-26 DOI: 10.4252/wjsc.v16.i3.287
Fei Liu, Jing Xiao, Lei-Hui Chen, Yu-Yue Pan, Jun-Zhang Tian, Zhi-Ren Zhang, Xiao-Chun Bai
BACKGROUND The self-assembly of solid organs from stem cells has the potential to greatly expand the applicability of regenerative medicine. Stem cells can self-organise into microsized organ units, partially modelling tissue function and regeneration. Dental pulp organoids have been used to recapitulate the processes of tooth development and related diseases. However, the lack of vasculature limits the utility of dental pulp organoids. AIM To improve survival and aid in recovery after stem cell transplantation, we demonstrated the three-dimensional (3D) self-assembly of adult stem cell-human dental pulp stem cells (hDPSCs) and endothelial cells (ECs) into a novel type of spheroid-shaped dental pulp organoid in vitro under hypoxia and conditioned medium (CM). METHODS During culture, primary hDPSCs were induced to differentiate into ECs by exposing them to a hypoxic environment and CM. The hypoxic pretreated hDPSCs were then mixed with ECs at specific ratios and conditioned in a 3D environment to produce prevascularized dental pulp organoids. The biological characteristics of the organoids were analysed, and the regulatory pathways associated with angiogenesis were studied. RESULTS The combination of these two agents resulted in prevascularized human dental pulp organoids (Vorganoids) that more closely resembled dental pulp tissue in terms of morphology and function. Single-cell RNA sequencing of dental pulp tissue and RNA sequencing of Vorganoids were integrated to analyse key regulatory pathways associated with angiogenesis. The biomarkers forkhead box protein O1 and fibroblast growth factor 2 were identified to be involved in the regulation of Vorganoids. CONCLUSION In this innovative study, we effectively established an in vitro model of Vorganoids and used it to elucidate new mechanisms of angiogenesis during regeneration, facilitating the development of clinical treatment strategies.
背景干细胞自组装实体器官有可能极大地扩展再生医学的应用范围。干细胞可以自我组织成微型器官单位,部分模拟组织功能和再生。牙髓器官组织已被用于重现牙齿发育和相关疾病的过程。然而,缺乏血管限制了牙髓器官组织的实用性。目的 为提高干细胞移植后的存活率并帮助恢复,我们在体外低氧和条件培养基(CM)条件下,展示了成人干细胞-人牙髓干细胞(hDPSCs)和内皮细胞(ECs)三维(3D)自组装成一种新型球形牙髓类器官。方法 在培养过程中,将原代hDPSCs置于缺氧环境和CM中,诱导其分化为ECs。然后将经过缺氧预处理的 hDPSCs 按特定比例与 ECs 混合,并在三维环境中进行调节,以产生血管前化的牙髓器官组织。分析了器官组织的生物学特征,并研究了与血管生成相关的调节途径。结果 这两种制剂的结合产生了前血管化的人类牙髓有机体(Vorganoids),其形态和功能更接近牙髓组织。牙髓组织的单细胞 RNA 测序与有机体的 RNA 测序相结合,分析了与血管生成相关的关键调控通路。结果发现,生物标志物叉头盒蛋白 O1 和成纤维细胞生长因子 2 参与了 Vorganoids 的调控。结论 在这项创新性研究中,我们有效地建立了Vorganoids体外模型,并利用它阐明了再生过程中血管生成的新机制,促进了临床治疗策略的发展。
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引用次数: 0
How mesenchymal stem cells transform into adipocytes: Overview of the current understanding of adipogenic differentiation 间充质干细胞如何转化为脂肪细胞:概述目前对脂肪分化的理解
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-03-26 DOI: 10.4252/wjsc.v16.i3.245
Shan-Shan Liu, Xiang Fang, Xin Wen, Ji-Shan Liu, Miribangvl Alip, Tian Sun, Yuan-Yuan Wang, Hong-Wei Chen
Mesenchymal stem cells (MSCs) are stem/progenitor cells capable of self-renewal and differentiation into osteoblasts, chondrocytes and adipocytes. The transformation of multipotent MSCs to adipocytes mainly involves two subsequent steps from MSCs to preadipocytes and further preadipocytes into adipocytes, in which the process MSCs are precisely controlled to commit to the adipogenic lineage and then mature into adipocytes. Previous studies have shown that the master transcription factors C/enhancer-binding protein alpha and peroxisome proliferation activator receptor gamma play vital roles in adipogenesis. However, the mechanism underlying the adipogenic differentiation of MSCs is not fully understood. Here, the current knowledge of adipogenic differentiation in MSCs is reviewed, focusing on signaling pathways, noncoding RNAs and epigenetic effects on DNA methylation and acetylation during MSC differentiation. Finally, the relationship between maladipogenic differentiation and diseases is briefly discussed. We hope that this review can broaden and deepen our understanding of how MSCs turn into adipocytes.
间充质干细胞(MSCs)是一种能够自我更新并分化为成骨细胞、软骨细胞和脂肪细胞的干/祖细胞。多能间充质干细胞向脂肪细胞的转化主要涉及从间充质干细胞到前脂肪细胞,再由前脂肪细胞转化为脂肪细胞的两个后续步骤,在这一过程中,间充质干细胞被精确控制,以投入成脂系,然后成熟为脂肪细胞。以往的研究表明,主转录因子C/增强子结合蛋白α和过氧化物酶体增殖激活受体γ在脂肪生成过程中起着至关重要的作用。然而,间充质干细胞的成脂分化机制尚未完全明了。本文回顾了目前有关间充质干细胞成脂分化的知识,重点是间充质干细胞分化过程中的信号通路、非编码 RNA 以及 DNA 甲基化和乙酰化的表观遗传效应。最后,还简要讨论了脂肪恶性分化与疾病之间的关系。我们希望这篇综述能拓宽和加深我们对间叶干细胞如何转化为脂肪细胞的理解。
{"title":"How mesenchymal stem cells transform into adipocytes: Overview of the current understanding of adipogenic differentiation","authors":"Shan-Shan Liu, Xiang Fang, Xin Wen, Ji-Shan Liu, Miribangvl Alip, Tian Sun, Yuan-Yuan Wang, Hong-Wei Chen","doi":"10.4252/wjsc.v16.i3.245","DOIUrl":"https://doi.org/10.4252/wjsc.v16.i3.245","url":null,"abstract":"Mesenchymal stem cells (MSCs) are stem/progenitor cells capable of self-renewal and differentiation into osteoblasts, chondrocytes and adipocytes. The transformation of multipotent MSCs to adipocytes mainly involves two subsequent steps from MSCs to preadipocytes and further preadipocytes into adipocytes, in which the process MSCs are precisely controlled to commit to the adipogenic lineage and then mature into adipocytes. Previous studies have shown that the master transcription factors C/enhancer-binding protein alpha and peroxisome proliferation activator receptor gamma play vital roles in adipogenesis. However, the mechanism underlying the adipogenic differentiation of MSCs is not fully understood. Here, the current knowledge of adipogenic differentiation in MSCs is reviewed, focusing on signaling pathways, noncoding RNAs and epigenetic effects on DNA methylation and acetylation during MSC differentiation. Finally, the relationship between maladipogenic differentiation and diseases is briefly discussed. We hope that this review can broaden and deepen our understanding of how MSCs turn into adipocytes.","PeriodicalId":23775,"journal":{"name":"World journal of stem cells","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140209902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of genetic response of mesenchymal stem cells to nanosecond pulsed electric fields by whole transcriptome sequencing 通过全转录组测序评估间充质干细胞对纳秒脉冲电场的遗传响应
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-03-26 DOI: 10.4252/wjsc.v16.i3.305
Jian-Jing Lin, T. Ning, Shi-Cheng Jia, Ke-Jia Li, Yong-Can Huang, Qiang Liu, Jian-Hao Lin, Xin-Tao Zhang
BACKGROUND Mesenchymal stem cells (MSCs) modulated by various exogenous signals have been applied extensively in regenerative medicine research. Notably, nanosecond pulsed electric fields (nsPEFs), characterized by short duration and high strength, significantly influence cell phenotypes and regulate MSCs differentiation via multiple pathways. Consequently, we used transcriptomics to study changes in messenger RNA (mRNA), long noncoding RNA (lncRNA), microRNA (miRNA), and circular RNA expression during nsPEFs application. AIM To explore gene expression profiles and potential transcriptional regulatory mechanisms in MSCs pretreated with nsPEFs. METHODS The impact of nsPEFs on the MSCs transcriptome was investigated through whole transcriptome sequencing. MSCs were pretreated with 5-pulse nsPEFs (100 ns at 10 kV/cm, 1 Hz), followed by total RNA isolation. Each transcript was normalized by fragments per kilobase per million. Fold change and difference significance were applied to screen the differentially expressed genes (DEGs). Gene Ontology and Kyoto Encyclopedia of Genes and Genomes analyses were performed to elucidate gene functions, complemented by quantitative polymerase chain reaction verification. RESULTS In total, 263 DEGs were discovered, with 92 upregulated and 171 downregulated. DEGs were predominantly enriched in epithelial cell proliferation, osteoblast differentiation, mesenchymal cell differentiation, nuclear division, and wound healing. Regarding cellular components, DEGs are primarily involved in condensed chromosome, chromosomal region, actin cytoskeleton, and kinetochore. From aspect of molecular functions, DEGs are mainly involved in glycosaminoglycan binding, integrin binding, nuclear steroid receptor activity, cytoskeletal motor activity, and steroid binding. Quantitative real-time polymerase chain reaction confirmed targeted transcript regulation. CONCLUSION Our systematic investigation of the wide-ranging transcriptional pattern modulated by nsPEFs revealed the differential expression of 263 mRNAs, 2 miRNAs, and 65 lncRNAs. Our study demonstrates that nsPEFs may affect stem cells through several signaling pathways, which are involved in vesicular transport, calcium ion transport, cytoskeleton, and cell differentiation.
背景 受各种外源信号调控的间充质干细胞(MSCs)已被广泛应用于再生医学研究。其中,纳秒脉冲电场(nsPEFs)具有持续时间短、强度高的特点,能显著影响细胞表型,并通过多种途径调控间充质干细胞的分化。因此,我们利用转录组学研究了应用 nsPEFs 期间信使 RNA(mRNA)、长非编码 RNA(lncRNA)、microRNA(miRNA)和环状 RNA 表达的变化。目的 探索经 nsPEFs 预处理的间充质干细胞的基因表达谱和潜在的转录调控机制。方法 通过全转录组测序研究 nsPEFs 对间叶干细胞转录组的影响。用 5 脉冲 nsPEFs(100 ns,10 kV/cm,1 Hz)预处理间充质干细胞,然后分离总 RNA。每个转录本都按每百万千碱基片段归一化。折叠变化和差异显著性用于筛选差异表达基因(DEG)。对基因本体和京都基因组百科全书进行分析,以阐明基因功能,并辅以定量聚合酶链反应验证。结果 共发现 263 个 DEGs,其中 92 个上调,171 个下调。DEGs 主要富集于上皮细胞增殖、成骨细胞分化、间充质细胞分化、核分裂和伤口愈合。在细胞成分方面,DEGs 主要参与凝结的染色体、染色体区域、肌动蛋白细胞骨架和动点。在分子功能方面,DEGs 主要参与糖胺聚糖结合、整合素结合、核类固醇受体活性、细胞骨架运动活性和类固醇结合。定量实时聚合酶链反应证实了靶向转录本调控。结论 我们对 nsPEFs 所调控的广泛转录模式进行了系统研究,发现了 263 个 mRNA、2 个 miRNA 和 65 个 lncRNA 的差异表达。我们的研究表明,nsPEFs可能通过多种信号通路影响干细胞,这些信号通路涉及囊泡转运、钙离子转运、细胞骨架和细胞分化。
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引用次数: 0
Long-term outcome of stem cell transplantation with and without anti-tumor necrotic factor therapy in perianal fistula with Crohn’s disease 干细胞移植联合或不联合抗肿瘤坏死因子疗法治疗克罗恩病肛周瘘的长期疗效
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-03-26 DOI: 10.4252/wjsc.v16.i3.257
M. Park, Yong Sik Yoon, Jae Ha Park, J. L. Lee, Chang Sik Yu
BACKGROUND Stem cell transplantation is a promising therapeutic option for curing perianal fistula in Crohn’s disease (CD). Anti-tumor necrotic factor (TNF) therapy combined with drainage procedure is effective as well. However, previous studies are limited to proving whether the combination treatment of biologics and stem cell transplantation improves the effect of fistula closure. AIM This study aimed to evaluate the long-term outcomes of stem cell transplantation and compare Crohn’s perianal fistula (CPF) closure rates after stem cell transplantation with and without anti-TNF therapy, and to identify the factors affecting CPF closure and recurrence. METHODS The patients with CD who underwent stem cell transplantation for treating perianal fistula in our institution between Jun 2014 and December 2022 were enrolled. Clinical data were compared according to anti-TNF therapy and CPF closure. RESULTS A total of 65 patients were included. The median age of females was 26 years (range: 21-31) and that of males was 29 (44.6%). The mean follow-up duration was 65.88 ± 32.65 months, and complete closure was observed in 50 (76.9%) patients. The closure rates were similar after stem cell transplantation with and without anti-TNF therapy (66.7% vs 81.6% at 3 year, P = 0.098). The patients with fistula closure had short fistulous tract and infrequent proctitis and anorectal stricture (P = 0.027, 0.002, and 0.008, respectively). Clinical factors such as complexity, number of fistulas, presence of concurrent abscess, and medication were not significant for closure. The cumulative 1-, 2-, and 3-year closure rates were 66.2%, 73.8%, and 75.4%, respectively. CONCLUSION Anti-TNF therapy does not increase CPF closure rates in patients with stem cell transplantation. However, both refractory and non-refractory CPF have similar closure rates after additional anti-TNF therapy. Fistulous tract length, proctitis, and anal stricture are risk factors for non-closure in patients with CPF after stem cell transplantation.
背景 干细胞移植是治疗克罗恩病(CD)肛周瘘的一种很有前景的治疗方法。抗肿瘤坏死因子(TNF)疗法结合引流术也很有效。然而,以往的研究仅限于证明生物制剂和干细胞移植联合治疗是否能提高瘘管闭合效果。目的 本研究旨在评估干细胞移植的长期疗效,比较干细胞移植联合和不联合抗肿瘤坏死因子治疗后克罗恩氏肛周瘘管(CPF)的闭合率,并确定影响CPF闭合和复发的因素。方法 纳入2014年6月至2022年12月期间在我院接受干细胞移植治疗肛周瘘的CD患者。根据抗肿瘤坏死因子治疗和CPF闭合情况比较临床数据。结果 共纳入 65 例患者。女性的中位年龄为 26 岁(21-31 岁),男性为 29 岁(44.6%)。平均随访时间为(65.88 ± 32.65)个月,50 名患者(76.9%)观察到完全闭合。干细胞移植后,接受抗肿瘤坏死因子治疗和不接受抗肿瘤坏死因子治疗的闭合率相似(3年时66.7% vs 81.6%,P = 0.098)。瘘管闭合患者的瘘道较短,不常发生直肠炎和肛门直肠狭窄(P=0.027、0.002和0.008)。复杂性、瘘管数量、是否并发脓肿和用药等临床因素对瘘管闭合无显著影响。1年、2年和3年的累积闭合率分别为66.2%、73.8%和75.4%。结论 抗肿瘤坏死因子疗法不会增加干细胞移植患者的CPF闭合率。不过,难治性和非难治性CPF在接受额外抗肿瘤坏死因子治疗后的闭合率相似。瘘道长度、直肠炎和肛门狭窄是干细胞移植后CPF患者无法闭合的风险因素。
{"title":"Long-term outcome of stem cell transplantation with and without anti-tumor necrotic factor therapy in perianal fistula with Crohn’s disease","authors":"M. Park, Yong Sik Yoon, Jae Ha Park, J. L. Lee, Chang Sik Yu","doi":"10.4252/wjsc.v16.i3.257","DOIUrl":"https://doi.org/10.4252/wjsc.v16.i3.257","url":null,"abstract":"BACKGROUND\u0000 Stem cell transplantation is a promising therapeutic option for curing perianal fistula in Crohn’s disease (CD). Anti-tumor necrotic factor (TNF) therapy combined with drainage procedure is effective as well. However, previous studies are limited to proving whether the combination treatment of biologics and stem cell transplantation improves the effect of fistula closure.\u0000 AIM\u0000 This study aimed to evaluate the long-term outcomes of stem cell transplantation and compare Crohn’s perianal fistula (CPF) closure rates after stem cell transplantation with and without anti-TNF therapy, and to identify the factors affecting CPF closure and recurrence.\u0000 METHODS\u0000 The patients with CD who underwent stem cell transplantation for treating perianal fistula in our institution between Jun 2014 and December 2022 were enrolled. Clinical data were compared according to anti-TNF therapy and CPF closure.\u0000 RESULTS\u0000 A total of 65 patients were included. The median age of females was 26 years (range: 21-31) and that of males was 29 (44.6%). The mean follow-up duration was 65.88 ± 32.65 months, and complete closure was observed in 50 (76.9%) patients. The closure rates were similar after stem cell transplantation with and without anti-TNF therapy (66.7% vs 81.6% at 3 year, P = 0.098). The patients with fistula closure had short fistulous tract and infrequent proctitis and anorectal stricture (P = 0.027, 0.002, and 0.008, respectively). Clinical factors such as complexity, number of fistulas, presence of concurrent abscess, and medication were not significant for closure. The cumulative 1-, 2-, and 3-year closure rates were 66.2%, 73.8%, and 75.4%, respectively.\u0000 CONCLUSION\u0000 Anti-TNF therapy does not increase CPF closure rates in patients with stem cell transplantation. However, both refractory and non-refractory CPF have similar closure rates after additional anti-TNF therapy. Fistulous tract length, proctitis, and anal stricture are risk factors for non-closure in patients with CPF after stem cell transplantation.","PeriodicalId":23775,"journal":{"name":"World journal of stem cells","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140210020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding host-graft crosstalk for predicting the outcome of stem cell transplantation 了解宿主-移植物串扰,预测干细胞移植结果
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-03-26 DOI: 10.4252/wjsc.v16.i3.232
L. Lăbușcă, Florin Zugun-Eloae
Mesenchymal stromal cells (MSCs) hold great promise for tissue regeneration in debilitating disorders. Despite reported improvements, the short-term outcomes of MSC transplantation, which is possibly linked to poor cell survival, demand extensive investigation. Disease-associated stress microenvironments further complicate outcomes. This debate underscores the need for a deeper understanding of the phenotypes of transplanted MSCs and their environment-induced fluctuations. Additionally, questions arise about how to predict, track, and comprehend cell fate post-transplantation. In vivo cellular imaging has emerged as a critical requirement for both short- and long-term safety and efficacy studies. However, translating preclinical imaging methods to clinical settings remains challenging. The fate and function of transplanted cells within the host environment present intricate challenges, including MSC engraftment, variability, and inconsistencies between preclinical and clinical data. The study explored the impact of high glucose concentrations on MSC survival in diabetic environments, emphasizing mitochondrial factors. Preserving these factors may enhance MSC survival, suggesting potential strategies involving genetic modification, biomaterials, and nanoparticles. Understanding stressors in diabetic patients is crucial for predicting the effects of MSC-based therapies. These multifaceted challenges call for a holistic approach involving the incorporation of large-scale data, computational disease modeling, and possibly artificial intelligence to enable deterministic insights.
间充质基质细胞(MSCs)在衰弱性疾病的组织再生方面大有可为。尽管有报道称间叶干细胞移植的疗效有所改善,但其短期疗效可能与细胞存活率低有关,因此需要进行广泛的研究。与疾病相关的应激微环境使结果更加复杂。这一争论凸显了深入了解移植间充质干细胞表型及其环境诱导波动的必要性。此外,如何预测、跟踪和理解移植后的细胞命运也是一个问题。体内细胞成像已成为短期和长期安全性和有效性研究的关键要求。然而,将临床前成像方法应用于临床仍然是一项挑战。移植细胞在宿主环境中的命运和功能带来了错综复杂的挑战,包括间充质干细胞的移植、可变性以及临床前和临床数据之间的不一致性。该研究探讨了高浓度葡萄糖对间叶干细胞在糖尿病环境中存活的影响,强调了线粒体因素。保护这些因素可能会提高间充质干细胞的存活率,并提出了涉及基因修饰、生物材料和纳米颗粒的潜在策略。了解糖尿病患者的压力因素对于预测间充质干细胞疗法的效果至关重要。这些多方面的挑战要求采用一种综合方法,其中包括大规模数据、计算疾病建模以及可能的人工智能,以获得确定性的见解。
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引用次数: 0
Low-intensity pulsed ultrasound reduces alveolar bone resorption during orthodontic treatment via Lamin A/C-Yes-associated protein axis in stem cells 低强度脉冲超声波通过干细胞中的 Lamin A/C-Yes 相关蛋白轴减少正畸治疗期间的牙槽骨吸收
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-03-26 DOI: 10.4252/wjsc.v16.i3.267
Tong Wu, Fu Zheng, Hong-Yi Tang, Hua-Zhi Li, Xin-Yu Cui, Shuai Ding, Duo Liu, Cui-Ying Li, Jiu-Hui Jiang, Rui-Li Yang
BACKGROUND The bone remodeling during orthodontic treatment for malocclusion often requires a long duration of around two to three years, which also may lead to some complications such as alveolar bone resorption or tooth root resorption. Low-intensity pulsed ultrasound (LIPUS), a noninvasive physical therapy, has been shown to promote bone fracture healing. It is also reported that LIPUS could reduce the duration of orthodontic treatment; however, how LIPUS regulates the bone metabolism during the orthodontic treatment process is still unclear. AIM To investigate the effects of LIPUS on bone remodeling in an orthodontic tooth movement (OTM) model and explore the underlying mechanisms. METHODS A rat model of OTM was established, and alveolar bone remodeling and tooth movement rate were evaluated via micro-computed tomography and staining of tissue sections. In vitro , human bone marrow mesenchymal stem cells (hBMSCs) were isolated to detect their osteogenic differentiation potential under compression and LIPUS stimulation by quantitative reverse transcription-polymerase chain reaction, Western blot, alkaline phosphatase (ALP) staining, and Alizarin red staining. The expression of Yes-associated protein (YAP1), the actin cytoskeleton, and the Lamin A/C nucleoskeleton were detected with or without YAP1 small interfering RNA (siRNA) application via immunofluorescence. RESULTS The force treatment inhibited the osteogenic differentiation potential of hBMSCs; moreover, the expression of osteogenesis markers, such as type 1 collagen (COL1), runt-related transcription factor 2, ALP, and osteocalcin (OCN), decreased. LIPUS could rescue the osteogenic differentiation of hBMSCs with increased expression of osteogenic marker inhibited by force. Mechanically, the expression of LaminA/C, F-actin, and YAP1 was downregulated after force treatment, which could be rescued by LIPUS. Moreover, the osteogenic differentiation of hBMSCs increased by LIPUS could be attenuated by YAP siRNA treatment. Consistently, LIPUS increased alveolar bone density and decreased vertical bone absorption in vivo. The decreased expression of COL1, OCN, and YAP1 on the compression side of the alveolar bone was partially rescued by LIPUS. CONCLUSION LIPUS can accelerate tooth movement and reduce alveolar bone resorption by modulating the cytoskeleton-Lamin A/C-YAP axis, which may be a promising strategy to reduce the orthodontic treatment process.
背景 在错牙合畸形的正畸治疗过程中,骨改建往往需要两到三年左右的漫长时间,这也可能导致一些并发症,如牙槽骨吸收或牙根吸收。低强度脉冲超声波(LIPUS)作为一种非侵入性物理疗法,已被证明可以促进骨折愈合。也有报道称 LIPUS 可以缩短正畸治疗的时间,但 LIPUS 如何调节正畸治疗过程中的骨代谢仍不清楚。目的 研究 LIPUS 对正畸牙齿移动(OTM)模型骨重塑的影响,并探索其潜在机制。方法 建立大鼠 OTM 模型,通过微型计算机断层扫描和组织切片染色评估牙槽骨改建和牙齿移动速度。在体外,分离人骨髓间充质干细胞(hBMSCs),通过定量反转录聚合酶链反应、Western 印迹、碱性磷酸酶(ALP)染色和茜素红染色检测其在压缩和 LIPUS 刺激下的成骨分化潜能。通过免疫荧光法检测施加或不施加 YAP1 小干扰 RNA(siRNA)的情况下,Yes 相关蛋白(YAP1)、肌动蛋白细胞骨架和 Lamin A/C 核骨架的表达情况。结果 力处理抑制了 hBMSCs 的成骨分化潜能;此外,1 型胶原(COL1)、runt 相关转录因子 2、ALP 和骨钙素(OCN)等成骨标志物的表达也有所下降。LIPUS能挽救受力抑制的成骨标志物表达增加的hBMSCs的成骨分化。从力学角度看,力处理后 LaminA/C、F-肌动蛋白和 YAP1 的表达下调,而 LIPUS 可挽救这一现象。此外,LIPUS 增加的 hBMSCs 成骨分化可通过 YAP siRNA 处理而减弱。同样,LIPUS 增加了牙槽骨密度,减少了体内垂直骨吸收。LIPUS可部分缓解牙槽骨压缩侧COL1、OCN和YAP1表达的减少。结论 LIPUS 可以通过调节细胞骨架-层析成像 A/C-YAP轴来加速牙齿移动和减少牙槽骨吸收,这可能是减少正畸治疗过程的一种有前途的策略。
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引用次数: 0
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World journal of stem cells
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