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Unlocking the versatile potential: Adipose-derived mesenchymal stem cells in ocular surface reconstruction and oculoplastics. 释放多功能潜力:脂肪间充质干细胞在眼表重建和眼部整形中的应用。
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-02-26 DOI: 10.4252/wjsc.v16.i2.89
Pier Luigi Surico, Anna Scarabosio, Giovanni Miotti, Martina Grando, Carlo Salati, Pier Camillo Parodi, Leopoldo Spadea, Marco Zeppieri

This review comprehensively explores the versatile potential of mesenchymal stem cells (MSCs) with a specific focus on adipose-derived MSCs. Ophthalmic and oculoplastic surgery, encompassing diverse procedures for ocular and periocular enhancement, demands advanced solutions for tissue restoration, functional and aesthetic refinement, and aging. Investigating immunomodulatory, regenerative, and healing capacities of MSCs, this review underscores the potential use of adipose-derived MSCs as a cost-effective alternative from bench to bedside, addressing common unmet needs in the field of reconstructive and regenerative surgery.

这篇综述全面探讨了间充质干细胞(MSCs)的多功能潜力,并特别关注源自脂肪的间充质干细胞。眼科和眼部整形手术包括各种眼部和眼周改善手术,需要先进的组织修复、功能和美学完善以及衰老解决方案。本综述对间叶干细胞的免疫调节、再生和愈合能力进行了研究,强调了脂肪来源的间叶干细胞作为从工作台到床边的一种具有成本效益的替代品的潜在用途,可满足整形和再生手术领域尚未满足的共同需求。
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引用次数: 0
Crosstalk between Wnt and bone morphogenetic protein signaling during osteogenic differentiation. 成骨分化过程中 Wnt 和骨形态发生蛋白信号之间的相互影响
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-02-26 DOI: 10.4252/wjsc.v16.i2.102
Pakkath Narayanan Arya, Iyyappan Saranya, Nagarajan Selvamurugan

Mesenchymal stem cells (MSCs) originate from many sources, including the bone marrow and adipose tissue, and differentiate into various cell types, such as osteoblasts and adipocytes. Recent studies on MSCs have revealed that many transcription factors and signaling pathways control osteogenic development. Osteogenesis is the process by which new bones are formed; it also aids in bone remodeling. Wnt/β-catenin and bone morphogenetic protein (BMP) signaling pathways are involved in many cellular processes and considered to be essential for life. Wnt/β-catenin and BMPs are important for bone formation in mammalian development and various regulatory activities in the body. Recent studies have indicated that these two signaling pathways contribute to osteogenic differentiation. Active Wnt signaling pathway promotes osteogenesis by activating the downstream targets of the BMP signaling pathway. Here, we briefly review the molecular processes underlying the crosstalk between these two pathways and explain their participation in osteogenic differentiation, emphasizing the canonical pathways. This review also discusses the crosstalk mechanisms of Wnt/BMP signaling with Notch- and extracellular-regulated kinases in osteogenic differentiation and bone development.

间充质干细胞(MSCs)来源广泛,包括骨髓和脂肪组织,可分化成各种细胞类型,如成骨细胞和脂肪细胞。最近对间叶干细胞的研究发现,许多转录因子和信号通路控制着成骨发育。成骨是新骨形成的过程,也有助于骨重塑。Wnt/β-catenin和骨形态发生蛋白(BMP)信号通路参与了许多细胞过程,被认为是生命所必需的。Wnt/β-catenin和BMP对哺乳动物发育过程中的骨形成和体内的各种调节活动非常重要。最近的研究表明,这两种信号通路有助于成骨分化。活跃的 Wnt 信号通路通过激活 BMP 信号通路的下游靶点促进成骨。在此,我们简要回顾了这两种通路之间相互影响的分子过程,并解释了它们在成骨分化中的参与,同时强调了典型通路。本综述还讨论了 Wnt/BMP 信号与 Notch 和细胞外调节激酶在成骨分化和骨发育过程中的串联机制。
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引用次数: 0
Human dental pulp stem/stromal cells in clinical practice. 临床实践中的人类牙髓干细胞/基质细胞。
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-02-26 DOI: 10.4252/wjsc.v16.i2.54
Mohammed E Grawish

Dental pulp stem/stromal cells (DPSCs) are fibroblast-like, neural crest-derived, and multipotent cells that can differentiate into several lineages. They are relatively easy to isolate from healthy and inflamed pulps, with little ethical concerns and can be successfully cryopreserved and thawed. The therapeutic effects of DPSCs derived from animal or human sources have been extensively studied through in-vitro and in-vivo animal experiments and the findings indicated that DPSCs are effective not only for dental diseases but also for systemic diseases. Understanding that translational research is a critical step through which the fundamental scientific discoveries could be translated into applicable diagnostics and therapeutics that directly benefit humans, several clinical studies were carried out to generate evidence for the efficacy and safety of autogenous or allogeneic human DPSCs (hDPSCs) as a treatment modality for use in cell-based therapy, regenerative medicine/dentistry and tissue engineering. In clinical medicine, hDPSCs were effective for treating acute ischemic stroke and human exfoliated deciduous teeth-conditioned medium (SHED-CM) repaired vascular damage of the corpus cavernous, which is the main cause of erectile dysfunction. Whereas in clinical dentistry, autologous SHED was able to regenerate necrotic dental pulp after implantation into injured teeth, and micrografts enriched with autologous hDPSCs and collagen sponge were considered a treatment option for human intrabony defects. In contrast, hDPSCs did not add a significant regenerative effect when they were used for the treatment of post-extraction sockets. Large-scale clinical studies across diverse populations are still lacking to provide robust evidence on the safety and efficacy of hDPSCs as a new treatment option for various human diseases including dental-related problems.

牙髓干/基质细胞(DPSCs)是一种类似成纤维细胞、源于神经嵴的多能细胞,可分化成多个系。从健康和发炎的牙髓中分离这些细胞相对容易,几乎不存在道德问题,而且可以成功冷冻保存和解冻。通过体外和体内动物实验,对来源于动物或人体的 DPSCs 的治疗效果进行了广泛研究,研究结果表明,DPSCs 不仅对牙科疾病有效,而且对全身性疾病也有效。由于认识到转化研究是将基础科学发现转化为直接造福人类的适用诊断和治疗方法的关键步骤,因此开展了多项临床研究,以证明自体或异体人类 DPSCs(hDPSCs)作为细胞疗法、再生医学/牙科和组织工程中使用的治疗方式的有效性和安全性。在临床医学方面,hDPSCs 可有效治疗急性缺血性中风,人脱落牙齿调节培养基(SHED-CM)可修复海绵体血管损伤,而海绵体损伤是导致勃起功能障碍的主要原因。而在临床牙科方面,自体脱落牙齿调节培养基(SHED-CM)在植入受伤牙齿后能使坏死的牙髓再生,富含自体 hDPSCs 和海绵胶原的微移植被认为是治疗人类骨内缺损的一种选择。相比之下,hDPSCs 用于治疗拔牙后牙槽骨缺损并没有显著的再生效果。目前仍缺乏针对不同人群的大规模临床研究,以提供有力证据证明 hDPSCs 作为治疗包括牙科相关问题在内的各种人类疾病的新方法的安全性和有效性。
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引用次数: 0
Silencing of Jumonji domain-containing 1C inhibits the osteogenic differentiation of bone marrow mesenchymal stem cells via nuclear factor-κB signaling. 沉默含Jumonji结构域的1C可通过核因子-κB信号抑制骨髓间充质干细胞的成骨分化。
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-02-26 DOI: 10.4252/wjsc.v16.i2.151
Jing-Yi Li, Ting-Ting Wang, Li Ma, Yu Zhang, Di Zhu

Background: Osteoporosis is a common metabolic bone disorder induced by an imbalance between osteoclastic activity and osteogenic activity. During osteoporosis, bone mesenchymal stem cells (BMSCs) exhibit an increased ability to differentiate into adipocytes and a decreased ability to differentiate into osteoblasts, resulting in bone loss. Jumonji domain-containing 1C (JMJD1C) has been demonstrated to suppress osteoclastogenesis.

Aim: To examine the effect of JMJD1C on the osteogenesis of BMSCs and the potential underlying mechanism.

Methods: BMSCs were isolated from mouse bone marrow tissues. Oil Red O staining, Alizarin red staining, alkaline phosphatase staining and the expression of adipogenic and osteogenic-associated genes were assessed to determine the differentiation of BMSCs. Bone marrow-derived macrophages (BMMs) were incubated with receptor activator of nuclear factor-kappa Β ligand to induce osteoclast differentiation, and osteoclast differentiation was confirmed by tartrate-resistant acid phosphatase staining. Other related genes were measured via reverse transcription coupled to the quantitative polymerase chain reaction and western blotting. Enzyme-linked immunosorbent assays were used to measure the levels of inflammatory cytokines, including tumor necrosis factor alpha, interleukin-6 and interleukin-1 beta.

Results: The osteogenic and adipogenic differentiation potential of BMSCs isolated from mouse bone marrow samples was evaluated. JMJD1C mRNA and protein expression was upregulated in BMSCs after osteoblast induction, while p-nuclear factor-κB (NF-κB) and inflammatory cytokines were not significantly altered. Knockdown of JMJD1C repressed osteogenic differentiation and enhanced NF-κB activation and inflammatory cytokine release in BMSCs. Moreover, JMJD1C expression decreased during BMM osteoclast differentiation.

Conclusion: The JMJD1C/NF-κB signaling pathway is potentially involved in BMSC osteogenic differentiation and may play vital roles in the pathogenesis of osteoporosis.

背景:骨质疏松症是一种常见的代谢性骨病,由破骨细胞活性和成骨细胞活性失衡引起。骨质疏松症期间,骨间充质干细胞(BMSCs)向脂肪细胞分化的能力增强,而向成骨细胞分化的能力减弱,从而导致骨质流失。目的:研究 JMJD1C 对 BMSCs 成骨的影响及其潜在的内在机制:方法:从小鼠骨髓组织中分离 BMSCs。方法:从小鼠骨髓组织中分离 BMSCs,通过油红 O 染色、茜素红染色、碱性磷酸酶染色以及脂肪生成基因和成骨相关基因的表达来确定 BMSCs 的分化情况。用核因子Β受体激活剂配体孵育骨髓源性巨噬细胞(BMMs)以诱导破骨细胞分化,并通过耐酒石酸磷酸酶染色确认破骨细胞分化。其他相关基因通过反转录结合定量聚合酶链反应和 Western 印迹法进行了测定。酶联免疫吸附试验用于测量炎症细胞因子的水平,包括肿瘤坏死因子α、白细胞介素-6和白细胞介素-1β:结果:评估了从小鼠骨髓样本中分离出的 BMSCs 的成骨和成脂分化潜能。成骨细胞诱导后,BMSCs 中 JMJD1C mRNA 和蛋白表达上调,而 p-核因子-κB(NF-κB)和炎性细胞因子没有明显变化。敲除 JMJD1C 会抑制 BMSCs 的成骨分化,并增强 NF-κB 的激活和炎性细胞因子的释放。此外,在 BMM 破骨细胞分化过程中,JMJD1C 的表达减少:结论:JMJD1C/NF-κB 信号通路可能参与了 BMSC 的成骨分化,并可能在骨质疏松症的发病机制中发挥重要作用。
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引用次数: 0
Multiple pretreatments can effectively improve the functionality of mesenchymal stem cells. 多种预处理方法可有效改善间充质干细胞的功能。
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-02-26 DOI: 10.4252/wjsc.v16.i2.58
Xin-Xing Wan, Xi-Min Hu, Kun Xiong

In this editorial, we offer our perspective on the groundbreaking study entitled "Hypoxia and inflammatory factor preconditioning enhances the immunosuppressive properties of human umbilical cord mesenchymal stem cells", recently published in World Journal of Stem Cells. Despite over three decades of research on the clinical application of mesenchymal stem cells (MSCs), only a few therapeutic products have made it to clinical use, due to multiple preclinical and clinical challenges yet to be addressed. The study proved the hypoxia and inflammatory factor preconditioning led to higher immunosuppressive effects of MSCs without damaging their biological characteristics, which revealed the combination of inflammatory factors and hypoxic preconditioning offers a promising approach to enhance the function of MSCs. As we delve deeper into the intricacies of pretreatment methodologies, we anticipate a transformative shift in the landscape of MSC-based therapies, ultimately contributing to improved patient outcomes and advancing the field as a whole.

在这篇社论中,我们对最近发表在《世界干细胞杂志》(World Journal of Stem Cells)上题为 "缺氧和炎症因子预处理增强人脐带间充质干细胞的免疫抑制特性 "的突破性研究提出了自己的观点。尽管间充质干细胞(MSCs)的临床应用研究已有三十多年的历史,但由于临床前和临床上的多种挑战尚待解决,只有少数治疗产品能够应用于临床。该研究证明,缺氧和炎症因子预处理可提高间充质干细胞的免疫抑制作用,且不会破坏其生物学特性,这揭示了炎症因子和缺氧预处理的结合为增强间充质干细胞的功能提供了一种很有前景的方法。随着我们对预处理方法复杂性的深入研究,我们预计基于间充质干细胞的疗法将发生变革性转变,最终改善患者预后并推动整个领域的发展。
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引用次数: 0
Extracellular vesicles derived from mesenchymal stem cells mediate extracellular matrix remodeling in osteoarthritis through the transport of microRNA-29a. 间充质干细胞衍生的胞外囊泡通过转运microRNA-29a介导骨关节炎的细胞外基质重塑。
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-02-26 DOI: 10.4252/wjsc.v16.i2.191
Fan Yang, Wan-Qi Xiong, Chen-Zhi Li, Ming-Jian Wu, Xiu-Zhi Zhang, Chun-Xiao Ran, Zhen-Hao Li, Yan Cui, Bao-Yi Liu, De-Wei Zhao

Background: Knee osteoarthritis (KOA) is a common orthopedic condition with an uncertain etiology, possibly involving genetics and biomechanics. Factors like changes in chondrocyte microenvironment, oxidative stress, inflammation, and immune responses affect KOA development. Early-stage treatment options primarily target symptom relief. Mesenchymal stem cells (MSCs) show promise for treatment, despite challenges. Recent research highlights microRNAs (miRNAs) within MSC-released extracellular vesicles that can potentially promote cartilage regeneration and hinder KOA progression. This suggests exosomes (Exos) as a promising avenue for future treatment. While these findings emphasize the need for effective KOA progression management, further safety and efficacy validation for Exos is essential.

Aim: To explore miR-29a's role in KOA, we'll create miR-29a-loaded vesicles, testing for early treatment in rat models.

Methods: Extraction of bone marrow MSC-derived extracellular vesicles, preparation of engineered vesicles loaded with miR-29a using ultrasonication, and identification using quantitative reverse transcription polymerase chain reaction; after establishing a rat model of KOA, rats were randomly divided into three groups: Blank control group injected with saline, normal extracellular vesicle group injected with normal extracellular vesicle suspension, and engineered extracellular vesicle group injected with engineered extracellular vesicle suspension. The three groups were subjected to general behavioral observation analysis, imaging evaluation, gross histological observation evaluation, histological detection, and immunohistochemical detection to compare and evaluate the progress of various forms of arthritis.

Results: General behavioral observation results showed that the extracellular vesicle group and engineered extracellular vesicle group had better performance in all four indicators of pain, gait, joint mobility, and swelling compared to the blank control group. Additionally, the engineered extracellular vesicle group had better pain relief at 4 wk and better knee joint mobility at 8 wk compared to the normal extracellular vesicle group. Imaging examination results showed that the blank control group had the fastest progression of arthritis, the normal extracellular vesicle group had a relatively slower progression, and the engineered extracellular vesicle group had the slowest progression. Gross histological observation results showed that the blank control group had the most obvious signs of arthritis, the normal extracellular vesicle group showed signs of arthritis, and the engineered extracellular vesicle group showed no significant signs of arthritis. Using the Pelletier gross score evaluation, the engineered extracellular vesicle group had the slowest progression of arthritis. Results from two types of staining showed that the articular cartila

背景:膝关节骨性关节炎(KOA)是一种常见的骨科疾病,病因不明,可能与遗传和生物力学有关。软骨细胞微环境的变化、氧化应激、炎症和免疫反应等因素都会影响 KOA 的发展。早期治疗方案主要以缓解症状为目标。间充质干细胞(MSCs)尽管面临挑战,但仍显示出治疗前景。最近的研究强调,间充质干细胞释放的细胞外囊泡中的微RNA(miRNA)有可能促进软骨再生,阻碍KOA的发展。这表明外泌体(Exos)是未来治疗的一个很有前景的途径。虽然这些发现强调了有效控制KOA进展的必要性,但进一步验证Exos的安全性和有效性至关重要。目的:为了探索miR-29a在KOA中的作用,我们将创建miR-29a载体囊泡,在大鼠模型中测试早期治疗:提取骨髓间充质干细胞衍生的细胞外囊泡,用超声波法制备载miR-29a的工程囊泡,并用定量反转录聚合酶链反应进行鉴定;建立KOA大鼠模型后,将大鼠随机分为三组:空白对照组注射生理盐水,正常细胞外囊组注射正常细胞外囊悬液,工程细胞外囊组注射工程细胞外囊悬液。对三组进行一般行为观察分析、影像学评价、大体组织学观察评价、组织学检测和免疫组化检测,以比较和评价各种关节炎的进展情况:一般行为观察结果显示,与空白对照组相比,细胞外囊袋组和工程细胞外囊袋组在疼痛、步态、关节活动度和肿胀这四项指标上都有更好的表现。此外,与正常细胞外囊组相比,工程细胞外囊组在4周时疼痛缓解情况更好,8周时膝关节活动度更好。影像学检查结果显示,空白对照组关节炎进展最快,正常细胞外囊组进展相对较慢,而工程细胞外囊组进展最慢。大体组织学观察结果显示,空白对照组的关节炎症状最明显,正常细胞外囊组有关节炎症状,而工程细胞外囊组无明显关节炎症状。根据佩勒蒂总分评估,工程细胞外囊组的关节炎进展最慢。两种染色结果显示,正常细胞外囊组和工程细胞外囊组大鼠的关节软骨明显优于空白对照组,而工程细胞外囊组的软骨细胞和关节表面状况最好。免疫组化检测Ⅱ型胶原和蛋白多糖表明,正常细胞外泡组和工程细胞外泡组软骨细胞的细胞外基质优于空白对照组。与正常细胞外泡组相比,工程细胞外泡组对软骨细胞细胞外基质的调控效果更好:结论:负载 miR-29a 的工程 Exos 可发挥抗炎作用,维持细胞外基质的稳定性,从而保护关节软骨,延缓 KOA 的进展。
{"title":"Extracellular vesicles derived from mesenchymal stem cells mediate extracellular matrix remodeling in osteoarthritis through the transport of microRNA-29a.","authors":"Fan Yang, Wan-Qi Xiong, Chen-Zhi Li, Ming-Jian Wu, Xiu-Zhi Zhang, Chun-Xiao Ran, Zhen-Hao Li, Yan Cui, Bao-Yi Liu, De-Wei Zhao","doi":"10.4252/wjsc.v16.i2.191","DOIUrl":"10.4252/wjsc.v16.i2.191","url":null,"abstract":"<p><strong>Background: </strong>Knee osteoarthritis (KOA) is a common orthopedic condition with an uncertain etiology, possibly involving genetics and biomechanics. Factors like changes in chondrocyte microenvironment, oxidative stress, inflammation, and immune responses affect KOA development. Early-stage treatment options primarily target symptom relief. Mesenchymal stem cells (MSCs) show promise for treatment, despite challenges. Recent research highlights microRNAs (miRNAs) within MSC-released extracellular vesicles that can potentially promote cartilage regeneration and hinder KOA progression. This suggests exosomes (Exos) as a promising avenue for future treatment. While these findings emphasize the need for effective KOA progression management, further safety and efficacy validation for Exos is essential.</p><p><strong>Aim: </strong>To explore miR-29a's role in KOA, we'll create miR-29a-loaded vesicles, testing for early treatment in rat models.</p><p><strong>Methods: </strong>Extraction of bone marrow MSC-derived extracellular vesicles, preparation of engineered vesicles loaded with miR-29a using ultrasonication, and identification using quantitative reverse transcription polymerase chain reaction; after establishing a rat model of KOA, rats were randomly divided into three groups: Blank control group injected with saline, normal extracellular vesicle group injected with normal extracellular vesicle suspension, and engineered extracellular vesicle group injected with engineered extracellular vesicle suspension. The three groups were subjected to general behavioral observation analysis, imaging evaluation, gross histological observation evaluation, histological detection, and immunohistochemical detection to compare and evaluate the progress of various forms of arthritis.</p><p><strong>Results: </strong>General behavioral observation results showed that the extracellular vesicle group and engineered extracellular vesicle group had better performance in all four indicators of pain, gait, joint mobility, and swelling compared to the blank control group. Additionally, the engineered extracellular vesicle group had better pain relief at 4 wk and better knee joint mobility at 8 wk compared to the normal extracellular vesicle group. Imaging examination results showed that the blank control group had the fastest progression of arthritis, the normal extracellular vesicle group had a relatively slower progression, and the engineered extracellular vesicle group had the slowest progression. Gross histological observation results showed that the blank control group had the most obvious signs of arthritis, the normal extracellular vesicle group showed signs of arthritis, and the engineered extracellular vesicle group showed no significant signs of arthritis. Using the Pelletier gross score evaluation, the engineered extracellular vesicle group had the slowest progression of arthritis. Results from two types of staining showed that the articular cartila","PeriodicalId":23775,"journal":{"name":"World journal of stem cells","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10915956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060605","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
Application of mesenchymal stem cell therapy for premature ovarian insufficiency: Recent advances from mechanisms to therapeutics 应用间充质干细胞疗法治疗卵巢早衰:从机制到疗法的最新进展
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-01-26 DOI: 10.4252/wjsc.v16.i1.1
Hang-Qi Hu, Xiyan Xin, Yuming Zhu, Rui Fan, Hao-Lin Zhang, Yang Ye, Dong Li
The incidence of premature ovarian insufficiency (POI) is increasing worldwide, particularly among younger women, posing a significant challenge to fertility. In addition to menopausal symptoms, POI leads to several complications that profoundly affect female reproductive function and overall health. Unfortunately, current clinical treatment strategies for this condition are limited and often yield unsatisfactory outcomes. These approaches typically involve hormone replacement therapy combined with psychological support. Recently, mesenchymal stem cell (MSC) therapies for POI have garnered considerable attention in global research. MSCs can restore ovarian reproductive and endocrine functions through diverse mechanisms, including controlling differentiation, promoting angiogenesis, regulating ovarian fibrosis, inhibiting apoptosis, enhancing autocrine and paracrine effects, suppressing inflammation, modulating the immune system, and genetic regulation. This editorial offers a succinct summary of the application of MSC therapy in the context of POI, providing evidence for groundbreaking medical approaches that have potential to enhance reproductive health and overall well-being for women.
卵巢早衰(POI)的发病率在全球范围内不断上升,尤其是在年轻女性中,给生育带来了巨大挑战。除了更年期症状外,POI 还会导致多种并发症,严重影响女性的生殖功能和整体健康。遗憾的是,目前针对这种病症的临床治疗策略非常有限,而且效果往往不尽如人意。这些方法通常包括激素替代疗法和心理支持。最近,间充质干细胞(MSC)治疗 POI 在全球研究中引起了广泛关注。间充质干细胞可通过多种机制恢复卵巢生殖和内分泌功能,包括控制分化、促进血管生成、调节卵巢纤维化、抑制细胞凋亡、增强自分泌和旁分泌效应、抑制炎症、调节免疫系统和遗传调节。这篇社论简明扼要地总结了间充质干细胞疗法在 POI 方面的应用,为开创性的医疗方法提供了证据,这些方法有可能提高妇女的生殖健康和整体福祉。
{"title":"Application of mesenchymal stem cell therapy for premature ovarian insufficiency: Recent advances from mechanisms to therapeutics","authors":"Hang-Qi Hu, Xiyan Xin, Yuming Zhu, Rui Fan, Hao-Lin Zhang, Yang Ye, Dong Li","doi":"10.4252/wjsc.v16.i1.1","DOIUrl":"https://doi.org/10.4252/wjsc.v16.i1.1","url":null,"abstract":"The incidence of premature ovarian insufficiency (POI) is increasing worldwide, particularly among younger women, posing a significant challenge to fertility. In addition to menopausal symptoms, POI leads to several complications that profoundly affect female reproductive function and overall health. Unfortunately, current clinical treatment strategies for this condition are limited and often yield unsatisfactory outcomes. These approaches typically involve hormone replacement therapy combined with psychological support. Recently, mesenchymal stem cell (MSC) therapies for POI have garnered considerable attention in global research. MSCs can restore ovarian reproductive and endocrine functions through diverse mechanisms, including controlling differentiation, promoting angiogenesis, regulating ovarian fibrosis, inhibiting apoptosis, enhancing autocrine and paracrine effects, suppressing inflammation, modulating the immune system, and genetic regulation. This editorial offers a succinct summary of the application of MSC therapy in the context of POI, providing evidence for groundbreaking medical approaches that have potential to enhance reproductive health and overall well-being for women.","PeriodicalId":23775,"journal":{"name":"World journal of stem cells","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139595142","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
Research progress and challenges in stem cell therapy for diabetic foot: Bibliometric analysis and perspectives 干细胞治疗糖尿病足的研究进展与挑战:文献计量分析与展望
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-01-26 DOI: 10.4252/wjsc.v16.i1.33
Hongshuo Shi, Xin Yuan, Fangfang Wu, Xiaoyu Li, Weijing Fan, Xiao Yang, Xiao-Ming Hu, Guo-Bin Liu
BACKGROUND Stem cell therapy has shown great potential for treating diabetic foot (DF). AIM To conduct a bibliometric analysis of studies on the use of stem cell therapy for DF over the past two decades, with the aim of depicting the current global research landscape, identifying the most influential research hotspots, and providing insights for future research directions. METHODS We searched the Web of Science Core Collection database for all relevant studies on the use of stem cell therapy in DF. Bibliometric analysis was carried out using CiteSpace, VOSviewer, and R (4.3.1) to identify the most notable studies. RESULTS A search was conducted to identify publications related to the use of stem cells for DF treatment. A total of 542 articles published from 2000 to 2023 were identified. The United States had published the most papers on this subject. In this field, Iran’s Shahid Beheshti University Medical Sciences demonstrated the highest productivity. Furthermore, Dr. Bayat from the same university has been an outstanding researcher in this field. Stem Cell Research & Therapy is the journal with the highest number of publications in this field. The main keywords were “diabetic foot ulcers,” “wound healing,” and “angiogenesis.” CONCLUSION This study systematically illustrated the advances in the use of stem cell therapy to treat DF over the past 23 years. Current research findings suggested that the hotspots in this field include stem cell dressings, exosomes, wound healing, and adipose-derived stem cells. Future research should also focus on the clinical translation of stem cell therapies for DF.
背景 干细胞疗法已显示出治疗糖尿病足(DF)的巨大潜力。目的 对过去二十年中有关干细胞疗法用于糖尿病足的研究进行文献计量分析,旨在描绘当前的全球研究状况,确定最有影响力的研究热点,并为未来的研究方向提供见解。方法 我们在科学网核心收藏数据库中搜索了所有关于干细胞疗法用于 DF 的相关研究。我们使用 CiteSpace、VOSviewer 和 R (4.3.1) 进行了文献计量分析,以确定最值得关注的研究。结果 通过检索,确定了与使用干细胞治疗 DF 相关的出版物。共找到 542 篇发表于 2000 年至 2023 年的文章。美国发表的相关论文最多。在这一领域,伊朗沙希德-贝赫什提医科大学(Shahid Beheshti University Medical Sciences)的产量最高。此外,该大学的巴亚特博士也是这一领域的杰出研究者。干细胞研究与治疗》是该领域发表论文数量最多的期刊。主要关键词为 "糖尿病足溃疡"、"伤口愈合 "和 "血管生成"。结论 本研究系统阐述了过去23年中干细胞疗法在治疗糖尿病足方面的进展。目前的研究结果表明,该领域的热点包括干细胞敷料、外泌体、伤口愈合和脂肪来源干细胞。未来的研究还应关注干细胞疗法治疗DF的临床转化。
{"title":"Research progress and challenges in stem cell therapy for diabetic foot: Bibliometric analysis and perspectives","authors":"Hongshuo Shi, Xin Yuan, Fangfang Wu, Xiaoyu Li, Weijing Fan, Xiao Yang, Xiao-Ming Hu, Guo-Bin Liu","doi":"10.4252/wjsc.v16.i1.33","DOIUrl":"https://doi.org/10.4252/wjsc.v16.i1.33","url":null,"abstract":"BACKGROUND\u0000 Stem cell therapy has shown great potential for treating diabetic foot (DF).\u0000 AIM\u0000 To conduct a bibliometric analysis of studies on the use of stem cell therapy for DF over the past two decades, with the aim of depicting the current global research landscape, identifying the most influential research hotspots, and providing insights for future research directions.\u0000 METHODS\u0000 We searched the Web of Science Core Collection database for all relevant studies on the use of stem cell therapy in DF. Bibliometric analysis was carried out using CiteSpace, VOSviewer, and R (4.3.1) to identify the most notable studies.\u0000 RESULTS\u0000 A search was conducted to identify publications related to the use of stem cells for DF treatment. A total of 542 articles published from 2000 to 2023 were identified. The United States had published the most papers on this subject. In this field, Iran’s Shahid Beheshti University Medical Sciences demonstrated the highest productivity. Furthermore, Dr. Bayat from the same university has been an outstanding researcher in this field. Stem Cell Research & Therapy is the journal with the highest number of publications in this field. The main keywords were “diabetic foot ulcers,” “wound healing,” and “angiogenesis.”\u0000 CONCLUSION\u0000 This study systematically illustrated the advances in the use of stem cell therapy to treat DF over the past 23 years. Current research findings suggested that the hotspots in this field include stem cell dressings, exosomes, wound healing, and adipose-derived stem cells. Future research should also focus on the clinical translation of stem cell therapies for DF.","PeriodicalId":23775,"journal":{"name":"World journal of stem cells","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139593284","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
Effects of exosomes from mesenchymal stem cells on functional recovery of a patient with total radial nerve injury: A pilot study 间充质干细胞外泌体对全桡神经损伤患者功能恢复的影响:试点研究
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-01-26 DOI: 10.4252/wjsc.v16.i1.19
E. Civelek, S. Kabataş, Eyüp Can Savrunlu, Furkan Diren, Necati Kaplan, D. Ofluoğlu, E. Karaöz
BACKGROUND Peripheral nerve injury can result in significant clinical complications that have uncertain prognoses. Currently, there is a lack of effective pharmacological interventions for nerve damage, despite the existence of several small compounds, peptides, hormones, and growth factors that have been suggested as potential enhancers of neuron regeneration. Despite the objective of achieving full functional restoration by surgical intervention, the persistent challenge of inadequate functional recovery remains a significant concern in the context of peripheral nerve injuries. AIM To examine the impact of exosomes on the process of functional recovery following a complete radial nerve damage. METHODS A male individual, aged 24, who is right-hand dominant and an immigrant, arrived with an injury caused by a knife assault. The cut is located on the left arm, specifically below the elbow. The neurological examination and electrodiagnostic testing reveal evidence of left radial nerve damage. The sural autograft was utilized for repair, followed by the application of 1 mL of mesenchymal stem cell-derived exosome, comprising 5 billion microvesicles. This exosome was split into four equal volumes of 0.25 mL each and delivered microsurgically to both the proximal and distal stumps using the subepineural pathway. The patient was subjected to a period of 180 d during which they had neurological examination and electrodiagnostic testing. RESULTS The duration of the patient’s follow-up period was 180 d. An increasing Tinel’s sign and sensory-motor recovery were detected even at the 10th wk following nerve grafting. Upon the conclusion of the 6-mo post-treatment period, an evaluation was conducted to measure the extent of improvement in motor and sensory functions of the nerve. This assessment was based on the British Medical Research Council scale and the Mackinnon-Dellon scale. The results indicated that the level of improvement in motor function was classified as M5, denoting an excellent outcome. Additionally, the level of improvement in sensory function was classified as S3+, indicating a good outcome. It is noteworthy that these assessments were conducted in the absence of physical therapy. At the 10th wk post-injury, despite the persistence of substantial axonal damage, the nerve exhibited indications of nerve re-innervation as evidenced by control electromyography (EMG). In contrast to the preceding. EMG analysis revealed a significant electrophysiological enhancement in the EMG conducted at the 6th-mo follow-up, indicating ongoing regeneration. CONCLUSION Enhanced comprehension of the neurobiological ramifications associated with peripheral nerve damage, as well as the experimental and therapy approaches delineated in this investigation, holds the potential to catalyze future clinical progress.
背景 周围神经损伤可导致严重的临床并发症,且预后不确定。目前,尽管有多种小分子化合物、肽、激素和生长因子被认为是神经元再生的潜在促进剂,但仍缺乏针对神经损伤的有效药物干预。尽管手术干预的目标是实现完全的功能恢复,但在周围神经损伤的情况下,功能恢复不足这一持续存在的挑战仍然是一个重大问题。目的 研究外泌体对桡神经完全损伤后功能恢复过程的影响。方法:一名 24 岁的男性患者,右手主导型,是一名移民,在一次刀伤中受伤。伤口位于左臂,特别是肘部下方。神经系统检查和电诊断测试显示左侧桡神经受损。利用腓肠肌自体移植进行修复,然后使用 1 毫升间充质干细胞衍生的外泌体,其中包括 50 亿个微囊。外泌体被分成四份,每份0.25毫升,并通过硬膜下途径以显微手术的方式输送到近端和远端残端。患者接受了 180 天的神经系统检查和电诊断测试。结果 患者的随访时间为 180 天。即使在神经移植术后第 10 周,患者的 Tinel's 征和感觉运动恢复情况也在不断改善。治疗后 6 个月结束时,对神经运动和感觉功能的改善程度进行了评估。该评估基于英国医学研究委员会量表和麦金农-戴隆量表。结果显示,运动功能的改善程度被归类为 M5,表示效果极佳。此外,感觉功能的改善程度被归类为 S3+,表示结果良好。值得注意的是,这些评估是在没有物理治疗的情况下进行的。在伤后第 10 周,尽管轴突损伤持续存在,但神经表现出神经再支配的迹象,这一点在肌电图(EMG)对照中得到了证明。与前者不同。肌电图分析表明,在第 6 个月的随访中,肌电图出现了明显的电生理增强,表明再生正在进行中。结论 加强对与周围神经损伤相关的神经生物学影响的理解,以及本研究中描述的实验和治疗方法,有可能促进未来的临床进展。
{"title":"Effects of exosomes from mesenchymal stem cells on functional recovery of a patient with total radial nerve injury: A pilot study","authors":"E. Civelek, S. Kabataş, Eyüp Can Savrunlu, Furkan Diren, Necati Kaplan, D. Ofluoğlu, E. Karaöz","doi":"10.4252/wjsc.v16.i1.19","DOIUrl":"https://doi.org/10.4252/wjsc.v16.i1.19","url":null,"abstract":"BACKGROUND\u0000 Peripheral nerve injury can result in significant clinical complications that have uncertain prognoses. Currently, there is a lack of effective pharmacological interventions for nerve damage, despite the existence of several small compounds, peptides, hormones, and growth factors that have been suggested as potential enhancers of neuron regeneration. Despite the objective of achieving full functional restoration by surgical intervention, the persistent challenge of inadequate functional recovery remains a significant concern in the context of peripheral nerve injuries.\u0000 AIM\u0000 To examine the impact of exosomes on the process of functional recovery following a complete radial nerve damage.\u0000 METHODS\u0000 A male individual, aged 24, who is right-hand dominant and an immigrant, arrived with an injury caused by a knife assault. The cut is located on the left arm, specifically below the elbow. The neurological examination and electrodiagnostic testing reveal evidence of left radial nerve damage. The sural autograft was utilized for repair, followed by the application of 1 mL of mesenchymal stem cell-derived exosome, comprising 5 billion microvesicles. This exosome was split into four equal volumes of 0.25 mL each and delivered microsurgically to both the proximal and distal stumps using the subepineural pathway. The patient was subjected to a period of 180 d during which they had neurological examination and electrodiagnostic testing.\u0000 RESULTS\u0000 The duration of the patient’s follow-up period was 180 d. An increasing Tinel’s sign and sensory-motor recovery were detected even at the 10th wk following nerve grafting. Upon the conclusion of the 6-mo post-treatment period, an evaluation was conducted to measure the extent of improvement in motor and sensory functions of the nerve. This assessment was based on the British Medical Research Council scale and the Mackinnon-Dellon scale. The results indicated that the level of improvement in motor function was classified as M5, denoting an excellent outcome. Additionally, the level of improvement in sensory function was classified as S3+, indicating a good outcome. It is noteworthy that these assessments were conducted in the absence of physical therapy. At the 10th wk post-injury, despite the persistence of substantial axonal damage, the nerve exhibited indications of nerve re-innervation as evidenced by control electromyography (EMG). In contrast to the preceding. EMG analysis revealed a significant electrophysiological enhancement in the EMG conducted at the 6th-mo follow-up, indicating ongoing regeneration.\u0000 CONCLUSION\u0000 Enhanced comprehension of the neurobiological ramifications associated with peripheral nerve damage, as well as the experimental and therapy approaches delineated in this investigation, holds the potential to catalyze future clinical progress.","PeriodicalId":23775,"journal":{"name":"World journal of stem cells","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139593263","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
Use of priming strategies to advance the clinical application of mesenchymal stromal/stem cell-based therapy 利用引导策略推进间充质基质/干细胞疗法的临床应用
IF 4.1 3区 医学 Q1 Medicine Pub Date : 2024-01-26 DOI: 10.4252/wjsc.v16.i1.7
V. Miceli
Mesenchymal stromal/stem cells (MSCs) have garnered significant attention in the field of regenerative medicine due to their remarkable therapeutic potential. MSCs play a pivotal role in maintaining tissue homeostasis and possess diverse functions in tissue repair and recovery in various organs. These cells are characterized by easy accessibility, few ethical concerns, and adaptability to in vitro cultures, making them a valuable resource for cell therapy in several clinical conditions. Over the years, it has been shown that the true therapeutic power of MSCs lies not in cell engraftment and replacement but in their ability to produce critical paracrine factors, including cytokines, growth factors, and exosomes (EXOs), which modulate the tissue microenvironment and facilitate repair and regeneration processes. Consequently, MSC-derived products, such as conditioned media and EXOs, are now being extensively evaluated for their potential medical applications, offering advantages over the long-term use of whole MSCs. However, the efficacy of MSC-based treatments varies in clinical trials due to both intrinsic differences resulting from the choice of diverse cell sources and non-standardized production methods. To address these concerns and to enhance MSC therapeutic potential, researchers have explored many priming strategies, including exposure to inflammatory molecules, hypoxic conditions, and three-dimensional culture techniques. These approaches have optimized MSC secretion of functional factors, empowering them with enhanced immunomodulatory, angiogenic, and regenerative properties tailored to specific medical conditions. In fact, various priming strategies show promise in the treatment of numerous diseases, from immune-related disorders to acute injuries and cancer. Currently, in order to exploit the full therapeutic potential of MSC therapy, the most important challenge is to optimize the modulation of MSCs to obtain adapted cell therapy for specific clinical disorders. In other words, to unlock the complete potential of MSCs in regenerative medicine, it is crucial to identify the most suitable tissue source and develop in vitro manipulation protocols specific to the type of disease being treated.
间充质基质/干细胞(MSCs)因其显著的治疗潜力而在再生医学领域备受关注。间充质干细胞在维持组织稳态方面发挥着关键作用,在各种器官的组织修复和恢复中具有多种功能。间充质干细胞具有易获取、伦理问题少、体外培养适应性强等特点,是多种临床病症细胞治疗的宝贵资源。多年来的研究表明,间充质干细胞的真正治疗能力不在于细胞移植和替代,而在于其产生关键旁分泌因子的能力,包括细胞因子、生长因子和外泌体(EXOs),这些因子可调节组织微环境并促进修复和再生过程。因此,间充质干细胞衍生产品,如条件培养基和外泌体,因其潜在的医疗应用而受到广泛评估,与长期使用整个间充质干细胞相比具有优势。然而,在临床试验中,基于间充质干细胞的治疗效果各不相同,这是因为选择不同的细胞来源和非标准化的生产方法造成的内在差异。为了解决这些问题并提高间充质干细胞的治疗潜力,研究人员探索了许多诱导策略,包括暴露于炎症分子、缺氧条件和三维培养技术。这些方法优化了间充质干细胞功能因子的分泌,使其具有更强的免疫调节、血管生成和再生特性,以适应特定的医疗条件。事实上,从免疫相关疾病到急性损伤和癌症等多种疾病的治疗中,各种诱导策略都显示出了良好的前景。目前,为了充分挖掘间充质干细胞疗法的治疗潜力,最重要的挑战是优化间充质干细胞的调节,以获得针对特定临床疾病的细胞疗法。换句话说,要释放间充质干细胞在再生医学中的全部潜力,关键是要确定最合适的组织来源,并针对所治疗疾病的类型制定体外操作方案。
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World journal of stem cells
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