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Mitochondria in Cancer Stem Cells: From an Innocent Bystander to a Central Player in Therapy Resistance. 癌症干细胞中的线粒体:从一个无辜的旁观者到治疗抵抗的核心参与者。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2023-01-01 DOI: 10.2147/SCCAA.S417842
Sireesha V Garimella, Siri Chandana Gampa, Pankaj Chaturvedi

Cancer continues to rank among the world's leading causes of mortality despite advancements in treatment. Cancer stem cells, which can self-renew, are present in low abundance and contribute significantly to tumor recurrence, tumorigenicity, and drug resistance to various therapies. The drug resistance observed in cancer stem cells is attributed to several factors, such as cellular quiescence, dormancy, elevated aldehyde dehydrogenase activity, apoptosis evasion mechanisms, high expression of drug efflux pumps, protective vascular niche, enhanced DNA damage response, scavenging of reactive oxygen species, hypoxic stability, and stemness-related signaling pathways. Multiple studies have shown that mitochondria play a pivotal role in conferring drug resistance to cancer stem cells, through mitochondrial biogenesis, metabolism, and dynamics. A better understanding of how mitochondria contribute to tumorigenesis, heterogeneity, and drug resistance could lead to the development of innovative cancer treatments.

尽管治疗取得了进步,但癌症仍然是世界上导致死亡的主要原因之一。肿瘤干细胞具有自我更新能力,丰度低,在肿瘤复发、致瘤性和对各种治疗的耐药性中起着重要作用。肿瘤干细胞的耐药可归因于多种因素,如细胞静止、休眠、醛脱氢酶活性升高、细胞凋亡逃避机制、药物外排泵高表达、血管生态位保护、DNA损伤反应增强、活性氧清除、缺氧稳定性和干细胞相关信号通路。多项研究表明,线粒体通过线粒体的生物发生、代谢和动力学,在赋予癌症干细胞耐药的过程中起着关键作用。更好地了解线粒体如何促进肿瘤发生、异质性和耐药性,可能会导致创新癌症治疗的发展。
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引用次数: 1
A Response to Article "Do Mesenchymal Stem Cells Influence Keloid Recurrence?" [Letter]. 对《间充质干细胞影响瘢痕疙瘩复发吗?》一文的回应(信)。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2023-01-01 DOI: 10.2147/SCCAA.S403167
Ariyani Noviantari, Frans Dany, Putri Reno Intan
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引用次数: 0
VEGF Expression in Umbilical Cord MSC Depends on the Patient's Health, the Week of Pregnancy in Which the Delivery Took Place, and the Body Weight of the Newborn - Preliminary Report. VEGF在脐带间充质干细胞中的表达取决于患者的健康状况、分娩的妊娠周和新生儿的体重——初步报告
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2023-01-01 DOI: 10.2147/SCCAA.S399303
Karolina Bieńko, Monika Leszcz, Marta Więckowska, Justyna Białek, Alicja Petniak, Rafał Szymanowski, Agnieszka Wilińska, Bartosz Piszcz, Arkadiusz Krzyżanowski, Anna Kwaśniewska, Bartosz J Płachno, Paulina Gil-Kulik, Janusz Kocki

Introduction: Cells collected from Wharton's jelly are a rich source of mesenchymal stem cells. They can be easily obtained and grown using the adhesive method. They produce many types of proteins, including VEGF. Their role is to participate in angiogenesis, vasodilation, stimulation of cells to migrate, and chemotactic activity. The aim of this study was to evaluate expression of genes from the vascular endothelial growth factor family: VEGFA, VEGFB and VEGFC in MSC and the analysis of dependence of the expression of the studied genes on clinical factors related to the course of pregnancy and childbirth, and health of mother and child.

Material and methods: The research material was an umbilical cord obtained from 40 patients hospitalized in the Department of Obstetrics and Pathology of Pregnancy of the Independent Public Clinical Hospital No.1 in Lublin. The age of the women was 21-46, all gave birth by cesarean section. Some of the patients suffered from hypertension and hypothyroidism. Material collected from patients immediately after delivery was subjected to enzymatic digestion with type I collagenase. The isolated cells were then cultured in adherent conditions, and then gene expression was assessed using qPCR and the immunophenotype of the cells was assessed cytometrically.

Results: Conducted studies have shown significant differences in expression of VEGF family genes depending on clinical condition of mother and child. Significant differences in VEGF-family gene expression level in umbilical cord MSC collected from women with hypothyroidism, hypertension, time of labor and birth weight of the baby were shown.

Conclusion: Probably due to hypoxia (caused, for example, by hypothyroidism or hypertension), the MSCs found in the umbilical cord may react with an increased expression of VEGF and a compensatory increase in the amount of secreted factor, the aim of which is, i.a., vasodilation and increase of blood supply to the fetus through the umbilical vessels.

从沃顿水母中收集的细胞是间充质干细胞的丰富来源。它们可以很容易地获得和生长使用粘合剂的方法。它们产生多种蛋白质,包括VEGF。它们的作用是参与血管生成、血管舒张、刺激细胞迁移和趋化活性。本研究的目的是评估血管内皮生长因子家族基因VEGFA、VEGFB和VEGFC在MSC中的表达,并分析所研究基因的表达与妊娠和分娩过程及母婴健康相关的临床因素的依赖关系。材料和方法:研究材料为卢布林第一独立公立临床医院产科和妊娠病理科住院的40例患者的脐带。女性年龄21-46岁,均为剖宫产。部分患者伴有高血压和甲状腺功能减退。从患者分娩后立即收集的材料用I型胶原酶进行酶消化。将分离的细胞在贴壁条件下培养,用qPCR检测基因表达,并用细胞术检测细胞免疫表型。结果:已有研究显示,VEGF家族基因的表达因母婴临床情况的不同而有显著差异。从甲状腺功能减退、高血压、分娩时间和婴儿出生体重的妇女采集的脐带间充质干细胞中vegf家族基因表达水平存在显著差异。结论:可能由于缺氧(如甲状腺功能减退或高血压引起),脐带中发现的MSCs可能与VEGF表达增加和分泌因子的代偿性增加发生反应,其目的是血管舒张,增加脐带血管对胎儿的血供。
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引用次数: 1
The Regenerative Power of Stem Cells: Treating Bleomycin-Induced Lung Fibrosis. 干细胞的再生能力:治疗博莱霉素诱导的肺纤维化。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2023-01-01 DOI: 10.2147/SCCAA.S419474
Amrita Vats, Pankaj Chaturvedi

Idiopathic pulmonary fibrosis (IPF) is a chronic and progressive lung disease with no known cure, characterized by the formation of scar tissue in the lungs, leading to respiratory failure. Although the exact cause of IPF remains unclear, the condition is thought to result from a combination of genetic and environmental factors. One of the most widely used animal models to study IPF is the bleomycin-induced lung injury model in mice. In this model, the administration of the chemotherapeutic agent bleomycin causes pulmonary inflammation and fibrosis, which closely mimics the pathological features of human IPF. Numerous recent investigations have explored the functions of various categories of stem cells in the healing process of lung injury induced by bleomycin in mice, documenting the beneficial effects and challenges of this approach. Differentiation of stem cells into various cell types and their ability to modulate tissue microenvironment is an emerging aspect of the regenerative therapies. This review article aims to provide a comprehensive overview of the role of stem cells in repairing bleomycin-induced lung injury. It delves into the mechanisms through which various types of stem cells, including mesenchymal stem cells, embryonic stem cells, induced pluripotent stem cells, and lung resident stem cells, exert their therapeutic effects in this specific model. We have also discussed the unique set of intermediate markers and signaling factors that can influence the proliferation and differentiation of alveolar epithelial cells both during lung repair and homeostasis. Finally, we highlight the challenges and opportunities associated with translating stem cell therapy to the clinic for IPF patients. The novelty and implications of this review extend beyond the understanding of the potential of stem cells in treating IPF to the broader field of regenerative medicine. We believe that the review paves the way for further advancements in stem cell therapies, offering hope for patients suffering from this debilitating and currently incurable disease.

特发性肺纤维化(IPF)是一种慢性进行性肺部疾病,目前尚无治愈方法,其特征是肺部瘢痕组织的形成,导致呼吸衰竭。虽然IPF的确切病因尚不清楚,但这种情况被认为是遗传和环境因素共同作用的结果。目前应用最广泛的研究IPF的动物模型之一是博莱霉素诱导的小鼠肺损伤模型。在该模型中,化疗药物博来霉素引起肺部炎症和纤维化,这与人类IPF的病理特征非常相似。最近的许多研究已经探索了各种类型的干细胞在博来霉素诱导的小鼠肺损伤愈合过程中的功能,记录了这种方法的有益效果和挑战。干细胞分化成不同类型的细胞及其调节组织微环境的能力是再生治疗的一个新兴方面。本文旨在全面综述干细胞在修复博莱霉素诱导的肺损伤中的作用。深入探讨了各种类型的干细胞,包括间充质干细胞、胚胎干细胞、诱导多能干细胞和肺驻留干细胞在这个特定模型中发挥其治疗作用的机制。我们还讨论了在肺修复和体内平衡过程中影响肺泡上皮细胞增殖和分化的一组独特的中间标记和信号因子。最后,我们强调了将干细胞疗法转化为IPF患者临床的挑战和机遇。这篇综述的新颖性和意义超越了对干细胞治疗IPF的潜力的理解,扩展到更广泛的再生医学领域。我们相信,该审查为干细胞治疗的进一步发展铺平了道路,为患有这种使人衰弱且目前无法治愈的疾病的患者带来了希望。
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引用次数: 1
Comparative Efficiency for in vitro Transfection of Goat Undifferentiated Spermatogonia Using Lipofectamine Reagents and Electroporation Lipofectamine试剂与电穿孔法转染山羊未分化精原细胞的比较
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2022-05-01 DOI: 10.2147/SCCAA.S356588
W. Nakami, J. Nguhiu-Mwangi, A. N. Kipyegon, M. Ogugo, C. Muteti, Stephen Kemp
Introduction Spermatogonial stem cells (SSC), also referred to as undifferentiated spermatogonia, are the germline stem cells responsible for continuous spermatogenesis throughout a male’s life. They are, therefore, an ideal target for gene editing. Previously, SSC from animal testis have been isolated and transplanted to homologous recipients resulting in the successful reestablishment of donor-derived spermatogenesis. Methods Enhanced green fluorescent protein (eGFP) gene transfection into goat SSC was evaluated using liposomal carriers and electroporation. The cells were isolated from the prepubertal Galla goats testis cultured in serum-free defined media and transfected with the eGFP gene. Green fluorescing of SSC colonies indicated transfection. Results The use of lipofectamineTM stem reagent and lipofectamineTM 2000 carriers resulted in more SSC colonies expressing the eGFP gene (25.25% and 22.25%, respectively). Electroporation resulted in 15% ± 0.54 eGFP expressing SSC colonies. Furthermore, cell viability was higher in lipofectamine transfection (55% ± 0.21) as compared to electroporation (38% ± 0.14). Conclusion These results indicated that lipofectamine was more effective in eGFP gene transfer into SSC. The successful transient transfection points to a possibility of transfecting transgenes into male germ cells in genetic engineering programs.
引言精原干细胞(SSC),也称为未分化精原细胞,是在男性一生中负责持续精子发生的种系干细胞。因此,它们是基因编辑的理想靶点。以前,已经从动物睾丸中分离出SSC并将其移植到同源受体,从而成功重建了供体来源的精子发生。方法采用脂质体载体和电穿孔技术对增强型绿色荧光蛋白(eGFP)基因转染山羊SSC进行评价。从在无血清培养基中培养的青春期前Galla山羊睾丸中分离细胞,并用eGFP基因转染。SSC集落的绿色荧光指示转染。结果使用lipofectamineTM干细胞试剂和lipoffectamineTM 2000载体可获得更多表达eGFP基因的SSC集落(分别为25.25%和22.25%)。电穿孔产生15%±0.54表达eGFP的SSC集落。此外,与电穿孔(38%±0.14)相比,脂质体胺转染的细胞活力(55%±0.21)更高。结论脂质体胺对eGFP基因转染SSC更有效。这一成功的瞬时转染为基因工程项目中将转基因转染到雄性生殖细胞中指明了可能性。
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引用次数: 1
Hypoxia Effects in Intervertebral Disc-Derived Stem Cells and Discus Secretomes: An in vitro Study 缺氧对椎间盘干细胞和椎间盘分泌的影响:体外研究
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2022-05-01 DOI: 10.2147/SCCAA.S363951
Romaniyanto, F. Mahyudin, C. Prakoeswa, H. Notobroto, D. Tinduh, Ryan Ausrin, F. Rantam, H. Suroto, D. Utomo, S. Rhatomy
Background This study aimed to investigate the effects of hypoxia and normoxia preconditioning in rabbit intervertebral disc-derived stem cells (IVDSCs) and discus-derived conditioned medium (DD-CM)/secretomes in vitro. Transforming growth factor (TGF)-β1, platelet-derived growth factor (PDGF), fibroblast growth factor (FGF), and vascular endothelial growth factor (VEGF) have a role in the proliferation, development, differentiation, and migration of MSCs. Materials and Methods Intervertebral discs were isolated from rabbit and incubated in normoxia and hypoxia 1%, 3%, and 5% (hypoxia groups) condition. Cell counting was performed after 24 hours of manipulation, then analyzed using one-way ANOVA. TGF-β1, PDGF, FGF, and VEGF were measured using the ELISA. Results The highest number of cells was in the hypoxia 3% preconditioning compared to the normoxia, hypoxia 1%, and hypoxia 5% groups. Hypoxia 3% also had the highest increase in PDGF protein production compared to normoxia, with hypoxia 1% and 5%. Among hypoxia groups, the highest secretions of VEGF and FGF proteins were in the hypoxia 3% group. Based on TGF-β1 protein measurement, the hypoxia 1% group was the highest increase in this protein compared to other groups. Conclusion Oxygen level in hypoxia preconditioning has a role in the preparation of IVDSCs and secretome preparation in vitro. The highest cell numbers were found in the treatment group with 3% hypoxia, and 3% hypoxia was significantly related to support IVDSCs preparation. Preconditioning with 3% hypoxia had higher PDGF and VEGF levels than other hypoxia groups.
背景本研究旨在探讨低氧和常氧预处理对兔椎间盘源性干细胞(IVDSCs)和盘源性条件培养基(DD-CM)/分泌体的影响。转化生长因子(TGF)-β1、血小板衍生生长因子(PDGF)、成纤维细胞生长因子(FGF)和血管内皮生长因子(VEGF)在MSCs的增殖、发育、分化和迁移中发挥作用。材料和方法从兔椎间盘中分离并在常氧和1%、3%和5%(缺氧组)条件下孵育。操作24小时后进行细胞计数,然后使用单因素方差分析进行分析。用ELISA法测定TGF-β1、PDGF、FGF和VEGF。结果与常氧、缺氧1%和缺氧5%组相比,缺氧3%预处理组的细胞数量最多。与正常缺氧相比,缺氧3%的PDGF蛋白产量也最高,分别为1%和5%。在缺氧组中,VEGF和FGF蛋白的分泌量最高的是缺氧3%组。根据TGF-β1蛋白的测量,与其他组相比,缺氧1%组的该蛋白增加最高。结论低氧预处理的氧水平对体外IVDSCs的制备和分泌组的制备有一定的影响。在3%缺氧的治疗组中发现最高的细胞数量,3%缺氧与支持IVDSCs的制备显著相关。3%缺氧预处理的PDGF和VEGF水平高于其他缺氧组。
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引用次数: 2
Interleukins Profiling in Umbilical Cord Mesenchymal Stem Cell-Derived Secretome. 脐带间充质干细胞衍生分泌组的白细胞介素谱分析
IF 1.7 Q4 CELL BIOLOGY Pub Date : 2022-04-14 eCollection Date: 2022-01-01 DOI: 10.2147/SCCAA.S356763
Angliana Chouw, Cynthia Retna Sartika, Tiana Milanda, Ahmad Faried

Background: Umbilical cord mesenchymal stem cells (UC-MSCs)-derived secretome is currently used in regenerative therapy. MSCs are believed to secrete a wide spectrum of bioactive molecules which give paracrine effects in immunomodulation and regenerative capacities. One group that was found in secretome is interleukins (ILs), a cytokine that plays an essential role in the process of proliferation, differentiation, maturation, migration, and adhesion of immune cells. However, as there are many types of ILs, the profile of ILs in the UC-MSCs-derived secretome has been limitedly reported. Therefore, in this study, we would like to profile and detect the interleukin concentration secreted by UC-MSCs.

Methods: UC-MSCs-derived secretome was collected from UC-MSCs passage 5 after 24- and 48-hour incubation (n=9). Secretome was filtered using 0.2 µm and stored at -80°C for further detection. All samples were normalized before the interleukin (IL-2, IL-4, IL-6, IL-9, IL-10, IL-12, IL-17A) detection using a MACSPlex Cytokine Kit.

Results: The IL-6 has the highest concentration among other interleukins in both groups and increases significantly (p<0.003) after incubation for 48 hours. The pro-inflammatory factors are decreasing while anti-inflammatory factors are increasing after 48-hour incubation.

Discussion: Our studies show that the UC-MSCs secrete pro- and anti-inflammatory interleukins. The concentration of anti-inflammatory interleukins shows to be increasing, while the pro-inflammatory interleukins are decreasing within the longer incubation time, but this not be applicable for IL-10 and IL-6. IL-6 has the highest concentration among other ILs. These results may provide important clues regarding when is the right time for secretome to be used in therapy patients, because all the molecules in the secretome can lead to many clinical manifestations.

脐带间充质干细胞(UC-MSCs)衍生的分泌组目前被用于再生治疗。间充质干细胞被认为能分泌广泛的生物活性分子,这些分子在免疫调节和再生能力方面具有旁分泌作用。在分泌组中发现的一类是白细胞介素(il),这是一种细胞因子,在免疫细胞的增殖、分化、成熟、迁移和粘附过程中起重要作用。然而,由于有许多类型的il, il在uc - msc衍生的分泌组中的分布情况报道有限。因此,在本研究中,我们想要分析和检测UC-MSCs分泌的白细胞介素浓度。方法分别在培养24和48小时后,从UC-MSCs传代5中收集UC-MSCs衍生的分泌组(n=9)。分泌组用0.2µm过滤,保存于- 80°C,以备进一步检测。所有样本归一化后,使用MACSPlex细胞因子试剂盒检测白细胞介素(IL-2、IL-4、IL-6、IL-9、IL-10、IL-12、IL-17A)。结果IL-6均为各组白细胞介素中浓度最高的,孵育48 h后IL-6浓度显著升高(p<0.003)。48小时后,促炎因子呈下降趋势,抗炎因子呈上升趋势。我们的研究表明UC-MSCs分泌促炎性和抗炎性白细胞介素。随着培养时间的延长,抗炎白介素浓度呈上升趋势,促炎白介素浓度呈下降趋势,但IL-10和IL-6不存在这种情况。其中IL-6的浓度最高。这些结果可能为何时将分泌组用于治疗患者提供重要线索,因为分泌组中的所有分子都可以导致许多临床表现。
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引用次数: 0
Do Mesenchymal Stem Cells Influence Keloid Recurrence? 间充质干细胞影响瘢痕疙瘩复发吗?
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2022-01-01 DOI: 10.2147/SCCAA.S373551
Wanjala Ferdinand Nang'ole, Anzala Omu, Julius A Ogeng'o, George W Agak

Introduction: Mesenchymal stem cells (MSCs) have been postulated by a number of authors to be the precursor cells of fibroblasts and myofibroblasts in keloids. They have been seen as a regenerative pool that ensures a steady supply of cells. The objective of our study was to determine MSCs in keloids and normal skin as a determinant of keloid recurrence.

Methods: This was a longitudinal prospective study in which patients with keloid excisions of their specimens analyzed for MSC. A control group of patients matched for age, sex, and body-mass index (BMI) with no history of keloids admitted for elective surgical procedures had their skin samples taken and also analyzed for MSCs. Data collected were analyzed and compared using Student's t, x 2, and Fisher's exact t tests.

Results: A total of 61 patients with keloids and a control group of 32 patients were recruited. The male:female ratio was 1:2 and mean age 29.5 and 29.7 years for keloids and controls, respectively. Patients with recurrent keloids had a mean density of 841.4 MSCs/g compared to 578 MSCs/g of tissue for those with no recurrence and 580 MSCs/g for patients with normal skin. Recurrent keloids had a significantly higher percentage of MSCs than those without.

Conclusion: Keloids compared to normal skin had a higher percentage of MSCs, with recurrent keloids demonstrating an even higher count, a possible indicator that MSCs might correlate with severity of keloid disease and recurrence.

许多作者认为间充质干细胞(MSCs)是瘢痕疙瘩中成纤维细胞和肌成纤维细胞的前体细胞。它们被视为确保细胞稳定供应的再生池。我们研究的目的是确定瘢痕疙瘩和正常皮肤中的间充质干细胞作为瘢痕疙瘩复发的决定因素。方法:这是一项纵向前瞻性研究,对瘢痕疙瘩切除标本的患者进行MSC分析。对照组患者的年龄、性别和体重指数(BMI)相匹配,且无瘢痕疙瘩病史,接受选择性外科手术,采集皮肤样本并分析MSCs。使用Student t、x2和Fisher精确t检验对收集到的数据进行分析和比较。结果:共招募61例瘢痕疙瘩患者和32例对照组患者。瘢痕疙瘩组和对照组的男女比例为1:2,平均年龄分别为29.5岁和29.7岁。复发性瘢痕疙瘩患者的平均密度为841.4 MSCs/g,而未复发患者的平均密度为578 MSCs/g,正常皮肤患者的平均密度为580 MSCs/g。复发性瘢痕疙瘩的MSCs比例明显高于未复发者。结论:与正常皮肤相比,瘢痕疙瘩的MSCs比例更高,复发性瘢痕疙瘩的MSCs数量更高,这可能表明MSCs可能与瘢痕疙瘩疾病的严重程度和复发有关。
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引用次数: 2
Meta-Analysis: The Clinical Application of Autologous Adult Stem Cells in the Treatment of Stroke. meta分析:自体成体干细胞在脑卒中治疗中的临床应用。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2021-12-29 eCollection Date: 2021-01-01 DOI: 10.2147/SCCAA.S344943
Noora Hassani, Sebastien Taurin, Sfoug Alshammary

Introduction: Stroke is a leading cause of death and disability worldwide. The disease is caused by reduced blood flow into the brain resulting in the sudden death of neurons. Limited spontaneous recovery might occur after stroke or brain injury, stem cell-based therapies have been used to promote these processes as there are no drugs currently on the market to promote brain recovery or neurogenesis. Adult stem cells (ASCs) have shown the ability of differentiation and regeneration and are well studied in literature. ASCs have also demonstrated safety in clinical application and, therefore, are currently being investigated as a promising alternative intervention for the treatment of stroke.

Methods: Eleven studies have been systematically selected and reviewed to determine if autologous adult stem cells are effective in the treatment of stroke. Collectively, 368 patients were enrolled across the 11 trials, out of which 195 received stem cell transplantation and 173 served as control. Using data collected from the clinical outcomes, a broad comparison and a meta-analysis were conducted by comparing studies that followed a similar study design.

Results: Improvement in patients' clinical outcomes was observed. However, the overall results showed no clinical significance in patients transplanted with stem cells than the control population.

Conclusion: Most of the trials were early phase studies that focused on safety rather than efficacy. Stem cells have demonstrated breakthrough results in the field of regenerative medicine. Therefore, study design could be improved in the future by enrolling a larger patient population and focusing more on localized delivery rather than intravenous transplantation. Trials should also introduce a more standardized method of analyzing and reporting clinical outcomes to achieve a better comparable outcome and possibly recognize the full potential that these cells have to offer.

中风是世界范围内死亡和残疾的主要原因。这种疾病是由流入大脑的血液减少导致神经元突然死亡引起的。中风或脑损伤后可能发生有限的自发恢复,干细胞治疗已被用于促进这些过程,因为目前市场上没有促进大脑恢复或神经发生的药物。成体干细胞(ASCs)已显示出分化和再生的能力,并在文献中得到了很好的研究。ASCs在临床应用中也证明了安全性,因此,目前正在研究作为治疗中风的一种有希望的替代干预措施。方法:系统地选择和回顾了11项研究,以确定自体成体干细胞是否有效治疗中风。总共有368名患者参加了11项试验,其中195人接受了干细胞移植,173人作为对照组。利用从临床结果中收集的数据,通过比较遵循类似研究设计的研究进行了广泛的比较和荟萃分析。结果:观察到患者临床预后的改善。然而,总体结果显示干细胞移植患者与对照组相比没有临床意义。结论:大多数试验都是早期阶段的研究,关注的是安全性而不是有效性。干细胞在再生医学领域取得了突破性的成果。因此,研究设计可以在未来通过纳入更大的患者群体并更多地关注局部输送而不是静脉移植来改进。试验还应该引入一种更标准化的方法来分析和报告临床结果,以获得更好的可比性结果,并可能认识到这些细胞所提供的全部潜力。
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引用次数: 2
Current Clinical Application of Mesenchymal Stem Cells in the Treatment of Severe COVID-19 Patients: Review. 间充质干细胞治疗重症COVID-19临床应用现状综述
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2021-11-09 eCollection Date: 2021-01-01 DOI: 10.2147/SCCAA.S333800
Dagnew Getnet Adugna

Coronavirus-2019 disease is a newly diagnosed infectious disease, which is caused by the severe acute respiratory syndrome corona virus-2. It spreads quickly and has become a major public health problem throughout the world. When the viral structural spike protein binds to the angiotensin-converting enzyme-2 receptor of the host cell membrane, the virus enters into host cells. The virus primarily affects lung epithelial cells or other target cells that express angiotensin-converting enzyme-2 receptors in COVID-19 patients. Chemokines released by the host cells stimulate the recruitment of different immune cells. A cytokine storm occurs when a high amount of pro-inflammatory cytokines are produced as a result of the accumulation of immune cells. In COVID-19 patients, cytokine storms are the leading cause of severe acute respiratory distress syndrome. Mesenchymal stem cells are multipotent and self-renewing adult stem cells, which are obtained from a variety of tissues including bone marrow, adipose tissue, Warthon's jelly tissue, and amniotic fluid. Mesenchymal stem cells primarily exert their important therapeutic effects through 2 mechanisms: immunoregulatory effects and differentiation capacity. Mesenchymal stem cells can release several cytokines via paracrine mechanism or by direct interaction with white blood cells such as natural killer cells, T-lymphocytes, B-lymphocytes, natural killer cells, and macrophages, resulting in immune system regulation. Mesenchymal stem cells may help to restore the lung microenvironment, preserve alveolar epithelial cells, prevent lung fibrosis, and treat pulmonary dysfunction that is caused by COVID-19 associated pneumonia. Mesenchymal stem cells therapy may suppress aggressive inflammatory reactions and increase endogenous restoration by improving the pulmonary microenvironment. Furthermore, clinical evidence suggests that intravenous injection of mesenchymal stem cells may radically reduce lung tissue damage in COVID-19 patients. With the advancement of research involving mesenchymal stem cells for the treatment of COVID-19, mesenchymal stem cells therapy may be the main strategy for reducing the recent pandemic.

2019冠状病毒病是由严重急性呼吸综合征冠状病毒2型引起的一种新诊断的传染病。它传播迅速,已成为世界各地的一个主要公共卫生问题。当病毒结构刺突蛋白与宿主细胞膜的血管紧张素转换酶-2受体结合时,病毒进入宿主细胞。该病毒主要影响COVID-19患者的肺上皮细胞或其他表达血管紧张素转换酶-2受体的靶细胞。宿主细胞释放的趋化因子刺激不同免疫细胞的募集。当大量的促炎细胞因子由于免疫细胞的积累而产生时,就会发生细胞因子风暴。在COVID-19患者中,细胞因子风暴是导致严重急性呼吸窘迫综合征的主要原因。间充质干细胞是一种多能、自我更新的成体干细胞,可从骨髓、脂肪组织、华氏胶质组织和羊水等多种组织中获得。间充质干细胞主要通过免疫调节作用和分化能力两种机制发挥其重要的治疗作用。间充质干细胞可以通过旁分泌机制或与白细胞如自然杀伤细胞、t淋巴细胞、b淋巴细胞、自然杀伤细胞、巨噬细胞等直接相互作用释放多种细胞因子,从而调节免疫系统。间充质干细胞可能有助于恢复肺微环境,保护肺泡上皮细胞,预防肺纤维化,并治疗由COVID-19相关肺炎引起的肺功能障碍。间充质干细胞治疗可以通过改善肺微环境来抑制侵袭性炎症反应和增加内源性修复。此外,临床证据表明,静脉注射间充质干细胞可能从根本上减轻COVID-19患者的肺组织损伤。随着间充质干细胞治疗新冠肺炎研究的进展,间充质干细胞治疗可能是缓解近期大流行的主要策略。
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Stem Cells and Cloning-Advances and Applications
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