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Bone marrow mesenchymal stem cells as nuclear donors improve viability and health of cloned horses. 骨髓间充质干细胞作为核供体可提高克隆马的生存能力和健康。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2018-02-14 eCollection Date: 2018-01-01 DOI: 10.2147/SCCAA.S151763
R Olivera, L N Moro, R Jordan, N Pallarols, A Guglielminetti, C Luzzani, S G Miriuka, G Vichera

Introduction: Cell plasticity is crucial in cloning to allow an efficient nuclear reprogramming and healthy offspring. Hence, cells with high plasticity, such as multipotent mesenchymal stem cells (MSCs), may be a promising alternative for horse cloning. In this study, we evaluated the use of bone marrow-MSCs (BM-MSCs) as nuclear donors in horse cloning, and we compared the in vitro and in vivo embryo development with respect to fibroblasts.

Materials and methods: Zona-free nuclear transfer was performed using BM-MSCs (MSC group, n=3432) or adult fibroblasts (AF group, n=4527). Embryos produced by artificial insemination (AI) recovered by uterine flushing and transferred to recipient mares were used as controls (AI group).

Results: Blastocyst development was higher in the MSC group than in the AF group (18.1% vs 10.9%, respectively; p<0.05). However, pregnancy rates and delivery rates were similar in both cloning groups, although they were lower than in the AI group (pregnancy rates: 17.7% [41/232] for MSC, 12.5% [37/297] for AF and 80.7% [71/88] for AI; delivery rates: 56.8% [21/37], 41.5% [17/41] and 90.1% [64/71], respectively). Remarkably, the gestation length of the AF group was significantly longer than the control (361.7±10.9 vs 333.9±8.7 days), in contrast to the MSC group (340.6±8.89 days). Of the total deliveries, 95.2% (20/21) of the MSC-foals were viable, compared to 52.9% (9/17) of the AF-foals (p<0.05). In addition, the AF-foals had more physiological abnormalities at birth than the MSC-foals; 90.5% (19/21) of the MSC-delivered foals were completely normal and healthy, compared to 35.3% (6/17) in the AF group. The abnormalities included flexural or angular limb deformities, umbilical cord enlargement, placental alterations and signs of syndrome of neonatal maladjustment, which were treated in most cases.

Conclusion: In summary, we obtained 29 viable cloned foals and found that MSCs are suitable donor cells in horse cloning. Even more, these cells could be more efficiently reprogrammed compared to fibroblasts.

细胞可塑性在克隆中是至关重要的,以允许有效的核重编程和健康的后代。因此,具有高可塑性的细胞,如多能间充质干细胞(MSCs),可能是克隆马的一个有希望的选择。在这项研究中,我们评估了骨髓间充质干细胞(BM-MSCs)作为核供体在马克隆中的应用,并比较了成纤维细胞在体外和体内的胚胎发育情况。材料和方法:采用骨髓间充质干细胞(MSC组,n=3432)或成体成纤维细胞(AF组,n=4527)进行无区核移植。将经子宫冲洗回收的人工授精产生的胚胎移植给受体母马作为对照组(人工授精组)。结果:MSC组囊胚发育高于AF组(分别为18.1%和10.9%;结论:我们获得了29匹活的克隆马驹,发现MSCs是克隆马的合适供体细胞。更重要的是,与成纤维细胞相比,这些细胞可以更有效地重新编程。
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引用次数: 20
A review on stem cell therapy for multiple sclerosis: special focus on human embryonic stem cells. 干细胞治疗多发性硬化症的研究进展:以人胚胎干细胞为重点。
IF 1.7 Q4 CELL BIOLOGY Pub Date : 2018-02-12 eCollection Date: 2018-01-01 DOI: 10.2147/SCCAA.S135415
Geeta Shroff

Multiple sclerosis (MS), a complex disorder of the central nervous system (CNS), is characterized with axonal loss underlying long-term progressive disability. Currently available therapies for its management are able to slow down the progression but fail to treat it completely. Moreover, these therapies are associated with major CNS and cardiovascular adverse events, and prolonged use of these treatments may cause life-threatening diseases. Recent research has shown that cellular therapies hold a potential for CNS repair and may be able to provide protection from inflammatory damage caused after injury. Human embryonic stem cell (hESC) transplantation is one of the promising cell therapies; hESCs play an important role in remyelination and help in preventing demylenation of the axons. In this study, an overview of the current knowledge about the unique properties of hESC and their comparison with other cell therapies has been presented for the treatment of patients with MS.

多发性硬化症(MS)是一种复杂的中枢神经系统疾病,其特征是长期进行性残疾导致的轴突损失。目前可用的治疗方法能够减缓进展,但未能完全治疗。此外,这些治疗与主要的中枢神经系统和心血管不良事件有关,长期使用这些治疗可能会导致危及生命的疾病。最近的研究表明,细胞疗法具有修复中枢神经系统的潜力,并可能提供保护,免受损伤后引起的炎症损伤。人胚胎干细胞移植是一种很有前途的细胞治疗方法;hESCs在髓鞘再形成中起重要作用,并有助于防止轴突脱髓鞘。在这项研究中,概述了hESC的独特特性及其与其他细胞疗法治疗MS患者的比较。
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引用次数: 0
Expression profiling of adhesion proteins during prenatal and postnatal liver development in rats. 大鼠产前和产后肝脏发育过程中粘附蛋白的表达谱。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2017-09-20 eCollection Date: 2017-01-01 DOI: 10.2147/SCCAA.S139497
Mehwish Yousaf, Asima Tayyeb, Gibran Ali

Culturing of primary hepatocytes and stem cell-derived hepatocytes faces a major issue of dedifferentiation due to absence of cell-cell adhesion and 3D structures. One of the possible ways to eliminate the problem of dedifferentiation is mimicking the expression pattern of adhesion proteins during the normal developmental process of liver cells. The purpose of this study was to evaluate the expression pattern of some key adhesion proteins, namely, E-cadherin, N-cadherin, epithelial CAM (EpCAM), intracellular CAM (ICAM), collagen 1α1, α-actinin, β-catenin and vimentin, in the liver tissue during prenatal and postnatal stages. Furthermore, differences in their expression between prenatal, early postnatal and adult stages were highlighted. Wistar rats were used to isolate livers at prenatal Day 14 and 17 as well as on postnatal Day 1, 3, 7 and 14. The liver from adult rats was used as control. Both conventional and real-time quantitative polymerase chain reactions (PCRs) were performed. For most of the adhesion proteins such as E-cadherin, N-cadherin, EpCAM, ICAM, collagen 1α1 and α-actinin, low expression was observed around prenatal Day 14 and an increasing expression was observed in the postnatal period. Moreover, β-catenin and vimentin showed higher expression in the early prenatal period, which decreased gradually in the postnatal period, but still this low expression was considerably higher than that in the adult control rats. This basic knowledge of the regulation of expression of adhesion proteins during different developmental stages indicates their vital role in liver development. This pattern can be further studied and imitated under in vitro conditions to achieve better cell-cell interactions.

原代肝细胞和干细胞源性肝细胞的培养由于缺乏细胞-细胞粘附和三维结构而面临去分化的主要问题。消除去分化问题的可能方法之一是模拟肝细胞正常发育过程中粘附蛋白的表达模式。本研究旨在探讨肝组织中E-cadherin、N-cadherin、上皮CAM (EpCAM)、细胞内CAM (ICAM)、胶原1α1、α-肌动蛋白、β-catenin和vimentin等关键黏附蛋白在产前和产后的表达规律。此外,他们的表达差异在产前,产后早期和成人阶段被强调。采用Wistar大鼠在出生前第14天和第17天以及出生后第1、3、7和14天分离肝脏。以成年大鼠肝脏为对照。进行常规和实时定量聚合酶链反应(pcr)。E-cadherin、N-cadherin、EpCAM、ICAM、胶原1α1、α-肌动蛋白等粘附蛋白在产前第14天前后低表达,在产后表达增加。此外,β-catenin和vimentin在产前早期表达较高,在产后逐渐降低,但这种低表达仍明显高于成年对照大鼠。这些关于粘附蛋白在不同发育阶段表达调控的基本知识表明了它们在肝脏发育中的重要作用。这种模式可以在体外条件下进一步研究和模仿,以实现更好的细胞-细胞相互作用。
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引用次数: 2
Conventional and novel stem cell based therapies for androgenic alopecia. 治疗雄激素性脱发的传统和新型干细胞疗法。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2017-08-31 eCollection Date: 2017-01-01 DOI: 10.2147/SCCAA.S138150
Dodanim Talavera-Adame, Daniella Newman, Nathan Newman

The prevalence of androgenic alopecia (AGA) increases with age and it affects both men and women. Patients diagnosed with AGA may experience decreased quality of life, depression, and feel self-conscious. There are a variety of therapeutic options ranging from prescription drugs to non-prescription medications. Currently, AGA involves an annual global market revenue of US$4 billion and a growth rate of 1.8%, indicating a growing consumer market. Although natural and synthetic ingredients can promote hair growth and, therefore, be useful to treat AGA, some of them have important adverse effects and unknown mechanisms of action that limit their use and benefits. Biologic factors that include signaling from stem cells, dermal papilla cells, and platelet-rich plasma are some of the current therapeutic agents being studied for hair restoration with milder side effects. However, most of the mechanisms exerted by these factors in hair restoration are still being researched. In this review, we analyze the therapeutic agents that have been used for AGA and emphasize the potential of new therapies based on advances in stem cell technologies and regenerative medicine.

雄激素性脱发(AGA)的发病率随着年龄的增长而增加,对男性和女性都有影响。被诊断出患有雄激素性脱发的患者可能会感到生活质量下降、抑郁和自卑。目前有多种治疗方法,包括处方药和非处方药。目前,AGA 涉及的全球市场年收入为 40 亿美元,增长率为 1.8%,表明消费市场正在不断扩大。虽然天然和合成成分可促进头发生长,因此可用于治疗 AGA,但其中一些成分具有重要的不良反应和未知的作用机制,限制了它们的使用和益处。生物因子包括来自干细胞、真皮乳头细胞和富血小板血浆的信号,是目前正在研究的一些副作用较小的头发修复治疗药物。然而,这些因子在头发修复中的大部分作用机制仍在研究之中。在这篇综述中,我们分析了已用于AGA的治疗药物,并强调了基于干细胞技术和再生医学进展的新疗法的潜力。
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引用次数: 0
Hair follicle growth by stromal vascular fraction-enhanced adipose transplantation in baldness. 基质血管组分增强脂肪移植治疗秃顶患者毛囊生长。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2017-07-06 eCollection Date: 2017-01-01 DOI: 10.2147/SCCAA.S131431
David Perez-Meza, Craig Ziering, Marcos Sforza, Ganesh Krishnan, Edward Ball, Eric Daniels

Great interest remains in finding new and emerging therapies for the treatment of male and female pattern hair loss. The autologous fat grafting technique is >100 years old, with a recent and dramatic increase in clinical experience over the past 10-15 years. Recently, in 2001, Zuk et al published the presence of adipose-derived stem cells, and abundant research has shown that adipose is a complex, biological active, and important tissue. Festa et al, in 2011, reported that adipocyte lineage cells support the stem cell niche and help drive the complex hair growth cycle. Adipose-derived regenerative cells (also known as stromal vascular fraction [SVF]) is a heterogeneous group of noncultured cells that can be reliably extracted from adipose by using automated systems, and these cells work largely by paracrine mechanisms to support adipocyte viability. While, today, autologous fat is transplanted primarily for esthetic and reconstructive volume, surgeons have previously reported positive skin and hair changes posttransplantation. This follicular regenerative approach is intriguing and raises the possibility that one can drive or restore the hair cycle in male and female pattern baldness by stimulating the niche with autologous fat enriched with SVF. In this first of a kind patient series, the authors report on the safety, tolerability, and quantitative, as well as photographic changes, in a group of patients with early genetic alopecia treated with subcutaneous scalp injection of enriched adipose tissue. The findings suggest that scalp stem cell-enriched fat grafting may represent a promising alternative approach to treating baldness in men and women.

人们对寻找治疗男性和女性脱发的新疗法仍有很大的兴趣。自体脂肪移植技术已有超过100年的历史,在过去的10-15年里,临床经验急剧增加。最近,2001年Zuk等人发表了脂肪源性干细胞的存在,大量研究表明脂肪是一种复杂的、具有生物活性的重要组织。Festa等人在2011年报道,脂肪细胞系支持干细胞生态位,并帮助驱动复杂的毛发生长周期。脂肪来源的再生细胞(也称为基质血管组分[SVF])是一种异质的非培养细胞群,可以通过自动化系统从脂肪中可靠地提取出来,这些细胞主要通过旁分泌机制支持脂肪细胞的活力。然而,今天,自体脂肪移植主要是为了美观和重建体积,外科医生以前报道过移植后皮肤和头发的积极变化。这种毛囊再生方法很有趣,并提出了一种可能性,即通过用富含SVF的自体脂肪刺激小生境,可以驱动或恢复男性和女性型秃发的头发周期。在这第一个患者系列中,作者报告了一组早期遗传性脱发患者接受头皮皮下注射富集脂肪组织治疗的安全性、耐受性、定量和摄影变化。研究结果表明,头皮干细胞富集脂肪移植可能是治疗男性和女性秃顶的一种有希望的替代方法。
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引用次数: 62
Stem cell technology in breast cancer: current status and potential applications. 干细胞技术在乳腺癌中的应用现状及潜力
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2016-04-26 eCollection Date: 2016-01-01 DOI: 10.2147/SCCAA.S72836
Rena Chiotaki, Hara Polioudaki, Panayiotis A Theodoropoulos

Breast cancer, the leading cause of cancer among females, is supported by the presence of a rare subset of undifferentiated cells within the tumor, identified as breast cancer stem cells (BCSCs). BCSCs underlie the mechanisms of tumor initiation and sustenance and are implicated in the dissemination of the primary tumor to metastatic sites, as they have been found circulating in the blood of breast cancer patients. The discovery of BCSCs has generated a great amount of interest among the scientific community toward their isolation, molecular characterization, and therapeutic targeting. In this review, after summarizing the literature on molecular characterization of BCSCs and methodologies used for their isolation, we will focus on recent data supporting their molecular and functional heterogeneity. Additionally, following a synopsis of the latest approaches for BCSC targeting, we will specifically emphasize on the therapeutic use of naïve or engineered normal stem cells in the treatment of breast cancer and present contradictory findings challenging their safety.

乳腺癌是女性癌症的主要原因,肿瘤中存在一种罕见的未分化细胞亚群,被称为乳腺癌干细胞(BCSCs)。BCSCs是肿瘤发生和维持机制的基础,并与原发肿瘤向转移部位的扩散有关,因为它们已在乳腺癌患者的血液中循环。bscs的发现引起了科学界对其分离、分子表征和治疗靶向的极大兴趣。在这篇综述中,在总结了关于BCSCs的分子特征和分离方法的文献之后,我们将重点介绍支持其分子和功能异质性的最新数据。此外,在简要介绍BCSC靶向治疗的最新方法后,我们将特别强调naïve或工程正常干细胞在乳腺癌治疗中的治疗用途,并提出挑战其安全性的矛盾发现。
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引用次数: 13
Characterization of neural stemness status through the neurogenesis process for bone marrow mesenchymal stem cells. 通过骨髓间充质干细胞的神经发生过程表征神经干细胞状态。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2016-04-18 eCollection Date: 2016-01-01 DOI: 10.2147/SCCAA.S94545
Maeda H Mohammad, Ahmed M Al-Shammari, Ahmad Adnan Al-Juboory, Nahi Y Yaseen

The in vitro isolation, identification, differentiation, and neurogenesis characterization of the sources of mesenchymal stem cells (MSCs) were investigated to produce two types of cells in culture: neural cells and neural stem cells (NSCs). These types of stem cells were used as successful sources for the further treatment of central nervous system defects and injuries. The mouse bone marrow MSCs were used as the source of the stem cells in this study. β-Mercaptoethanol (BME) was used as the main inducer of the neurogenesis pathway to induce neural cells and to identify NSCs. Three types of neural markers were used: nestin as the immaturation stage marker, neurofilament light chain as the early neural marker, and microtubule-associated protein 2 as the maturation marker through different time intervals in the neurogenesis process starting from the MSCs, (as undifferentiated cells), NSCs, production stages, and toward neuron cells (as differentiated cells). The results of different exposure times to BME of the neural markers analysis done by immunocytochemistry and real time-polymerase chain reaction helped us to identify the exact timing for the neural stemness state. The results showed that the best exposure time that may be used for the production of NSCs was 6 hours. The best maintenance media for NSCs were also identified. Furthermore, we optimized exposure to BME with different times and concentrations, which could be an interesting way to modulate specific neuronal differentiation and obtain autologous neuronal phenotypes. This study was able to characterize NSCs in culture under differentiation for neurogenesis in the pathway of the neural differentiation process by studying the expressed neural genes and the ability to maintain these NSCs in culture for further differentiation in thousands of functional neurons for the treatment of brain and spinal cord injuries and defects.

研究了间充质干细胞(MSCs)来源的体外分离、鉴定、分化和神经发生特性,培养出两种类型的细胞:神经细胞和神经干细胞(NSCs)。这些类型的干细胞被成功地用作进一步治疗中枢神经系统缺陷和损伤的来源。本研究采用小鼠骨髓间充质干细胞作为干细胞的来源。用β-巯基乙醇(BME)作为神经发生途径的主要诱导剂诱导神经细胞和鉴定NSCs。在从MSCs(未分化细胞)、NSCs、产生阶段到神经元细胞(分化细胞)的神经发生过程中,采用三种不同时间间隔的神经标志物:巢蛋白(nestin)作为未成熟阶段标志物,神经丝轻链作为早期神经标志物,微管相关蛋白2作为成熟阶段标志物。通过免疫细胞化学和实时聚合酶链反应对不同暴露时间BME的神经标记物进行分析,帮助我们确定神经干状态的确切时间。结果表明,制备NSCs的最佳暴露时间为6小时。并确定了最佳的NSCs维持培养基。此外,我们优化了不同时间和浓度的BME暴露,这可能是一种有趣的方式来调节特异性神经元分化和获得自体神经元表型。本研究通过研究表达的神经基因和维持培养的NSCs在数千个功能神经元中进一步分化以治疗脑和脊髓损伤和缺陷的能力,能够表征神经分化过程中分化的NSCs在神经分化过程中的途径。
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引用次数: 24
Mesenchymal and induced pluripotent stem cells: general insights and clinical perspectives. 间充质干细胞和诱导多能干细胞:一般见解和临床观点。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2015-09-28 eCollection Date: 2015-01-01 DOI: 10.2147/SCCAA.S88036
Helena D Zomer, Atanásio S Vidane, Natalia N Gonçalves, Carlos E Ambrósio

Mesenchymal stem cells have awakened a great deal of interest in regenerative medicine due to their plasticity, and immunomodulatory and anti-inflammatory properties. They are high-yield and can be acquired through noninvasive methods from adult tissues. Moreover, they are nontumorigenic and are the most widely studied. On the other hand, induced pluripotent stem (iPS) cells can be derived directly from adult cells through gene reprogramming. The new iPS technology avoids the embryo destruction or manipulation to generate pluripotent cells, therefore, are exempt from ethical implication surrounding embryonic stem cell use. The pre-differentiation of iPS cells ensures the safety of future approaches. Both mesenchymal stem cells and iPS cells can be used for autologous cell transplantations without the risk of immune rejection and represent a great opportunity for future alternative therapies. In this review we discussed the therapeutic perspectives using mesenchymal and iPS cells.

间充质干细胞由于其可塑性、免疫调节和抗炎特性,在再生医学中引起了极大的兴趣。它们产量高,可以通过非侵入性方法从成人组织中获得。此外,它们是非致瘤性的,是研究最广泛的。另一方面,诱导多能干细胞可以通过基因重编程直接从成体细胞中获得。新的iPS技术避免了胚胎破坏或操纵以产生多能细胞,因此不受胚胎干细胞使用的伦理影响。iPS细胞的预分化确保了未来方法的安全性。间充质干细胞和iPS细胞都可以用于自体细胞移植而没有免疫排斥的风险,这代表了未来替代疗法的巨大机会。在这篇综述中,我们讨论了间充质细胞和iPS细胞的治疗前景。
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引用次数: 106
Mesenchymal stem cell therapy for osteoarthritis: current perspectives. 间充质干细胞治疗骨关节炎:目前的观点。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2015-08-28 eCollection Date: 2015-01-01 DOI: 10.2147/SCCAA.S68073
Cody C Wyles, Matthew T Houdek, Atta Behfar, Rafael J Sierra

Osteoarthritis (OA) is a painful chronic condition with a significant impact on quality of life. The societal burden imposed by OA is increasing in parallel with the aging population; however, no therapies have demonstrated efficacy in preventing the progression of this degenerative joint disease. Current mainstays of therapy include activity modification, conservative pain management strategies, weight loss, and if necessary, replacement of the affected joint. Mesenchymal stem cells (MSCs) are a multipotent endogenous population of progenitors capable of differentiation to musculoskeletal tissues. MSCs have a well-documented immunomodulatory role, managing the inflammatory response primarily through paracrine signaling. Given these properties, MSCs have been proposed as a potential regenerative cell therapy source for patients with OA. Research efforts are focused on determining the ideal source for derivation, as MSCs are native to several tissues. Furthermore, optimizing the mode of delivery remains a challenge both for appropriate localization of MSCs and for directed guidance toward stemming the local inflammatory process and initiating a regenerative response. Scaffolds and matrices with growth factor adjuvants may prove critical in this effort. The purpose of this review is to summarize the current state of MSC-based therapeutics for OA and discuss potential barriers that must be overcome for successful implementation of cell-based therapy as a routine treatment strategy in orthopedics.

骨关节炎(OA)是一种痛苦的慢性疾病,对生活质量有重大影响。OA带来的社会负担与人口老龄化同步增加;然而,没有任何治疗方法被证明对预防这种退行性关节疾病的进展有效。目前主要的治疗方法包括活动调节、保守的疼痛管理策略、减肥,必要时进行受影响关节的置换。间充质干细胞(MSCs)是一种多能内源性祖细胞群,能够分化为肌肉骨骼组织。MSCs具有良好的免疫调节作用,主要通过旁分泌信号传导来管理炎症反应。鉴于这些特性,MSCs被认为是OA患者潜在的再生细胞治疗来源。研究的重点是确定理想的来源,因为间充质干细胞是原生的几种组织。此外,优化递送方式仍然是一个挑战,无论是对MSCs的适当定位,还是对抑制局部炎症过程和启动再生反应的直接指导。含有生长因子佐剂的支架和基质在这方面可能是至关重要的。本综述的目的是总结基于骨髓间质干细胞治疗骨性关节炎的现状,并讨论在骨科中成功实施细胞治疗作为常规治疗策略必须克服的潜在障碍。
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引用次数: 93
Progress toward curing HIV infection with hematopoietic cell transplantation. 造血细胞移植治疗HIV感染的进展。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2015-07-28 eCollection Date: 2015-01-01 DOI: 10.2147/SCCAA.S56050
Lawrence D Petz, John C Burnett, Haitang Li, Shirley Li, Richard Tonai, Milena Bakalinskaya, Elizabeth J Shpall, Sue Armitage, Joanne Kurtzberg, Donna M Regan, Pamela Clark, Sergio Querol, Jonathan A Gutman, Stephen R Spellman, Loren Gragert, John J Rossi

HIV-1 infection afflicts more than 35 million people worldwide, according to 2014 estimates from the World Health Organization. For those individuals who have access to antiretroviral therapy, these drugs can effectively suppress, but not cure, HIV-1 infection. Indeed, the only documented case for an HIV/AIDS cure was a patient with HIV-1 and acute myeloid leukemia who received allogeneic hematopoietic cell transplantation (HCT) from a graft that carried the HIV-resistant CCR5-∆32/∆32 mutation. Other attempts to establish a cure for HIV/AIDS using HCT in patients with HIV-1 and malignancy have yielded mixed results, as encouraging evidence for virus eradication in a few cases has been offset by poor clinical outcomes due to the underlying cancer or other complications. Such clinical strategies have relied on HIV-resistant hematopoietic stem and progenitor cells that harbor the natural CCR5-∆32/∆32 mutation or that have been genetically modified for HIV-resistance. Nevertheless, HCT with HIV-resistant cord blood remains a promising option, particularly with inventories of CCR5-∆32/∆32 units or with genetically modified, human leukocyte antigen-matched cord blood.

根据世界卫生组织2014年的估计,全球有超过3500万人感染了HIV-1。对于那些获得抗逆转录病毒治疗的人来说,这些药物可以有效地抑制,但不能治愈HIV-1感染。事实上,唯一记录在案的HIV/AIDS治愈病例是一名患有HIV-1和急性髓性白血病的患者,他接受了同种异体造血细胞移植(HCT),其移植物携带了抗HIV的CCR5-∆32/∆32突变。在艾滋病毒1型和恶性肿瘤患者中使用HCT治疗艾滋病毒/艾滋病的其他尝试取得了好坏参半的结果,因为在少数病例中,令人鼓舞的病毒根除证据被潜在癌症或其他并发症导致的不良临床结果所抵消。这种临床策略依赖于抗hiv的造血干细胞和祖细胞,这些细胞含有天然的CCR5-∆32/∆32突变,或经过基因改造以抵抗hiv。然而,抗艾滋病毒脐带血的HCT仍然是一个很有希望的选择,特别是含有CCR5-∆32/∆32单位的脐带血或基因修饰的人类白细胞抗原匹配脐带血。
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引用次数: 13
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