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Failure of Y-27632 to improve the culture of adult human adipose-derived stem cells. Y-27632不能改善成人脂肪来源干细胞的培养。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2015-01-07 eCollection Date: 2015-01-01 DOI: 10.2147/SCCAA.S66597
Nuno Jorge Lamas, Sofia C Serra, António J Salgado, Nuno Sousa

Y-27632 is a well-known inhibitor of the Rho-associated coiled kinase (ROCK) and has been shown to significantly improve the culture of a variety of multipotent stem cell types. However, the effects of Y-27632 on the expansion of adult human adipose-derived stem cell (hADSC) cultures remain to be established. Here, we aimed to characterize the effects of Y-27632 on the culture of hADSCs. Adult hADSCs were isolated from subjects submitted to elective plastic surgery procedures and cultivated in vitro under optimized conditions. Our results show that the continuous supplementation of hADSC cultures with Y-27632 led to decreased numbers of cells and decreased global metabolic viability of hADSC cultures when compared with control conditions. This effect appeared to be dependent on the continuous presence of the drug and was shown to be concentration-dependent and significant for 10 μM and 20 μM of Y-27632. Moreover, the Y-27632-induced decrease in hADSC numbers was not linked to a block in global cell proliferation, as cell numbers consistently increased from the moment of plating until passaging. In addition, Y-27632 was not able to increase the number of hADSCs present in culture 24 hours after passaging. Taken together, our results suggest that, in contrast to other stem cell types, Y-27632 supplementation is not a suitable strategy to enhance hADSC culture expansion.

Y-27632是一种众所周知的rho相关卷曲激酶(ROCK)抑制剂,已被证明可以显著改善多种多能干细胞类型的培养。然而,Y-27632对成人脂肪源性干细胞(hADSC)培养扩增的影响仍有待确定。在这里,我们的目的是表征Y-27632对hscs培养的影响。成人hascs从接受选择性整形手术的受试者中分离出来,并在优化的条件下体外培养。我们的研究结果表明,与对照组相比,持续添加Y-27632的hADSC培养物导致细胞数量减少,hADSC培养物的整体代谢活力下降。这种效应似乎依赖于药物的持续存在,并且在10 μM和20 μM的Y-27632中显示出浓度依赖性和显著性。此外,y -27632诱导的hADSC数量的减少与细胞整体增殖的阻滞无关,因为细胞数量从镀膜时刻一直增加到传代。此外,Y-27632在传代24小时后不能增加培养中存在的hscs数量。综上所述,我们的研究结果表明,与其他干细胞类型相比,补充Y-27632不是增强hADSC培养扩增的合适策略。
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引用次数: 9
Fetal exposure to a diabetic intrauterine environment resulted in a failure of cord blood endothelial progenitor cell adaptation against chronic hypoxia. 胎儿暴露于糖尿病宫内环境导致脐带血内皮祖细胞对慢性缺氧的适应失败。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2014-12-18 eCollection Date: 2015-01-01 DOI: 10.2147/SCCAA.S73658
U Deniz Dincer

Gestational diabetes mellitus (GDM) has long-term health consequences, and fetal exposure to a diabetic intrauterine environment increases cardiovascular risk for her adult offspring. Some part of this could be related to their endothelial progenitor cells (EPCs). Understanding the vessel-forming ability of human umbilical cord blood (HUCB)-derived endothelial colony-forming cells (ECFCs) against pathological stress such as GDM response to hypoxia could generate new therapeutic strategies. This study aims to investigate the role of chronic hypoxia in EPCs functional and vessel-forming ability in GDM subjects. Each ECFC was expressed in endothelial and pro-angiogenic specific markers, namely endothelial nitric oxide synthase (eNOS), platelet (PECAM-1) endothelial cell adhesion molecule 1, vascular endothelial-cadherin CdH5 (Ca-dependent cell adhesion molecule), vascular endothelial growth factor A, (VEGFA) and insulin-like growth factor 1 (IGF1). Chronic hypoxia did not affect CdH5, but PECAM1 MRNA expressions were increased in control and GDM subjects. Control hypoxic and GDM normoxic VEGFA MRNA expressions and hypoxia-inducible factor 1-alpha (HIF1α) protein expressions were significantly increased in HUCB ECFCs. GDM resulted in most failure of HUCB ECFC adaptation and eNOS protein expressions against chronic hypoxia. Chronic hypoxia resulted in an overall decline in HUCB ECFCs' proliferative ability due to reduction of clonogenic capacity and diminished vessel formation. Furthermore, GDM also resulted in most failure of cord blood ECFC adaptation against chronic hypoxic environment.

妊娠期糖尿病(GDM)具有长期的健康后果,胎儿暴露于糖尿病宫内环境会增加其成年后代的心血管风险。这部分可能与内皮祖细胞(EPCs)有关。了解人脐带血(hub)来源的内皮集落形成细胞(ecfc)对病理应激(如GDM对缺氧的反应)的血管形成能力可以产生新的治疗策略。本研究旨在探讨慢性缺氧对GDM患者EPCs功能和血管形成能力的影响。每个ECFC表达内皮和促血管生成特异性标志物,即内皮型一氧化氮合酶(eNOS)、血小板(PECAM-1)内皮细胞粘附分子1、血管内皮-钙粘蛋白CdH5(钙依赖性细胞粘附分子)、血管内皮生长因子A (VEGFA)和胰岛素样生长因子1 (IGF1)。慢性缺氧不影响CdH5,但对照组和GDM组PECAM1 MRNA表达增加。对照组缺氧和GDM常模VEGFA MRNA表达和缺氧诱导因子1- α (HIF1α)蛋白表达在HUCB ecfc中显著升高。GDM导致hub ECFC适应和eNOS蛋白对慢性缺氧的表达失败。由于克隆生成能力降低和血管形成减少,慢性缺氧导致hub ecfc的增殖能力总体下降。此外,GDM也是导致脐带血ECFC对慢性缺氧环境适应失败的主要原因。
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引用次数: 15
Some aspects of allogeneic stem cell transplantation in patients with myelodysplastic syndrome: advances and controversy. 异基因干细胞移植在骨髓增生异常综合征患者中的一些方面:进展和争议。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2014-12-04 eCollection Date: 2014-01-01 DOI: 10.2147/SCCAA.S50514
Olga Blau, Igor Wolfgang Blau

Myelodysplastic syndrome (MDS) is a heterogeneous group of myeloid disorders. MDS remains a disease of elderly patients; moreover, the incidence of high risk MDS is proportionally greater in elderly patients, with increased frequency of secondary acute myeloid leukemia, as well as adverse cytogenetic abnormalities. Allogeneic stem cell transplantation is a therapeutic approach with known curative potential for patients with MDS that allows the achievement of long-term disease control. Numerous controversies still exist regarding transplantation in MDS: timing of transplantation, disease status at transplantation and comorbidity, conditioning intensity, pretransplant therapy, and stem cell source. Various transplant modalities of different intensities and alternative donor sources are now in use. Current advances in transplant technology are allowing the consideration of older patients. This should result in a greater number of older patients benefiting from this potentially curative treatment modality. Despite advances in transplantation technology, there is still considerable morbidity and mortality associated with this approach. Nevertheless, with the introduction of reduced-intensity conditioning and thereby reduced early mortality, transplant numbers in MDS patients have significantly increased. Moreover, recent new developments with innovative drugs, including hypomethylating agents, have extended the therapeutic alternatives for MDS patients. Hypomethylating agents allow the delay of allogeneic stem cell transplantation by serving as an effective and well-tolerated means to reduce disease burden.

骨髓增生异常综合征(MDS)是一种异质性的髓系疾病。MDS仍然是老年患者的疾病;此外,老年患者的高危MDS发病率成比例地更高,继发性急性髓系白血病的发生率增加,以及不良细胞遗传学异常的发生率增加。同种异体干细胞移植是一种具有治疗潜力的治疗方法,可以实现MDS患者的长期疾病控制。关于MDS的移植仍然存在许多争议:移植的时机、移植时的疾病状态和合并症、调节强度、移植前治疗、干细胞来源。目前正在使用不同强度的各种移植方式和替代供体来源。目前移植技术的进步允许考虑老年患者。这将导致更多的老年患者受益于这种潜在的治愈治疗方式。尽管移植技术取得了进步,但这种方法仍然存在相当大的发病率和死亡率。然而,随着低强度调节的引入,从而降低了早期死亡率,MDS患者的移植数量显著增加。此外,包括低甲基化药物在内的创新药物的最新发展,扩大了MDS患者的治疗选择。低甲基化药物作为一种有效且耐受性良好的减轻疾病负担的手段,可以延迟同种异体干细胞移植。
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引用次数: 3
From regenerative dentistry to regenerative medicine: progress, challenges, and potential applications of oral stem cells. 从再生牙科到再生医学:口腔干细胞的进展、挑战和潜在应用。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2014-12-04 eCollection Date: 2014-01-01 DOI: 10.2147/SCCAA.S51009
Li Xiao, Masanori Nasu

Adult mesenchymal stem cells (MSCs) and epithelial stem cells play essential roles in tissue repair and self-healing. Oral MSCs and epithelial stem cells can be isolated from adult human oral tissues, for example, teeth, periodontal ligament, and gingiva. Cocultivated adult oral epithelial stem cells and MSCs could represent some developmental events, such as epithelial invagination and tubular structure formation, signifying their potentials for tissue regeneration. Oral epithelial stem cells have been used in regenerative medicine over 1 decade. They are able to form a stratified cell sheet under three-dimensional culture conditions. Both experimental and clinical data indicate that the cell sheets can not only safely and effectively reconstruct the damaged cornea in humans, but also repair esophageal ulcer in animal models. Oral MSCs include dental pulp stem cells (DPSCs), stem cells from exfoliated deciduous teeth (SHED), stem cells from apical papilla (SCAP), periodontal ligament stem cells (PDLSCs), and mesenchymal stem cells from gingiva (GMSCs). They are widely applied in both regenerative dentistry and medicine. DPSCs, SHED, and SCAP are able to form dentin-pulp complex when being transplanted into immunodeficient animals. They have been experimentally used for the regeneration of dental pulp, neuron, bone muscle and blood vessels in animal models and have shown promising results. PDLSCs and GMSCs are demonstrated to be ideal cell sources for repairing the damaged tissues of periodontal, muscle, and tendon. Despite the abovementioned applications of oral stem cells, only a few human clinical trials are now underway to use them for the treatment of certain diseases. Since clinical use is the end goal, their true regenerative power and safety need to be further examined.

成体间充质干细胞(MSCs)和上皮干细胞在组织修复和自我修复中发挥着重要作用。口腔间充质干细胞和上皮干细胞可以从成人口腔组织中分离出来,例如牙齿、牙周韧带和牙龈。共培养的成人口腔上皮干细胞和间充质干细胞可以代表一些发育事件,如上皮内陷和管状结构的形成,表明它们具有组织再生的潜力。口腔上皮干细胞在再生医学中的应用已有十多年的历史。它们能够在三维培养条件下形成分层的细胞片。实验和临床数据均表明,该细胞片不仅可以安全有效地重建人角膜损伤,还可以修复动物食管溃疡模型。口腔间充质干细胞包括牙髓干细胞(DPSCs)、脱落乳牙干细胞(SHED)、根尖乳头干细胞(SCAP)、牙周韧带干细胞(PDLSCs)和牙龈间充质干细胞(GMSCs)。它们被广泛应用于再生牙科和医学。DPSCs、SHED和SCAP在移植到免疫缺陷动物体内时能够形成牙本质-牙髓复合物。它们已在动物模型中用于牙髓、神经元、骨骼肌和血管的再生实验,并显示出良好的效果。PDLSCs和GMSCs被证明是修复牙周、肌肉和肌腱受损组织的理想细胞来源。尽管有上述口腔干细胞的应用,但目前只有少数人体临床试验正在进行中,以利用它们治疗某些疾病。由于临床应用是最终目标,它们真正的再生能力和安全性需要进一步研究。
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引用次数: 90
Specialized mouse embryonic stem cells for studying vascular development. 研究血管发育的特化小鼠胚胎干细胞。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2014-10-07 eCollection Date: 2014-01-01 DOI: 10.2147/SCCAA.S69554
Drew E Glaser, Andrew B Burns, Rachel Hatano, Magdalena Medrzycki, Yuhong Fan, Kara E McCloskey

Vascular progenitor cells are desirable in a variety of therapeutic strategies; however, the lineage commitment of endothelial and smooth muscle cell from a common progenitor is not well-understood. Here, we report the generation of the first dual reporter mouse embryonic stem cell (mESC) lines designed to facilitate the study of vascular endothelial and smooth muscle development in vitro. These mESC lines express green fluorescent protein (GFP) under the endothelial promoter, Tie-2, and Discomsoma sp. red fluorescent protein (RFP) under the promoter for alpha-smooth muscle actin (α-SMA). The lines were then characterized for morphology, marker expression, and pluripotency. The mESC colonies were found to exhibit dome-shaped morphology, alkaline phosphotase activity, as well as expression of Oct 3/4 and stage-specific embryonic antigen-1. The mESC colonies were also found to display normal karyotypes and are able to generate cells from all three germ layers, verifying pluripotency. Tissue staining confirmed the coexpression of VE (vascular endothelial)-cadherin with the Tie-2 GFP+ expression on endothelial structures and smooth muscle myosin heavy chain with the α-SMA RFP+ smooth muscle cells. Lastly, it was verified that the developing mESC do express Tie-2 GFP+ and α-SMA RFP+ cells during differentiation and that the GFP+ cells colocalize with the vascular-like structures surrounded by α-SMA-RFP cells. These dual reporter vascular-specific mESC permit visualization and cell tracking of individual endothelial and smooth muscle cells over time and in multiple dimensions, a powerful new tool for studying vascular development in real time.

血管祖细胞在多种治疗策略中是理想的;然而,内皮细胞和平滑肌细胞来自一个共同的祖细胞的谱系承诺尚不清楚。在这里,我们报道了第一个双报告小鼠胚胎干细胞(mESC)系的产生,旨在促进体外血管内皮和平滑肌发育的研究。这些mESC细胞系在内皮启动子Tie-2下表达绿色荧光蛋白(GFP),在紊乱体启动子α-平滑肌肌动蛋白(α-SMA)下表达红色荧光蛋白(RFP)。然后对这些细胞系进行形态学、标记表达和多能性鉴定。发现mESC菌落呈圆顶状,碱性磷酸酶活性,表达Oct 3/4和阶段特异性胚胎抗原-1。mESC菌落也显示出正常的核型,并且能够从所有三个胚层产生细胞,验证了多能性。组织染色证实VE (vascular endothelial)-cadherin与Tie-2 GFP+在内皮结构和平滑肌肌球蛋白重链上的表达与α-SMA RFP+平滑肌细胞共表达。最后,证实了发育中的mESC在分化过程中确实表达Tie-2 GFP+和α-SMA RFP+细胞,并且GFP+细胞与被α-SMA-RFP细胞包围的血管样结构共定位。这些双报告血管特异性mESC允许单个内皮细胞和平滑肌细胞随时间和多维度的可视化和细胞跟踪,是实时研究血管发育的强大新工具。
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引用次数: 1
Cat amniotic membrane multipotent cells are nontumorigenic and are safe for use in cell transplantation. 猫羊膜多能细胞是非致瘤性的,用于细胞移植是安全的。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2014-08-27 eCollection Date: 2014-01-01 DOI: 10.2147/SCCAA.S67790
Atanasio S Vidane, Aline F Souza, Rafael V Sampaio, Fabiana F Bressan, Naira C Pieri, Daniele S Martins, Flavio V Meirelles, Maria A Miglino, Carlos E Ambrósio

Amnion-derived mesenchymal stem cells (AMSCs) are multipotent cells with an enhanced ability to differentiate into multiple lineages. AMSCs can be acquired through noninvasive methods, and therefore are exempt from the typical ethical issues surrounding stem cell use. The objective of this study was to isolate and characterize AMSCs from a cat amniotic membrane for future application in regenerative medicine. The cat AMSCs were harvested after mechanical and enzymatic digestion of amnion. In culture medium, the cat AMSCs adhered to a plastic culture dish and displayed a fibroblast-like morphology. Immunophenotyping assays were positive for the mesenchymal stem cell-specific markers CD73 and CD90 but not the hematopoietic markers CD34, CD45, and CD79. Under appropriate conditions, the cat AMSCs differentiated into osteogenic, chondrogenic, and adipogenic cell lineages. One advantage of cat AMSCs was nonteratogenicity, assessed 4 weeks post injection of undifferentiated AMSCs into immunodeficient mice. These findings suggest that cat amniotic membranes may be an important and useful source of mesenchymal stem cells for clinical applications, especially for cell or tissue replacement in chronic and degenerative diseases.

羊膜来源的间充质干细胞(AMSCs)是一种多能细胞,具有向多个谱系分化的增强能力。AMSCs可以通过非侵入性方法获得,因此可以免于围绕干细胞使用的典型伦理问题。本研究的目的是从猫羊膜中分离和表征AMSCs,为未来在再生医学中的应用奠定基础。机械和酶消化羊膜后收获猫AMSCs。在培养基中,猫AMSCs粘附在塑料培养皿上,呈现成纤维细胞样形态。免疫表型分析显示间充质干细胞特异性标记CD73和CD90阳性,但造血标记CD34、CD45和CD79不阳性。在适当的条件下,cat AMSCs分化为成骨细胞、软骨细胞和脂肪细胞系。猫AMSCs的一个优点是无致畸性,在将未分化的AMSCs注射到免疫缺陷小鼠体内4周后进行了评估。这些发现表明猫羊膜可能是临床应用间充质干细胞的重要和有用的来源,特别是在慢性和退行性疾病的细胞或组织替代方面。
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引用次数: 44
Stem cell treatment for avascular necrosis of the femoral head: current perspectives. 干细胞治疗股骨头缺血性坏死:目前的观点。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2014-04-09 eCollection Date: 2014-01-01 DOI: 10.2147/SCCAA.S36584
Matthew T Houdek, Cody C Wyles, John R Martin, Rafael J Sierra

Avascular necrosis (AVN) of the femoral head is a progressive disease that predominantly affects younger patients. Although the exact pathophysiology of AVN has yet to be elucidated, the disease is characterized by a vascular insult to the blood supply of the femoral head, which can lead to collapse of the femoral head and subsequent degenerative changes. If AVN is diagnosed in the early stages of the disease, it may be possible to attempt surgical procedures which preserve the hip joint, including decompression of the femoral head augmented with concentrated bone marrow. The use of autologous stem cells has shown promise in halting the progression of AVN of the femoral head, and subsequently preventing young patients from undergoing total hip arthroplasty. The purpose of this study was to review the current use of stem cells for the treatment of AVN of the femoral head.

股骨头缺血性坏死(AVN)是一种进行性疾病,主要影响年轻患者。虽然AVN的确切病理生理学尚未阐明,但该疾病的特征是股骨头血液供应受到血管损伤,这可能导致股骨头塌陷和随后的退行性改变。如果AVN在疾病的早期阶段被诊断出来,可能会尝试外科手术来保护髋关节,包括股骨头减压和浓缩骨髓。自体干细胞的使用在阻止股骨头AVN的进展方面显示出希望,并随后防止年轻患者接受全髋关节置换术。本研究的目的是回顾目前使用干细胞治疗股骨头AVN的情况。
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引用次数: 59
Amniotic membrane-derived stem cells: immunomodulatory properties and potential clinical application. 羊膜源性干细胞:免疫调节特性及潜在临床应用。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2014-03-24 eCollection Date: 2014-01-01 DOI: 10.2147/SCCAA.S58696
Carmen L Insausti, Miguel Blanquer, Ana M García-Hernández, Gregorio Castellanos, José M Moraleda

Epithelial and mesenchymal cells isolated from the amniotic membrane (AM) possess stem cell characteristics, differentiation potential toward lineages of different germ layers, and immunomodulatory properties. While their expansion and differentiation potential have been well studied and characterized, knowledge about their immunomodulatory properties and the mechanisms involved is still incomplete. These mechanisms have been evaluated on various target cells of the innate and the adaptive system and in animal models of different inflammatory diseases. Some results have evidenced that the immunomodulatory effect of AM-derived cells is dependent on cell-cell contact, but many of them have demonstrated that these properties are mediated through the secretion of suppressive molecules. In this review, we present an update on the described immunomodulatory properties of the derived amniotic cells and some of the proposed involved mechanisms. Furthermore, we describe some assays in animal models of different inflammatory diseases which reveal the potential use of these cells to treat such diseases.

从羊膜分离的上皮细胞和间充质细胞具有干细胞特性、向不同胚层谱系分化的潜力和免疫调节特性。虽然它们的扩张和分化潜力已经得到了很好的研究和表征,但关于它们的免疫调节特性和相关机制的知识仍然不完整。这些机制已经在先天和适应性系统的各种靶细胞以及不同炎症疾病的动物模型中进行了评估。一些结果证明am源性细胞的免疫调节作用依赖于细胞间接触,但许多结果表明这些特性是通过抑制分子的分泌介导的。在这篇综述中,我们提出了一个最新的描述免疫调节性质的衍生羊膜细胞和一些提出的参与机制。此外,我们描述了在不同炎症性疾病的动物模型中的一些实验,这些实验揭示了这些细胞治疗这些疾病的潜在用途。
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引用次数: 115
Adult human mesenchymal stromal cells and the treatment of graft versus host disease. 成人间充质间质细胞与移植物抗宿主病的治疗。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2014-02-28 eCollection Date: 2014-01-01 DOI: 10.2147/SCCAA.S37506
Richard P Herrmann, Marian J Sturm

Graft versus host disease is a difficult and potentially lethal complication of hematopoietic stem cell transplantation. It occurs with minor human leucocyte antigen (HLA) mismatch and is normally treated with corticosteroid and other immunosuppressive therapy. When it is refractory to steroid therapy, mortality approaches 80%. Mesenchymal stromal cells are rare cells found in bone marrow and other tissues. They can be expanded in culture and possess complex and diverse immunomodulatory activity. Moreover, human mesenchymal stromal cells carry low levels of class 1 and no class 2 HLA antigens, making them immunoprivileged and able to be used without HLA matching. Their use in steroid-refractory graft versus host disease was first described in 2004. Subsequently, they have been used in a number of Phase I and II trials in acute and chronic graft versus host disease trials with success. We discuss their mode of action, the results, their production, and potential dangers with a view to future application.

移植物抗宿主病是造血干细胞移植中一种困难且具有潜在致命性的并发症。它发生于轻微的人白细胞抗原(HLA)错配,通常用皮质类固醇和其他免疫抑制疗法治疗。当类固醇治疗难治性时,死亡率接近80%。间充质间质细胞是在骨髓和其他组织中发现的罕见细胞。它们可以在培养中扩增,具有复杂多样的免疫调节活性。此外,人间充质间质细胞携带低水平的1类HLA抗原,而没有2类HLA抗原,使其具有免疫特权,无需HLA匹配即可使用。2004年首次报道了它们在类固醇难治性移植物抗宿主病中的应用。随后,它们被成功地用于急性和慢性移植物抗宿主病的I期和II期试验。我们讨论了它们的作用方式,结果,它们的产生和潜在的危险,以期将来的应用。
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引用次数: 29
Brain repair: cell therapy in stroke. 脑修复:中风中的细胞疗法。
IF 2.9 Q4 CELL BIOLOGY Pub Date : 2014-02-21 eCollection Date: 2014-01-01 DOI: 10.2147/SCCAA.S38003
Dheeraj Kalladka, Keith W Muir

Stroke affects one in every six people worldwide, and is the leading cause of adult disability. Some spontaneous recovery is usual but of limited extent, and the mechanisms of late recovery are not completely understood. Endogenous neurogenesis in humans is thought to contribute to repair, but its extent is unknown. Exogenous cell therapy is promising as a means of augmenting brain repair, with evidence in animal stroke models of cell migration, survival, and differentiation, enhanced endogenous angiogenesis and neurogenesis, immunomodulation, and the secretion of trophic factors by stem cells from a variety of sources, but the potential mechanisms of action are incompletely understood. In the animal models of stroke, both mesenchymal stem cells (MSCs) and neural stem cells (NSCs) improve functional recovery, and MSCs reduce the infarct volume when administered acutely, but the heterogeneity in the choice of assessment scales, publication bias, and the possible confounding effects of immunosuppressants make the comparison of effects across cell types difficult. The use of adult-derived cells avoids the ethical issues around embryonic cells but may have more restricted differentiation potential. The use of autologous cells avoids rejection risk, but the sources are restricted, and culture expansion may be necessary, delaying treatment. Allogeneic cells offer controlled cell numbers and immediate availability, which may have advantages for acute treatment. Early clinical trials of both NSCs and MSCs are ongoing, and clinical safety data are emerging from limited numbers of selected patients. Ongoing research to identify prognostic imaging markers may help to improve patient selection, and the novel imaging techniques may identify biomarkers of recovery and the mechanism of action for cell therapies.

全世界每六个人中就有一人患有中风,中风是导致成人残疾的主要原因。一些自发恢复是常见的,但程度有限,晚期恢复的机制尚不完全清楚。人类的内源性神经发生被认为有助于修复,但其程度尚不清楚。外源性细胞治疗作为一种增强脑修复的手段是有希望的,在动物中风模型中有证据表明细胞迁移、存活和分化,增强内源性血管生成和神经发生,免疫调节,以及各种来源的干细胞分泌营养因子,但其潜在的作用机制尚不完全清楚。在中风动物模型中,间充质干细胞(MSCs)和神经干细胞(NSCs)均可改善功能恢复,急性给药时MSCs可减少梗死面积,但评估量表选择的异质性、发表偏倚和免疫抑制剂可能的混杂效应使得不同细胞类型的效果比较困难。使用成人来源的细胞避免了胚胎细胞的伦理问题,但可能有更有限的分化潜力。自体细胞的使用避免了排斥风险,但来源有限,可能需要培养扩增,从而延迟治疗。同种异体细胞可控制细胞数量和立即可用性,在急性治疗中可能具有优势。NSCs和MSCs的早期临床试验正在进行中,临床安全性数据来自有限数量的选定患者。正在进行的确定预后成像标记物的研究可能有助于改善患者选择,并且新的成像技术可能确定恢复的生物标记物和细胞治疗的作用机制。
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引用次数: 7
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Stem Cells and Cloning-Advances and Applications
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