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Transplantation of Autologous Bone Marrow-Derived Stromal Cells into Injured Spinal Cord Enhances Glucose Metabolism and Promotes Functional Recovery 自体骨髓来源的基质细胞移植到损伤的脊髓中可增强葡萄糖代谢并促进功能恢复
Pub Date : 2018-12-31 DOI: 10.23937/2469-570x/1410057
V. Jesús, Z. Mercedes, Mucientes Jorge, Rodríguez-Boto Gregorio, Fernández-Mateos Cecilia
The authors report the case of a 40-year-old man who suffered paraplegia from 2013, due to shot by firearm. In april 2017 he underwent cell therapy consisting of administration of autologous bone marrow stromal cells (BMSCs) into injured spinal cord and subarachnoid space by lumbar puncture. Throughout one year of follow-up, the patient experienced clear improvement in sensitivity, motor, and sphincter functions. After BMSCs administration, studies with 18F-fluorodeoxyglucose positron emission tomography (18F-FDG-PET) suggested an enhancement in glucose uptake at level of injured spinal cord, at least in the course or the first 6 months after the start of cell therapy. This case supports previous observations about the improvements obtained by cell therapy with autologous BMSCs in chronic paraplegic patients, and suggests that a possible increase in tissue metabolism, mediated by the presence of BMSCs into injured spinal cord, can be one of the causes of early clinical improvements.
作者报告了一名40岁男子的案例,他从2013年开始因被枪支枪击而截瘫。2017年4月,他接受了细胞治疗,包括通过腰椎穿刺将自体骨髓基质细胞(BMSC)注入受伤的脊髓和蛛网膜下腔。在一年的随访中,患者的敏感性、运动和括约肌功能明显改善。骨髓基质干细胞给药后,18F-氟脱氧葡萄糖正电子发射断层扫描(18F-FDG-PET)研究表明,至少在细胞治疗开始后的过程或前6个月,损伤脊髓的葡萄糖摄取水平有所增强。该病例支持了先前对慢性截瘫患者使用自体骨髓基质干细胞进行细胞治疗所获得的改善的观察,并表明由损伤脊髓中骨髓基质干物质的存在介导的组织代谢的可能增加可能是早期临床改善的原因之一。
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引用次数: 0
Contamination Rates by Delivery Method of Human Umbilical Cord Blood Samples in the United Arab Emirates and Gulf Cooperation Council Countries 阿拉伯联合酋长国和海湾合作委员会国家人类脐带血样本按递送方式的污染率
Pub Date : 2018-09-01 DOI: 10.1002/SCTM.12368
M. Ibrahim, S. Aswad
The use of umbilical cord blood, which is recognized as a rich source of hematopoietic stem cells, has become an alternative source to bone marrow for transplantation. Cord blood units used for transplant might be rejected due to positive bacterial microbiology. According to common cell therapy standards, a microbiology bacterial identification is required to know the type of bacterial and to determine if the bacteria are considered critical or non-critical prior to the transplant determination. This study aims to find the frequency and distribution of bacterial organisms among cord blood samples collected in the United Arab Emirates (UAE) and Gulf Cooperation Countries (GCC) and to investigate if there is a correlation with contamination rates between the delivery method, cesarean section or vaginal delivery. We employed a survey for healthcare professionals to augment the data and then employed statistical analysis to find the frequency of contamination and create best practices to avoid a high level of contamination.
脐带血是公认的丰富的造血干细胞来源,已成为骨髓移植的替代来源。用于移植的脐带血单位可能会因阳性细菌微生物学而被拒绝。根据常见的细胞治疗标准,需要进行微生物学细菌鉴定,以了解细菌的类型,并在确定移植前确定细菌是关键的还是非关键的。本研究旨在了解在阿拉伯联合酋长国(UAE)和海湾合作国家(GCC)采集的脐带血样本中细菌的频率和分布,并调查分娩方式、剖宫产或阴道分娩是否与污染率相关。我们为医疗保健专业人员进行了一项调查,以增加数据,然后进行统计分析,以找出污染的频率,并制定最佳做法来避免高水平的污染。
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引用次数: 2
Stem Cell Therapy: Recent Success and Continuing Progress in Treating Diabetes 干细胞治疗:治疗糖尿病的最新成功和持续进展
Pub Date : 2018-06-30 DOI: 10.23937/2469-570X/1410053
Mathias Elton, Goveas Roveena, Rajak Manish
Diabetes mellitus (DM), a cluster of metabolic diseases, resulting in high blood glucose levels, is prevalent in today’s world. The global costs of diabetes and its consequences are rising and are expected substantially increase by 2030, especially in middleand lower-income countries. Evidence-based therapies, specifically targeting the reduction of high blood glucose levels, and minimizing diabetic complications, are currently the choice of treatment. Stem cell therapy offers a promising vision to treat DM. Although challenges are still posed with this line of therapy, studies have produced regenerative beta-cells which closely resemble insulin-secreting cells. A number of sources for stem cells have been explored, ever since the proof-of-concept for cell therapy was laid down. This review summarizes stem cell therapy in the treatment of DM.
糖尿病(DM)是一种导致高血糖水平的代谢性疾病,在当今世界普遍存在。糖尿病及其后果的全球成本正在上升,预计到2030年将大幅增加,尤其是在中低收入国家。基于证据的治疗,特别是针对降低高血糖水平和最大限度地减少糖尿病并发症,是目前的治疗选择。干细胞疗法为治疗糖尿病提供了一个很有前景的前景。尽管这一疗法仍面临挑战,但研究已经产生了与胰岛素分泌细胞非常相似的再生β细胞。自从细胞治疗的概念得到证明以来,已经探索了许多干细胞的来源。本文对干细胞治疗糖尿病进行综述。
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引用次数: 2
Reconstructing Mammalian Retinal Tissue: Wnt3a Regulates Laminar Polarity in Retinal Spheroids from Neonatal Mongolian Rats, while RPE Promotes Cell Differentiation 重建哺乳动物视网膜组织:Wnt3a调节新生蒙古大鼠视网膜球体的层状极性,而RPE促进细胞分化
Pub Date : 2018-06-30 DOI: 10.23937/2469-570X/1410051
Rieke Matthias, Bytyqi Afrim, Frohns Florian, G. LayerPaul
Besides invention of iPSC technology, recent progress of stem cell-based organoids is founded on long-standing 3D-reaggregate approaches from embryonic tissues. In particular, histotypic in vitro reconstruction of avian retinal spheroids was most prolific. For instance, a complete reconstitution of all retinal layers was possible, which was supported by Wnt signalling and factors from the retinal pigmented epithelium (RPE); similar in vitro findings are still missing for mammals. Using an established model of reaggregates from dispersed retinal cells of the neonatal Gerbil [1], we show here that in contrast to supernatant from RPE (RPECM), supplementation with Wnt3a induced a correct inside-out polarity of retinal layers. XAP1+ precursors of photoreceptors (PRs) were correctly found on the external face of the sphere, but general cell differentiation remained limited. If Wnt3a was present for 4 days in vitro (div) only, the correctly polarized tissue further differentiated, e.g., more calretinin+ amacrine cells (CR+ ACs) sent out processes into an ipl-like layer and rhodopsin expression of PRs became detectable. Finally, if Wnt3a during 4 div was followed by RPECM treatment, all retinal layers with most cell types were arranged in correct order, as shown by markers including CR, Pax6, AChE, PKCá, CRALBP, and Cern901. LiCl experiments showed that the canonical Wnt/β-catenin pathway was involved. We conclude that Wnt3a conveyed a correct inside-out laminar polarity but kept cells in an undifferentiated state, while RPECM strongly promoted retinal differentiation. Both together supported a nearly complete retinal tissue reconstruction from fully dispersed cells, as never achieved before for cells from any mammalian retina.
除了iPSC技术的发明,基于干细胞的类器官的最新进展建立在长期以来胚胎组织的3D再聚集方法的基础上。特别是,鸟类视网膜球体的组织型体外重建最为丰富。例如,所有视网膜层的完全重建是可能的,这得到了来自视网膜色素上皮(RPE)的Wnt信号和因子的支持;哺乳动物的类似体外研究结果仍然缺失。使用已建立的新生儿埃尔比勒分散视网膜细胞再聚集物模型[1],我们在这里表明,与RPE(RPECM)的上清液相比,补充Wnt3a诱导了正确的视网膜层由内而外的极性。XAP1+光感受器(PR)的前体在球体的外表面上被正确地发现,但一般的细胞分化仍然有限。如果Wnt3a仅在体外存在4天(div),则正确极化的组织进一步分化,例如,更多的钙视网膜蛋白+无长突细胞(CR+ACs)发出过程进入ipl样层,并且可以检测到PR的视紫红质表达。最后,如果在4div期间Wnt3a之后进行RPECM处理,则具有大多数细胞类型的所有视网膜层都按正确的顺序排列,如标记物所示,包括CR、Pax6、AChE、PKCá、CRALBP和Cern901。LiCl实验表明,Wnt/β-catenin通路参与其中。我们得出的结论是,Wnt3a传递了正确的由内而外的层流极性,但使细胞保持未分化状态,而RPECM强烈促进视网膜分化。两者共同支持了从完全分散的细胞中几乎完全重建视网膜组织,这是以前从未实现过的哺乳动物视网膜细胞。
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引用次数: 4
Advancing research in regeneration and repair of the motor circuitry: non-human primate models and imaging scales as the missing links for successfully translating injectable therapeutics to the clinic. 运动回路再生和修复的研究进展:非人类灵长类动物模型和成像尺度是成功将注射疗法转化为临床的缺失环节。
Pub Date : 2016-01-01 Epub Date: 2016-10-28 DOI: 10.23937/2469-570X/1410042
Magdalini Tsintou, Kyriakos Dalamagkas, Nikos Makris

Regeneration and repair is the ultimate goal of therapeutics in trauma of the central nervous system (CNS). Stroke and spinal cord injury (SCI) are two highly prevalent CNS disorders that remain incurable, despite numerous research studies and the clinical need for effective treatments. Neural engineering is a diverse biomedical field, that addresses these diseases using new approaches. Research in the field involves principally rodent models and biologically active, biodegradable hydrogels. Promising results have been reported in preclinical studies of CNS repair, demonstrating the great potential for the development of new treatments for the brain, spinal cord and peripheral nerve injury. Several obstacles stand in the way of clinical translation of neuroregeneration research. There seems to be a key gap in the translation of research from rodent models to human applications, namely non-human primate models, which constitute a critical bridging step. Applying injectable therapeutics and multimodal neuroimaging in stroke lesions using experimental rhesus monkey models is an avenue that a few research groups have begun to embark on. Understanding and assessing the changes that the injured brain or spinal cord undergoes after an intervention with biodegradable hydrogels in non-human primates seem to represent critical preclinical research steps. Existing innovative models in non-human primates allow us to evaluate the potential of neural engineering and injectable hydrogels. The results of these preliminary studies will pave the way for translating this research into much needed clinical therapeutic approaches. Cutting edge imaging technology using Connectome scanners represents a tremendous advancement, enabling the in vivo, detailed, high-resolution evaluation of these therapeutic interventions in experimental animals. Most importantly, they also allow quantifiable and clinically meaningful correlations with humans, increasing the translatability of these innovations to the bedside.

再生和修复是中枢神经系统损伤治疗的最终目标。中风和脊髓损伤(SCI)是两种非常普遍的中枢神经系统疾病,尽管有大量的研究和临床需要有效的治疗方法,但仍然无法治愈。神经工程是一个多样化的生物医学领域,它使用新的方法来解决这些疾病。该领域的研究主要涉及啮齿动物模型和生物活性、可生物降解的水凝胶。中枢神经系统修复的临床前研究已经取得了可喜的结果,显示了开发新的脑、脊髓和周围神经损伤治疗方法的巨大潜力。神经再生研究的临床转化过程中存在着一些障碍。在将研究从啮齿动物模型转化为人类应用的过程中,似乎存在一个关键的差距,即非人类灵长类动物模型,这是一个关键的桥梁步骤。利用实验恒河猴模型对中风病变进行注射治疗和多模式神经成像是一些研究小组已经开始着手的一条途径。理解和评估非人类灵长类动物在使用可生物降解水凝胶干预后受伤的大脑或脊髓所经历的变化似乎代表了关键的临床前研究步骤。现有的非人类灵长类动物创新模型使我们能够评估神经工程和可注射水凝胶的潜力。这些初步研究的结果将为将这项研究转化为急需的临床治疗方法铺平道路。使用连接体扫描仪的尖端成像技术代表了巨大的进步,能够在实验动物中对这些治疗干预进行体内,详细,高分辨率的评估。最重要的是,它们还允许与人类进行量化和临床有意义的关联,增加了这些创新到床边的可翻译性。
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引用次数: 3
Mammary Epithelial Cell Lineage Analysis via the Lyon's Hypothesis. 基于里昂假说的乳腺上皮细胞谱系分析。
Pub Date : 2016-01-01 Epub Date: 2016-01-03 DOI: 10.23937/2469-570x/1410018
Andrea L George, Gilbert H Smith

Implants of mammary glands from a single mammary fat pad in a H253 transgenic female mouse heterozygous for a lacZ-labeled X chromosome were analyzed at various time points following transplantation into the epithelium-cleared mammary fat pads of immune-compromised mice. The results show that the lacZ-marked X chromosome, demonstrated by nuclear-associated X-gal staining, was confined to a single epithelial clone that gave rise to the cap cells of all growing terminal end buds (TEB) in the expanding mammary outgrowths and also the basal cells of the elongated ducts. The nuclei of luminal cells in these ducts were uniformly negative for lacZ expression indicating that they were derived from cellular precursors that contained a silenced lac-Z marked X chromosome. This observation confirms the earlier work of Williams and Daniel, who concluded that cap cells were the precursors of the basal (myoepithelial cells) of the subtending mammary ducts.

我们在不同时间点分析了从H253转基因雌性小鼠的单一乳腺脂肪垫植入lacz标记X染色体杂合的乳腺,并将其移植到免疫受损小鼠的上皮清除的乳腺脂肪垫中。结果表明,核相关X-gal染色表明,lacz标记的X染色体局限于单个上皮克隆,该克隆产生扩大的乳腺外生物中所有生长的终末芽(TEB)的帽细胞和细长导管的基底细胞。这些导管中管腔细胞的细胞核一致呈lacZ阴性表达,表明它们来源于含有沉默的lacZ标记X染色体的细胞前体。这一观察结果证实了Williams和Daniel早期的工作,他们的结论是帽细胞是乳腺导管基底(肌上皮细胞)的前体。
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引用次数: 2
Epigenetic Loss of MLH1 Expression in Normal Human Hematopoietic Stem Cell Clones is Defined by the Promoter CpG Methylation Pattern Observed by High-Throughput Methylation Specific Sequencing. 通过高通量甲基化特异性测序观察到的启动子CpG甲基化模式定义了正常人类造血干细胞克隆中MLH1表达的表观遗传缺失。
Pub Date : 2016-01-01 Epub Date: 2016-05-24 DOI: 10.23937/2469-570x/1410031
Jonathan Kenyon, Gabrielle Nickel-Meester, Yulan Qing, Gabriela Santos-Guasch, Ellen Drake, PingfuFu, Shuying Sun, Xiaodong Bai, David Wald, Eric Arts, Stanton L Gerson

Normal human hematopoietic stem and progenitor cells (HPC) lose expression of MLH1, an important mismatch repair (MMR) pathway gene, with age. Loss of MMR leads to replication dependent mutational events and microsatellite instability observed in secondary acute myelogenous leukemia and other hematologic malignancies. Epigenetic CpG methylation upstream of the MLH1 promoter is a contributing factor to acquired loss of MLH1 expression in tumors of the epithelia and proximal mucosa. Using single molecule high-throughput bisulfite sequencing we have characterized the CpG methylation landscape from -938 to -337 bp upstream of the MLH1 transcriptional start site (position +0), from 30 hematopoietic colony forming cell clones (CFC) either expressing or not expressing MLH1. We identify a correlation between MLH1 promoter methylation and loss of MLH1 expression. Additionally, using the CpG site methylation frequencies obtained in this study we were able to generate a classification algorithm capable of sorting the expressing and non-expressing CFC. Thus, as has been previously described for many tumor cell types, we report for the first time a correlation between the loss of MLH1 expression and increased MLH1 promoter methylation in CFC derived from CD34+ selected hematopoietic stem and progenitor cells.

正常的人造血干细胞和祖细胞(HPC)随着年龄的增长而失去MLH1的表达,MLH1是一种重要的错配修复(MMR)途径基因。在继发性急性髓性白血病和其他血液系统恶性肿瘤中观察到MMR缺失导致复制依赖性突变事件和微卫星不稳定性。MLH1启动子上游的表观遗传CpG甲基化是上皮和近端粘膜肿瘤中获得性MLH1表达缺失的一个促成因素。利用单分子高通量亚硫酸氢盐测序,我们从30个表达或不表达MLH1的造血集落形成细胞克隆(CFC)中,鉴定了MLH1转录起始位点(+0位置)上游-938至-337 bp的CpG甲基化图谱。我们确定了MLH1启动子甲基化与MLH1表达缺失之间的相关性。此外,利用本研究中获得的CpG位点甲基化频率,我们能够生成一种能够对表达和非表达CFC进行分类的分类算法。因此,正如之前对许多肿瘤细胞类型的描述一样,我们首次报道了来自CD34+选择的造血干细胞和祖细胞的CFC中MLH1表达缺失与MLH1启动子甲基化增加之间的相关性。
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引用次数: 6
Circulating Progenitor Cells in Regenerative Technologies: A Realistic Strategy in Bone Regeneration? 再生技术中的循环祖细胞:骨再生的现实策略?
Pub Date : 2016-01-01 Epub Date: 2016-02-26 DOI: 10.23937/2469-570x/1410026
Jessica B Chang, Justine C Lee

Strategies in skeletal regeneration research have been primarily focused on optimization of three components: cellular progenitors, biomaterials, and growth factors. With the increased understanding that circulating progenitor cells exist in peripheral blood, the question arises whether such cell types would allow for adequate osteogenesis and mineralization. In this review, we discuss the current literature on circulating progenitor cells in in vitro and in vivo studies on bone regeneration.

骨骼再生研究的策略主要集中在三个组成部分的优化:细胞祖细胞、生物材料和生长因子。随着对外周血中存在循环祖细胞的认识的增加,问题出现了,这种细胞类型是否允许足够的成骨和矿化。本文就循环祖细胞在骨再生中的体外和体内研究现状进行综述。
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引用次数: 2
Sphingosine 1-Phosphate Receptor 2 Regulates the Migration, Proliferation, and Differentiation of Mesenchymal Stem Cells. 鞘氨醇1-磷酸受体2调控间充质干细胞的迁移、增殖和分化。
Pub Date : 2015-01-01 Epub Date: 2015-12-02 DOI: 10.23937/2469-570x/1410014
S Tucker Price, Thomas H Beckham, Joseph C Cheng, Ping Lu, Xiang Liu, James S Norris

Mesenchymal stem cells (MSCs) are a multipotent cell population acquired most prominently from bone marrow with the capacity to differentiate into osteoblasts, chondrocytes, adipocytes, and others. MSCs demonstrate the capacity to home to sites of injury and contribute to tissue repair. Sphingosine 1-phosphate (S1P) is a biologically active sphingolipid impacting proliferation, apoptosis, inflammation, and angiogenesis with changes in S1P concentration providing significant implications for various disease conditions including cancer, diabetes, and cardiac disease. These functions are primarily mediated by interactions with 5 G-protein coupled S1P receptors (S1PR1-5). In this paper, we demonstrate that inhibition of S1PR2 results in increased MSC clonogenicity, migration, and proliferation; features dependent on Erk phosphorylation. Furthermore, decreased S1PR2 expression decreases the differentiation of MSCs into adipocytes and mature osteoblasts that may be the result of increased expression of MSC pluripotency factors including Nanog, Sox-9, and Oct-4. Inhibition of S1PR1 and S1PR3 in contrast does not impact MSC migration or Erk activation although increased proliferation is observed. In the study, we describe the essential role of S1PR2 in MSC differentiation pathways through modification of pluripotency factors. We propose a MAPK dependent mechanism through S1PR2 inhibition that promotes equally multipotent MSC proliferation.

间充质干细胞(MSCs)是一种多能细胞群,主要来自骨髓,具有分化成成骨细胞、软骨细胞、脂肪细胞和其他细胞的能力。骨髓间充质干细胞显示出能够回到损伤部位并有助于组织修复的能力。鞘磷脂1-磷酸(S1P)是一种生物活性鞘脂,影响细胞增殖、细胞凋亡、炎症和血管生成,S1P浓度的变化对包括癌症、糖尿病和心脏病在内的各种疾病具有重要意义。这些功能主要通过与5g蛋白偶联的S1P受体(S1PR1-5)相互作用介导。在本文中,我们证明抑制S1PR2导致MSC克隆原性、迁移和增殖增加;依赖于Erk磷酸化的特征。此外,S1PR2表达的减少减少了MSC向脂肪细胞和成熟成骨细胞的分化,这可能是MSC多能性因子Nanog、Sox-9和Oct-4表达增加的结果。相比之下,抑制S1PR1和S1PR3并不影响MSC迁移或Erk激活,尽管观察到增殖增加。在这项研究中,我们描述了S1PR2通过修饰多能因子在MSC分化途径中的重要作用。我们提出了一种依赖MAPK的机制,通过抑制S1PR2促进同样多能的MSC增殖。
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引用次数: 29
期刊
International journal of stem cell research and therapy
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