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Mesenchymal Stem Cells Target Gastric Cancer and Deliver Epirubicin via Tunneling Nanotubes for Enhanced Chemotherapy. 间充质干细胞靶向胃癌并通过隧道纳米管输送表柔比星以增强化疗效果
Pub Date : 2024-01-03 DOI: 10.2174/011574888X287102240101060146
Yali Zhou, Yumin Li, Haibin Wang, Haolin Sun, Jing Su, Yaqiong Fan, Wei Xing, Jie Fu

Background: A reduced effective local concentration significantly contributes to the unsatisfactory therapeutic results of epirubicin in gastric cancer. Mesenchymal stem cells exhibit targeted chemotaxis towards solid tumors and form tunneling nanotubes with tumor cells, facilitating the delivery of various substances. This study demonstrates the novelty of mesenchymal stem cells in releasing epirubicin into gastric cancer cells through tunneling nanotubes.

Objective: Epirubicin delivery to gastric cancer cells using mesenchymal stem cells Methods: In vitro transwell migration assays, live cell tracking, and in vivo targeting assays were used to demonstrate the chemotaxis of mesenchymal stem cells towards gastric cancer. We verified the targeted chemotaxis of mesenchymal stem cells towards gastric cancer cells and the epirubicin loading ability using a high-content imaging system (Equipment type:Operetta CLS). Additionally, tunneling nanotube formation and the targeted release of epirubicin-loaded mesenchymal stem cells co-cultured with gastric cancer cells through mesenchymal stem cell-tunneling nanotubes into gastric cancer cells was observed using Operetta CLS.

Results: Mesenchymal stem cells demonstrated targeted chemotaxis towards gastric cancer, with effective epirubicin loading and tolerance. Co-culturing induced tunneling nanotube formation between these cells. Epirubicin-loaded mesenchymal stem cells were released into gastric cancer cells through tunneling nanotubes, significantly increasing their non-viability compared to the negative control group (p < 0.05).

Conclusions: We identified a novel approach for precisely targeting epirubicin release in gastric cancer cells. Therefore, mesenchymal stem cell-tunneling nanotubes could serve as a potential tool for targeted delivery of drugs, enhancing their chemotherapeutic effects in cancer cells.

背景:表柔比星治疗胃癌效果不理想的重要原因是局部有效浓度降低。间充质干细胞对实体瘤具有靶向趋化性,并与肿瘤细胞形成隧道式纳米管,有利于各种物质的输送。本研究证明了间充质干细胞通过隧道纳米管向胃癌细胞释放表柔比星的新颖性:利用间充质干细胞向胃癌细胞释放表柔比星:使用体外Transwell迁移试验、活细胞追踪和体内靶向试验来证明间充质干细胞对胃癌的趋化性。我们使用高内容成像系统(设备类型:Operetta CLS)验证了间充质干细胞对胃癌细胞的靶向趋化性和表柔比星的负载能力。此外,还利用 Operetta CLS 观察了隧道纳米管的形成以及与胃癌细胞共培养的间充质干细胞通过间充质干细胞隧道纳米管向胃癌细胞定向释放表柔比星的情况:结果:间充质干细胞对胃癌具有靶向趋化性,能有效负载表柔比星并具有耐受性。共培养诱导这些细胞之间形成隧道纳米管。装载表柔比星的间充质干细胞通过隧道纳米管释放到胃癌细胞中,与阴性对照组相比,显著增加了胃癌细胞的不存活性(p < 0.05):我们发现了一种精确靶向胃癌细胞释放表柔比星的新方法。因此,间充质干细胞隧道纳米管可作为一种潜在的靶向给药工具,增强对癌细胞的化疗效果。
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引用次数: 0
The miR-210 Primed Endothelial Progenitor Cell Exosomes Alleviate Acute Ischemic Brain Injury. miR-210引发的内皮祖细胞外泌体减轻急性缺血性脑损伤。
Pub Date : 2024-01-01 DOI: 10.2174/011574888X266357230923113642
Jinju Wang, Shuzhen Chen, Harshal Sawant, Yanfang Chen, Ji Chen Bihl

Background: Stem cell-released exosomes (EXs) have shown beneficial effects on regenerative diseases. Our previous study has revealed that EXs of endothelial progenitor cells (EPC-EXs) can elicit favorable effects on endothelial function. EXs may vary greatly in size, composition, and cargo uptake rate depending on the origins and stimulus; notably, EXs are promising vehicles for delivering microRNAs (miRs). Since miR-210 is known to protect cerebral endothelial cell mitochondria by reducing oxidative stress, here we study the effects of miR-210-loaded EPC-EXs (miR210-EPC-EXs) on ischemic brain damage in acute ischemic stroke (IS).

Methods: The miR210-EPC-EXs were generated from EPCs transfected with miR-210 mimic. Middle cerebral artery occlusion (MCAO) surgery was performed to induce acute IS in C57BL/6 mice. EPC-EXs or miR210-EPC-EXs were administrated via tail vein injection 2 hrs after IS. To explore the potential mechanisms, inhibitors of the vascular endothelial growth factor receptor 2 (VEGFR2)/PI3 kinase (PI3K) or tyrosine receptor kinase B (TrkB)/PI3k pathways were used. The brain tissue was collected after treatments for infarct size, cell apoptosis, oxidative stress, and protein expression (VEGFR2, TrkB) analyses on day two. The neurological deficit score (NDS) was evaluated before collecting the samples.

Results: 1) As compared to EPC-EXs, miR210-EPC-EXs profoundly reduced the infarct volume and improved the NDS on day two post-IS. 2) Fewer apoptosis cells were detected in the peri-infarct brain of mice treated with miR210-EPC-EXs than in EPC-EXs-treated mice. Meanwhile, the oxidative stress was profoundly reduced by miR210-EPC-EXs. 3) The ratios of p-PI3k/PI3k, p- VEGFR2/VEGFR2, and p-TrkB/TrkB in the ipsilateral brain were raised by miR210-EPC-EXs treatment. These effects could be significantly blocked or partially inhibited by PI3k, VEGFR2, or TrkB pathway inhibitors.

Conclusion: These findings suggest that miR210-EPC-EXs protect the brain from acute ischemia- induced cell apoptosis and oxidative stress partially through the VEGFR2/PI3k and TrkB/PI3k signal pathways.

背景:干细胞释放的外泌体(EXs)在再生疾病中显示出有益的作用。我们之前的研究表明内皮祖细胞EXs (EPC-EXs)对内皮功能有良好的影响。EXs的大小、组成和货物吸收率可能因来源和刺激而有很大差异;值得注意的是,EXs是递送microrna (miRs)的有希望的载体。由于已知miR-210通过减少氧化应激来保护脑内皮细胞线粒体,因此我们在这里研究了负载miR-210的EPC-EXs (miR210-EPC-EXs)对急性缺血性脑卒中(is)缺血性脑损伤的影响。方法:通过转染miR-210 mimic的EPCs生成miR210-EPC-EXs。采用大脑中动脉闭塞术(MCAO)诱导C57BL/6小鼠急性IS。在IS后2小时通过尾静脉注射EPC-EXs或miR210-EPC-EXs。为了探索潜在的机制,我们使用了血管内皮生长因子受体2 (VEGFR2)/PI3激酶(PI3K)或酪氨酸受体激酶B (TrkB)/ PI3K途径的抑制剂。在第2天进行梗死面积、细胞凋亡、氧化应激和蛋白表达(VEGFR2、TrkB)分析后收集脑组织。采集样本前评估神经功能缺损评分(NDS)。结果:1)与EPC-EXs相比,miR210-EPC-EXs在is后第2天显著减少梗死面积,改善NDS。2) miR210-EPC-EXs处理的小鼠梗死周围脑组织中检测到的凋亡细胞少于epc - exs处理的小鼠。同时,miR210-EPC-EXs可显著降低氧化应激。3) miR210-EPC-EXs处理可提高同侧脑p-PI3k/PI3k、p- VEGFR2/VEGFR2和p-TrkB/TrkB比值。这些作用可被PI3k、VEGFR2或TrkB途径抑制剂显著阻断或部分抑制。结论:这些发现提示miR210-EPC-EXs部分通过VEGFR2/PI3k和TrkB/PI3k信号通路保护大脑免受急性缺血诱导的细胞凋亡和氧化应激。
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引用次数: 0
Different Sources of Bone Marrow Mesenchymal Stem Cells: A Comparison of Subchondral, Mandibular, and Tibia Bone-derived Mesenchymal Stem Cells. 骨髓间充质干细胞的不同来源:软骨下、下颌骨和胫骨来源的间充质细胞的比较。
Pub Date : 2024-01-01 DOI: 10.2174/011574888X260686231023091127
Yu Wang, Hong-Yu Li, Shu-Yuan Guan, Si-Han Yu, Ya-Chuan Zhou, Li-Wei Zheng, Jun Zhang

Background: Stem cell properties vary considerably based on the source and tissue site of mesenchymal stem cells (MSCs). The mandibular condyle is a unique kind of craniofacial bone with a special structure and a relatively high remodeling rate. MSCs here may also be unique to address specific physical needs.

Objective: The aim of this study was to compare the proliferation and multidirectional differentiation potential among MSCs derived from the tibia (TMSCs), mandibular ramus marrow (MMSCs), and condylar subchondral bone (SMSCs) of rats in vitro.

Methods: Cell proliferation and migration were assessed by CCK-8, laser confocal, and cell scratch assays. Histochemical staining and real-time PCR were used to evaluate the multidirectional differentiation potential and DNA methylation and histone deacetylation levels.

Results: The proliferation rate and self-renewal capacity of SMSCs were significantly higher than those of MMSCs and TMSCs. Moreover, SMSCs possessed significantly higher mineralization and osteogenic differentiation potential. Dnmt2, Dnmt3b, Hdac6, Hdac7, Hdac9, and Hdac10 may be instrumental in the osteogenesis of SMSCs. In addition, SMSCs are distinct from MMSCs and TMSCs with lower adipogenic differentiation and chondrogenic differentiation potential. The multidirectional differentiation capacities of TMSCs were exactly the opposite of those of SMSCs, and the results of MMSCs were intermediate.

Conclusion: This research offers a new paradigm in which SMSCs could be a useful source of stem cells for further application in stem cell-based medical therapies due to their strong cell renewal and osteogenic capacity.

背景:间充质干细胞(MSCs)的来源和组织部位不同,干细胞的特性也有很大差异。下颌骨髁突是一种独特的颅面骨,具有特殊的结构和较高的重建率。这里的MSC也可能是唯一的,以满足特定的物理需求。目的:比较大鼠胫骨(TMSCs)、下颌支骨髓(MMSCs)和髁突软骨下骨(SMSCs)间充质干细胞在体外的增殖和多向分化潜能。方法:采用CCK-8、激光共聚焦和细胞划痕法检测细胞增殖和迁移。组织化学染色和实时PCR用于评估多向分化潜力以及DNA甲基化和组蛋白脱乙酰化水平。结果:SMSC的增殖率和自我更新能力明显高于MMSC和TMSCs。此外,SMSC具有显著更高的矿化和成骨分化潜力。Dnmt2、Dnmt3b、Hdac6、Hdac7、Hdac9和Hdac10可能有助于SMSC的成骨。此外,SMSC不同于MMSC和TMSCs,具有较低的脂肪分化和软骨分化潜力。TMSCs的多向分化能力与SMSC完全相反,MMSC的结果中等。结论:本研究提供了一种新的范式,其中SMSCs由于其强大的细胞更新和成骨能力,可以作为干细胞的有用来源,进一步应用于基于干细胞的医学治疗。
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引用次数: 0
Generating Retinas through Guided Pluripotent Stem Cell Differentiation and Direct Somatic Cell Reprogramming. 通过引导多能干细胞分化和直接体细胞重新编程产生视网膜。
Pub Date : 2024-01-01 DOI: 10.2174/011574888X255496230923164547
Ke Zhang, Wenwen Cai, Leyi Hu, Shuyi Chen

Retinal degeneration diseases affect millions of people worldwide but are among the most difficult eye diseases to cure. Studying the mechanisms and developing new therapies for these blinding diseases requires researchers to have access to many retinal cells. In recent years there has been substantial advances in the field of biotechnology in generating retinal cells and even tissues in vitro, either through programmed sequential stem cell differentiation or direct somatic cell lineage reprogramming. The resemblance of these in vitro-generated retinal cells to native cells has been increasingly utilized by researchers. With the help of these in vitro retinal models, we now have a better understanding of human retinas and retinal diseases. Furthermore, these in vitro-generated retinal cells can be used as donor cells which solves a major hurdle in the development of cell replacement therapy for retinal degeneration diseases, while providing a promising option for patients suffering from these diseases. In this review, we summarize the development of pluripotent stem cell-to-retinal cell differentiation methods, the recent advances in generating retinal cells through direct somatic cell reprogramming, and the translational applications of retinal cells generated in vitro. Finally, we discuss the limitations of the current protocols and possible future directions for improvement.

视网膜变性疾病影响着全世界数百万人,但却是最难治愈的眼病之一。研究这些致盲疾病的机制和开发新的治疗方法需要研究人员接触到许多视网膜细胞。近年来,生物技术领域通过程序化的顺序干细胞分化或直接的体细胞谱系重编程,在体外产生视网膜细胞甚至组织方面取得了重大进展。研究人员越来越多地利用这些体外产生的视网膜细胞与天然细胞的相似性。在这些体外视网膜模型的帮助下,我们现在对人类视网膜和视网膜疾病有了更好的了解。此外,这些体外产生的视网膜细胞可以用作供体细胞,这解决了视网膜变性疾病细胞替代疗法发展中的一个主要障碍,同时为患有这些疾病的患者提供了一个有前途的选择。在这篇综述中,我们总结了多能干细胞向视网膜细胞分化方法的发展,通过直接体细胞重编程产生视网膜细胞的最新进展,以及体外产生的视网膜细胞的翻译应用。最后,我们讨论了当前协议的局限性以及未来可能的改进方向。
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引用次数: 0
Tumor Organoid as a Drug Screening Platform for Cancer Research. 肿瘤类器官作为癌症研究的药物筛选平台。
Pub Date : 2024-01-01 DOI: 10.2174/011574888X268366230922080423
Reyhaneh Mahbubi Arani, Niloufar Yousefi, Amir Ali Hamidieh, Fatemeh Gholizadeh, Mahsa Mollapour Sisakht

A number of studies have been conducted on the application of 3D models for drug discovery, drug sensitivity assessment, and drug toxicity. Most of these studies focused on disease modelling and attempted to control cellular differentiation, heterogeneity, and key physiological features to mimic organ reconstitution so that researchers could achieve an accurate response in drug evaluation. Recently, organoids have been used by various scientists due to their highly organotypic structure, which facilitates the translation from basic research to the clinic, especially in cancer research. With this tool, researchers can perform high-throughput analyses of compounds and determine the exact effect on patients based on their genetic variations, as well as develop personalized and combination therapies. Although there is a lack of standardization in organoid culture, patientderived organoids (PDOs) have become widely established and used for drug testing. In this review, we have discussed recent advances in the application of organoids and tumoroids not only in cancer research for drug screening but also in clinical trials to demonstrate the potential of organoids in translational medicine.

已经对3D模型在药物发现、药物敏感性评估和药物毒性方面的应用进行了大量研究。这些研究大多集中在疾病建模上,并试图控制细胞分化、异质性和关键生理特征,以模拟器官重建,从而使研究人员能够在药物评估中获得准确的反应。近年来,类器官因其高度的器官型结构而被各种科学家使用,这有助于从基础研究转化为临床,尤其是在癌症研究中。有了这个工具,研究人员可以对化合物进行高通量分析,并根据其基因变异确定对患者的确切影响,还可以开发个性化和联合疗法。尽管类器官培养缺乏标准化,但患者来源的类器官(PDO)已被广泛建立并用于药物测试。在这篇综述中,我们讨论了类器官和类肿瘤药物应用的最新进展,不仅在癌症药物筛选研究中,而且在临床试验中,以证明类器官在转化医学中的潜力。
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引用次数: 0
Transient Fever: The Sole Treatment-Related Adverse Event Associated with Mesenchymal Stromal Cells and Solid Clues from the Real World. 短暂性发热:与来自真实世界的间充质基质细胞和固体线索相关的唯一治疗相关不良事件。
Pub Date : 2024-01-01 DOI: 10.2174/011574888X179799231023060734
Yang Wang, Qiuying Mou, Hanxiao Yi, Zilu Meng

Background: The number of trials investigating mesenchymal stromal cells (MSCs) soars within 3 years which urges a study analysing emerging MSC treatment-related adverse events.

Aim: To assess the safety of MSC therapy and provide solid evidence for clinical translation of MSC.

Methods: A meta-analysis of randomized clinical trials (RCTs) published up to April 20th, 2023 was performed. Odds ratio (OR) and 95% confidential intervals (CIs) were used to display pooled results.

Results: 152 randomized clinical trials (RCTs) that incorporated 9228 individuals treated with MSCs from autologous or allogenic adipose tissue, bone marrow, Wharton's Jelly, and placenta tissue were included in the analysis. We discovered appropriate 21 MSC treatment-related adverse events (TRAEs), of which fever [OR, 1.61, 95% CI: 1.22-2.11, p<0.01] was the sole event that was closely associated with MSC therapy. MSCs also trended to lower the incidence rate of tachycardia [OR, 0.83, 95% CI: 0.64-1.09, p=0.14] and fatigue [OR, 0.18, 95% CI: 0.61-1.07, p=0.18]. A separate analysis of studies with long-term follow-up (more than 1 year) demonstrated the close relationship between MSCs and fever [OR, 1.75, 95% CI: 1.26-2.24, p<0.01]. The rest TRAEs did not associate themselves with MSC therapy. Dose-response was also conducted for fever, linearity was discovered between MSCs from allogeneic tissue and Wharton's Jelly and fever.

Conclusion: To date, our results suggest that fever is the only AE closely associated with MSCs.

背景:研究间充质基质细胞(MSC)的试验数量在3年内激增,这促使人们对新出现的MSC治疗相关不良事件进行分析。目的:评估MSC治疗的安全性,为MSC的临床翻译提供可靠证据。方法:对截至2023年4月20日发表的随机临床试验(RCT)进行荟萃分析。比值比(OR)和95%机密区间(CI)用于显示合并结果。结果:152项随机临床试验(RCT)纳入了9228名接受自体或同种异体脂肪组织、骨髓、沃顿果冻和胎盘组织间充质干细胞治疗的个体的分析。我们发现了适当的21例MSC治疗相关不良事件(TRAE),其中发烧[OR,1.61,95%CI:1.22-2.11,P结论:迄今为止,我们的结果表明,发烧是唯一与MSC密切相关的不良事件。
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引用次数: 0
Progress of Cancer Stem Cells in Retinoblastoma. 癌症干细胞在视网膜母细胞瘤中的研究进展。
Pub Date : 2024-01-01 DOI: 10.2174/011574888X252989230921065809
Nan Wang, Jian-Min Ma

The theory of cancer stem cells is a breakthrough discovery that offers exciting possibilities for comprehending the biological behavior of tumors. More and more evidence suggests that retinoblastoma cancer stem cells promote tumor growth and are likely to be the origin of tumor formation, drug resistance, recurrence, and metastasis. At present, some progress has been made in the verification, biological behavior, and drug resistance mechanism of retinoblastoma cancer stem cells. This article aims to review the relevant research and explore future development direction.

癌症干细胞理论是一项突破性发现,为理解肿瘤的生物学行为提供了令人兴奋的可能性。越来越多的证据表明,视网膜母细胞瘤癌症干细胞促进肿瘤生长,可能是肿瘤形成、耐药性、复发和转移的起源。目前,在视网膜母细胞瘤癌症干细胞的鉴定、生物学行为和耐药机制等方面取得了一些进展。本文旨在对相关研究进行综述,探讨未来的发展方向。
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引用次数: 0
Advancements in Biotechnology and Stem Cell Therapies for Breast Cancer Patients. 癌症患者的生物技术和干细胞治疗进展。
Pub Date : 2024-01-01 DOI: 10.2174/011574888X268109230924233850
Shivang Dhoundiyal, Md Aftab Alam

This comprehensive review article examines the integration of biotechnology and stem cell therapy in breast cancer diagnosis and treatment. It discusses the use of biotechnological tools such as liquid biopsies, genomic profiling, and imaging technologies for accurate diagnosis and monitoring of treatment response. Stem cell-based approaches, their role in modeling breast cancer progression, and their potential for breast reconstruction post-mastectomy are explored. The review highlights the importance of personalized treatment strategies that combine biotechnological tools and stem cell therapies. Ethical considerations, challenges in clinical translation, and regulatory frameworks are also addressed. The article concludes by emphasizing the potential of integrating biotechnology and stem cell therapy to improve breast cancer outcomes, highlighting the need for continued research and collaboration in this field.

这篇全面的综述文章探讨了生物技术和干细胞治疗在癌症诊断和治疗中的整合。它讨论了生物技术工具的使用,如液体活检、基因组图谱和成像技术,以准确诊断和监测治疗反应。探讨了基于干细胞的方法,它们在模拟癌症进展中的作用,以及它们在乳房切除术后乳房重建中的潜力。该综述强调了将生物技术工具和干细胞疗法相结合的个性化治疗策略的重要性。还讨论了伦理考虑、临床翻译中的挑战和监管框架。文章最后强调了整合生物技术和干细胞治疗以改善癌症结果的潜力,强调了在这一领域继续研究和合作的必要性。
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引用次数: 0
A Monocytic Barrier to the Humanization of Immunodeficient Mice. 免疫缺陷小鼠人源化的单核细胞屏障。
Pub Date : 2024-01-01 DOI: 10.2174/011574888X263597231001164351
Emily J Du, Marcus O Muench

Mice with severe immunodeficiencies have become very important tools for studying foreign cells in an in vivo environment. Xenotransplants can be used to model cells from many species, although most often, mice are humanized through the transplantation of human cells or tissues to meet the needs of medical research. The development of immunodeficient mice is reviewed leading up to the current state-of-the-art strains, such as the NOD-scid-gamma (NSG) mouse. NSG mice are excellent hosts for human hematopoietic stem cell transplants or immune reconstitution through transfusion of human peripheral blood mononuclear cells. However, barriers to full hematopoietic engraftment still remain; notably, the survival of human cells in the circulation is brief, which limits overall hematological and immune reconstitution. Reports have indicated a critical role for monocytic cells - monocytes, macrophages, and dendritic cells - in the clearance of xenogeneic cells from circulation. Various aspects of the NOD genetic background that affect monocytic cell growth, maturation, and function that are favorable to human cell transplantation are discussed. Important receptors, such as SIRPα, that form a part of the innate immune system and enable the recognition and phagocytosis of foreign cells by monocytic cells are reviewed. The development of humanized mouse models has taken decades of work in creating more immunodeficient mice, genetic modification of these mice to express human genes, and refinement of transplant techniques to optimize engraftment. Future advances may focus on the monocytic cells of the host to find ways for further engraftment and survival of xenogeneic cells.

患有严重免疫缺陷的小鼠已成为在体内环境中研究外来细胞的非常重要的工具。异种移植植物可用于模拟许多物种的细胞,尽管大多数情况下,小鼠通过移植人类细胞或组织来实现人源化,以满足医学研究的需要。综述了免疫缺陷小鼠的发展,导致了目前最先进的菌株,如NOD scid-gamma(NSG)小鼠。NSG小鼠是人类造血干细胞移植或通过输注人类外周血单核细胞进行免疫重建的极好宿主。然而,完全造血移植的障碍仍然存在;值得注意的是,人类细胞在循环中的存活时间很短,这限制了整个血液学和免疫重建。报告表明,单核细胞、单核细胞和巨噬细胞在清除循环中的异种细胞中发挥着关键作用。讨论了影响单核细胞生长、成熟和功能的NOD遗传背景的各个方面,这些方面有利于人类细胞移植。综述了SIRPα等重要受体,它们是先天免疫系统的一部分,能够被单核细胞识别和吞噬外来细胞。人源化小鼠模型的开发花了几十年的时间来创造更多的免疫缺陷小鼠,对这些小鼠进行基因修饰以表达人类基因,并改进移植技术以优化植入。未来的进展可能集中在宿主的单核细胞上,以找到进一步植入和存活异种细胞的方法。
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引用次数: 0
Mesenchymal Stem Cell Transplantation in Type 1 Diabetes Treatment: Current Advances and Future Opportunity. 间充质干细胞移植治疗1型糖尿病:当前进展和未来机遇。
Pub Date : 2024-01-01 DOI: 10.2174/011574888X268740231002054459
Jie Liu, Xin-Xing Wan, Sheng-Yuan Zheng, Md Asaduzzaman Khan, Hui-Hong He, Yu-Xing Feng, Jing-Ge Xiao, Yu Chen, Xi-Min Hu, Qi Zhang, Kun Xiong

Type 1 Diabetes (T1D) is characterized by hyperglycemia, and caused by a lack of insulin secretion. At present there is no cure for T1D and patients are dependent on exogenous insulin for lifelong, which seriously affects their lives. Mesenchymal stem cells (MSCs) can be differentiated to β cell-like cells to rescue the secretion of insulin and reconstruct immunotolerance to preserve the function of islet β cells. Due to the higher proportion of children and adolescents in T1D patients, the efficacy and safety issue of the application of MSC's transplant in T1D was primarily demonstrated and identified by human clinical trials in this review. Then we clarified the mechanism of MSCs to relieve the symptom of T1D and found out that UC-MSCs have no obvious advantage over the other types of MSCs, the autologous MSCs from BM or menstrual blood with less expanded ex vivo could be the better choice for clinical application to treat with T1D through documentary analysis. Finally, we summarized the advances of MSCs with different interventions such as genetic engineering in the treatment of T1D, and demonstrated the advantages and shortage of MSCs intervened by different treatments in the transplantation, which may enhance the clinical efficacy and overcome the shortcomings in the application of MSCs to T1D in future.

1型糖尿病(T1D)以高血糖为特征,由胰岛素分泌不足引起。目前T1D尚无治愈方法,患者终身依赖外源性胰岛素,严重影响了他们的生活。间充质干细胞(MSCs)可以分化为β细胞样细胞,以拯救胰岛素的分泌,并重建免疫耐受,以保持胰岛β细胞的功能。由于儿童和青少年在T1D患者中的比例较高,本综述中的人类临床试验主要证明并确定了MSC移植在T1D中应用的疗效和安全性问题。然后我们阐明了MSCs缓解T1D症状的机制,并通过文献分析发现UC MSCs与其他类型的MSCs相比没有明显的优势,从骨髓或经血中提取的离体膨胀较小的自体MSCs可能是临床应用治疗T1D的更好选择。最后,我们总结了基因工程等不同干预措施对骨髓间充质干细胞治疗T1D的进展,并论证了不同治疗方法对骨髓间质干细胞在移植中的优势和不足,这可能会提高临床疗效,并克服未来MSCs在T1D应用中的不足。
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引用次数: 0
期刊
Current stem cell research & therapy
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