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Robot-Assisted Stereotactic Microinjection Method for Precision Cell Transplantation in Rat and Canine Models. 机器人辅助立体定向显微注射方法用于大鼠和犬模型的精确细胞移植。
IF 3.2 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2025-01-01 Epub Date: 2025-03-18 DOI: 10.1177/09636897251323351
Deqiang Han, Sichang Chen, Yuan Wang, Xueyao Wang, Xingzhe Wang, Tianqi Zheng, Zhiguo Chen

Cell transplantation is a promising approach for addressing neurodegenerative conditions. In this study, we developed a robot-assisted stereotactic microinjection system for transplanting cells. We evaluated the factors that affect cellular graft viability and other properties, including the gauge of the syringe needle and the injection rate. We systematically compared the synchronous withdrawal injection (SWI) and fixed-point injection (FPI) procedures in agarose and rat brain models. In vitro assessments revealed superior dye dispersion with SWI compared to FPI, and in vivo analyses confirmed that SWI reduced the tissue injury and improved cell distribution in the striatum. We applied this robot-assisted technique to evaluate the accuracy and safety of cell transplantation in canine models. Overall, this strategy enhances the accuracy and safety of graft delivery, potentially improving outcomes and advancing therapeutic strategies for the clinical treatment of neurodegenerative disorders.

细胞移植是治疗神经退行性疾病的一种很有前途的方法。在这项研究中,我们开发了一种机器人辅助立体定向显微注射系统用于移植细胞。我们评估了影响细胞移植物活力和其他特性的因素,包括注射器针头的规格和注射速度。我们系统地比较了琼脂糖和大鼠脑模型的同步戒断注射(SWI)和定点注射(FPI)方法。体外评估显示,与FPI相比,SWI具有更好的染料分散性,体内分析证实SWI减少了组织损伤并改善了纹状体中的细胞分布。我们应用这种机器人辅助技术来评估犬模型细胞移植的准确性和安全性。总的来说,这种策略提高了移植物输送的准确性和安全性,潜在地改善了结果,并推进了神经退行性疾病的临床治疗策略。
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引用次数: 0
High-Yield Generation of Glucose-Responsive Pseudoislets From Murine Insulinoma Cells for In Vitro Studies and Longitudinal Monitoring of Graft Survival In Vivo. 小鼠胰岛素瘤细胞高产量产生葡萄糖反应性假胰岛的体外研究和移植物在体内存活的纵向监测。
IF 3.2 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2025-01-01 DOI: 10.1177/09636897251315123
Grisell C Gonzalez, Chris M Li, Ilaria Pasolini, Sophia I Pete, Connor Verheyen, Sofia M Vignolo, Teresa De Toni, Aaron A Stock, Alice A Tomei

Compared to primary pancreatic islets, insulinoma cell-derived 3D pseudoislets offer a more accessible, consistent, renewable, and widely applicable model system for optimization and mechanistic studies in type 1 diabetes (T1D). Here, we report a simple and efficient method for generating 3D pseudoislets from MIN6 and NIT-1 murine insulinoma cells. These pseudoislets are homogeneous in size and morphology (~150 µm), exhibit functional glucose-stimulated insulin secretion (GSIS) up to 18 days (NIT-1) enabling long-term studies, are produced in high yield [>35,000 Islet Equivalence from 30 ml culture], and are suitable for both in vitro and in vivo studies, including for encapsulation studies. To enable non-invasive longitudinal monitoring of graft survival in vivo, we transduced NIT-1 cells with green fluorescent protein-luciferase and confirmed comparable morphology, viability, and GSIS to untransduced cells in vitro. After subcutaneous implantation, we show capability to monitor graft survival in immunodeficient mice, recurrence of autoimmunity in non-obese diabetic mice, and allorejection in C57BL/6 mice. Overall, this platform provides an accessible protocol for generating high yields of 3D pseudoislets and non-invasive longitudinal monitoring of graft survival in different models offer advantages over primary islets for optimization and mechanistic studies of β cell biology, drug discovery, T1D pathogenesis and prevention, and β cell transplantation.

与原发胰岛相比,胰岛素瘤细胞衍生的3D假胰岛为1型糖尿病(T1D)的优化和机制研究提供了一个更容易获得、一致、可再生和广泛适用的模型系统。在这里,我们报道了一种简单有效的方法,从MIN6和nit1小鼠胰岛素瘤细胞中生成3D假胰岛。这些假胰岛在大小和形态上都是均匀的(~150µm),表现出长达18天(nit1)的功能性葡萄糖刺激胰岛素分泌(GSIS),可以进行长期研究,产量高[30ml培养物中35000个胰岛当量],适用于体外和体内研究,包括包封研究。为了能够在体内无创地纵向监测移植物的存活,我们用绿色荧光蛋白-荧光素酶转导了nit1细胞,并在体外证实了与未转导细胞相似的形态、活力和GSIS。在皮下植入后,我们展示了监测免疫缺陷小鼠移植物存活、非肥胖糖尿病小鼠自身免疫复发和C57BL/6小鼠同种异体排斥反应的能力。总体而言,该平台提供了一种可访问的方案,用于生成高产量的3D假胰岛,并且在不同模型中对移植物存活进行无创纵向监测,在β细胞生物学、药物发现、T1D发病机制和预防以及β细胞移植的优化和机制研究方面具有优于原代胰岛的优势。
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引用次数: 0
Optimizing GBM organoid construction with hydrogel-based models: GelMA-HAMA scaffold supports GBM organoids with clonal growth for drug screening. 基于水凝胶模型优化GBM类器官构建:GelMA-HAMA支架支持GBM类器官克隆生长,用于药物筛选。
IF 3.2 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2025-01-01 Epub Date: 2025-06-24 DOI: 10.1177/09636897251347537
Min Zhou, Ke Yue, Jingjing Zhao, Shuhua Gong, Yutong Xie, Wenyu Wu, Zhenzhou Li, Shuo Wu, Zhengliang Gao, Huan Wang, Jianrong Guo

Adult glioblastoma (GBM) is a highly malignant tumor with a poor prognosis and high mortality rate. As versatile 3D culture systems in vitro, organoid models are emerging as a promising new tool for GBM research and combat. However, Matrigel, the most used extracellular matrix, is animal-derived with a complex composition and significant batch-to-batch variability, requiring further optimization for GBM organoid construction. Hydrogels, high-affinity polymers, have been widely employed in organoid construction for their customizable properties. In the present study, we selected and tested several commonly used hydrogel materials-hyaluronic acid methacryloyl (HAMA), chitosan methacryloyl (CSMA), and gelatin methacryloyl (GelMA)-for the construction of GBM organoids. To address the limitations of a single Matrigel, we combined Matrigel with different hydrogels and found that hydrogels influenced glioblastoma stem cells and organoid formation in distinct ways. Matrigel-HAMA (MH) promoted the formation of independent spherical clones but with a significantly lower glioblastoma stem cell (GSC) proliferation rate. GelMA-HAMA(GH) could replace Matrigel preserving the characteristics and proliferative capacity of GSCs and supported the formation of more compact spherical clones than MH did. Further experimentation with ribosomal inhibitor CX5461 and CX5461 + IFNβ indicated that GH-based GBM organoid model constituted an efficient system for GBM drug testing, discovery, and precision medicine.

成人胶质母细胞瘤(GBM)是一种预后差、死亡率高的恶性肿瘤。作为多功能的体外3D培养系统,类器官模型正在成为GBM研究和治疗的一个有前途的新工具。然而,最常用的细胞外基质Matrigel是动物源性的,成分复杂,批次间差异显著,需要进一步优化GBM类器官的构建。水凝胶是一种高亲和聚合物,由于其可定制的特性而被广泛应用于类器官结构中。在本研究中,我们选择并测试了几种常用的水凝胶材料-透明质酸甲基丙烯酰(HAMA),壳聚糖甲基丙烯酰(CSMA)和明胶甲基丙烯酰(GelMA)-用于构建GBM类器官。为了解决单一Matrigel的局限性,我们将Matrigel与不同的水凝胶结合,发现水凝胶以不同的方式影响胶质母细胞瘤干细胞和类器官的形成。Matrigel-HAMA (MH)促进了独立球形克隆的形成,但显著降低了胶质母细胞瘤干细胞(GSC)的增殖率。GelMA-HAMA(GH)可以替代Matrigel,保留GSCs的特性和增殖能力,并支持形成比MH更紧凑的球形克隆。核糖体抑制剂CX5461和CX5461 + IFNβ的进一步实验表明,基于gh的GBM类器官模型是GBM药物检测、发现和精准医学的有效体系。
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引用次数: 0
A novel subcutaneous islet transplantation method using a bioabsorbable medical device to facilitate the creation of a highly vascularized transplantation site. 一种新的皮下胰岛移植方法,使用生物可吸收的医疗装置,以促进高度血管化移植部位的创建。
IF 3.2 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2025-01-01 Epub Date: 2025-06-02 DOI: 10.1177/09636897251342986
Norio Emoto, Takayuki Anazawa, Kei Yamane, Nanae Fujimoto, Takaaki Murakami, Hiroyuki Fujimoto, Cui Jialin, Satoshi Ishida, Kouki Kurahashi, Aya Izuwa, Hang Su, Kenta Inoguchi, Seiichiro Tada, Kazuyuki Nagai, Etsuro Hatano

Subcutaneous transplantation is garnering attention as a potential transplantation site for pluripotent stem cell-derived islet cells to address the shortage of pancreatic islet transplant donors. However, subcutaneous transplantation of cells presents challenges related to angiogenesis, which is necessary for successful islet bioproduction. This study aimed to investigate a novel method for enhancing vascularization at the transplant site and thereby promote islet engraftment using a clinically available bioabsorbable medical device. A nonabsorbable device (agarose) or a bioabsorbable device (collagen-gelatin sheet [CGS]) loaded with basic fibroblast growth factor (bFGF) was implanted subcutaneously in C57BL/6 mice. There were two other groups of mice, one of which was implanted with CGS alone, which acted as a control, and another group that was implanted with bFGF-loaded agarose rods. Subsequently, 200 islets were transplanted into the subcutaneous pre-vascularized sites. An equivalent number of islets was also transplanted into the portal vein (IPTx) to compare transplantation efficacy. Vascularization of the graft site was evaluated before and after transplantation. bFGF significantly enhanced angiogenesis in the CGS mice. The normalization rate of blood glucose levels following islet transplantation in the bFGF-loaded CGS was group comparable to that in the bFGF-loaded agarose rod and IPTx groups. The presence of islets was confirmed using single-photon emission computed tomography (SPECT/CT), histological examination. Furthermore, it was noted that blood glucose levels rapidly increased after graft removal, showing that graft function was crucial to maintain normoglycemia. Importantly, the bFGF-loaded CGS showed a high rate of engraftment. This novel bioabsorbable medical device method exhibited remarkable efficacy in enhancing subcutaneous islet engraftment, potentially paving the way for a more straightforward and less invasive approach for islet cell transplantation in future clinical applications.

皮下移植作为多能干细胞来源的胰岛细胞的潜在移植部位,正在引起人们的关注,以解决胰岛移植供体短缺的问题。然而,细胞皮下移植存在与血管生成相关的挑战,血管生成是成功的胰岛生物生产所必需的。本研究旨在探索一种新的方法来增强移植部位的血管化,从而促进临床可用的生物可吸收医疗装置的胰岛移植。将装载碱性成纤维细胞生长因子(bFGF)的不可吸收装置(琼脂糖)或生物可吸收装置(胶原-明胶片[CGS])皮下植入C57BL/6小鼠。另外还有两组小鼠,一组单独植入CGS作为对照,另一组植入装载bfgf的琼脂糖棒。随后,将200个胰岛移植到皮下血管化前部位。同样数量的胰岛也被移植到门静脉(IPTx)来比较移植效果。在移植前后评估移植部位的血管化情况。bFGF显著促进CGS小鼠血管生成。装载bfgf的CGS的胰岛移植后血糖水平的正常化率与装载bfgf的琼脂糖棒组和IPTx组相当。胰岛的存在通过单光子发射计算机断层扫描(SPECT/CT),组织学检查证实。此外,我们注意到移植物移除后血糖水平迅速升高,表明移植物功能对维持正常血糖至关重要。重要的是,装载bfgf的CGS显示出较高的植入率。这种新型的生物可吸收医疗器械方法在增强皮下胰岛植入方面表现出显著的效果,可能为未来临床应用中更直接、侵入性更小的胰岛细胞移植方法铺平道路。
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引用次数: 0
Patient-Derived Tumor Organoids: A Platform for Precision Therapy of Colorectal Cancer. 患者源性肿瘤类器官:结直肠癌精准治疗的平台。
IF 3.2 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2025-01-01 DOI: 10.1177/09636897251314645
Yiran Li, Wei Wu, Jiaxin Yao, Suidong Wang, Xiufeng Wu, Jun Yan

Colorectal cancer (CRC) represents a significant cause of cancer-related mortality on a global scale. It is a highly heterogeneous cancer, and the response of patients to homogeneous drug therapy varies considerably. Patient-derived tumor organoids (PDTOs) represent an optimal preclinical model for cancer research. A substantial body of evidence from numerous studies has demonstrated that PDTOs can accurately predict a patient's response to different drug treatments. This article outlines the utilization of PDTOs in the management of CRC across a range of therapeutic contexts, including postoperative adjuvant chemotherapy, palliative chemotherapy, neoadjuvant chemoradiotherapy, targeted therapy, third-line and follow-up treatment, and the treatment of elderly patients. This article delineates the manner in which PDTOs can inform therapeutic decisions at all stages of CRC, thereby assisting clinicians in selecting treatment options and reducing the risk of toxicity and resistance associated with clinical drugs. Moreover, it identifies shortcomings of existing PDTOs, including the absence of consistent criteria for assessing drug sensitivity tests, the lack of vascular and tumor microenvironment models, and the high cost of the technology. In conclusion, despite their inherent limitations, PDTOs offer several advantages, including rapid culture, a high success rate, high consistency, and high throughput, which can be employed as a personalized treatment option for CRC. The use of PDTOs in CRC allows for the prediction of responses to different treatment modalities at various stages of disease progression. This has the potential to reduce adverse drug reactions and the emergence of resistance associated with clinical drugs, facilitate evidence-based clinical decision-making, and guide CRC patients in the selection of personalized medications, thereby advancing the individualized treatment of CRC.

结直肠癌(CRC)是全球范围内癌症相关死亡的重要原因。这是一种高度异质性的癌症,患者对同种药物治疗的反应差异很大。患者来源的肿瘤类器官(PDTOs)代表了癌症研究的最佳临床前模型。来自大量研究的大量证据表明,pdto可以准确预测患者对不同药物治疗的反应。本文概述了pdto在结直肠癌治疗中的应用,包括术后辅助化疗、姑息性化疗、新辅助放化疗、靶向治疗、三线和随访治疗以及老年患者的治疗。本文描述了pdto如何在结直肠癌的所有阶段为治疗决策提供信息,从而帮助临床医生选择治疗方案,降低与临床药物相关的毒性和耐药风险。此外,它还指出了现有pdto的缺点,包括缺乏评估药物敏感性试验的一致标准,缺乏血管和肿瘤微环境模型,以及该技术的高成本。总之,尽管pdto有其固有的局限性,但它具有快速培养、高成功率、高一致性和高通量等优点,可以作为CRC的个性化治疗选择。在结直肠癌中使用pdto可以预测在疾病进展的不同阶段对不同治疗方式的反应。这有可能减少与临床药物相关的药物不良反应和耐药性的出现,促进循证临床决策,指导结直肠癌患者选择个体化药物,从而推进结直肠癌的个体化治疗。
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引用次数: 0
A microporous liraglutide-releasing silk fibroin scaffold improves islet transplantation outcomes through anti-inflammatory effect. 微孔利拉鲁肽释放丝素蛋白支架通过抗炎作用改善胰岛移植结果。
IF 3.2 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2025-01-01 Epub Date: 2025-09-16 DOI: 10.1177/09636897251374147
Yixiang Zhan, Xinchen Du, Yan Li, Yingbo Wang, Xiangheng Cai, Runnan Yang, Tingsheng Jiang, Zhaoce Liu, Xueer Yu, Shanshan Lin, Qing Liu, Yingyi Qi, Rui Liang, Na Liu, Tengli Liu, Xiaoyan Hu, Jiaqi Zou, Xuejie Ding, Peng Sun, Houhan Feng, Jiuxia Yang, Lianyong Wang, Shusen Wang

Islet transplantation represents one of the most promising therapies for curing type 1 diabetes, yet it encounters significant challenges, including early islet damage due to inflammation and hypoxia, which complicate engraftment and survival within the host. It is urgent to develop new strategies to improve islet grafts survival. In this study, we developed a microporous silk fibroin scaffold loaded with liraglutide (SF-Lira). It can provide mechanical support for the islets seeded on its surface and prevent excessive aggregation. The SF-Lira scaffold significantly protected the islets from inflammatory injury, notably enhancing islet viability. In the syngeneic islet transplantation model, SF-Lira significantly improved transplantation outcomes at the epididymal fat pad (EFP) site, with a higher percentage of mice achieving and maintaining normoglycemia compared to the control. Histological analysis revealed superior graft morphology in the SF-Lira group. Our study provides new insights into the application of SF scaffold in islet transplantation and shows potential for clinical translation in extrahepatic islet transplantation.

胰岛移植是治疗1型糖尿病最有前途的治疗方法之一,但它面临着重大挑战,包括炎症和缺氧引起的早期胰岛损伤,这使移植和在宿主体内存活复杂化。研究提高胰岛移植成活率的新策略迫在眉睫。在这项研究中,我们开发了一种负载利拉鲁肽(SF-Lira)的微孔丝素蛋白支架。它可以为播种在其表面的胰岛提供机械支撑,防止过度聚集。SF-Lira支架可显著保护胰岛免受炎症损伤,显著提高胰岛活力。在同基因胰岛移植模型中,SF-Lira显著改善了附睾脂肪垫(EFP)部位的移植结果,与对照组相比,达到并维持正常血糖的小鼠比例更高。组织学分析显示SF-Lira组移植物形态优越。我们的研究为SF支架在胰岛移植中的应用提供了新的见解,并显示了在肝外胰岛移植中的临床应用潜力。
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引用次数: 0
Phenotypic and functional comparisons between cryopreserved and freshly isolated peripheral blood mononuclear cells with or without red blood cell lysate (ACK) treatment with special focus on regulatory T cells. 低温保存和新鲜分离外周血单个核细胞经或不经红细胞裂解液(ACK)处理的表型和功能比较,特别关注调节性T细胞。
IF 3.2 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2025-01-01 Epub Date: 2025-10-29 DOI: 10.1177/09636897251382315
Keyvan Habibi, Nils Ågren, Kaoru Okada, Heléne Johansson, Ming Yao, Makiko Kumagai-Braesch

Adaptive transfer of autologous regulatory T cells (Treg), or ex vivo-generated immunomodulatory cells, has shown promise in reducing/withdrawing immunosuppression after organ transplantation. The effect of cryopreserving such cells is still unclear. This study aims to evaluate the effects of cryopreservation on the immunomodulatory functions of peripheral blood mononuclear cells (PBMCs) with or without pretreatment with red blood cell (RBC) lysate (ACK). Human PBMCs enriched from buffy coats of healthy blood donors were treated either with ACK or phosphate-buffered saline (PBS). Thereafter, a batch of the PBS-control subset was cryopreserved with 10% dimethyl sulfoxide (DMSO) and subsequently examined for phenotype, functionality, and relative gene expression. We found that ACK-treated PBMCs exhibited higher numbers of interferon gamma (IFN-γ)-producing cells when stimulated with viral peptides (p = 0.0078), indicating that ACK treatment may improve the antigen sensitivity of memory T cells. After cryopreservation, contaminated RBCs and granulocytes, cell viability, and CD4+ T-cell population decreased (p = 0.0078); IL-1β expression increased; and FoxP3 expression decreased (p = 0.0312), where the Treg population remained otherwise unchanged. Enriched Tregs from both fresh and frozen PBMCs suppressed the proliferation of anti-CD3/CD28-antibody-stimulated PBMCs equally. In conclusion, the preservation of Treg function following cryopreservation highlights its potential utility in tolerance-induction trials, providing experimental flexibility and simplified logistics.

自体调节性T细胞(Treg)或体外产生的免疫调节细胞的适应性转移在器官移植后减轻/消除免疫抑制方面显示出希望。冷冻保存这些细胞的效果尚不清楚。本研究旨在评估冷冻保存对外周血单个核细胞(PBMCs)免疫调节功能的影响,并对其进行预处理,红细胞(RBC)裂解液(ACK)。用ACK或磷酸盐缓冲盐水(PBS)处理从健康献血者的褐色皮毛中富集的人PBMCs。随后,用10%二甲基亚砜(DMSO)冷冻保存一批pbs对照亚群,随后检测表型、功能和相关基因表达。我们发现,当受到病毒肽刺激时,经ACK处理的PBMCs显示出更多的干扰素γ (IFN-γ)产生细胞(p = 0.0078),这表明ACK处理可能改善记忆T细胞的抗原敏感性。冷冻保存后,受污染的红细胞和粒细胞、细胞活力和CD4+ t细胞数量下降(p = 0.0078);IL-1β表达升高;FoxP3表达降低(p = 0.0312), Treg群体保持不变。来自新鲜和冷冻pbmc的富集treg同样抑制了抗cd3 / cd28抗体刺激的pbmc的增殖。总之,低温保存后保留Treg功能突出了其在耐受性诱导试验中的潜在效用,提供了实验灵活性和简化的后勤。
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引用次数: 0
Autologous stem cell transplantation meets CAR-T therapy: A synergistic strategy for B-cell lymphoma. 自体干细胞移植与CAR-T疗法:b细胞淋巴瘤的协同治疗策略。
IF 3.2 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2025-01-01 Epub Date: 2025-10-25 DOI: 10.1177/09636897251379571
Xumeng Zhao, Jiaying Wu, Xiaojian Zhu, Yi Xiao

B-cell lymphoma, the most common subtype of non-Hodgkin lymphoma, presents major therapeutic challenges due to molecular heterogeneity and high relapse rates. While autologous hematopoietic stem cell transplantation (ASCT) has been a cornerstone for relapsed/refractory (R/R) B-cell lymphoma, its efficacy is often compromised by minimal residual disease (MRD) persistence and an immunosuppressive tumor microenvironment. Chimeric antigen receptor (CAR)-T cell therapy has transformed treatment paradigms but faces limited long-term durability due to antigen escape and T-cell exhaustion. The integration of ASCT with CAR-T therapy may offer a complementary approach to address these limitations, leveraging ASCT-induced immune reconstitution to enhance CAR-T-cell persistence and reprogram the tumor milieu. Emerging clinical evidence supports this approach, indicating improved disease control and progression-free survival. Although preliminary clinical outcomes are encouraging, unresolved challenges persist, particularly in terms of cumulative toxicity, optimal therapeutic sequencing, CAR-T-cell longevity, and financial feasibility associated with these advanced therapies. This review provides a comprehensive overview of mechanistic synergies between ASCT and CAR-T therapy, critically evaluates emerging clinical evidence on treatment sequencing, and explores innovative strategies to increase safety, efficacy, and accessibility.

b细胞淋巴瘤是非霍奇金淋巴瘤中最常见的亚型,由于其分子异质性和高复发率,给治疗带来了重大挑战。虽然自体造血干细胞移植(ASCT)一直是治疗复发/难治性(R/R) b细胞淋巴瘤的基石,但其疗效往往受到微小残留病(MRD)持续性和免疫抑制肿瘤微环境的影响。嵌合抗原受体(CAR)-T细胞疗法已经改变了治疗模式,但由于抗原逃逸和t细胞衰竭,其长期耐久性有限。ASCT与CAR-T疗法的结合可能提供一种补充方法来解决这些局限性,利用ASCT诱导的免疫重建来增强CAR-T细胞的持久性和重新编程肿瘤环境。新出现的临床证据支持这种方法,表明疾病控制和无进展生存得到改善。尽管初步的临床结果令人鼓舞,但尚未解决的挑战仍然存在,特别是在累积毒性、最佳治疗序列、car - t细胞寿命以及与这些先进疗法相关的财务可行性方面。这篇综述提供了ASCT和CAR-T疗法之间的机制协同作用的全面概述,批判性地评估了治疗顺序的新临床证据,并探索了提高安全性、有效性和可及性的创新策略。
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引用次数: 0
Organoids in biomedicine: Bridging innovation, disease modeling, and regulatory transformation. 生物医学中的类器官:连接创新、疾病建模和监管转变。
IF 3.2 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2025-01-01 Epub Date: 2025-10-23 DOI: 10.1177/09636897251376507
Chunhui Cai, Xinxin Han

Organoids, which are three-dimensional cultures derived from pluripotent or adult stem cells, meticulously mimic human organ architecture and function, revolutionizing biomedical research. Patient-derived organoids have emerged as powerful tools in disease modeling, particularly in cancer research. For instance, in the case of colorectal cancer, organoids are developed from tumor tissues of patients, allowing for drug sensitivity tests that can inform personalized treatment plans, as seen in the case of a patient responding well to specific chemotherapy drugs. In addition, organoids have been used to study regenerative mechanisms, such as the repair of intestinal stem cells post-radiation, showcasing their versatility in biomedical research. In drug development, they facilitate screening for efficacy and toxicity, with applications in testing poly-ADP ribose polymerase (PARP) inhibitors and cosmetic ingredients, while aligning with ethical imperatives as the U.S. Food and Drug Administration (FDA) plans to phase out animal testing for certain drugs by 2025. In addition, organoids show promise in regenerative medicine, such as endometrial and retinal regeneration, and bone tissue engineering. Despite challenges such as variable culture conditions, limited vascularization, and high costs, standardizing protocols and integrating microenvironmental factors will enhance their clinical utility, driving a shift toward human-centric therapeutic advancements.

类器官是由多能干细胞或成体干细胞衍生的三维培养物,精心模仿人体器官的结构和功能,彻底改变了生物医学研究。患者衍生的类器官已经成为疾病建模,特别是癌症研究的有力工具。例如,在结肠直肠癌的病例中,类器官是从患者的肿瘤组织中开发出来的,允许进行药物敏感性测试,可以为个性化治疗计划提供信息,例如在患者对特定化疗药物反应良好的情况下。此外,类器官已被用于研究再生机制,如肠干细胞辐射后的修复,显示了它们在生物医学研究中的多功能性。在药物开发中,它们有助于筛选功效和毒性,用于测试聚adp核糖聚合酶(PARP)抑制剂和化妆品成分,同时符合美国食品和药物管理局(FDA)计划到2025年逐步取消某些药物的动物实验的道德要求。此外,类器官在再生医学,如子宫内膜和视网膜再生,以及骨组织工程中显示出前景。尽管存在培养条件变化、血管化受限和成本高等挑战,但标准化的方案和整合微环境因素将增强其临床效用,推动以人为中心的治疗进步的转变。
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引用次数: 0
The effect and mechanism of human amniotic mesenchymal stem cells on scar formation in rat uterine incision. 人羊膜间充质干细胞对大鼠子宫切口瘢痕形成的影响及机制。
IF 3.2 4区 医学 Q3 CELL & TISSUE ENGINEERING Pub Date : 2025-01-01 Epub Date: 2025-10-31 DOI: 10.1177/09636897251387398
Caixi Li, Feng Zhao, Jia Song, Ting Zhang, Rui Yang, Yi Xiao, Yujia Zheng, Jingli Sun, Zhenyu Chen

Cesarean section (CS) scar tissue fibrosis and decreased muscle density increase the risk of uterine rupture and placental implantation in subsequent pregnancies. Given the potent anti-fibrotic and regenerative properties of human amniotic mesenchymal stem cells (hAMSCs), this study investigated their therapeutic potential in repairing uterine scars in a rat model. A full-thickness uterine wall excision model was established to mimic CS scarring. hAMSCs were transplanted at the edge of the incision. Myometrial thickness and collagen deposition within the scar were assessed histologically using hematoxylin and eosin (H&E) and Masson's staining. Immunohistochemistry evaluated the expression of MMP8, TGF-β1, VEGFA, and α-SMA within the scar region. mRNA transcriptome sequencing and quantitative real-time polymerase chain reaction (qRT-PCR) were employed to explore possible mechanisms. A total of 110 rats were used in the study, 30 in the sham group, 40 in the phosphate-buffered saline (PBS) control group and 40 in the hAMSCs treatment group. Compared with the PBS group, the hAMSCs group exhibited a 35% reduction in collagen fiber area and a 28% increase in smooth muscle cell density (P < 0.05). The MMP8, VEGFA, and α-SAM expressions in the uterine scar area of rats increased, whereas the TGF-β1 expression decreased (P < 0.05). Transcriptome sequencing and real-time fluorescence quantitative PCR results showed that the expression levels of Wnt4, Fzd5, Wnt5a, and PPARD genes were lower in the uterine scar region of rats in the hAMSCs group compared with those in the PBS group. Transplantation of hAMSCs inhibits scar formation in uterine wounds and promotes regeneration of smooth muscle tissue and neovascularization, which in turn promotes uterine wound repair. This effect may be related to the activation of Wnt pathway and the inhibition of PPARD gene expression.

剖宫产术(CS)瘢痕组织纤维化和肌肉密度降低会增加子宫破裂和胎盘植入的风险。鉴于人羊膜间充质干细胞(hAMSCs)具有强大的抗纤维化和再生特性,本研究在大鼠模型中研究了其修复子宫瘢痕的治疗潜力。建立全层子宫壁切除模型,模拟CS瘢痕形成。hAMSCs移植于切口边缘。采用苏木精和伊红(H&E)及Masson染色对瘢痕内肌层厚度和胶原沉积进行组织学评估。免疫组化评价疤痕区MMP8、TGF-β1、VEGFA、α-SMA的表达。采用mRNA转录组测序和定量实时聚合酶链反应(qRT-PCR)来探索可能的机制。实验共使用110只大鼠,其中假手术组30只,PBS对照组40只,hAMSCs治疗组40只。与PBS组相比,hAMSCs组胶原纤维面积减少35%,平滑肌细胞密度增加28% (P < 0.05)。大鼠子宫瘢痕区MMP8、VEGFA、α-SAM表达升高,TGF-β1表达降低(P < 0.05)。转录组测序和实时荧光定量PCR结果显示,hAMSCs组大鼠子宫瘢痕区Wnt4、Fzd5、Wnt5a、PPARD基因表达水平较PBS组低。移植hAMSCs可抑制子宫创面瘢痕形成,促进平滑肌组织再生和新生血管形成,进而促进子宫创面修复。这种作用可能与Wnt通路的激活和PPARD基因表达的抑制有关。
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引用次数: 0
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Cell Transplantation
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