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Application Strategies of Bone Marrow Mesenchymal Stromal Cells in Bone-Related Diseases. 骨髓间充质细胞在骨相关疾病中的应用策略
IF 5.6 1区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-02-03 DOI: 10.1111/cpr.70178
Xuemei Long, Dan Tan, Qianke Tao, Qiaonan Ye, Luwen Ye, Qing Li, Jingang Xiao

Bone-related diseases (e.g., osteoporosis, osteoarthritis and fractures) exhibit a rising global incidence, imposing significant burdens on both quality of life and healthcare systems. Conventional therapeutic approaches, including anti-resorptive drugs and surgical interventions, face limitations such as long-term medication requirements, adverse effects (e.g., bisphosphonate-related osteonecrosis of the jaw) and suboptimal efficacy. Bone marrow mesenchymal stromal cells (BMSCs) have emerged as a promising therapeutic alternative due to their accessibility, multi-lineage differentiation potential, immunomodulatory properties and homing capacity. However, challenges such as disease complexity, mechanistic heterogeneity and therapeutic inconsistency hinder their clinical translation. Recent advances in genetic engineering, preconditioning strategies, bone tissue engineering (e.g., three-dimensional [3D] scaffolding), extracellular vesicle-based therapies and epigenetic regulation (e.g., histone modification) have significantly enhanced the therapeutic effects of BMSCs. Furthermore, cutting-edge technologies like organoids and 3D bioprinting, which stem from advances in tissue engineering, offer novel avenues for clinical applications. Given these rapid developments, this review systematically summarises BMSC-based treatment strategies for bone-related diseases, discusses current challenges and outlines future directions to advance translational research.

骨相关疾病(如骨质疏松症、骨关节炎和骨折)的全球发病率呈上升趋势,给生活质量和医疗保健系统带来了重大负担。传统的治疗方法,包括抗吸收药物和手术干预,面临着诸如长期用药要求、不良反应(例如,双膦酸盐相关的颌骨骨坏死)和次优疗效等限制。骨髓间充质基质细胞(BMSCs)由于其可及性、多谱系分化潜力、免疫调节特性和归巢能力而成为一种有前景的治疗选择。然而,疾病复杂性、机制异质性和治疗不一致性等挑战阻碍了它们的临床转化。基因工程、预处理策略、骨组织工程(如三维支架)、细胞外囊泡治疗和表观遗传调控(如组蛋白修饰)的最新进展显著增强了骨髓间充质干细胞的治疗效果。此外,源于组织工程进步的类器官和3D生物打印等尖端技术为临床应用提供了新的途径。鉴于这些快速发展,本综述系统地总结了基于骨髓间充质干细胞的骨相关疾病的治疗策略,讨论了当前的挑战,并概述了推进转化研究的未来方向。
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引用次数: 0
Homoharringtonine Promotes FTO Degradation to Suppress LILRB4-Mediated Immune Evasion in Acute Monocytic Leukaemia. 在急性单核细胞白血病中,同品杉碱促进FTO降解抑制lilrb4介导的免疫逃避。
IF 5.6 1区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-07-01 DOI: 10.1111/cpr.70090
Fangfang Huang, Xiang Luo, Mengyu Zhang, Le Jin, Wenxin Sun, Peihan Chen, Xiuli Hong, Chenyu Xu, Meizhi Jiang, Die Hu, Bin Zhang, Shengwei Hu, Chuanjiang Yang, Rui Gao, Jinzhang Zeng, Quanyi Lu, Qiang Luo, Jun Wu, Siming Chen

Acute monocytic leukaemia, a subtype of acute myeloid leukaemia (AML), is a highly aggressive malignancy characterised by a poor prognosis, primarily due to the ability of leukaemic cells to evade immune surveillance. In this study, we demonstrate that homoharringtonine (HHT), an FDA-approved therapeutic agent for chronic myeloid leukaemia (CML), inhibits this immune evasion by targeting the FTO/m6A/LILRB4 signalling pathway in monocytic AML. Utilising RNA sequencing (RNA-seq) and various functional assays, we reveal that HHT treatment significantly reduces LILRB4 expression at both the RNA and protein levels, suggesting that the effects of HHT on LILRB4 are distinct from its well-established role as a protein synthesis inhibitor. Mechanistically, HHT treatment markedly increases global levels of RNA m6A in THP-1 cells by promoting the degradation of FTO, which subsequently diminishes the expression of its downstream targets, MLL1 and LILRB4. Furthermore, in vitro and in vivo analyses employing monocytic AML cell lines, mouse-derived AML xenograft models, and patient samples collectively support the conclusion that HHT suppresses immune evasion in monocytic AML by reducing LILRB4 expression. Importantly, the downregulation of LILRB4 resulting from HHT treatment enhances the susceptibility of THP-1 cells to CD8+ T cell cytotoxicity, accompanied by increased markers of immune activation. Overall, our findings position HHT as a promising clinical agent for enhancing CD8+ T cell-based cancer immunotherapy by mitigating immune evasion in monocytic AML.

急性单核细胞白血病是急性髓性白血病(AML)的一种亚型,是一种高度侵袭性的恶性肿瘤,其特点是预后差,主要是由于白血病细胞能够逃避免疫监测。在这项研究中,我们证明了经fda批准的治疗慢性髓性白血病(CML)的药物同质杉碱(HHT)通过靶向单核细胞AML中的FTO/m6A/LILRB4信号通路抑制这种免疫逃避。利用RNA测序(RNA-seq)和各种功能分析,我们发现HHT治疗在RNA和蛋白质水平上显著降低了LILRB4的表达,这表明HHT对LILRB4的影响不同于它作为蛋白质合成抑制剂的作用。从机制上讲,HHT处理通过促进FTO降解显著增加THP-1细胞中RNA m6A的整体水平,FTO降解随后降低其下游靶标MLL1和LILRB4的表达。此外,利用单核细胞AML细胞系、小鼠来源的AML异种移植模型和患者样本进行的体外和体内分析共同支持HHT通过降低LILRB4表达抑制单核细胞AML免疫逃避的结论。重要的是,HHT治疗导致的LILRB4下调增强了THP-1细胞对CD8+ T细胞毒性的易感性,同时伴随着免疫激活标记物的增加。总的来说,我们的研究结果表明HHT是一种有前景的临床药物,可以通过减轻单核细胞AML的免疫逃避来增强基于CD8+ T细胞的癌症免疫治疗。
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引用次数: 0
Myeloid PD-1 Regulates Astrocyte Development and Leads to Active Behaviours. 髓系PD-1调节星形胶质细胞发育并导致积极行为。
IF 5.6 1区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-06-29 DOI: 10.1111/cpr.70082
Jie Qin, Chong Wang, Sihan Li, Yanyan Wang, Tingting He, Jianwei Jiao, Fen Ji

During early brain development, the nervous system evolves as cells connect to form a unique neural network, with communication between cell populations vital for neurological balance. This study investigates how the loss of PD-1 in myeloid cells disrupts nervous system development. Specific ablation of PD-1 affects myeloid cell proliferation and classification. As astrogenesis begins, astrocyte proliferation ceases, continuous astrocyte proliferation is observed. Immunofluorescence staining revealed high expression of astrocyte-related genes in PD-1f/f; LysM-Cre mice, which also exhibited more extroverted behaviour. Additionally, the absence of PD-1 enhances CXCL1 expression through the NF-κB pathway, promoting astrocyte proliferation by interacting with CXCR2. These findings underscore PD-1's regulatory role in myeloid cells and its implications for the myeloid-brain axis.

在早期大脑发育过程中,神经系统随着细胞连接形成独特的神经网络而进化,细胞群之间的交流对神经平衡至关重要。本研究探讨骨髓细胞中PD-1的缺失是如何破坏神经系统发育的。特异性消融PD-1影响骨髓细胞增殖和分类。随着星形胶质细胞的开始,星形胶质细胞增殖停止,观察到持续的星形胶质细胞增殖。免疫荧光染色显示PD-1f/f中星形细胞相关基因高表达;LysM-Cre小鼠也表现出更外向的行为。此外,PD-1的缺失通过NF-κB途径增强CXCL1的表达,通过与CXCR2相互作用促进星形胶质细胞增殖。这些发现强调了PD-1在髓细胞中的调节作用及其对髓-脑轴的影响。
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引用次数: 0
Targeting ROCK1/YAP1 Axis Ameliorates Inflammation-Induced Prostatic Hyperplasia via Stabilising SIRT1-Dependent Mitochondrial Dynamics. 靶向ROCK1/YAP1轴通过稳定sirt1依赖的线粒体动力学改善炎症性前列腺增生
IF 5.6 1区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-07-04 DOI: 10.1111/cpr.70085
Dongxu Lin, Pengyu Wei, Mengyang Zhang, Kang Li, Lina Li, Zhipeng Li, Changcheng Luo, Wenbo Kuang, Kai Cui, Zhong Chen

Benign prostatic hyperplasia (BPH) is a common condition in older men, with its prevalence increasing as age advances. Chronic inflammation orchestrates oxidative stress to exacerbate BPH. YAP1, which regulates organ size, cellular homeostasis, and tissue fibrosis, can be activated by ROCK1. Given the urgent clinical need for more effective therapies, this study explored whether targeting the ROCK1/YAP1 axis could mitigate BPH progression. Here, rats received in situ adeno-associated virus (AAV) injection to induce prostate-specific YAP1 overexpression. An inflammation-associated experimental autoimmune prostatitis (EAP) model was established by prostate antigen immunisation, followed by treatment with ROCK1 inhibitor fasudil and YAP1 inhibitor verteporfin. Cell models were treated with specific inhibitors to confirm the critical role of YAP1 in modulating mitochondrial function. As a result, YAP1 overexpression was sufficient to induce a pathological BPH phenotype. Specifically, YAP1 activated the inflammatory cascade to provoke an immune response, disrupted proliferation/apoptosis balance to induce tissue hyperplasia, triggered epithelial-mesenchymal transition (EMT) and reactive stroma to drive fibrosis, and promoted NOX4/ROS generation and antioxidant depletion to cause oxidative stress. The inflammation-induced experimental autoimmune prostatitis (EAP) model also presented analogous BPH lesions, which were significantly alleviated when treated with ROCK1 inhibitor fasudil and YAP1 inhibitor verteporfin. Mechanistically, YAP1 activation under inflammatory conditions suppressed SIRT1 expression, thereby exacerbating oxidative stress through the disruption of DRP1/MFN2-mediated mitochondrial dynamics. Overall, inflammation-driven activation of the ROCK1/YAP1 axis aggravates oxidative stress, promoting BPH hyperplasia and fibrosis by impairing SIRT1-regulated mitochondrial dynamics. These findings provide a preclinical rationale for developing ROCK1 or YAP1 inhibitors as targeted therapies for BPH patients with chronic inflammation.

良性前列腺增生(BPH)是老年男性的常见病,其患病率随着年龄的增长而增加。慢性炎症协调氧化应激,使BPH恶化。调控器官大小、细胞稳态和组织纤维化的YAP1可被ROCK1激活。鉴于临床迫切需要更有效的治疗方法,本研究探讨了靶向ROCK1/YAP1轴是否可以减缓BPH的进展。在这里,大鼠接受原位腺相关病毒(AAV)注射以诱导前列腺特异性YAP1过表达。通过前列腺抗原免疫建立炎症相关的实验性自身免疫性前列腺炎(EAP)模型,然后用ROCK1抑制剂法舒地尔和YAP1抑制剂维替波芬治疗。用特异性抑制剂处理细胞模型,以确认YAP1在调节线粒体功能中的关键作用。因此,YAP1过表达足以诱导病理性BPH表型。具体来说,YAP1激活炎症级联引发免疫反应,破坏增殖/凋亡平衡诱导组织增生,触发上皮-间质转化(EMT)和反应性基质驱动纤维化,促进NOX4/ROS生成和抗氧化剂消耗导致氧化应激。炎症诱导的实验性自身免疫性前列腺炎(EAP)模型也出现类似的BPH病变,使用ROCK1抑制剂法舒地尔和YAP1抑制剂维替波芬治疗后,BPH病变明显减轻。在机制上,炎症条件下YAP1的激活抑制了SIRT1的表达,从而通过破坏DRP1/ mfn2介导的线粒体动力学加剧了氧化应激。总的来说,炎症驱动的ROCK1/YAP1轴激活会加重氧化应激,通过损害sirt1调节的线粒体动力学来促进BPH增生和纤维化。这些发现为开发ROCK1或YAP1抑制剂作为BPH慢性炎症患者的靶向治疗提供了临床前理论依据。
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引用次数: 0
Lactate Accelerates Early Angiogenesis and Bone Regeneration Through Macrophage M1 Polarisation. 乳酸通过巨噬细胞M1极化加速早期血管生成和骨再生。
IF 5.6 1区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-01-26 DOI: 10.1111/cpr.70177
Lulu Liu, Danning Ma, Jia Song, Boon Chin Heng, Ying Huang, Xuehui Zhang, Mingming Xu, Yan Wei, Tai Wei, Jinqi Wei, Xuliang Deng

Failure of timely bone regeneration compromises structural integrity and delays functional recovery; therefore immune regulation of the early repair microenvironment is crucial for successful healing. M1 (pro-inflammatory) phenotype macrophages play pivotal roles in vascularisation during the early phase of bone regeneration and are typically activated by interferon-gamma (IFN-γ) or lipopolysaccharide (LPS) as well as by metabolite-derived signals. Lactate, a metabolite known to regulate a series of pathophysiological processes, has not yet been fully investigated for its specific immunomodulatory role in the microenvironment of bone injury healing. Our in vitro experiments demonstrated that lactate induced macrophage polarisation to the M1 phenotype and accelerated angiogenesis, with the HIF1α-NOD1-calcium influx axis identified as a key mediator. In vivo validation further confirmed the positive effects of lactate intervention in promoting vascularised bone regeneration at the early stage of injury. Thus, this study uncovers how lactate modulates immune response in association with M1 macrophages and indicates its potential as a therapeutic strategy for promoting vascularised bone healing.

骨再生不及时损害结构完整性和延迟功能恢复;因此,早期修复微环境的免疫调节对成功愈合至关重要。M1(促炎)表型巨噬细胞在骨再生早期的血管化中起关键作用,通常被干扰素-γ (IFN-γ)或脂多糖(LPS)以及代谢物衍生的信号激活。乳酸是一种已知的代谢产物,可调节一系列病理生理过程,但其在骨损伤愈合微环境中的特异性免疫调节作用尚未得到充分研究。我们的体外实验表明,乳酸诱导巨噬细胞向M1表型极化并加速血管生成,hif1 α- nod1 -钙内流轴被确定为关键介质。体内验证进一步证实了乳酸干预在损伤早期促进血管化骨再生方面的积极作用。因此,本研究揭示了乳酸如何调节与M1巨噬细胞相关的免疫反应,并表明其作为促进血管化骨愈合的治疗策略的潜力。
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引用次数: 0
Correction to 'BMAL1 Deficiency Promotes Skeletal Mandibular Hypoplasia via OPG Downregulation'. 纠正“BMAL1缺乏通过OPG下调促进下颌骨发育不全”。
IF 5.6 1区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-01-26 DOI: 10.1111/cpr.70163
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引用次数: 0
Stage-Associated Microglial Subpopulations and Dynamics in Vascular Pathogenesis of Oxygen-Induced Retinopathy. 氧诱导视网膜病变血管发病的分期相关小胶质细胞亚群和动力学。
IF 5.6 1区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-01-22 DOI: 10.1111/cpr.70165
Yuan Ma, Ziye Chen, Baoyi Liu, Wen Ding, Runping Duan, Kangjie Kong, Zhuojun Xu, Jizhu Li, Jiali Ru, Dianlei Guo, Xiaoyue Wei, Yaping Liu, Zhuangling Lin, Yang Meng, Yuan Liu, Lan Jiang, Zitong Chen, Rebiya Tuxun, Chinling Tsai, Chunqiao Liu, Tao Li

Retinal neovascularisation (RNV) is manifested in various retinal pathological conditions, often leading to irreversible blindness. The oxygen-induced retinopathy (OIR) mouse model proves to be a useful tool for understanding RNV pathogenesis. In this model, retinal vascular phenotype undergoes two distinct stages: neovascular formation, followed by spontaneous regression. While microglial functions in the neovascular formation stage have been extensively studied, their behaviors and roles during regression remain unclear. In this study, we characterise the spatiotemporal dynamics and molecular heterogeneity of retinal microglia across both stages. During RNV formation, microglia exhibit an outer-to-inner and central-to-midperipheral migration pattern, whereas a reversed migration trend is observed during regression. We confirm a highly glycolytic microglia (HGM) subpopulation during RNV formation and demonstrate its pro-angiogenic role by targeting a highly expressed pyruvate kinase M2 (Pkm2), a crucial enzyme for glycolysis. Importantly, we find that microglia exhibit enhanced phagocytic activity during regression, constituting a distinct phagocytosis-associated microglia (PAM) subtype, expressing mannose receptor C-type 1 (Mrc1/CD206). Altogether, our findings reveal stage-specific microglial functional dynamics, providing novel insights into RNV pathogenesis and intervention.

视网膜新生血管(RNV)表现在各种视网膜病理条件下,往往导致不可逆的失明。氧致视网膜病变(OIR)小鼠模型被证明是了解RNV发病机制的有用工具。在这个模型中,视网膜血管表型经历了两个不同的阶段:新血管形成,然后是自发消退。虽然小胶质细胞在新生血管形成阶段的功能已经被广泛研究,但它们在退化过程中的行为和作用仍不清楚。在这项研究中,我们描述了视网膜小胶质细胞在这两个阶段的时空动态和分子异质性。在RNV形成过程中,小胶质细胞表现出从外到内和从中央到外周的迁移模式,而在回归过程中,观察到相反的迁移趋势。我们在RNV形成过程中证实了高度糖酵解小胶质细胞(HGM)亚群,并通过靶向高度表达的丙酮酸激酶M2 (Pkm2)(糖酵解的关键酶)证明了其促血管生成的作用。重要的是,我们发现小胶质细胞在退化过程中表现出增强的吞噬活性,构成了一个独特的吞噬相关小胶质细胞(PAM)亚型,表达甘露糖受体c - 1 (Mrc1/CD206)。总之,我们的研究结果揭示了阶段特异性小胶质细胞功能动力学,为RNV的发病机制和干预提供了新的见解。
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引用次数: 0
Agrimoniin Alleviates Ferroptosis in Cold-Stored DCD Liver Grafts Through Activation of the Nrf-2 Pathway. 农草素通过激活Nrf-2途径减轻冷藏DCD肝移植物的铁下垂。
IF 5.6 1区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-01-20 DOI: 10.1111/cpr.70164
Enqiang Chang, Xiaoting Liao, Guanghua Tao, Bijun Luo, Sheng He, Linghui Pan

Liver grafts from donation-after-cardiac-death (DCD) are vulnerable to ischemia-reperfusion injury, which compromises graft function after transplantation. Agrimoniin has been shown to possess antioxidant and anti-inflammatory properties, making it a potential therapeutic agent for organ preservation. This study investigated whether supplementing agrimoniin to the University of Wisconsin (UW) cold storage solution protected liver grafts from DCD rats or cold preserved human liver cell lines (QSG-7701 and HepG2). Agrimoniin supplementation significantly reduced oxidative damage, alleviated ferroptosis, and mitigated liver injury by activating the Nrf-2 pathway, both in vivo and in vitro. These findings suggest that ferroptosis is a mediator in DCD liver injury, and agrimoniin, through its activation of the Nrf-2 pathway, may be an effective therapeutic agent for enhancing liver graft preservation and improving outcomes in DCD liver transplantation.

心脏死亡后捐献的肝移植容易发生缺血再灌注损伤,从而影响移植后的移植物功能。农草素已被证明具有抗氧化和抗炎特性,使其成为器官保存的潜在治疗剂。本研究探讨了在威斯康星大学(UW)冷库液中添加agrimonin是否能保护DCD大鼠的肝移植物或冷保存的人肝细胞系(QSG-7701和HepG2)。在体内和体外均可通过激活Nrf-2途径,显著降低氧化损伤,减轻铁下垂,减轻肝损伤。这些研究结果表明,铁上沉是DCD肝损伤的中介,而农草素通过激活Nrf-2通路,可能是一种有效的治疗药物,可以增强肝移植保存和改善DCD肝移植的预后。
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引用次数: 0
Inhibition of Fibroblast Activation Protein-α Ameliorates Intervertebral Disc Degeneration via Reduced Vascular Invasion in Cartilage Endplate. 抑制成纤维细胞活化蛋白-α通过减少软骨终板血管侵袭改善椎间盘退变。
IF 5.6 1区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-01-13 DOI: 10.1111/cpr.70162
Hao-Wei Xu, Sheng-Jie Chang, Shuo Wang, Xiao-Wei Liu, Shan-Jin Wang

Intervertebral disc degeneration (IDD) is a primary cause of low back pain, with the development of new blood vessels being a key pathological feature. Fibroblast activation protein-alpha (FAP-α), a member of the Type II serine protease family, possesses dipeptidase and collagenase activities and is closely linked to angiogenesis. Bioinformatics and immunohistochemical analysis revealed elevated FAP-α expression and increased angiogenesis in degenerated cartilage endplate (CEP). Co-culture of FAP-α-silenced CEP cells or conditioned media with human umbilical vein endothelial cells (HUVECs) demonstrated a reduction in hypoxia-inducible factor-α (HIF-α) levels, vascular endothelial growth factor (VEGF)-A and PI3K/AKT phosphorylation, which impaired HUVEC migration and tube formation. Conversely, FAP-α overexpression enhanced angiogenesis via the PI3K/AKT/HIF-α/VEGF-A signalling pathway. In rats with IDD induced by lumbar instability, FAP-α inhibitors reduced angiogenesis and ossification of the CEP, thereby delaying IDD progression associated with CEP degeneration. Genetic deletion of FAP further slowed IDD progression. Collectively, these findings provide compelling evidence that FAP-α accelerates IDD by promoting angiogenesis, which disrupts disc homeostasis. Targeting FAP-α may offer a novel therapeutic approach for mitigating IDD.

椎间盘退变(IDD)是腰痛的主要原因,新血管的形成是一个关键的病理特征。成纤维细胞活化蛋白α (FAP-α)是II型丝氨酸蛋白酶家族的一员,具有二肽酶和胶原酶活性,与血管生成密切相关。生物信息学和免疫组织化学分析显示,FAP-α在退变软骨终板(CEP)中表达升高,血管生成增加。FAP-α-沉默的CEP细胞或条件培养基与人脐静脉内皮细胞(HUVECs)共培养,发现缺氧诱导因子-α (HIF-α)水平、血管内皮生长因子(VEGF)-A和PI3K/AKT磷酸化降低,从而损害HUVEC的迁移和管的形成。相反,FAP-α过表达通过PI3K/AKT/HIF-α/VEGF-A信号通路促进血管生成。在腰椎不稳定引起的IDD大鼠中,FAP-α抑制剂减少了CEP的血管生成和骨化,从而延缓了与CEP退变相关的IDD进展。FAP基因缺失进一步减缓了IDD的进展。总的来说,这些发现提供了令人信服的证据,证明FAP-α通过促进血管生成而加速IDD,从而破坏椎间盘内稳态。靶向FAP-α可能为缓解IDD提供新的治疗方法。
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引用次数: 0
Vascularised Brain Organoids: Engineering Strategies and Neurobiological Applications. 血管化脑类器官:工程策略和神经生物学应用。
IF 5.6 1区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-01-11 DOI: 10.1111/cpr.70161
Yeajin Song, Hyejin Jo, Seokchan Jeong, Inseon Kim, Seunghun S Lee

Brain organoids have become an essential platform for studying human neural development and neurological disorders. Yet, one major limitation of conventional brain organoids is their lack of vascular structures. This deficiency restricts organoid size, contributes to necrotic core formation, and hampers their functional maturation. Introducing vascularization offers a compelling solution-it enhances nutrient delivery, supports neurogenesis, and fosters the development of interfaces that resemble the blood-brain barrier (BBB). In this review, we explore how vascularization enhances the structural and physiological relevance of brain organoids and its growing significance in disease modelling and therapeutic screening. We examine current methodologies for engineering vascularized brain organoids (vBOs), including co-culturing with endothelial cells (ECs), transcriptional programming, tissue fusion techniques, microfluidic perfusion systems, and 3D bioprinting. These strategies vary in complexity, scalability, and the extent to which they achieve vascular integration. Functionally, vBOs demonstrate improved oxygen diffusion, enhanced synaptic development, and more robust barrier properties. Such advances enable modelling of complex neurovascular conditions like stroke, glioblastoma, and BBB dysfunction. Moreover, vBOs are emerging as valuable tools in developmental studies and personalised medicine, supporting patient-derived modelling and large-scale drug testing in BBB-relevant contexts. Despite these advances, replicating the structural complexity, functionality, and long-term stability of native vasculature remains challenging. We discuss current limitations and highlight innovative approaches, including the use of next-generation biomaterials and dynamic perfusion technologies. Ultimately, vBOs mark a significant step towards creating physiologically accurate in vitro models of the human brain-offering new opportunities for neuroscience research, drug development, and regenerative medicine.

脑类器官已成为研究人类神经发育和神经系统疾病的重要平台。然而,传统脑类器官的一个主要限制是它们缺乏血管结构。这种缺陷限制了类器官的大小,导致坏死核心的形成,并阻碍了它们的功能成熟。引入血管化提供了一个令人信服的解决方案——它增强了营养输送,支持神经发生,并促进了类似血脑屏障(BBB)的界面的发展。在这篇综述中,我们探讨血管化如何增强脑类器官的结构和生理相关性及其在疾病建模和治疗筛选中的日益重要的意义。我们研究了目前工程血管化脑类器官(vBOs)的方法,包括与内皮细胞(ECs)共培养、转录编程、组织融合技术、微流控灌注系统和3D生物打印。这些策略在复杂性、可伸缩性和实现血管集成的程度上各不相同。功能上,vBOs表现出更好的氧扩散,增强突触发育和更强大的屏障特性。这些进步使复杂的神经血管疾病如中风、胶质母细胞瘤和血脑屏障功能障碍的建模成为可能。此外,vbo正在成为发展研究和个性化医疗的宝贵工具,支持基于患者的建模和bbb相关背景下的大规模药物测试。尽管取得了这些进展,但复制天然血管系统的结构复杂性、功能和长期稳定性仍然具有挑战性。我们讨论了目前的局限性,并强调了创新的方法,包括使用下一代生物材料和动态灌注技术。最终,vbo标志着朝着创造生理上准确的体外人脑模型迈出了重要的一步——为神经科学研究、药物开发和再生医学提供了新的机会。
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引用次数: 0
期刊
Cell Proliferation
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