干细胞治疗恶性胶质瘤的研究

R. Tamura, M. Toda
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引用次数: 0

摘要

胶质母细胞瘤是最具侵袭性的脑肿瘤。基因疗法,如细胞因子、自杀基因和溶瘤病毒疗法,是不同于化疗的治疗方法,如使用替莫唑胺作为标准治疗方法。然而,在一些临床试验中,由于基因转导效率低和病毒感染,总生存期没有延长。神经干细胞(NSCs)具有肿瘤营养迁移能力,可以作为细胞因子、自杀基因和溶瘤病毒的细胞递送载体。NSCs可以从胚胎干细胞中分化出来。此外,间充质干细胞可以作为另一种细胞传递载体。近年来,诱导多能干细胞(iPSCs)已被建立。多能干细胞是多能的;因此,它们可以有效地分化为NSCs,并有可能克服临床应用中的伦理和实际问题。本文就干细胞治疗恶性胶质瘤的研究现状进行综述。
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Stem Cell Research for the Treatment of Malignant Glioma
Glioblastoma is the most aggressive brain tumor. Gene therapies, such as cytokine-based, suicide gene, and oncolytic virus therapies, are different types of treatments from chemo therapy such as using temozolomide as a standard treatment. However, overall survival was not prolonged in some clinical trials because of the low efficiency of gene transduc tion and viral infection. Neural stem cells (NSCs) have tumor trophic migratory capacity and can be cellular delivery vehicles of cytokines, suicide genes, and oncolytic virus. NSCs can be differentiated from embryonic stem cells. In addition, mesenchymal stem cells can be another cellular delivery vehicle. Recently, induced pluripotent stem cells (iPSCs) have been established. iPSCs are multipotent; hence, they can efficiently differentiate to NSCs and can possibly overcome ethical and practical issues in clinical application. In this study, current topics about stem cell therapy for malignant glioma are reviewed.
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