糖尿病视网膜病变和干细胞治疗

Sevil Kestane
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摘要

本综述通过糖尿病视网膜病变(DR)的发展和干细胞治疗方法进行了评估。DR是糖尿病的一种微血管并发症,其特征是视网膜血管受损导致视力逐渐丧失。然而,其病理生理机制复杂,尚不完全清楚。目前的治疗策略包括医学、激光、玻璃体内和手术方法。众所周知,使用间充质干细胞(MSC)具有巨大的潜力,有望治疗许多退行性疾病,包括眼睛。在视网膜退行性疾病中,在体外和体内研究中,MSCs是改良的视网膜神经元和视网膜色素上皮细胞。干细胞疗法在神经退行性疾病中显示出希望。然而,了解哪种类型的干细胞将在何种情况下使用、应用干细胞的数量、应用方法及其生理/神经生理效应是非常重要的。因此,对这一学科进行生理评价具有重要意义。干细胞应用后,需长期跟踪其安全性和有效性。在不久的将来,再生干细胞疗法的广泛应用可能成为DR的标准治疗方法。
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Diabetic Retinopathy and Stem Cell Therapy
This overview was evaluated by the development of diabetic retinopathy (DR) and the stem cell therapy approach. DR is a microvascular complication of diabetes mellitus, characterized by damage to the retinal blood vessels leading to progressive loss of vision. However, the pathophysiological mechanisms are complicated and not completely understood yet. The current treatment strategies have included medical, laser, intravitreal, and surgical approaches. It is known that the use of mesenchymal stem cells (MSC), which has a great potential, is promising for the treatment of many degenerative disorders, including the eye. In retinal degenerative diseases, MSCs were ameliorated retinal neurons and retinal pigmented epithelial cells in both in vitro and in vivo studies. Stem cell therapies show promise in neurodegenerative diseases. However, it is very important to know which type of stem cell will be used in which situations, the amount of stem cells to be applied, the method of application, and its physiological/neurophysiological effects. Therefore, it is of great importance to evaluate this subject physiologically. After stem cell application, its safety and efficacy should be followed for a long time. In the near future, widespread application of regenerative stem cell therapy may be a standard treatment in DR.
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