[外伤性脊髓损伤的细胞治疗]。

A D Voronova, O V Stepanova, A V Chadin, I V Reshetov, V P Chekhonin
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引用次数: 4

摘要

本文综述了细胞技术在创伤性脊髓损伤中的应用机会和最有前途的方法。大量的实验和临床研究使用了不同类型的细胞:胚胎干细胞、诱导多能干细胞、间充质干细胞、雪旺细胞、嗅觉粘膜细胞等。这些类型的细胞在创伤性脊髓损伤治疗中经常显示出积极的治疗效果:脊髓的运动和感觉功能恢复。然而,某些类型的细胞制备涉及一些方法和伦理问题;某些类型的细胞疗法无效或产生副作用。这些因素使创伤性脊髓损伤最佳细胞疗法的选择复杂化。最有希望的细胞似乎是嗅觉粘膜细胞。对患者来说,获得嗅觉粘膜被认为是一种可行且安全的手术。嗅觉粘膜细胞的临床应用对脊髓损伤后髓鞘再生和轴突再生的运动功能恢复是有效的。这些细胞具有组织特异性和自体性,因为它们可以从脊髓损伤患者身上获得,经过培养、扩增和定向分化后,它们可以移植到同一患者身上。嗅觉粘膜细胞的优势为其在细胞治疗中的临床应用开辟了可能性。
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[The Cell Therapy in Traumatic Spinal Cord Injury].

The opportunities and the most promising ways of using cellular technology in traumatic spinal cord injury are considered in this review. A large number of experimental and clinical studies with the use of different types of cells: embryonic stem cells, induced pluripotent stem cells, mesenchymal stem cells, Schwann cells, olfactory mucosa cells, and others – was conducted. The use of these types of cells in traumatic spinal cord injury treatment often demonstrated a positive therapeutic effect: the motor and sensory function recovery of the spinal cord. However, some types of cell preparations involve some methodological and ethical problems; some types of cell therapies are ineffective or give rise to side effects. These factors complicate the selection of optimal cell therapy for the traumatic spinal cord injury treatment. The most promising cells seem to be the cells of the olfactory mucosa. Getting the olfactory mucosa is considered to be a feasible and safe procedure for patients. The clinical application of the cells of the olfactory mucosa is effective in motor function recovery due to remyelination and axonal regeneration after spinal cord injury. These cells are tissue-specific and autologous since they can be obtained from a patient with spinal cord injury, and after cultivation, expansion, and directed differentiation they can be transplanted to the same patient. The presented benefits of olfactory mucosa cells open up the possibility for its clinical application in the cell therapy.

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来源期刊
CiteScore
1.50
自引率
0.00%
发文量
31
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