间充质干细胞衍生外泌体治疗炎症性肠病的研究进展

Danlin Song, Kang Hou, Yanran Du, Yuyan Zhou, Chuanlian Chu
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摘要

炎症性肠病(IBD)是一种慢性非特异性肠道炎症性疾病,病因不明,发病率呈逐年上升趋势。传统治疗效果有限。间充质干细胞衍生的外泌体(MSC-Exos)是一组纳米级的细胞外囊泡。其功能与间充质干细胞(MSCs)相当,无致瘤性,安全性高。它们代表了一种新的无细胞疗法。研究表明,MSC-Exos可通过抗炎症、抗氧化应激、修复肠黏膜屏障和免疫调节等作用改善IBD。然而,它们的临床应用仍面临一些问题,如缺乏标准化的生产技术,缺乏特异性的IBD诊断分子和抗肠纤维化。
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[Research progress of mesenchymal stem cell-derived exosomes in the treatment of inflammatory bowel disease].

Inflammatory bowel disease (IBD) is a chronic nonspecific inflammatory disease of the intestine, with unknown etiology and the incidence is increasing year by year. Traditional treatment has limited effect. Mesenchymal stem cell-derived exosomes (MSC-Exos) are a group of nano-sized extracellular vesicles. Their function is equivalent to that of mesenchymal stem cells (MSCs), with no tumorigenicity and high safety. They represent a novel cell-free therapy. It has been shown that MSC-Exos can improve IBD by effects including anti-inflammation, antioxidant stress, repairing intestinal mucosal barrier and immune regulation. However, their clinical application still faces some problems, such as the lack of standardized production technology, lack of specific IBD diagnostic molecules and anti-intestinal fibrosis.

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