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退变椎间盘的干细胞再生:现状

Stem cell regeneration of degenerated intervertebral discs: current status.

作者信息

Richardson Stephen M, Hoyland Judith A

机构信息

Tissue Injury and Repair Group, School of Clinical and Laboratory Sciences, Faculty of Medical and Human Sciences, Stopford Building, The University of Manchester, Oxford Road, Manchester, M13 9PT, UK.

出版信息

Curr Pain Headache Rep. 2008 Apr;12(2):83-8. doi: 10.1007/s11916-008-0016-3.

DOI:10.1007/s11916-008-0016-3
PMID:18474185
Abstract

Low back pain (LBP) is one of the most common musculoskeletal conditions, and intervertebral disc (IVD) degeneration is associated with most cases. Although many treatment options are available, they focus on the removal of symptoms rather than repair of the degenerate tissue. However, there is a growing interest in the potential of cell-based tissue engineering strategies for regeneration of the damaged IVD. To achieve this, investigators are now focusing on the use of mesenchymal stem cells (MSCs), which offer several advantages over more mature cell types. A number of problems must be overcome for MSC-based IVD regeneration to be successful, including determining a method for the differentiation of stem cells into nucleus pulposus-like cells. Although this is still a relatively new field, it offers huge potential for the clinical treatment of IVD degeneration and LBP in the future.

摘要

腰痛(LBP)是最常见的肌肉骨骼疾病之一,大多数病例都与椎间盘(IVD)退变有关。尽管有许多治疗选择,但它们侧重于症状的消除而非退变组织的修复。然而,基于细胞的组织工程策略在受损IVD再生方面的潜力正受到越来越多的关注。为了实现这一目标,研究人员目前正专注于间充质干细胞(MSC)的使用,与更成熟的细胞类型相比,MSC具有若干优势。基于MSC的IVD再生要取得成功,必须克服许多问题,包括确定将干细胞分化为髓核样细胞的方法。尽管这仍然是一个相对较新的领域,但它在未来IVD退变和LBP的临床治疗方面具有巨大潜力。

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Stem cell regeneration of degenerated intervertebral discs: current status.退变椎间盘的干细胞再生:现状
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[Advances of mesenchymal stem cells transplantation for treating intervertebral disc degeneration].[间充质干细胞移植治疗椎间盘退变的研究进展]
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Self-healing hydrogels loaded with Spatholobi Caulis alleviate disc degeneration by promoting autophagy in nucelus pulposus.负载鸡血藤的自修复水凝胶通过促进髓核自噬减轻椎间盘退变。
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The most influential articles on stem cells in intervertebral disc degeneration.

本文引用的文献

1
Human bone marrow mesenchymal stem cells in vivo.体内的人骨髓间充质干细胞。
Rheumatology (Oxford). 2008 Feb;47(2):126-31. doi: 10.1093/rheumatology/kem206. Epub 2007 Nov 6.
2
Human mesenchymal stem cell differentiation to NP-like cells in chitosan-glycerophosphate hydrogels.人骨髓间充质干细胞在壳聚糖-甘油磷酸水凝胶中向核盘菌样细胞分化。
Biomaterials. 2008 Jan;29(1):85-93. doi: 10.1016/j.biomaterials.2007.09.018.
3
A phenotypic comparison of intervertebral disc and articular cartilage cells in the rat.大鼠椎间盘与关节软骨细胞的表型比较
最具影响力的关于椎间盘退变的干细胞文章。
BMC Musculoskelet Disord. 2024 Feb 8;25(1):116. doi: 10.1186/s12891-024-07253-z.
4
Oxidative Stress in Ageing and Chronic Degenerative Pathologies: Molecular Mechanisms Involved in Counteracting Oxidative Stress and Chronic Inflammation.氧化应激与衰老和慢性退行性病变:对抗氧化应激和慢性炎症的分子机制
Int J Mol Sci. 2022 Jun 30;23(13):7273. doi: 10.3390/ijms23137273.
5
Effect of Conditioned Medium from Human Umbilical Cord-Derived Mesenchymal Stromal Cells on Rejuvenation of Nucleus Pulposus Derived Stem/Progenitor Cells from Degenerated Intervertebral Disc.人脐带间充质基质细胞条件培养基对退变椎间盘来源的髓核干细胞/祖细胞年轻化的影响
Int J Stem Cells. 2020 Jul 30;13(2):257-267. doi: 10.15283/ijsc20027.
6
Current strategies for treatment of intervertebral disc degeneration: substitution and regeneration possibilities.当前椎间盘退变的治疗策略:替代与再生的可能性
Biomater Res. 2017 Oct 23;21:22. doi: 10.1186/s40824-017-0106-6. eCollection 2017.
7
Development of a KLD-12 polypeptide/TGF-β1-tissue scaffold promoting the differentiation of mesenchymal stem cell into nucleus pulposus-like cells for treatment of intervertebral disc degeneration.一种促进间充质干细胞向髓核样细胞分化以治疗椎间盘退变的KLD-12多肽/TGF-β1组织支架的研发
Int J Clin Exp Pathol. 2015 Feb 1;8(2):1093-103. eCollection 2015.
8
The efficacy of thermotherapy and cryotherapy on pain relief in patients with acute low back pain, a clinical trial study.热疗和冷冻疗法对急性下腰痛患者疼痛缓解的疗效:一项临床试验研究
J Clin Diagn Res. 2014 Sep;8(9):LC01-4. doi: 10.7860/JCDR/2014/7404.4818. Epub 2014 Sep 20.
9
Mesenchymal stem cells: a new trend for cell therapy.间充质干细胞:细胞治疗的新趋势。
Acta Pharmacol Sin. 2013 Jun;34(6):747-54. doi: 10.1038/aps.2013.50.
10
Novel cartilage-derived biomimetic scaffold for human nucleus pulposus regeneration: a promising therapeutic strategy for symptomatic degenerative disc diseases.用于人髓核组织再生的新型软骨衍生仿生支架:一种有前景的治疗有症状退行性椎间盘疾病的策略。
Orthop Surg. 2013 Feb;5(1):60-3. doi: 10.1111/os.12020.
Eur Spine J. 2007 Dec;16(12):2174-85. doi: 10.1007/s00586-007-0475-y. Epub 2007 Sep 5.
4
Interleukin-1 receptor antagonist delivered directly and by gene therapy inhibits matrix degradation in the intact degenerate human intervertebral disc: an in situ zymographic and gene therapy study.直接给药和基因治疗的白细胞介素-1受体拮抗剂可抑制完整退变人椎间盘的基质降解:一项原位酶谱分析和基因治疗研究。
Arthritis Res Ther. 2007;9(4):R83. doi: 10.1186/ar2282.
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Adjacent segment degeneration following spinal fusion for degenerative disc disease.退变性椎间盘疾病脊柱融合术后相邻节段退变
Bull NYU Hosp Jt Dis. 2007;65(1):29-36.
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Accelerated cellular senescence in degenerate intervertebral discs: a possible role in the pathogenesis of intervertebral disc degeneration.退变椎间盘细胞的加速衰老:在椎间盘退变发病机制中的可能作用。
Arthritis Res Ther. 2007;9(3):R45. doi: 10.1186/ar2198.
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Autologous chondrocyte implantation.自体软骨细胞移植。
J Bone Joint Surg Am. 2006 Nov;88(11):2502-20. doi: 10.2106/00004623-200611000-00025.
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Programmed cell death in intervertebral disc degeneration.椎间盘退变中的程序性细胞死亡
Apoptosis. 2006 Dec;11(12):2079-88. doi: 10.1007/s10495-006-0290-7.
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Clinical experience in cell-based therapeutics: disc chondrocyte transplantation A treatment for degenerated or damaged intervertebral disc.基于细胞疗法的临床经验:椎间盘软骨细胞移植——一种治疗退变或受损椎间盘的方法。
Biomol Eng. 2007 Feb;24(1):5-21. doi: 10.1016/j.bioeng.2006.07.002. Epub 2006 Jul 21.
10
Clinical experience in cell-based therapeutics: intervention and outcome.基于细胞疗法的临床经验:干预措施与结果
Eur Spine J. 2006 Aug;15 Suppl 3(Suppl 3):S397-405. doi: 10.1007/s00586-006-0169-x. Epub 2006 Jul 19.