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临床实践中的干细胞:应用与警示。

Stem cells in clinical practice: applications and warnings.

机构信息

Department of Nephrology, Dialysis and Transplantation, University of Modena and Reggio Emilia Medical School, Modena, Italy.

出版信息

J Exp Clin Cancer Res. 2011 Jan 17;30(1):9. doi: 10.1186/1756-9966-30-9.

DOI:10.1186/1756-9966-30-9
PMID:21241480
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3033847/
Abstract

UNLABELLED

Stem cells are a relevant source of information about cellular differentiation, molecular processes and tissue homeostasis, but also one of the most putative biological tools to treat degenerative diseases. This review focuses on human stem cells clinical and experimental applications. Our aim is to take a correct view of the available stem cell subtypes and their rational use in the medical area, with a specific focus on their therapeutic benefits and side effects. We have reviewed the main clinical trials dividing them basing on their clinical applications, and taking into account the ethical issue associated with the stem cell therapy.

METHODS

We have searched Pubmed/Medline for clinical trials, involving the use of human stem cells, using the key words "stem cells" combined with the key words "transplantation", "pathology", "guidelines", "properties" and "risks". All the relevant clinical trials have been included. The results have been divided into different categories, basing on the way stem cells have been employed in different pathological conditions.

摘要

未加标签

干细胞是关于细胞分化、分子过程和组织内稳态的重要信息来源,但也是治疗退行性疾病最有希望的生物工具之一。本综述重点介绍了人类干细胞的临床和实验应用。我们的目的是正确看待现有的干细胞亚型及其在医学领域的合理应用,特别关注它们的治疗益处和副作用。我们根据临床试验的临床应用,考虑与干细胞治疗相关的伦理问题,对主要的临床试验进行了回顾。

方法

我们在 Pubmed/Medline 上搜索了涉及使用人类干细胞的临床试验,使用的关键词是“干细胞”,结合“移植”、“病理学”、“指南”、“特性”和“风险”。所有相关的临床试验都被包括在内。结果根据干细胞在不同病理条件下的应用方式分为不同的类别。

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1
Stem cells in clinical practice: applications and warnings.临床实践中的干细胞:应用与警示。
J Exp Clin Cancer Res. 2011 Jan 17;30(1):9. doi: 10.1186/1756-9966-30-9.
2
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Stem cell tourism and future stem cell tourists: policy and ethical implications.干细胞旅游与未来的干细胞旅行者:政策和伦理影响。
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Future research and therapeutic applications of human stem cells: general, regulatory, and bioethical aspects.人类干细胞的未来研究和治疗应用:一般、监管和生物伦理方面。
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In delicate balance: stem cells and spinal cord injury advocacy.微妙的平衡:干细胞与脊髓损伤倡导。
Stem Cell Rev Rep. 2011 Sep;7(3):657-63. doi: 10.1007/s12015-010-9211-9.
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Issue of transparency in stem cell therapy.干细胞治疗中的透明度问题。
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Mol Neurobiol. 2025 Feb 22. doi: 10.1007/s12035-025-04774-z.
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本文引用的文献

1
Clinical features of late onset non-infectious pulmonary complications following pediatric allogeneic hematopoietic stem cell transplantation.儿童异基因造血干细胞移植后迟发性非感染性肺部并发症的临床特征。
Clin Transplant. 2011 Mar-Apr;25(2):E168-76. doi: 10.1111/j.1399-0012.2010.01357.x. Epub 2010 Nov 16.
2
Regulating medical tourism.规范医疗旅游。
Lancet. 2010 Oct 30;376(9751):1465-6. doi: 10.1016/S0140-6736(10)61993-9.
3
Bronchiolitis obliterans following hematopoietic stem cell transplantation.造血干细胞移植后闭塞性细支气管炎
Hematol Oncol Stem Cell Ther. 2010;3(2):100-1. doi: 10.1016/s1658-3876(10)50044-x.
4
Cell-based therapy - navigating troubled waters.基于细胞的治疗 - navigating troubled waters.
S Afr Med J. 2010 May 4;100(5):286, 288. doi: 10.7196/samj.4131.
5
Non-specific interstitial pneumonia as a manifestation of graft-versus-host disease following pediatric allogeneic hematopoietic stem cell transplantation.儿童异基因造血干细胞移植后移植物抗宿主病的非特异性间质性肺炎。
Pathol Int. 2010 Feb;60(2):137-42. doi: 10.1111/j.1440-1827.2009.02492.x.
6
ES and iPS cell research for cardiovascular regeneration.用于心血管再生的胚胎干细胞和诱导多能干细胞研究。
Exp Cell Res. 2010 Oct 1;316(16):2555-9. doi: 10.1016/j.yexcr.2010.04.004. Epub 2010 Apr 10.
7
Late-onset hepatic veno-occlusive disease post autologous peripheral stem cell transplantation successfully treated with oral defibrotide.自体外周干细胞移植后迟发性肝静脉闭塞病经口服去纤苷成功治疗
J Cancer Res Ther. 2009 Oct-Dec;5(4):312-4. doi: 10.4103/0973-1482.59910.
8
Stem cells: roadmap to the clinic.干细胞:通往临床的路线图。
J Clin Invest. 2010 Jan;120(1):8-10. doi: 10.1172/JCI41801.
9
Low incidence of hepatic veno-occlusive disease in pediatric patients undergoing hematopoietic stem cell transplantation attributed to a combination of intravenous heparin, oral glutamine, and ursodiol at a single transplant institution.在某单一移植机构,接受造血干细胞移植的儿科患者中,肝静脉闭塞病发生率较低,这归因于静脉注射肝素、口服谷氨酰胺和熊去氧胆酸的联合应用。
Pediatr Transplant. 2010 Aug;14(5):618-21. doi: 10.1111/j.1399-3046.2009.01285.x. Epub 2009 Dec 30.
10
Hepatic veno-occlusive disease in children after hematopoietic stem cell transplantation: incidence, risk factors, and outcome.儿童造血干细胞移植后肝静脉闭塞病:发生率、危险因素和结局。
Bone Marrow Transplant. 2010 Aug;45(8):1287-93. doi: 10.1038/bmt.2009.349. Epub 2009 Dec 14.