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肺纤维化的干细胞治疗。

Stem cell therapy in pulmonary fibrosis.

机构信息

Department of Pneumonology, Medical School, Democritus University of Thrace, Alexandroupolis, Greece.

出版信息

Curr Opin Pulm Med. 2011 Sep;17(5):368-73. doi: 10.1097/MCP.0b013e328348744f.

Abstract

PURPOSE OF REVIEW

In the last years, we have witnessed an explosion in preclinical data relating to the isolation, differentiation and application of mesenchymal stem cells (MSCs) as a treatment option in animal models of lung fibrosis and inflammation. The scope of this review is to summarize current knowledge regarding the roles of MSCs in lung tissue repair and regeneration and to highlight future therapeutic perspectives and clinical applications in safety and efficacy trials.

RECENT FINDINGS

Although there have been interesting studies of cell therapy for diseases of many systems, there has been a paucity of preclinical and clinical studies regarding pulmonary fibrosis. Today, we have made progress with respect to the understanding of the mechanisms of action and application of MSCs in animal models of lung fibrosis as regulators of tissue remodeling and immune response. There are only a few ongoing clinical trials involving MSCs in chronic lung diseases and extrapolation of these data to underline future therapeutic applications in patients with idiopathic pulmonary fibrosis.

SUMMARY

Adult MSCs may prove to be a valuable therapeutic option in lung tissue rescue and repair based on their ready availability, immunomodulatory effects and capacity for cell differentiation.

摘要

目的综述

在过去的几年中,我们见证了大量关于间充质干细胞(MSCs)的分离、分化和应用的临床前数据的涌现,这些数据为肺纤维化和炎症动物模型的治疗提供了新选择。本文旨在总结 MSCs 在肺组织修复和再生中的作用的现有知识,并强调未来在安全性和疗效试验中的治疗前景和临床应用。

最近的发现

尽管针对许多系统疾病的细胞治疗有许多有趣的研究,但肺纤维化的临床前和临床研究却很少。如今,我们在理解 MSCs 在肺纤维化动物模型中的作用机制及其在组织重塑和免疫反应中的应用方面取得了进展,这些研究表明 MSCs 可作为调节因子。目前只有少数关于间充质干细胞在慢性肺部疾病中的临床试验,这些数据的外推结果为特发性肺纤维化患者的未来治疗应用提供了依据。

总结

基于其易于获得、免疫调节作用和细胞分化能力,成体 MSCs 可能成为肺组织挽救和修复的有价值的治疗选择。

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