Waszak P, Thébaud B
Service de Réanimation, Soins Intensifs et Médecine Néonatals, 10 Rue du Dr Heydenreich, 54042 Nancy cedex, France.
Arch Pediatr. 2011 Jul;18 Suppl 2:S86-91. doi: 10.1016/S0929-693X(11)71096-X.
The survival of extremely premature newborns has increased because of improvements in perinatal care. These infants however, are at high risk for chronic lung disease of prematurity or bronchopulmonary dysplasia (BPD). BPD, the most common complication in infants born before 28 weeks of gestation, is a multifactorial disease characterized by an arrest in alveolar development. Current preventive and curative therapies show limited efficacy. Cell-based therapies hold tremendous promise in regenerative medicine. Recent evidence suggests the therapeutic benefit of mesenchymal stem (or stromal) cells (MSC) in various diseases, including among others neurodegenerative, cardiovascular and respiratory disorders. Moreover, in an oxygen-induced BPD model, we and others recently demonstrated that bone marrow (BM) derived-MSCs efficiently prevent the arrest in lung development. In this review, we summarize the current knowledge regarding the therapeutic properties and mechanisms of action, specifically paracrine, of MSCs.
由于围产期护理的改善,极早产儿的存活率有所提高。然而,这些婴儿患早产儿慢性肺病或支气管肺发育不良(BPD)的风险很高。BPD是妊娠28周前出生婴儿最常见的并发症,是一种以肺泡发育停滞为特征的多因素疾病。目前的预防和治疗方法疗效有限。基于细胞的疗法在再生医学中具有巨大潜力。最近的证据表明间充质干(或基质)细胞(MSC)在各种疾病中具有治疗益处,包括神经退行性疾病、心血管疾病和呼吸系统疾病等。此外,在氧诱导的BPD模型中,我们和其他人最近证明,骨髓来源的MSC能有效预防肺发育停滞。在这篇综述中,我们总结了目前关于MSC治疗特性和作用机制,特别是旁分泌机制的知识。