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干细胞治疗关节软骨缺损。

Stem cell therapy for articular cartilage defects.

机构信息

Oslo Sports Trauma Research Center and Department of Orthopedic Surgery, Akershus University Hospital, Lørenskog, N-1478 Lørenskog, Norway.

出版信息

Br Med Bull. 2011;99:227-40. doi: 10.1093/bmb/ldr032. Epub 2011 Aug 5.

DOI:10.1093/bmb/ldr032
PMID:21821628
Abstract

BACKGROUND

Stem cells are easily accessible and have great potential for healing articular cartilage defects. These features make stem cell therapy an appealing approach for treating severely impaired joint function.

SOURCES OF DATA

Clinical and basic research articles and literature reviews.

AREAS OF AGREEMENT

Stem cells possess the potential to build articular cartilage. Malalignment and instability corrections and proper rehabilitation are crucial prerequisites for surgical procedures involving stem cell therapy. Smoking reduces the result.

AREAS OF CONTROVERSY

Ethical concerns remain unresolved. No standards are established for inducing stem cell potential, optimizing culturing media or harvesting. The risk of failure has not been determined.

GROWING POINTS

Surgical scaffolds can improve results. Care givers should focus on re-educating patients. Improved funding is needed for developing the therapy.

AREAS TIMELY FOR DEVELOPING RESEARCH

Define guidelines for stem cell therapy and demonstrate effectiveness.

摘要

背景

干细胞易于获取,在修复关节软骨缺损方面具有巨大的潜力。这些特点使干细胞治疗成为治疗严重关节功能障碍的一种有吸引力的方法。

资料来源

临床和基础研究文章以及文献综述。

共识领域

干细胞具有构建关节软骨的潜力。矫正对线不良和不稳定以及适当的康复是涉及干细胞治疗的手术程序的关键前提条件。吸烟会降低治疗效果。

争议领域

伦理问题仍未解决。诱导干细胞潜能、优化培养介质或收获方面尚无标准。失败的风险尚未确定。

发展点

外科支架可以改善治疗效果。护理人员应注重重新教育患者。需要为开发这种疗法提供更多资金。

适时研究领域

制定干细胞治疗指南并证明其有效性。

相似文献

1
Stem cell therapy for articular cartilage defects.干细胞治疗关节软骨缺损。
Br Med Bull. 2011;99:227-40. doi: 10.1093/bmb/ldr032. Epub 2011 Aug 5.
2
In-advance trans-medullary stimulation of bone marrow enhances spontaneous repair of full-thickness articular cartilage defects in rabbits.预先经骨髓腔刺激可增强兔全层关节软骨缺损的自发性修复。
Cell Tissue Res. 2010 Sep;341(3):371-9. doi: 10.1007/s00441-010-1020-6. Epub 2010 Aug 6.
3
[Regeneration of articular cartilage].[关节软骨的再生]
Nihon Rinsho. 2008 May;66(5):966-70.
4
Enhanced early tissue regeneration after matrix-assisted autologous mesenchymal stem cell transplantation in full thickness chondral defects in a minipig model.基质辅助自体间充质干细胞移植在小型猪全层软骨缺损模型中增强早期组织再生。
Cell Transplant. 2009;18(8):923-32. doi: 10.3727/096368909X471297. Epub 2009 Apr 29.
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Repair of chronic osteochondral defects using predifferentiated mesenchymal stem cells in an ovine model.羊模型中预分化间充质干细胞修复慢性骨软骨缺损。
Am J Sports Med. 2010 Sep;38(9):1857-69. doi: 10.1177/0363546510365296. Epub 2010 May 27.
6
Histological and biomechanical properties of regenerated articular cartilage using chondrogenic bone marrow stromal cells with a PLGA scaffold in vivo.体内使用具有聚乳酸-羟基乙酸共聚物(PLGA)支架的软骨源性骨髓基质细胞再生关节软骨的组织学和生物力学特性
J Biomed Mater Res A. 2008 Dec 15;87(4):850-61. doi: 10.1002/jbm.a.31828.
7
The challenges of cartilage repair and the potential of stem cell applications.软骨修复的挑战与干细胞应用的潜力。
J Stem Cells. 2010;5(4):167-75.
8
Genetic modification of mesenchymal stem cells for cartilage repair.用于软骨修复的间充质干细胞的基因改造。
Biomed Mater Eng. 2010;20(3):135-43. doi: 10.3233/BME-2010-0625.
9
Chemistry. Repair or replacement--a joint perspective.化学。修复还是替换——一种综合视角。
Science. 2009 Jan 2;323(5910):47-8. doi: 10.1126/science.1166753.
10
Repair of full-thickness articular cartilage defects by cultured mesenchymal stem cells transfected with the transforming growth factor beta1 gene.用转染了转化生长因子β1基因的培养间充质干细胞修复全层关节软骨缺损
Biomed Mater. 2006 Dec;1(4):206-15. doi: 10.1088/1748-6041/1/4/006. Epub 2006 Sep 22.

引用本文的文献

1
Emerging Applications of Stem Cell and Regenerative Medicine to Sports Injuries.干细胞和再生医学在运动损伤中的新兴应用。
Orthop J Sports Med. 2014 Feb 6;2(2):2325967113519935. doi: 10.1177/2325967113519935. eCollection 2014 Feb.
2
The promise and challenges of stem cell-based therapies for skeletal diseases: stem cell applications in skeletal medicine: potential, cell sources and characteristics, and challenges of clinical translation.基于干细胞的骨骼疾病治疗的前景与挑战:骨骼医学中的干细胞应用:潜力、细胞来源和特征,以及临床转化的挑战。
Bioessays. 2013 Mar;35(3):220-30. doi: 10.1002/bies.201200068. Epub 2012 Sep 5.
3
Isolation, characterization, and differentiation of stem cells for cartilage regeneration.
软骨再生中干细胞的分离、鉴定和分化。
Ann Biomed Eng. 2012 Oct;40(10):2079-97. doi: 10.1007/s10439-012-0639-8. Epub 2012 Aug 21.