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修复慢性损伤肾脏:再生医学的作用

Repairing the chronic damaged kidney: the role of regenerative medicine.

作者信息

Caldas H C, Hayashi A P C, Abbud-Filho M

机构信息

Laboratory of Immunology and Experimental Transplantation-LITEX, Medical School, FAMERP/FUNFARME, Hospital de Base, Sao Jose Rio Preto, Brazil.

出版信息

Transplant Proc. 2011 Dec;43(10):3573-6. doi: 10.1016/j.transproceed.2011.10.053.

DOI:10.1016/j.transproceed.2011.10.053
PMID:22172807
Abstract

The increasing number of patients who suffer from chronic kidney diseases combined with the organ shortage have directed the attention of researchers to new alternatives in the fields of regenerative medicine including cell-based therapies and tissue bioengineering. This review of renal regenerative medicine addresses the mechanisms of action by stem cells to regenerate or repair chronically damaged renal tissue, alternative routes for their delivery, the role of biomaterials in tissue engineering, and the potential therapeutic effects of combining cell therapy with biomaterials. Despite the promise of ongoing work for therapy of chronic renal failure, caution is required as a large gap still exists between scientific knowledge and clinical translation for safe, effective stem cell-based therapies.

摘要

慢性肾病患者数量的不断增加以及器官短缺问题,促使研究人员将注意力转向再生医学领域的新替代方案,包括基于细胞的疗法和组织生物工程。这篇关于肾脏再生医学的综述探讨了干细胞再生或修复慢性受损肾脏组织的作用机制、它们的递送替代途径、生物材料在组织工程中的作用,以及细胞疗法与生物材料相结合的潜在治疗效果。尽管目前在慢性肾衰竭治疗方面的研究工作前景广阔,但由于在安全、有效的基于干细胞的疗法的科学知识与临床转化之间仍存在巨大差距,因此仍需谨慎对待。

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1
Repairing the chronic damaged kidney: the role of regenerative medicine.修复慢性损伤肾脏:再生医学的作用
Transplant Proc. 2011 Dec;43(10):3573-6. doi: 10.1016/j.transproceed.2011.10.053.
2
Stem cell and regenerative science applications in the development of bioengineering of renal tissue.干细胞与再生科学在肾组织生物工程学发展中的应用。
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Mesenchymal stem cell therapy for chronic renal failure.间质干细胞治疗慢性肾衰竭。
Expert Opin Biol Ther. 2010 Aug;10(8):1217-26. doi: 10.1517/14712598.2010.500284.
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Regenerative medicine of the kidney.肾脏的再生医学。
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The use of stem cells in kidney disease.干细胞在肾脏疾病中的应用。
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Developmental engineering the kidney: leveraging principles of morphogenesis for renal regeneration.肾脏发育工程:利用形态发生原理实现肾脏再生
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Stem cells in kidney diseases.肾脏疾病中的干细胞。
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Regenerative medicine strategies.再生医学策略。
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引用本文的文献

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Bone marrow mesenchymal stem cells attenuate the progression of focal segmental glomerulosclerosis in rat models.骨髓间充质干细胞可减轻大鼠局灶节段性肾小球硬化模型的进展。
BMC Nephrol. 2018 Nov 22;19(1):335. doi: 10.1186/s12882-018-1137-5.
2
Rapid deterioration of preexisting renal insufficiency after autologous mesenchymal stem cell therapy.自体间充质干细胞治疗后原有肾功能不全的快速恶化。
Kidney Res Clin Pract. 2017 Jun;36(2):200-204. doi: 10.23876/j.krcp.2017.36.2.200. Epub 2017 Jun 30.
3
Advances in the Knowledge about Kidney Decellularization and Repopulation.
肾脏去细胞化与再细胞化知识的进展
Front Bioeng Biotechnol. 2017 Jun 1;5:34. doi: 10.3389/fbioe.2017.00034. eCollection 2017.
4
Cell-based therapies in kidney disease.基于细胞的肾脏疾病治疗方法。
Kidney Int Suppl (2011). 2013 Dec;3(4):364-367. doi: 10.1038/kisup.2013.78.
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Structural links between the renal stem/progenitor cell niche and the organ capsule.肾干/祖细胞龛与肾被膜之间的结构联系。
Histochem Cell Biol. 2014 May;141(5):459-71. doi: 10.1007/s00418-014-1179-0. Epub 2014 Jan 16.
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Intravenous renal cell transplantation with SAA1-positive cells prevents the progression of chronic renal failure in rats with ischemic-diabetic nephropathy.静脉内肾细胞移植联合 SAA1 阳性细胞可预防缺血性糖尿病肾病大鼠慢性肾衰竭的进展。
Am J Physiol Renal Physiol. 2013 Dec 15;305(12):F1804-12. doi: 10.1152/ajprenal.00097.2013. Epub 2013 Oct 16.
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The interstitial interface within the renal stem/progenitor cell niche exhibits an unique microheterogeneous composition.肾干/祖细胞生态位内的间质界面呈现出独特的微异质性组成。
Int J Mol Sci. 2013 Jun 28;14(7):13657-69. doi: 10.3390/ijms140713657.