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新生儿科的再生疗法:临床视角

Regenerative therapies in neonatology: clinical perspectives.

作者信息

Gortner L, Felderhoff-Müser U, Monz D, Bieback K, Klüter H, Jellema R, Kramer B W, Keller M, Reiss I, Horn P A, Giebel B

机构信息

Pediatric Hospital, University of the Saarland, Homburg, Germany.

出版信息

Klin Padiatr. 2012 Jul;224(4):233-40. doi: 10.1055/s-0032-1316296. Epub 2012 Jun 20.

Abstract

Regenerative therapy based on stem cells is applied as standard therapy in pediatric oncology. Furthermore, they are frequently used to treat immunodeficiency disorders of infants. For severe neonatal diseases, e. g. hypoxic-ischemic encephalopathy in term neonates or bronchopulmonary dysplasia in preterm infants, animal models have been established. According to some first preclinical results stem cell administration appears as a promising tool to improve the clinical outcome in high-risk infants. Provided the benefit of regenerative therapies can further be evaluated in appropriate preclinical neonate models, carefully controlled clinical trials to assess the significance of regenerative therapies, such as autologous stem cell administration, are indicated.

摘要

基于干细胞的再生疗法在儿科肿瘤学中作为标准疗法应用。此外,它们还经常用于治疗婴儿的免疫缺陷疾病。对于严重的新生儿疾病,如足月儿的缺氧缺血性脑病或早产儿的支气管肺发育不良,已经建立了动物模型。根据一些初步的临床前结果,干细胞给药似乎是改善高危婴儿临床结局的一种有前景的工具。如果再生疗法的益处能够在适当的临床前新生儿模型中进一步评估,那么就需要进行精心控制的临床试验,以评估自体干细胞给药等再生疗法的意义。

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