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细胞疗法对急性呼吸窘迫综合征显示出前景——但哪种细胞是最佳选择呢?

Cell therapy demonstrates promise for acute respiratory distress syndrome - but which cell is best?

作者信息

Curley Gerard F, Laffey John G

出版信息

Stem Cell Res Ther. 2013 Mar 22;4(2):29. doi: 10.1186/scrt179.

DOI:10.1186/scrt179
PMID:23672885
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3706913/
Abstract

Acute respiratory distress syndrome (ARDS) constitutes a spectrum of increasingly severe acute respiratory failure and is the leading cause of death and disability in the critically ill. There are no therapies for ARDS, and management remains supportive. Cell therapy, particularly with allogeneic mesenchymal stem/stromal cells (MSCs), has emerged as a promising therapeutic strategy for ARDS, favorably modulating the immune response to reduce lung injury, while facilitating lung regeneration and repair. In this issue of the journal, Rojas and colleagues provide us with a rationale to consider autologous bone marrow-mononuclear cells as an alternative to MSCs for this devastating disease.

摘要

急性呼吸窘迫综合征(ARDS)是一系列日益严重的急性呼吸衰竭,是危重症患者死亡和致残的主要原因。目前尚无针对ARDS的治疗方法,治疗仍以支持治疗为主。细胞治疗,特别是同种异体间充质干/基质细胞(MSCs),已成为一种有前景的ARDS治疗策略,可通过有利地调节免疫反应来减轻肺损伤,同时促进肺再生和修复。在本期杂志中,罗哈斯及其同事为我们提供了一个理由,即考虑将自体骨髓单个核细胞作为这种毁灭性疾病的MSCs替代物。

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Cell therapy demonstrates promise for acute respiratory distress syndrome - but which cell is best?细胞疗法对急性呼吸窘迫综合征显示出前景——但哪种细胞是最佳选择呢?
Stem Cell Res Ther. 2013 Mar 22;4(2):29. doi: 10.1186/scrt179.
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Infusion of freshly isolated autologous bone marrow derived mononuclear cells prevents endotoxin-induced lung injury in an ex-vivo perfused swine model.输注新鲜分离的自体骨髓来源的单核细胞可预防体外灌注猪模型中内毒素诱导的肺损伤。
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Mesenchymal stem cells - a promising therapy for Acute Respiratory Distress Syndrome.间充质干细胞——急性呼吸窘迫综合征的一种有前景的治疗方法。
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引用本文的文献

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Alveolar Type II Cells or Mesenchymal Stem Cells: Comparison of Two Different Cell Therapies for the Treatment of Acute Lung Injury in Rats.肺泡 II 型细胞或间充质干细胞:两种不同细胞疗法治疗大鼠急性肺损伤的比较。
Cells. 2020 Jul 31;9(8):1816. doi: 10.3390/cells9081816.
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PGE2 Promotes the Migration of Mesenchymal Stem Cells through the Activation of FAK and ERK1/2 Pathway.前列腺素E2通过激活黏着斑激酶和细胞外信号调节激酶1/2信号通路促进间充质干细胞的迁移。
Stem Cells Int. 2017;2017:8178643. doi: 10.1155/2017/8178643. Epub 2017 May 28.
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Stem/progenitor cells in endogenous repairing responses: new toolbox for the treatment of acute lung injury.内源性修复反应中的干细胞/祖细胞:治疗急性肺损伤的新工具包。
J Transl Med. 2016 Feb 11;14:47. doi: 10.1186/s12967-016-0804-1.

本文引用的文献

1
Infusion of freshly isolated autologous bone marrow derived mononuclear cells prevents endotoxin-induced lung injury in an ex-vivo perfused swine model.输注新鲜分离的自体骨髓来源的单核细胞可预防体外灌注猪模型中内毒素诱导的肺损伤。
Stem Cell Res Ther. 2013 Mar 4;4(2):26. doi: 10.1186/scrt174.
2
Autologous bone marrow mononuclear cell transplantation in patients with decompensated alcoholic liver disease: a randomized controlled trial.自体骨髓单个核细胞移植治疗失代偿期酒精性肝病患者的随机对照研究。
PLoS One. 2013;8(1):e53719. doi: 10.1371/journal.pone.0053719. Epub 2013 Jan 14.
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Concise review: bone marrow mononuclear cells for the treatment of ischemic syndromes: medicinal product or cell transplantation?简明综述:骨髓单核细胞治疗缺血综合征:药物产品还是细胞移植?
Stem Cells Transl Med. 2012 May;1(5):403-8. doi: 10.5966/sctm.2011-0064. Epub 2012 May 3.
4
Comparison of allogeneic vs autologous bone marrow–derived mesenchymal stem cells delivered by transendocardial injection in patients with ischemic cardiomyopathy: the POSEIDON randomized trial.经心内膜注射异体与自体骨髓间充质干细胞治疗缺血性心肌病的比较:POSEIDON 随机试验。
JAMA. 2012 Dec 12;308(22):2369-79. doi: 10.1001/jama.2012.25321.
5
Intra-arterial bone marrow mononuclear cells in ischemic stroke: a pilot clinical trial.动脉内骨髓单核细胞治疗缺血性脑卒中:一项初步临床试验。
Stroke. 2012 Aug;43(8):2242-4. doi: 10.1161/STROKEAHA.112.659409. Epub 2012 Jul 3.
6
Clinical review: Stem cell therapies for acute lung injury/acute respiratory distress syndrome - hope or hype?临床综述:用于急性肺损伤/急性呼吸窘迫综合征的干细胞疗法——希望还是炒作?
Crit Care. 2012 Dec 12;16(2):205. doi: 10.1186/cc10570.
7
Mesenchymal stem cells enhance recovery and repair following ventilator-induced lung injury in the rat.间质干细胞增强大鼠呼吸机诱导性肺损伤后的恢复和修复。
Thorax. 2012 Jun;67(6):496-501. doi: 10.1136/thoraxjnl-2011-201059. Epub 2011 Nov 21.
8
Bone marrow mononuclear cell therapy led to alveolar-capillary membrane repair, improving lung mechanics in endotoxin-induced acute lung injury.骨髓单核细胞治疗导致肺泡-毛细血管膜修复,改善内毒素诱导的急性肺损伤中的肺力学。
Cell Transplant. 2010;19(8):965-71. doi: 10.3727/096368910X506845. Epub 2010 May 4.
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Bone marrow as a home of heterogenous populations of nonhematopoietic stem cells.骨髓作为非造血干细胞异质群体的家园。
Leukemia. 2005 Jul;19(7):1118-27. doi: 10.1038/sj.leu.2403796.
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Profoundly reduced neovascularization capacity of bone marrow mononuclear cells derived from patients with chronic ischemic heart disease.慢性缺血性心脏病患者骨髓单个核细胞的新生血管形成能力显著降低。
Circulation. 2004 Apr 6;109(13):1615-22. doi: 10.1161/01.CIR.0000124476.32871.E3. Epub 2004 Mar 22.