University of Manchester, CentreFor Regenerative Medicine, Institute of Inflammationand Repair, Faculty of Medical and Human Sciences, StopfordBuilding, Oxford Road, ManchesterM13 9PT, UK, and Departmentof Orthopaedics, Centro Hospitalar do Porto- Hospital de Santo António, Largo Prof. AbelSalazar, 4099-001 Porto, Portugal.
Bone Joint Res. 2013 Aug 19;2(8):169-78. doi: 10.1302/2046-3758.28.2000184. Print 2013.
Mesenchymal stem-cell based therapies have been proposed as novel treatments for intervertebral disc degeneration, a prevalent and disabling condition associated with back pain. The development of these treatment strategies, however, has been hindered by the incomplete understanding of the human nucleus pulposus phenotype and by an inaccurate interpretation and translation of animal to human research. This review summarises recent work characterising the nucleus pulposus phenotype in different animal models and in humans and integrates their findings with the anatomical and physiological differences between these species. Understanding this phenotype is paramount to guarantee that implanted cells restore the native functions of the intervertebral disc. Cite this article: Bone Joint Res 2013;2:169-78.
间充质干细胞为基础的治疗方法已被提议作为一种新的治疗方法,用于治疗椎间盘退行性变,这是一种与腰痛相关的常见且使人丧失能力的疾病。然而,这些治疗策略的发展受到对人髓核表型理解不完整以及对动物到人类研究的不准确解释和翻译的阻碍。这篇综述总结了最近在不同动物模型和人类中对髓核表型进行特征描述的工作,并将这些发现与这些物种之间的解剖和生理差异相结合。了解这种表型对于保证植入的细胞恢复椎间盘的固有功能至关重要。