Stoltz J-F, Bensoussan D, Zhang L, Decot V, De Isla N, Li Y P, Huselstein C, Benkirane-Jessel N, Li N, Reppel L, He Y, Li Y Y
CNRS, UMR 7365, Biopole, Faculté de Médecine, Vandœuvre-lès-Nancy, France CHU de Nancy, Unité de Thérapie Cellulaire et Tissulaire (FR CNRS-INSERM-UHP-CHU 3209), Hôpitaux de Brabois, Vandœuvre-lès-Nancy, France Université de Lorraine, Nancy, France.
Service de Thérapie Cellulaire, Calmette Hospital, Kunming, China.
Biomed Mater Eng. 2015;25(1 Suppl):3-26. doi: 10.3233/BME-141225.
Since the 1960s and the therapeutic use of hematopoietic stem cells of bone marrow origin, there has been increasing interest in the study of undifferentiated progenitors that have ability to proliferate and differentiate in different tissues. Different stem cells (SC) with different potential can be isolated and characterised. Despite the promise of embryonic stem cells, in many cases, adult stem cells provide a more interesting approach to clinical applications. It is undeniable that mesenchymal stem cells (MSC) from bone marrow, adipose tissue or MSC of Wharton Jelly, which have limited potential, are of interest for clinical applications in regenerative medicine because they are easily separated and prepared and no ethical problems are involved in their use.During the last 10 years, these multipotent cells have generated considerable interest and in particular have been shown to escape allogeneic immune response and be capable of immunomodulatory activity. These properties may be of a great interest for regenerative medicine. Different clinical applications are under study (cardiac insufficiency, atherosclerosis, stroke, bone, cartilage, diabetes, ophthalmology, urology, liver, organ's reconstruction…).
自20世纪60年代骨髓来源的造血干细胞用于治疗以来,人们对具有在不同组织中增殖和分化能力的未分化祖细胞的研究兴趣与日俱增。具有不同潜能的不同干细胞(SC)能够被分离和鉴定。尽管胚胎干细胞前景广阔,但在许多情况下,成体干细胞为临床应用提供了更具吸引力的途径。不可否认,来自骨髓、脂肪组织或脐带来源的间充质干细胞(MSC)虽然潜能有限,但因其易于分离和制备且使用过程中不存在伦理问题,在再生医学的临床应用中备受关注。在过去十年中,这些多能细胞引发了广泛兴趣,尤其被证明能够逃避同种异体免疫反应并具有免疫调节活性。这些特性对于再生医学可能具有重要意义。目前正在研究不同的临床应用(心力衰竭、动脉粥样硬化、中风、骨骼、软骨、糖尿病、眼科、泌尿外科、肝脏、器官重建……)。