Gheorghe Ciprian P, Bhandari Vineet
Division of Perinatal Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, Yale Child Health Research Center, Yale University School of Medicine, 464 Congress Avenue, New Haven, CT, 06520, USA.
Indian J Pediatr. 2015 Jul;82(7):637-41. doi: 10.1007/s12098-015-1739-x. Epub 2015 Mar 26.
Common complications in neonates occur in almost every organ system in the neonatal intensive care unit. While a number of them have short-term effects, a few of them also have long-term consequences. Among the latter are bronchopulmonary dysplasia and necrotizing enterocolitis in premature neonates, and hypoxic ischemic encephalopathy in borderline preterm and term neonates. While medical advances have improved our understanding of the pathogenesis, therapies to effectively prevent and/or significantly ameliorate the severity of these disorders, and to decrease their associated mortality and morbidity have not been found. One promising approach to make a potential impact in the outcomes of these neonatal conditions is the use stem cells, specifically, mesenchymal stem cells. The authors briefly review the potential role of stem cell therapy in the above-mentioned neonatal diseases. They focus primarily on human clinical trials.
新生儿重症监护病房中几乎每个器官系统都会出现常见并发症。其中一些并发症有短期影响,少数也会产生长期后果。后者包括早产儿的支气管肺发育不良和坏死性小肠结肠炎,以及临界早产儿和足月儿的缺氧缺血性脑病。尽管医学进步增进了我们对发病机制的理解,但尚未找到有效预防和/或显著减轻这些疾病严重程度、降低其相关死亡率和发病率的疗法。一种有望对这些新生儿疾病的治疗结果产生潜在影响的方法是使用干细胞,特别是间充质干细胞。作者简要回顾了干细胞疗法在上述新生儿疾病中的潜在作用。他们主要关注人体临床试验。