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杜氏肌营养不良症治疗中的细胞疗法:临床试验概述。

Cell therapy in Duchenne muscular dystrophy treatment: clinical trials overview.

作者信息

Bajek Anna, Porowinska Dorota, Kloskowski Tomasz, Brzoska Edyta, Ciemerych Maria A, Drewa Tomasz

机构信息

Chair of Regenerative Medicine, Nicolaus Copernicus University, Bydgoszcz, Poland.

Department of Cytology, Institute of Zoology, Faculty of Biology, University of Warsaw, Warsaw, Poland.

出版信息

Crit Rev Eukaryot Gene Expr. 2015;25(1):1-11. doi: 10.1615/critreveukaryotgeneexpr.2015011074.

Abstract

Duchenne muscular dystrophy (DMD), the most common and most severe form of all muscular dystrophies, leads to progressive muscle fiber necrosis, fibroblast proliferation, and growth of fibrous tissue and fat. The most common cause of death in DMD patients is cardiac and respiratory failure. Current pharmacological and other treatment methods do not lead to full recovery. For this reason, new alternatives for skeletal muscle regeneration are being investigated. Transplantation of myoblasts from healthy donors is one studied approach to muscle treatment in DMD patients. However, the results of intramuscular injection of in vitro cultured myoblasts are still not satisfactory. The use of autologous stem cells is also proposed. Despite many ongoing studies, this therapy is still in preliminary testing and requires more experiments.

摘要

杜氏肌营养不良症(DMD)是所有肌营养不良症中最常见、最严重的一种,会导致进行性肌纤维坏死、成纤维细胞增殖以及纤维组织和脂肪生长。DMD患者最常见的死因是心脏和呼吸衰竭。目前的药物治疗和其他治疗方法无法实现完全康复。因此,人们正在研究用于骨骼肌再生的新方法。将健康供体的成肌细胞进行移植是一种针对DMD患者的肌肉治疗研究方法。然而,肌肉注射体外培养的成肌细胞的效果仍不尽人意。也有人提议使用自体干细胞。尽管有许多正在进行的研究,但这种疗法仍处于初步测试阶段,需要更多实验。

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