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肾上腺功能不全治疗的新方向。

New directions for the treatment of adrenal insufficiency.

作者信息

Ruiz-Babot Gerard, Hadjidemetriou Irene, King Peter James, Guasti Leonardo

机构信息

Centre for Endocrinology, William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London , London , UK.

出版信息

Front Endocrinol (Lausanne). 2015 May 6;6:70. doi: 10.3389/fendo.2015.00070. eCollection 2015.

DOI:10.3389/fendo.2015.00070
PMID:25999916
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4422080/
Abstract

Adrenal disease, whether primary, caused by defects in the hypothalamic-pituitary-adrenal (HPA) axis, or secondary, caused by defects outside the HPA axis, usually results in adrenal insufficiency, which requires lifelong daily replacement of corticosteroids. However, this kind of therapy is far from ideal as physiological demand for steroids varies considerably throughout the day and increases during periods of stress. The development of alternative curative strategies is therefore needed. In this review, we describe the latest technologies aimed at either isolating or generating de novo cells that could be used for novel, regenerative medicine application in the adrenocortical field.

摘要

肾上腺疾病,无论是原发性的(由下丘脑 - 垂体 - 肾上腺(HPA)轴缺陷引起)还是继发性的(由HPA轴以外的缺陷引起),通常都会导致肾上腺功能不全,这需要终身每日补充皮质类固醇。然而,这种治疗方法远非理想,因为类固醇的生理需求在一天中变化很大,并且在压力期间会增加。因此,需要开发替代的治疗策略。在这篇综述中,我们描述了旨在分离或从头生成可用于肾上腺皮质领域新型再生医学应用的细胞的最新技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cb6/4422080/03a473ece8f0/fendo-06-00070-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cb6/4422080/03a473ece8f0/fendo-06-00070-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cb6/4422080/03a473ece8f0/fendo-06-00070-g001.jpg

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本文引用的文献

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Recent advances in cell replacement therapies for the treatment of type 1 diabetes.细胞替代疗法治疗 1 型糖尿病的最新进展。
Endocrinology. 2015 Jan;156(1):8-15. doi: 10.1210/en.2014-1691.
3
Regulation of the adrenocortical stem cell niche: implications for disease.肾上腺皮质干细胞微环境的调控:对疾病的影响
胎儿和新生儿中的干细胞/祖细胞:免疫组织化学标志物概述。
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Designing biomaterials for the modulation of allogeneic and autoimmune responses to cellular implants in Type 1 Diabetes.设计生物材料以调节 1 型糖尿病中细胞移植物的同种异体和自身免疫反应。
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Congenital Adrenal Hyperplasia-Current Insights in Pathophysiology, Diagnostics, and Management.先天性肾上腺皮质增生症-病理生理学、诊断和治疗的最新见解。
Endocr Rev. 2022 Jan 12;43(1):91-159. doi: 10.1210/endrev/bnab016.
6
Glucocorticoid replacement therapies: past, present and future.糖皮质激素替代疗法:过去、现在与未来。
Curr Opin Endocr Metab Res. 2019 Oct;8:152-159. doi: 10.1016/j.coemr.2019.08.011. Epub 2019 Sep 4.
7
New Horizons: Novel Adrenal Regenerative Therapies.新视野:新型肾上腺再生疗法。
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