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用于治疗遗传性和慢性肝病的骨髓干细胞疗法。

Bone marrow stem-cell therapy for genetic and chronic liver diseases.

作者信息

Kochat Veena, Baligar Prakash, Maiwall Rakhi, Mukhopadhyay Asok

机构信息

Stem Cell Biology Laboratory, National Institute of Immunology, Aruna Asaf Ali Marg, New Delhi, 110067, India.

Institute of Liver and Biliary Sciences, Vasant Kunj, New Delhi, India.

出版信息

Hepatol Int. 2014 Apr;8(2):166-78. doi: 10.1007/s12072-013-9499-z. Epub 2014 Jan 3.

Abstract

There are no permanent remedies for patients suffering from genetic liver diseases (GLDs) and liver cirrhosis (LC). In such cases, liver transplantation has resulted in improved quality of life, but it is not affordable by most patients. Therefore, a cost-effective, safe, and permanent cure for these diseases is desirable. Cell therapy seems an encouraging option for treatment of these liver diseases in the future. Animal experiments and clinical studies have demonstrated that, depending on the nature of the liver disease and the patient, autologous and/or allogeneic bone marrow (BM)-derived stem-cell therapy could be a promising treatment option. Although no clinical trials using BM-derived stem cells for treatment of GLD have yet been conducted, many phase I clinical trials have been conducted and a few such trials for the treatment of LC by use of autologous and/or allogeneic cells are in progress. Overall, the results of these trials are indicative of clinical benefits with no adverse effect on the patients. This review focuses on the current status of BM stem-cell therapy for treatment of GLD and LC in experimental animals and human subjects. It also proposes safer approaches to immune-regulation in allogeneic transplantation of cells.

摘要

对于患有遗传性肝病(GLDs)和肝硬化(LC)的患者而言,目前尚无永久性的治疗方法。在此类情况下,肝移植虽已改善了患者的生活质量,但大多数患者难以承受其费用。因此,人们期望有一种经济高效、安全且能实现永久性治愈的方法来治疗这些疾病。细胞疗法似乎是未来治疗这些肝病的一个令人鼓舞的选择。动物实验和临床研究表明,根据肝病的性质和患者个体情况,自体和/或异体骨髓(BM)来源的干细胞疗法可能是一种很有前景的治疗选择。尽管尚未开展使用BM来源的干细胞治疗GLD的临床试验,但已经进行了许多I期临床试验,并且有一些使用自体和/或异体细胞治疗LC的此类试验正在进行中。总体而言,这些试验的结果表明临床治疗有益,且对患者无不良影响。本综述聚焦于在实验动物和人类受试者中使用BM干细胞治疗GLD和LC的现状。它还提出了在细胞异体移植中进行免疫调节的更安全方法。

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