泌尿外科领域基于干细胞的疗法:干细胞基础科学、临床应用及治疗各种性与泌尿系统疾病的未来方向综述

Stem-cell-based therapy in the field of urology: a review of stem cell basic science, clinical applications and future directions in the treatment of various sexual and urinary conditions.

作者信息

Chung Eric

机构信息

a 1 St Andrew's War Memorial Hospital, Androurology Centre , Brisbane, Queensland, Australia +61 7 3324 2468 ; +61 7 3324 2546 ;

b 2 University of Queensland, Princess Alexandra Hospital, Department of Urology , Brisbane, Queensland, Australia.

出版信息

Expert Opin Biol Ther. 2015;15(11):1623-32. doi: 10.1517/14712598.2015.1075504. Epub 2015 Aug 4.

Abstract

INTRODUCTION

Stem cell (SC) research plays a key role in the increasingly promising area of regenerative medicine, with the potential to treat, prevent and cure disease. The following article provides an overview of the basic science and brief summary of major preclinical animal studies and clinical studies pertaining to SC-based research in the field of urology.

AREAS COVERED

A literature review was conducted based on MEDLINE/PubMed searches for English articles using a combination of the following keywords: SC, SC-based therapy (SCT), urology, erectile dysfunction, Peyronie's disease (PD), bladder dysfunction, urinary incontinence, regeneration technology, tissue engineering, prostate disease and urinary bladder.

EXPERT OPINION

While current evidence is accruing to suggest that SCT showed great promise in animal studies such as in erectile dysfunction, PD and urothelial tissue engineering, and is likely to be effective and has minimal adverse effects as observed in stress urinary incontinence and bladder dysfunction, there are still significant challenges to overcome before wide spread human application. Important issues, such as reliable outcomes, safety risks with genomic or epigenetic changes in the longer term, as well as potential immune reactions and infection risks, need to be identified in more stringent clinical trials.

摘要

引言

干细胞(SC)研究在再生医学这一前景日益广阔的领域中发挥着关键作用,具有治疗、预防和治愈疾病的潜力。以下文章概述了基础科学,并简要总结了泌尿外科领域基于干细胞研究的主要临床前动物研究和临床研究。

涵盖领域

基于MEDLINE/PubMed搜索,使用以下关键词组合对英文文章进行了文献综述:干细胞、基于干细胞的疗法(SCT)、泌尿外科、勃起功能障碍、佩罗尼氏病(PD)、膀胱功能障碍、尿失禁、再生技术、组织工程、前列腺疾病和膀胱。

专家意见

虽然目前有证据表明,基于干细胞的疗法在动物研究中显示出巨大潜力,如在勃起功能障碍、佩罗尼氏病和尿路上皮组织工程方面,并且在压力性尿失禁和膀胱功能障碍中观察到可能有效且不良反应最小,但在广泛应用于人类之前仍有重大挑战需要克服。在更严格的临床试验中,需要确定重要问题,如可靠的结果、长期基因组或表观遗传变化带来的安全风险,以及潜在的免疫反应和感染风险。

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