WPI-Advanced Institute for Materials Research, Tohoku University, Sendai, 980-8577, Japan.
National Engineering Research Center for Tissue Restoration and Reconstruction & School of Materials Science and Engineering, South China University of Technology, Guangzhou, 510640, People's Republic of China.
Stem Cell Rev Rep. 2015 Dec;11(6):866-84. doi: 10.1007/s12015-015-9618-4.
Skeletal muscle tissue engineering is one of the important ways for regenerating functionally defective muscles. Among the myopathies, the Duchenne muscular dystrophy (DMD) is a progressive disease due to mutations of the dystrophin gene leading to progressive myofiber degeneration with severe symptoms. Although current therapies in muscular dystrophy are still very challenging, important progress has been made in materials science and in cellular technologies with the use of stem cells. It is therefore useful to review these advances and the results obtained in a clinical point of view. This article focuses on the differentiation of stem cells into myoblasts, and their application in muscular dystrophy. After an overview of the different stem cells that can be induced to differentiate into the myogenic lineage, we introduce scaffolding materials used for muscular tissue engineering. We then described some widely used methods to differentiate different types of stem cell into myoblasts. We highlight recent insights obtained in therapies for muscular dystrophy. Finally, we conclude with a discussion on stem cell technology. We discussed in parallel the benefits brought by the evolution of the materials and by the expansion of cell sources which can differentiate into myoblasts. We also discussed on future challenges for clinical applications and how to accelerate the translation from the research to the clinic in the frame of DMD.
骨骼肌组织工程是修复功能缺陷肌肉的重要方法之一。在肌病中,杜氏肌营养不良症(DMD)是一种进行性疾病,由于抗肌萎缩蛋白基因突变导致进行性肌纤维变性,症状严重。尽管目前的肌肉疾病治疗方法仍然极具挑战性,但在材料科学和干细胞应用的细胞技术方面取得了重要进展。因此,从临床角度回顾这些进展和取得的成果是很有帮助的。本文重点介绍了干细胞向成肌细胞的分化及其在肌肉疾病中的应用。在概述了可以诱导分化为肌源性谱系的不同干细胞之后,我们介绍了用于肌肉组织工程的支架材料。然后,我们描述了一些广泛用于将不同类型的干细胞分化为成肌细胞的方法。我们强调了肌肉疾病治疗方面的最新进展。最后,我们对干细胞技术进行了讨论。我们平行讨论了材料的进化和可分化为成肌细胞的细胞来源的扩展所带来的益处。我们还讨论了未来临床应用的挑战以及如何在 DMD 框架内加速从研究到临床的转化。