Pierro Maria, Ciarmoli Elena, Thébaud Bernard
Department of Clinical Sciences and Community Health, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, Via della Commenda 12, Milan 20122, Italy; Neonatal Intensive Care Unit, IRCCS Istituto Giannina Gaslini, Via Gerolamo Gaslini, 5, Genova 16148, Italy.
Neonatal Intensive Care Unit, MBBM Foundation, San Gerardo Hospital, Via Pergolesi 33, Monza 20900, Italy.
Clin Perinatol. 2015 Dec;42(4):889-910. doi: 10.1016/j.clp.2015.08.013.
Bronchopulmonary dysplasia (BPD), a major complication of premature birth, still lacks safe and effective treatment. Mesenchymal stem cells (MSCs) have been proven to ameliorate critical aspects of the BPD pathogenesis. MSCs seem to exert therapeutic effects through the paracrine secretion of anti-inflammatory, antioxidant, antiapoptotic, trophic, and proangiogenic factors. Although these findings are promising, understanding the mechanism of action of MSCs and MSC manufacturing is still evolving. Several aspects can affect the efficacy of MSC therapy. Further research is required to optimize this potentially game-changing treatment but the translation of regenerative cell therapies for patients has begun.
支气管肺发育不良(BPD)是早产的主要并发症,目前仍缺乏安全有效的治疗方法。间充质干细胞(MSCs)已被证明可改善BPD发病机制的关键方面。MSCs似乎通过旁分泌抗炎、抗氧化、抗凋亡、营养和促血管生成因子发挥治疗作用。尽管这些发现很有前景,但对MSCs作用机制和MSCs制备的理解仍在不断发展。有几个方面会影响MSC治疗的疗效。需要进一步研究以优化这种可能改变游戏规则的治疗方法,但针对患者的再生细胞疗法的转化已经开始。