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间质性膀胱炎/膀胱疼痛综合征的干细胞疗法

Stem Cell Therapy for Interstitial Cystitis/Bladder Pain Syndrome.

作者信息

Kim Aram, Shin Dong-Myung, Choo Myung-Soo

机构信息

Departments of Urology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-RO 43 GIL SONGPA-GU, Seoul, 05505, South Korea.

Departments of Biomedical Science, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.

出版信息

Curr Urol Rep. 2016 Jan;17(1):1. doi: 10.1007/s11934-015-0563-1.

Abstract

Interstitial cystitis/bladder pain syndrome (IC/BPS) is a disease characterized by pelvic pain, usually with urinary frequency. These symptoms make patients suffer from a poor quality of life. However, there is still a lack of consensus on the pathophysiology and curable treatment of IC/BPS. We have reviewed several candidates for the pathophysiology of this disease and also treatments that have been used. Although several oral medications, bladder instillation therapies, fulguration for Hunner's lesion, and hydrodistention have been tried as IC/BPS treatments, their outcomes have not been satisfactory. As the application of stem cell therapy is expanding into the urologic field, innovative strategies have been tested with animal models of IC/BPS and have shown promising therapeutic effects for reversing the symptoms of this disorder. Although several concerns about stem cell sources and their safety should be addressed before initiating human clinical trials, we introduce stem cell therapy as a valuable future treatment approach for IC/BPS.

摘要

间质性膀胱炎/膀胱疼痛综合征(IC/BPS)是一种以盆腔疼痛为特征的疾病,通常伴有尿频。这些症状使患者生活质量较差。然而,关于IC/BPS的病理生理学和可治愈的治疗方法仍缺乏共识。我们回顾了该疾病病理生理学的几种候选因素以及已使用的治疗方法。尽管已经尝试了几种口服药物、膀胱灌注疗法、对Hunner病变的电灼术和膀胱水扩张术作为IC/BPS的治疗方法,但其结果并不令人满意。随着干细胞疗法在泌尿外科领域的应用不断扩大,已经在IC/BPS动物模型上测试了创新策略,并显示出对逆转该疾病症状有前景的治疗效果。尽管在开展人体临床试验之前应解决有关干细胞来源及其安全性的几个问题,但我们将干细胞疗法作为IC/BPS未来一种有价值的治疗方法进行介绍。

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