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急性肾损伤干细胞疗法的比较

Comparison of stem cell therapies for acute kidney injury.

作者信息

Barnes Carol J, Distaso Casey T, Spitz Kristin M, Verdun Valerie A, Haramati Aviad

机构信息

Georgetown University School of Medicine Washington, DC, USA.

Department of Biochemistry and Molecular and Cellular Biology, Georgetown University School of Medicine Washington, DC, USA.

出版信息

Am J Stem Cells. 2016 May 15;5(1):1-10. eCollection 2016.

Abstract

Acute kidney injury (AKI) is the rapid onset of decreased kidney function that ultimately increases mortality and morbidity. Stem cell research is a promising avenue for curative and preventative therapies of kidney injury, however, there are many types of stem cells under investigation. Currently there is no research to compare the value of one stem cell method over another. Induced pluripotent stem cells (iPSCs) and spermatogonial stem cells (SSCs) have been shown to differentiate into renal cells, though further clinical research is needed to fully explore potential therapeutic strategies. Mesenchymal stem cells (MSCs) have long been investigated in the preclinical setting and have recently been successful in Phase I clinical trials. MSCs may represent a promising new therapeutic approach to treat AKI as they demonstrate renoprotective effects post-injury via the secretion of promitotic, anti-apoptotic, anti-inflammatory, and immunomodulatory factors. Given the most current research, MSCs appear to offer a promising course of treatment for AKI.

摘要

急性肾损伤(AKI)是肾功能迅速下降的病症,最终会增加死亡率和发病率。干细胞研究是治疗和预防肾损伤的一个有前景的途径,然而,目前有多种干细胞正在研究中。目前尚无研究比较一种干细胞方法相对于另一种的价值。诱导多能干细胞(iPSC)和精原干细胞(SSC)已被证明可分化为肾细胞,不过还需要进一步的临床研究来充分探索潜在的治疗策略。间充质干细胞(MSC)长期以来一直在临床前环境中进行研究,最近已在I期临床试验中取得成功。MSC可能代表一种有前景的治疗AKI的新方法,因为它们在损伤后通过分泌促有丝分裂、抗凋亡、抗炎和免疫调节因子而表现出肾脏保护作用。鉴于最新的研究,MSC似乎为AKI提供了一个有前景的治疗方案。

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