Reed-Maldonado Amanda B, Lue Tom F
Department of Urology, University of California San Francisco, CA, USA.
World J Mens Health. 2016 Dec;34(3):155-164. doi: 10.5534/wjmh.2016.34.3.155. Epub 2016 Dec 22.
Stem cells are undifferentiated cells that are capable of renewal and repair of tissue due to their capacity for division and differentiation. The purpose of this review is to describe recent advances in the use of stem cell (SC) therapy for male erectile dysfunction (ED). We performed a MEDLINE database search of all relevant articles regarding the use of SCs for ED. We present a concise summary of the scientific principles behind the usage of SC for ED. We discuss the different types of SCs, delivery methods, current pre-clinical literature, and published clinical trials. Four clinical trials employing SC for ED have been published. These articles are summarized in this review. All four report improvements in ED after SC therapy. SC therapy remains under investigation for the treatment of ED. It is reassuring that clinical trials thus far have reported positive effects on erectile function and few adverse events. Safety and methodical concerns about SC acquisition, preparation and delivery remain and require continued investigation prior to wide-spread application of these methods.
干细胞是未分化的细胞,由于其分裂和分化能力,能够更新和修复组织。本综述的目的是描述干细胞(SC)疗法在男性勃起功能障碍(ED)治疗中的最新进展。我们对MEDLINE数据库中所有关于使用干细胞治疗ED的相关文章进行了检索。我们简要总结了干细胞用于治疗ED背后的科学原理。我们讨论了不同类型的干细胞、给药方法、当前的临床前文献以及已发表的临床试验。已经发表了四项使用干细胞治疗ED的临床试验。本综述对这些文章进行了总结。所有四项研究均报告了干细胞治疗后ED有所改善。干细胞疗法仍在用于ED治疗的研究中。令人欣慰的是,迄今为止的临床试验报告了对勃起功能的积极影响且不良事件较少。关于干细胞采集、制备和给药的安全性及方法学问题仍然存在,在这些方法广泛应用之前需要继续进行研究。