脐带升级利用:连接再生医学与新生儿学

Upcycling umbilical cords: bridging regenerative medicine with neonatology.

作者信息

Moreira Alvaro, Alayli Yasmeen, Balgi Saloni, Winter Caitlyn, Kahlenberg Samuel, Mustafa Shamimunisa, Hornsby Peter

机构信息

a Division of Neonatology, Department of Pediatrics , University of Texas Health Science Center , San Antonio , TX , USA.

b Department of Cellular and Integrative Physiology , University of Texas Health Science Center , San Antonio , TX , USA.

出版信息

J Matern Fetal Neonatal Med. 2019 Apr;32(8):1378-1387. doi: 10.1080/14767058.2017.1405387. Epub 2017 Nov 27.

Abstract

Preterm birth is a major health concern that affects 10% of all worldwide deliveries. Many preterm infants are discharged from the hospital with morbidities that lead to an increased risk for neurodevelopmental impairment, recurrent hospitalizations, and life-long conditions. Unfortunately, the treatment of these conditions is palliative rather than curative, which calls for novel and innovative strategies. Progress in regenerative medicine has offered therapeutic options for many of these conditions. Specifically, human umbilical cord mesenchymal stem cells (MSCs) and cord blood (UCB) cells have shown promise in treating adult-onset diseases. Unlike bone-marrow and embryonic derived stem cells, umbilical cord-derived cells are easily and humanely obtained, have low immunogenicity, and offer the potential of autologous therapy. While there are several studies to uphold the efficacy of umbilical cord MSCs in adult therapies, there remains an unmet need for the investigation of its use in treating neonates. The purpose of this review is to provide a summary of current information on the potential therapeutic benefits and clinical applicability of umbilical cord MSCs and UCB cells. Promising preclinical studies have now led to a research movement that is focusing on cell-based therapies for preterm infants.

摘要

早产是一个重大的健康问题,影响着全球10%的分娩。许多早产婴儿出院时患有疾病,这会增加神经发育障碍、再次住院和终身疾病的风险。不幸的是,这些疾病的治疗是姑息性的而非治愈性的,这就需要新颖和创新的策略。再生医学的进展为其中许多疾病提供了治疗选择。具体而言,人脐带间充质干细胞(MSCs)和脐带血(UCB)细胞在治疗成人发病疾病方面已显示出前景。与骨髓和胚胎来源的干细胞不同,脐带来源的细胞易于且人道地获取,免疫原性低,并具有自体治疗的潜力。虽然有多项研究支持脐带间充质干细胞在成人治疗中的疗效,但在研究其用于治疗新生儿方面仍存在未满足的需求。本综述的目的是总结关于脐带间充质干细胞和脐带血细胞潜在治疗益处及临床适用性的当前信息。有前景的临床前研究现已引发了一场专注于早产婴儿细胞疗法的研究运动。

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