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间充质干细胞治疗软骨疾病的最新进展

Update on mesenchymal stem cell therapies for cartilage disorders.

作者信息

Paschos Nikolaos K, Sennett Mackenzie L

机构信息

Department of Orthopaedic Surgery, Division of Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115, United States.

Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA 19107, United States.

出版信息

World J Orthop. 2017 Dec 18;8(12):853-860. doi: 10.5312/wjo.v8.i12.853.

Abstract

Cartilage disorders, including focal cartilage lesions, are among the most common clinical problems in orthopedic practice. Left untreated, large focal lesions may result in progression to osteoarthritis, with tremendous impact on the quality of life of affected individuals. Current management strategies have shown only a modest degree of success, while several upcoming interventions signify better outcomes in the future. Among these, stem cell therapies have been suggested as a promising new era for cartilage disorders. Certain characteristics of the stem cells, such as their potential to differentiate but also to support healing made them a fruitful candidate for lesions in cartilage, a tissue with poor healing capacity. The aim of this editorial is to provide an update on the recent advancements in the field of stem cell therapy for the management of focal cartilage defects. Our goal is to present recent basic science advances and to present the potential of the use of stem cells in novel clinical interventions towards enhancement of the treatment armamentarium for cartilage lesions. Furthermore, we highlight some thoughts for the future of cartilage regeneration and repair and to explore future perspectives for the next steps in the field.

摘要

软骨疾病,包括局灶性软骨损伤,是骨科临床实践中最常见的问题之一。若不治疗,大面积局灶性损伤可能会发展为骨关节炎,对受影响个体的生活质量产生巨大影响。目前的治疗策略仅取得了一定程度的成功,而一些即将出现的干预措施预示着未来会有更好的效果。其中,干细胞疗法被认为是软骨疾病治疗的一个充满希望的新时代。干细胞的某些特性,如它们具有分化以及支持愈合的潜力,使其成为软骨损伤(软骨是一种愈合能力较差的组织)治疗的理想候选者。这篇社论的目的是提供干细胞治疗局灶性软骨缺损领域最新进展的最新情况。我们的目标是介绍近期的基础科学进展,并展示在新型临床干预中使用干细胞增强软骨损伤治疗手段的潜力。此外,我们强调了对软骨再生和修复未来的一些思考,并探讨该领域下一步的未来前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a296/5745427/1bb0789a5655/WJO-8-853-g001.jpg

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