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用于治疗尿失禁的干细胞:功能分化还是细胞因子效应?

Stem Cells for Urinary Incontinence: Functional Differentiation or Cytokine Effects?

作者信息

Gill Bradley C, Sun Daniel Z, Damaser Margot S

机构信息

Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH; Cleveland Clinic Lerner College of Medicine at Case Western Reserve University, Cleveland, OH; Department of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, OH.

Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH; Department of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, OH.

出版信息

Urology. 2018 Jul;117:9-17. doi: 10.1016/j.urology.2018.01.002. Epub 2018 Jan 12.

Abstract

Minimally invasive stem cell therapy for stress urinary incontinence may provide an effective nonsurgical treatment for this common condition. Clinical trials of periurethral stem cell injection have been under way, and basic science research has demonstrated the efficacy of both local and systemic stem cell therapies. Results differ as to whether stem cells have a therapeutic effect by differentiating into permanent, functional tissues or exert benefits through a transient presence and the secretion of regenerative factors. This review explores the fate of therapeutic stem cells for stress urinary incontinence and how this may relate to their mechanism of action.

摘要

微创干细胞疗法治疗压力性尿失禁可能为这种常见病症提供一种有效的非手术治疗方法。尿道周围干细胞注射的临床试验一直在进行,基础科学研究也已证明局部和全身干细胞疗法的有效性。关于干细胞是通过分化为永久性功能性组织发挥治疗作用,还是通过短暂存在和分泌再生因子产生益处,结果存在差异。本综述探讨了用于治疗压力性尿失禁的治疗性干细胞的命运,以及这可能与其作用机制有何关联。

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本文引用的文献

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Midurethral slings in the mesh litigation era.网状物诉讼时代的中段尿道吊带术
Transl Androl Urol. 2017 Jul;6(Suppl 2):S68-S75. doi: 10.21037/tau.2017.04.06.

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