Department of Oral Anatomy, School of Dentistry, Seoul National University and Dental Research Institute, Seoul, Republic of Korea.
Department of Preventive and Social Dentistry, School of Dentistry, Seoul National University and Dental Research Institute, Seoul, Republic of Korea.
Can J Gastroenterol Hepatol. 2018 Jan 29;2018:4197857. doi: 10.1155/2018/4197857. eCollection 2018.
Liver cirrhosis is a major cause of mortality and a common end of various progressive liver diseases. Since the effective treatment is currently limited to liver transplantation, stem cell-based therapy as an alternative has attracted interest due to promising results from preclinical and clinical studies. However, there is still much to be understood regarding the precise mechanisms of action. A number of stem cells from different origins have been employed for hepatic regeneration with different degrees of success. The present review presents a synopsis of stem cell research for the treatment of patients with liver cirrhosis according to the stem cell type. Clinical trials to date are summarized briefly. Finally, issues to be resolved and future perspectives are discussed with regard to clinical applications.
肝硬化是死亡的主要原因,也是各种进行性肝病的常见终末期病变。由于目前有效的治疗方法仅限于肝移植,因此基于干细胞的治疗方法作为一种替代方法引起了人们的兴趣,因为临床前和临床研究结果令人鼓舞。然而,对于确切的作用机制仍有许多需要了解。已经使用了来自不同来源的多种干细胞来进行肝再生,其成功率也有所不同。本综述根据干细胞类型概述了用于治疗肝硬化患者的干细胞研究。简要总结了迄今为止的临床试验。最后,讨论了临床应用中需要解决的问题和未来展望。