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内分泌、代谢及免疫紊乱的最新进展:间充质干细胞(MSCs)与工程支架

Recent Advances in Endocrine, Metabolic and Immune Disorders: Mesenchymal Stem Cells (MSCs) and Engineered Scaffolds.

作者信息

Cantore Stefania, Crincoli Vito, Boccaccio Antonio, Uva Antonio E, Fiorentino Michele, Monno Giuseppe, Bollero Patrizio, Derla Chiara, Fabiano Francesca, Ballini Andrea, Santacroce Luigi

机构信息

Department of Basic Medical Sciences, Neurosciences and Sense Organs, University of Bari "Aldo Moro", Bari, Italy.

City Unity College, Athens, Greece.

出版信息

Endocr Metab Immune Disord Drug Targets. 2018;18(5):466-469. doi: 10.2174/1871530318666180423102905.

Abstract

BACKGROUND

New sources of stem cells in adult organisms are constantly emerging. Postnatal Mesenchymal Stem Cells (MSCs), are the most promising support to perform an effective regenerative medicine: such cells have the ability to differentiate into several lineages, such as osteoblasts and chondroblasts, providing novel strategies to improve different complex treatments, during bone regeneration. 3D-printed biomaterials can be designed with geometry aimed to induce stem cells to differentiate towards specific lineage.

OBJECTIVE

The interaction between stem cells easy to isolate and engineered 3D-printed scaffolds can translate the tissue bio-engineering into bone regenerative surgery. For those reasons, to better identify the complexity represented by the activities and responses of MSCs requires the advance of new target therapies which are not current in endocrine, metabolic and immune disorders and yet to be developed.

METHOD

This topical review briefly focuses on the new approaches of translational medicine with the use of MSCs and scaffolds engineered with the aid of 3D-printing technology, highlights the osteogenic functions and addresses their applications across the breadth of regenerative medicine.

RESULTS

The application of bone constructs consisting of the engineered scaffold and MSCs as well as the aspects related to the optimal scaffold geometry that favours the best MSCs differentiation and the improvement of concepts as "sensing surface" were also discussed.

CONCLUSION

Regenerative surgery is largely growing in the field of translational medicine. The use of new sources of MSCs and the improvement of new concepts of bio-engineered scaffolds will certainly be the next step of customized medicine.

摘要

背景

成体生物中干细胞的新来源不断涌现。出生后的间充质干细胞(MSCs)是实现有效再生医学最有前景的支持:这类细胞具有分化为多种谱系的能力,如成骨细胞和软骨细胞,为改善骨再生过程中不同的复杂治疗提供了新策略。3D打印生物材料可以设计成特定几何形状,以诱导干细胞向特定谱系分化。

目的

易于分离的干细胞与工程化3D打印支架之间的相互作用可将组织生物工程转化为骨再生手术。基于这些原因,为了更好地识别间充质干细胞的活性和反应所代表的复杂性,需要推进新的靶向治疗方法,这些方法在目前的内分泌、代谢和免疫疾病中尚未出现且有待开发。

方法

本专题综述简要聚焦于利用间充质干细胞和借助3D打印技术构建的支架进行转化医学的新方法,突出其成骨功能,并阐述它们在再生医学各个领域的应用。

结果

还讨论了由工程化支架和间充质干细胞组成的骨构建体的应用,以及有利于间充质干细胞最佳分化的最佳支架几何形状相关方面和“传感表面”等概念的改进。

结论

再生手术在转化医学领域正蓬勃发展。使用间充质干细胞的新来源以及改进生物工程支架的新概念必将是定制医学的下一步。

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