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间充质干细胞治疗恶性脑胶质瘤的现状及潜在挑战。

Current status and potential challenges of mesenchymal stem cell-based therapy for malignant gliomas.

机构信息

Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Ave. Jiefang No.1277, Wuhan, 430022, People's Republic of China.

Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, No. 2, Anzhen Road, Chaoyang District, Beijing, 100029, People's Republic of China.

出版信息

Stem Cell Res Ther. 2018 Aug 24;9(1):228. doi: 10.1186/s13287-018-0977-z.

Abstract

Glioma, which accounts for more than 30% of primary central nervous system tumours, is characterised by symptoms such as headaches, epilepsy, and blurred vision. Glioblastoma multiforme is the most aggressive, malignant, and lethal brain tumour in adults. Even with progressive combination treatment with surgery, radiotherapy, and chemotherapy, the prognosis for glioma patients is still extremely poor. Compared with the poor outcome and slowly developing technologies for surgery and radiotherapy, the application of targeted chemotherapy with a new mechanism has become a research focus in this field.Moreover, targeted therapy is promising for most solid tumours. The tumour-tropic ability of stem cells, including neural stem cells and mesenchymal stem cells, provides an alternative therapeutic approach. Thus, mesenchymal stem cell-based therapy is based on a tumour-selective capacity and has been thought to be an effective anti-tumour option over the past decades. An increasing number of basic studies on mesenchymal stem cell-based therapy for gliomas has yielded complex outcomes.In this review, we summarise the biological characteristics of human mesenchymal stem cells, and the current status and potential challenges of mesenchymal stem cell-based therapy in patients with malignant gliomas.

摘要

神经胶质瘤占原发性中枢神经系统肿瘤的 30%以上,其特征是头痛、癫痫和视力模糊等症状。多形性胶质母细胞瘤是成人中最具侵袭性、恶性和致命的脑肿瘤。即使采用手术、放疗和化疗的渐进式联合治疗,神经胶质瘤患者的预后仍然极差。与手术和放疗技术发展缓慢相比,具有新机制的靶向化疗的应用已成为该领域的研究重点。此外,靶向治疗对大多数实体瘤具有广阔的应用前景。包括神经干细胞和间充质干细胞在内的干细胞的肿瘤趋向能力为提供了一种替代的治疗方法。因此,基于间充质干细胞的治疗基于肿瘤选择性,在过去几十年中被认为是一种有效的抗肿瘤选择。越来越多的关于基于间充质干细胞的神经胶质瘤治疗的基础研究产生了复杂的结果。在这篇综述中,我们总结了人骨髓间充质干细胞的生物学特性,以及基于间充质干细胞的治疗在恶性神经胶质瘤患者中的现状和潜在挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3109/6109313/1b670e18572d/13287_2018_977_Fig1_HTML.jpg

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