Saha Bitan, Krishna Kumar H, Borgohain Manash P, Thummer Rajkumar P
Laboratory for Stem Cell Engineering and Regenerative Medicine, Department of Biosciences and Bioengineering, Indian Institute of Technology Guwahati, Guwahati 781039, Assam, India.
Med J Armed Forces India. 2018 Oct;74(4):313-320. doi: 10.1016/j.mjafi.2018.03.005. Epub 2018 May 24.
Soldiers involved in combat operations worldwide may be subjected to a wide array of tissue-specific injuries of varying degrees, thereby undergoing complicated medical treatments and prolonged rehabilitations. In many cases involving inadequate recovery, soldiers are further mentally traumatized as they can no longer serve their beloved country. In addition, many severe injuries can lead to soldiers being incapacitated for life and unable to perform even the most basic day-to-day activities. Present therapy for combat injuries is majorly aimed at alleviating pain and limiting further tissue damage from secondary infections. Cell-based therapy using stem cells is a promising tissue regenerative source, which will help our soldiers to recuperate from the severe injuries, and in some cases, even continue their service for the country after complete recovery. In this context, we would like to discuss the yet fully untapped potential of induced pluripotent stem cells (iPSCs) in regenerative medicine on the battlefield. In this review, we shall try to explore the rationale behind the use of these cells for military medicine, as well as the conventional and novel approaches to produce them for therapeutic applications. We shall also attempt to elucidate the evolving trends of battlefield injuries throughout history and the ongoing research on regeneration of tissues of specific interest using iPSCs and their potential role in combat medicine in the future. Additionally, we shall also discuss the concept of stem cell bio-banking for military personnel as a personalized safeguard against crippling and traumatic combat injuries.
参与全球作战行动的士兵可能会遭受各种不同程度的特定组织损伤,从而接受复杂的医学治疗和长期康复。在许多恢复不充分的情况下,士兵会进一步遭受精神创伤,因为他们无法再为自己热爱的国家服役。此外,许多重伤会导致士兵终身残疾,甚至无法进行最基本的日常活动。目前针对战伤的治疗主要旨在减轻疼痛并限制继发感染造成的进一步组织损伤。使用干细胞的细胞疗法是一种有前景的组织再生来源,这将帮助我们的士兵从重伤中康复,在某些情况下,甚至在完全康复后继续为国效力。在此背景下,我们想讨论诱导多能干细胞(iPSC)在战场再生医学中尚未被充分挖掘的潜力。在这篇综述中,我们将尝试探究使用这些细胞用于军事医学的基本原理,以及用于治疗应用的传统和新颖的细胞制备方法。我们还将试图阐明历史上战场损伤的演变趋势,以及目前使用iPSC对特定感兴趣组织进行再生的研究及其在未来战斗医学中的潜在作用。此外,我们还将讨论为军事人员建立干细胞生物库的概念,作为针对严重致残性战斗损伤的个性化保障措施。