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间充质干细胞在骨质疏松症治疗中的应用前景:综述。

Prospect of mesenchymal stem cells in therapy of osteoporosis: A review.

机构信息

Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Department of Immunology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

J Cell Physiol. 2019 Jun;234(6):8570-8578. doi: 10.1002/jcp.27833. Epub 2018 Nov 29.

Abstract

Osteoporosis is a systemic skeletal disease associated with reduced bone strong point that results in raised fracture risk, with decreased bone strength, leading to reduced bone mineral density and poor bone quality. It is the most common in older females but some men are also at high risk. Although considered as a predictable result of aging, it is can be avoidable and treatable. The existing treatment of osteoporosis mainly contains antiresorptive and anabolic agents. In spite of these improvements, concerns around unusual side-effects of antiresorptive drugs, and the lack of perfect confirmation in maintenance of their long-standing effectiveness is bring about many patients not receiving these drugs. Over the years, the stem cell-based therapy has attained substantial clinical consideration because of its potential to treat numerous diseases. The stem cell therapy has been recommended as a probable therapeutic approach for patients with osteoporosis. Even though the concept of stem cell-based therapy for osteoporosis has caught substantial attention, no clinical trial has been published on humans. The cell studies based on osteoporosis are primarily focused on osteoclastic activity and bone resorption procedures. Earlier, it was on osteoblastogenesis and in recent times, on the differentiation probable of mesenchymal stem cells. In this review, we have summarized the therapeutic role of stem cell-based strategy in osteoporosis.

摘要

骨质疏松症是一种与骨强度降低相关的系统性骨骼疾病,会导致骨折风险增加,骨强度降低会导致骨密度降低和骨质量差。它在老年女性中最为常见,但有些男性也有很高的风险。虽然被认为是衰老的可预测结果,但它是可以预防和治疗的。目前骨质疏松症的治疗主要包括抗吸收剂和合成代谢药物。尽管有这些改进,但抗吸收药物的异常副作用以及维持其长期有效性的证据不足,导致许多患者未接受这些药物治疗。多年来,由于其治疗多种疾病的潜力,基于干细胞的治疗方法引起了广泛的临床关注。干细胞治疗已被推荐为骨质疏松症患者的一种可能的治疗方法。尽管基于干细胞的治疗骨质疏松症的概念引起了广泛关注,但尚未在人类中发表临床试验。基于骨质疏松症的细胞研究主要集中在破骨细胞活性和骨吸收过程上。早期研究集中在成骨细胞生成上,而最近则集中在间充质干细胞的分化潜能上。在这篇综述中,我们总结了基于干细胞的策略在骨质疏松症中的治疗作用。

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