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口腔颌面部来源的成体干细胞:再生医学的现状、局限性及未来趋势

Adult Stem Cells of Orofacial Origin: Current Knowledge and Limitation and Future Trend in Regenerative Medicine.

作者信息

Ebrahimi Mehdi, Botelho Michael

机构信息

Department of Oral Rehabilitation, Faculty of Dentistry, Prince Philip Dental Hospital, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong.

出版信息

Tissue Eng Regen Med. 2017 Sep 22;14(6):719-733. doi: 10.1007/s13770-017-0078-6. eCollection 2017 Dec.

Abstract

Stem cell research is one of the most rapidly expanding field of medicine which provides significant opportunities for therapeutic and regenerative applications. Different types of stem cells have been isolated investigating their accessibility, control of the differentiation pathway and additional immunomodulatory properties. Bulk of the literature focus has been on the study and potential applications of adult stem cells (ASC) because of their low immunogenicity and reduced ethical considerations. This review paper summarizes the basic available literature on different types of ASC with special focus on stem cells from dental and orofacial origin. ASC have been isolated from different sources, however, isolation of ASC from orofacial tissues has provided a novel promising alternative. These cells offer a great potential in the future of therapeutic and regenerative medicine because of their remarkable availability at low cost while allowing minimally invasive isolation procedures. Furthermore, their immunomodulatory and anti-inflammatory potential is of particular interest. However, there are conflicting reports in the literature regarding their particular biology and full clinical potentials. Sound knowledge and higher control over proliferation and differentiation mechanisms are prerequisites for clinical applications of these cells. Therefore, further standardized basic and translational studies are required to increase the reproducibility and reduce the controversies of studies, which in turn facilitate comparison of related literature and enhance further development in the field.

摘要

干细胞研究是医学领域中发展最为迅速的领域之一,为治疗和再生应用提供了重大机遇。人们已分离出不同类型的干细胞,并对其可及性、分化途径的控制以及其他免疫调节特性进行了研究。由于成体干细胞(ASC)免疫原性低且伦理考量较少,大量文献聚焦于对其的研究及潜在应用。这篇综述文章总结了关于不同类型ASC的现有基础文献,特别关注源自牙齿和口腔颌面部的干细胞。ASC已从不同来源分离得到,然而,从口腔颌面部组织分离ASC提供了一种新的、有前景的选择。这些细胞在治疗和再生医学的未来具有巨大潜力,因为它们来源丰富、成本低廉,且分离过程微创。此外,它们的免疫调节和抗炎潜力尤其令人关注。然而,文献中关于它们的具体生物学特性和全部临床潜力存在相互矛盾的报道。对这些细胞的增殖和分化机制有充分的了解并能更好地加以控制,是其临床应用的前提条件。因此,需要进一步开展标准化的基础研究和转化研究,以提高研究的可重复性并减少研究中的争议,进而便于相关文献的比较,并推动该领域的进一步发展。

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