Ntege Edward H, Sunami Hiroshi, Shimizu Yusuke
Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of the Ryukyus, Japan.
Research Center for Regenerative Medicine, School of Medicine, University of the Ryukyus, Japan.
Regen Ther. 2020 Feb 20;14:136-153. doi: 10.1016/j.reth.2020.01.004. eCollection 2020 Jun.
There is enormous global anticipation for stem cell-based therapies that are safe and effective. Numerous pre-clinical studies present encouraging results on the therapeutic potential of different cell types including tissue derived stem cells. Emerging evidences in different fields of research suggest several cell types are safe, whereas their therapeutic application and effectiveness remain challenged. Multiple factors that influence treatment outcomes are proposed including immunocompatibility and potency, owing to variations in tissue origin, ex-vivo methodologies for preparation and handling of the cells. This communication gives an overview of literature data on the different types of cells that are potentially promising for regenerative therapy. As a case in point, the recent trends in research and development of the mesenchymal stem cells (MSCs) for cell therapy are considered in detail. MSCs can be isolated from a variety of tissues and organs in the human body including bone marrow, adipose, synovium, and perinatal tissues. However, MSC products from the different tissue sources exhibit unique or varied levels of regenerative abilities. The review finally focuses on adipose tissue-derived MSCs (ASCs), with the unique properties such as easier accessibility and abundance, excellent proliferation and differentiation capacities, low immunogenicity, immunomodulatory and many other trophic properties. The suitability and application of the ASCs, and strategies to improve the innate regenerative capacities of stem cells in general are highlighted among others.
全球对安全有效的基于干细胞的疗法寄予了巨大期望。众多临床前研究就包括组织来源干细胞在内的不同细胞类型的治疗潜力给出了令人鼓舞的结果。不同研究领域的新证据表明,几种细胞类型是安全的,但其治疗应用和有效性仍面临挑战。由于组织来源、细胞制备和处理的体外方法存在差异,人们提出了多种影响治疗结果的因素,包括免疫相容性和效力。本通讯概述了有关对再生治疗有潜在前景的不同类型细胞的文献数据。作为一个例子,详细讨论了间充质干细胞(MSC)用于细胞治疗的研发最新趋势。MSC可以从人体的多种组织和器官中分离出来,包括骨髓、脂肪、滑膜和围产期组织。然而,来自不同组织来源的MSC产品表现出独特或不同水平的再生能力。综述最后聚焦于脂肪组织来源的MSC(ASC),其具有易于获取、丰富、出色的增殖和分化能力、低免疫原性、免疫调节和许多其他营养特性等独特属性。其中特别强调了ASC的适用性和应用,以及一般提高干细胞固有再生能力的策略。