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基于细胞的囊性纤维化治疗方法。

Cell-Based Therapeutic Approaches for Cystic Fibrosis.

机构信息

Latner Thoracic Surgery Research Laboratories, Toronto General Hospital Research Institute, University Health Network, 101 College St., Toronto, ON M5G 1L7, Canada.

Institute for Biomaterials and Biomedical Engineering, University of Toronto, 164 College Street, Toronto, ON M5S 3G9, Canada.

出版信息

Int J Mol Sci. 2020 Jul 23;21(15):5219. doi: 10.3390/ijms21155219.

Abstract

Cystic Fibrosis (CF) is a chronic autosomal recessive disease caused by defects in the cystic fibrosis transmembrane conductance regulator gene (). Cystic Fibrosis affects multiple organs but progressive remodeling of the airways, mucus accumulation, and chronic inflammation in the lung, result in lung disease as the major cause of morbidity and mortality. While advances in management of CF symptoms have increased the life expectancy of this devastating disease, and there is tremendous excitement about the potential of new agents targeting the molecule itself, there is still no curative treatment. With the recent advances in the identification of endogenous airway progenitor cells and in directed differentiation of pluripotent cell sources, cell-based therapeutic approaches for CF have become a plausible treatment method with the potential to ultimately cure the disease. In this review, we highlight the current state of cell therapy in the CF field focusing on the relevant autologous and allogeneic cell populations under investigation and the challenges associated with their use. In addition, we present advances in induced pluripotent stem (iPS) cell approaches and emerging new genetic engineering methods, which have the capacity to overcome the current limitations hindering cell therapy approaches.

摘要

囊性纤维化(CF)是一种由囊性纤维化跨膜电导调节基因()缺陷引起的常染色体隐性遗传病。囊性纤维化影响多个器官,但气道的进行性重塑、黏液积聚和肺部慢性炎症导致肺部疾病成为主要的发病率和死亡率原因。尽管 CF 症状管理的进步提高了这种毁灭性疾病的预期寿命,并且针对分子本身的新药物具有巨大的潜力,但仍然没有治愈方法。随着内源性气道祖细胞的鉴定和多能细胞来源的定向分化的最新进展,CF 的基于细胞的治疗方法已成为一种可行的治疗方法,有可能最终治愈该疾病。在这篇综述中,我们重点介绍了 CF 领域中细胞治疗的现状,包括正在研究的相关自体和同种异体细胞群,以及它们使用所带来的挑战。此外,我们还介绍了诱导多能干细胞(iPS)细胞方法的进展和新兴的新基因工程方法,这些方法有可能克服阻碍细胞治疗方法的当前限制。

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