Cell Therapy and Regenerative Medicine Research Center, Endocrinology and Metabolism Molecular-Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Metabolomics and Genomics Research Center, Endocrinology and Metabolism Molecular-Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Front Endocrinol (Lausanne). 2020 Jul 3;11:430. doi: 10.3389/fendo.2020.00430. eCollection 2020.
The field of cell therapy and regenerative medicine can hold the promise of restoring normal tissues structure and function. Additionally, the main targets of stem cell-based therapies are chronic diseases and lifelong disabilities without definite cures such as osteoporosis. Osteoporosis as one of the important causes of morbidity in older men and post-menopausal women is characterized by reduced bone quantity or skeletal tissue atrophy that leads to an increased risk of osteoporotic fractures. The common therapeutic methods for osteoporosis only can prevent the loss of bone mass and recover the bone partially. Nevertheless, stem cell-based therapy is considered as a new approach to regenerate the bone tissue. Herein, mesenchymal stem cells as pivotal candidates for regenerative medicine purposes especially bone regeneration are the most common type of cells with anti-inflammatory, immune-privileged potential, and less ethical concerns than other types of stem cells which are investigated in osteoporosis. Based on several findings, the mesenchymal stem cells effectiveness near to a great extent depends on their secretory function. Indeed, they can be involved in the establishment of normal bone remodeling via initiation of specific molecular signaling pathways. Accordingly, the aim herein was to review the effects of stem cell-based therapies in osteoporosis.
细胞治疗和再生医学领域有望恢复正常组织的结构和功能。此外,基于干细胞的治疗的主要目标是慢性疾病和无法治愈的终身残疾,如骨质疏松症。骨质疏松症是导致老年人和绝经后妇女发病率较高的重要原因之一,其特征是骨量减少或骨骼组织萎缩,导致骨质疏松性骨折的风险增加。骨质疏松症的常见治疗方法只能预防骨量的流失并部分恢复骨骼。然而,基于干细胞的治疗被认为是一种再生骨组织的新方法。在此,间充质干细胞作为再生医学目的,特别是骨再生的关键候选者,是最常见的细胞类型,具有抗炎、免疫豁免的潜力,比其他类型的干细胞更少引起伦理关注,后者在骨质疏松症中得到了研究。基于一些发现,间充质干细胞的有效性在很大程度上取决于它们的分泌功能。事实上,它们可以通过启动特定的分子信号通路,参与建立正常的骨重塑。因此,本文旨在综述基于干细胞的治疗在骨质疏松症中的作用。