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人诱导多能干细胞来源类器官作为器官移植替代物的临床应用

Clinical Application of Human Induced Pluripotent Stem Cell-Derived Organoids as an Alternative to Organ Transplantation.

作者信息

Hsia Gabriella Shih Ping, Esposito Joyce, da Rocha Letícia Alves, Ramos Sofia Lígia Guimarães, Okamoto Oswaldo Keith

机构信息

Human Genome and Stem Cell Research Center, Departamento de Genética e Biologia Evolutiva, Instituto de Biociências, Universidade de São Paulo, SP, Brazil.

Genetics Unit, Instituto da Criança, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, SP, Brazil.

出版信息

Stem Cells Int. 2021 Feb 24;2021:6632160. doi: 10.1155/2021/6632160. eCollection 2021.

Abstract

Transplantation is essential and crucial for individuals suffering from end-stage organ failure diseases. However, there are still many challenges regarding these procedures, such as high rates of organ rejection, shortage of organ donors, and long waiting lines. Thus, investments and efforts to develop laboratory-grown organs have increased over the past years, and with the recent progress in regenerative medicine, growing organs might be a reality within the next decades. One of the many different strategies to address this issue relies on organoid technology, a miniaturized and simplified version of an organ. Here, we address recent progress on organoid research, focusing on transplantation of intestine, retina, kidney, liver, pancreas, brain, lung, and heart organoids. Also, we discuss the main outcomes after organoid transplantation, common challenges faced by these promising regenerative medicine approaches, and future perspectives on the field.

摘要

对于患有终末期器官衰竭疾病的个体来说,移植至关重要且关键。然而,这些手术仍面临诸多挑战,比如器官排斥率高、器官捐赠者短缺以及漫长的等待名单。因此,在过去几年里,用于研发实验室培育器官的投资和努力有所增加,随着再生医学的最新进展,在未来几十年内培育出器官或许会成为现实。解决这一问题的众多不同策略之一依赖于类器官技术,即器官的小型化和简化版本。在此,我们阐述类器官研究的最新进展,重点关注肠道、视网膜、肾脏、肝脏、胰腺、大脑、肺和心脏类器官的移植。此外,我们还讨论了类器官移植后的主要成果、这些有前景的再生医学方法所面临的常见挑战以及该领域的未来前景。

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