Department of Plastic Surgery, Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou, 350001, Fujian, People's Republic of China.
Stem Cell Res Ther. 2021 Mar 12;12(1):179. doi: 10.1186/s13287-021-02261-5.
Radiation-induced skin injury (RISI) is one of the common serious side effects of radiotherapy (RT) for patients with malignant tumors. Mesenchymal stem cells (MSCs) are applied to RISI repair in some clinical cases series except some traditional options. Though direct replacement of damaged cells may be achieved through differentiation capacity of MSCs, more recent data indicate that various cytokines and chemokines secreted by MSCs are involved in synergetic therapy of RISI by anti-inflammatory, immunomodulation, antioxidant, revascularization, and anti-apoptotic activity. In this paper, we not only discussed different sources of MSCs on the treatment of RISI both in preclinical studies and clinical trials, but also summarized the applications and mechanisms of MSCs in other related regenerative fields.
放射性皮肤损伤(RISI)是恶性肿瘤患者放射治疗(RT)的常见严重副作用之一。间充质干细胞(MSCs)除了一些传统选择外,也被应用于一些临床病例系列中进行 RISI 修复。尽管 MSCs 的分化能力可能实现受损细胞的直接替代,但最近的数据表明,MSCs 分泌的各种细胞因子和趋化因子通过抗炎、免疫调节、抗氧化、血管生成和抗细胞凋亡活性参与 RISI 的协同治疗。在本文中,我们不仅讨论了不同来源的 MSCs 在 RISI 治疗中的应用,包括临床前研究和临床试验,还总结了 MSCs 在其他相关再生领域中的应用和机制。