Ahamad Nassem, Singh Brij B
School of Dentistry, UT Health Science Center San Antonio, San Antonio, TX 78257, United States.
World J Stem Cells. 2021 Apr 26;13(4):260-280. doi: 10.4252/wjsc.v13.i4.260.
Stem cells hold indefinite self-renewable capability that can be differentiated into all desired cell types. Based on their plasticity potential, they are divided into totipotent (morula stage cells), pluripotent (embryonic stem cells), multipotent (hematopoietic stem cells, multipotent adult progenitor stem cells, and mesenchymal stem cells [MSCs]), and unipotent (progenitor cells that differentiate into a single lineage) cells. Though bone marrow is the primary source of multipotent stem cells in adults, other tissues such as adipose tissues, placenta, amniotic fluid, umbilical cord blood, periodontal ligament, and dental pulp also harbor stem cells that can be used for regenerative therapy. In addition, induced pluripotent stem cells also exhibit fundamental properties of self-renewal and differentiation into specialized cells, and thus could be another source for regenerative medicine. Several diseases including neurodegenerative diseases, cardiovascular diseases, autoimmune diseases, virus infection (also coronavirus disease 2019) have limited success with conventional medicine, and stem cell transplantation is assumed to be the best therapy to treat these disorders. Importantly, MSCs, are by far the best for regenerative medicine due to their limited immune modulation and adequate tissue repair. Moreover, MSCs have the potential to migrate towards the damaged area, which is regulated by various factors and signaling processes. Recent studies have shown that extracellular calcium (Ca) promotes the proliferation of MSCs, and thus can assist in transplantation therapy. Ca signaling is a highly adaptable intracellular signal that contains several components such as cell-surface receptors, Ca channels/pumps/exchangers, Ca buffers, and Ca sensors, which together are essential for the appropriate functioning of stem cells and thus modulate their proliferative and regenerative capacity, which will be discussed in this review.
干细胞具有无限的自我更新能力,能够分化为所有所需的细胞类型。根据其可塑性潜力,它们被分为全能(桑椹胚阶段细胞)、多能(胚胎干细胞)、多潜能(造血干细胞、多能成体祖干细胞和间充质干细胞[MSCs])和单能(分化为单一谱系的祖细胞)细胞。虽然骨髓是成体多能干细胞的主要来源,但其他组织如脂肪组织、胎盘、羊水、脐带血、牙周韧带和牙髓也含有可用于再生治疗的干细胞。此外,诱导多能干细胞也表现出自我更新和分化为特化细胞的基本特性,因此可能是再生医学的另一个来源。包括神经退行性疾病、心血管疾病、自身免疫性疾病、病毒感染(包括2019冠状病毒病)在内的几种疾病,传统医学的治疗效果有限,干细胞移植被认为是治疗这些疾病的最佳疗法。重要的是,由于间充质干细胞免疫调节有限且组织修复能力充足,是目前再生医学中最理想的细胞。此外,间充质干细胞具有向损伤区域迁移的潜力,这受多种因素和信号传导过程的调控。最近的研究表明,细胞外钙(Ca)促进间充质干细胞的增殖,因此可辅助移植治疗。钙信号是一种高度适应性的细胞内信号,包含细胞表面受体、钙通道/泵/交换体、钙缓冲蛋白和钙传感器等多个成分,这些成分共同对干细胞的正常功能至关重要,从而调节其增殖和再生能力,本文将对此进行讨论。