Yangteze University, Jingzhou, Hubei Province, China.
Physiol Res. 2021 Jul 12;70(3):327-343. doi: 10.33549/physiolres.934623. Epub 2021 May 12.
Acute and chronic hepatitis, cirrhosis, and other liver diseases pose a serious threat to human health; however, liver transplantation is the only reliable treatment for the terminal stage of liver diseases. Previous researchers have shown that mesenchymal stem cells (MSCs) are characterized by differentiation and paracrine effects, as well as anti-oxidative stress and immune regulation functions. When MSCs are transplanted into animals, they migrate to the injured liver tissue along with the circulation, to protect the liver and alleviate the injury through the paracrine, immune regulation and other characteristics, making mesenchymal stem cell transplantation a promising alternative therapy for liver diseases. Although the efficacy of MSCs transplantation has been confirmed in various animal models of liver injury, many researchers have also proposed various pretreatment methods to improve the efficacy of mesenchymal stem cell transplantation, but there is still lack a set of scientific methods system aimed at improving the efficacy of transplantation therapy in scientific research and clinical practice. In this review, we summarize the possible mechanisms of MSCs therapy and compare the existing methods of MSCs modification corresponding to the treatment mechanism, hoping to provide as a reference to help future researchers explore a safe and simple transplantation strategy.
急性和慢性肝炎、肝硬化和其他肝脏疾病严重威胁人类健康;然而,肝移植是肝脏疾病终末期的唯一可靠治疗方法。先前的研究表明,间充质干细胞(MSCs)具有分化和旁分泌作用,以及抗氧化应激和免疫调节功能。当 MSCs 被移植到动物体内时,它们会随着血液循环迁移到受损的肝组织,通过旁分泌、免疫调节等特性来保护肝脏和减轻损伤,使得间充质干细胞移植成为肝脏疾病有前途的替代治疗方法。尽管 MSCs 移植在各种肝损伤动物模型中已被证实有效,但许多研究人员也提出了各种预处理方法来提高间充质干细胞移植的疗效,但在科学研究和临床实践中仍然缺乏一套针对提高移植治疗效果的科学方法体系。在这篇综述中,我们总结了 MSCs 治疗的可能机制,并比较了对应治疗机制的现有 MSCs 修饰方法,希望为未来的研究人员提供参考,帮助他们探索一种安全、简单的移植策略。