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基于干细胞的疗法在衰老系统中恢复功能的潜力:我们做到了吗?

Potential of Stem Cell-Based Therapy to Restore Function in Aging Systems: Are We There Yet?

机构信息

The Interdisciplinary Stem Cell Institute, Department of Medicine, University of Miami Miller School of Medicine, Miami, Florida, USA.

Epigenetics and Stem Cell Unit, Translational Gerontology Branch, National Institute on Aging, National Institutes of Health, Baltimore, Maryland, USA.

出版信息

J Gerontol A Biol Sci Med Sci. 2022 Jul 5;77(7):1292-1294. doi: 10.1093/gerona/glac003.

DOI:10.1093/gerona/glac003
PMID:34984451
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9255684/
Abstract

While there is extensive interest in geroscience approaches to health and disease, few basic science discoveries have made their way into clinical trials. Herein, we comment on cell-based therapies, in which supplementing robust stem cell capacity to aged systems theoretically could lead to sustained improvement. This exciting approach has undergone translational development, and we highlight studies targeting a single system and others aimed at treating overall aging frailty by restoring the aged stem cell niches that underly diminished endogenous regenerative capacity.

摘要

尽管人们对衰老科学在健康和疾病方面的应用方法很感兴趣,但很少有基础科学发现能够进入临床试验。在此,我们对基于细胞的疗法进行评论,理论上,补充强健的干细胞能力可以使老年系统得到持续改善。这种令人兴奋的方法已经经历了转化发展,我们重点介绍了针对单一系统的研究,以及通过恢复基础的衰老干细胞生态位来治疗整体衰老虚弱的研究,这些生态位是导致内源性再生能力减弱的原因。

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本文引用的文献

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The Design and Rationale of a Phase 2b, Randomized, Double-Blinded, and Placebo-Controlled Trial to Evaluate the Safety and Efficacy of Lomecel-B in Older Adults with Frailty.一项评估 Lomecel-B 在衰弱老年人中的安全性和疗效的 2b 期、随机、双盲、安慰剂对照试验的设计和原理。
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Clinical Study of Mesenchymal Stem/Stromal Cell Therapy for the Treatment of Frailty: A Proposed Experimental Design for Therapeutic and Mechanistic Investigation.间充质干细胞/基质细胞治疗衰弱症的临床研究:治疗和机制研究的拟议实验设计。
J Gerontol A Biol Sci Med Sci. 2022 Jul 5;77(7):1287-1291. doi: 10.1093/gerona/glab326.
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Limited rejuvenation of aged hematopoietic stem cells in young bone marrow niche.年轻骨髓龛中衰老造血干细胞的有限再生。
J Exp Med. 2021 Mar 1;218(3). doi: 10.1084/jem.20192283.
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Senolytics prevent mt-DNA-induced inflammation and promote the survival of aged organs following transplantation.衰老细胞清除疗法可预防 mtDNA 诱导的炎症,并促进移植后老年器官的存活。
Nat Commun. 2020 Aug 27;11(1):4289. doi: 10.1038/s41467-020-18039-x.
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Transient non-integrative expression of nuclear reprogramming factors promotes multifaceted amelioration of aging in human cells.瞬时非整合性表达核重编程因子促进人细胞衰老的多方面改善。
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Mesenchymal stem cell perspective: cell biology to clinical progress.间充质干细胞展望:从细胞生物学到临床进展
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Nicotinamide Riboside Augments the Aged Human Skeletal Muscle NAD Metabolome and Induces Transcriptomic and Anti-inflammatory Signatures.烟酰胺核糖苷增强衰老人类骨骼肌中的 NAD 代谢组,并诱导转录组和抗炎特征。
Cell Rep. 2019 Aug 13;28(7):1717-1728.e6. doi: 10.1016/j.celrep.2019.07.043.
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Allogeneic Mesenchymal Stem Cells Ameliorate Aging Frailty: A Phase II Randomized, Double-Blind, Placebo-Controlled Clinical Trial.异体间充质干细胞改善衰老虚弱:一项II期随机、双盲、安慰剂对照临床试验。
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