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嗅鞘细胞治疗脊髓损伤——治愈的新途径?

Olfactory Stem Cells for the Treatment of Spinal Cord Injury-A New Pathway to the Cure?

机构信息

Department of Surgical Research, Bergmannsheil University Hospital, Ruhr-University Bochum, Bochum, Germany.

Department of General and Trauma Surgery, Bergmannsheil University Hospital, Ruhr-University Bochum, Bochum, Germany.

出版信息

World Neurosurg. 2022 May;161:e408-e416. doi: 10.1016/j.wneu.2022.02.019. Epub 2022 Feb 9.

Abstract

OBJECTIVE

Because full functional recovery after spinal cord injury (SCI) remains a major challenge, stem cell therapies represent promising strategies to improve neurologic functions after SCI. The olfactory mucosa (OM) displays an attractive source of multipotent cells for regenerative approaches and is easily accessible by biopsies because of its exposed location. The regenerative capacity of the resident olfactory stem cells (OSCs) has been demonstrated in animal as well as clinical studies. This study aims to demonstrate the feasibility of isolation, purification and cultivation of OSCs.

METHODS

OM specimens were taken dorso-posterior from nasal middle turbinate. OSCs were isolated and purified using the neurosphere assay. Differentiation capacity of the OSCs in neural lineage and their behavior in a plasma clot matrix were investigated.

RESULTS

Our study demonstrated that OSCs differentiated into neural lineage and were positive for GFAP as well as β-III tubulin. Furthermore, OSCs were viable and proliferated in a plasma clot matrix.

CONCLUSIONS

Because there are no standard methods for purification, characterization, and delivery of OSCs to the injury site, which is a prerequisite for the clinical approval, this study focuses on the establishment of appropriate methods and underlines the high potential of the OM for autologous cell therapeutic approaches.

摘要

目的

由于脊髓损伤 (SCI) 后的完全功能恢复仍然是一个主要挑战,因此干细胞疗法代表了改善 SCI 后神经功能的有前途的策略。嗅黏膜 (OM) 因其暴露的位置,是用于再生方法的多能细胞的有吸引力的来源,并且可以通过活检轻松获得。已经在动物和临床研究中证明了驻留嗅干细胞 (OSC) 的再生能力。本研究旨在证明分离、纯化和培养 OSC 的可行性。

方法

从中鼻甲背侧采集 OM 标本。使用神经球测定法分离和纯化 OSC。研究了 OSCs 在神经谱系中的分化能力及其在血浆凝块基质中的行为。

结果

我们的研究表明,OSC 分化为神经谱系,并对 GFAP 和 β-III 微管蛋白呈阳性。此外,OSC 在血浆凝块基质中存活并增殖。

结论

由于没有用于纯化、表征和将 OSC 递送到损伤部位的标准方法,这是临床批准的前提,因此本研究侧重于建立适当的方法,并强调 OM 对自体细胞治疗方法的高潜力。

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