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干细胞向心肌细胞的分化:当前方法和新兴方法。

Stem Cell Differentiation into Cardiomyocytes: Current Methods and Emerging Approaches.

机构信息

Radiation Biology Research Centre, Iran University of Medical Sciences, Tehran, Iran.

Endocrine Research Center, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Stem Cell Rev Rep. 2022 Dec;18(8):2566-2592. doi: 10.1007/s12015-021-10280-1. Epub 2022 May 4.

Abstract

Cardiovascular diseases (CVDs) are globally known to be important causes of mortality and disabilities. Common treatment strategies for CVDs, such as pharmacological therapeutics impose serious challenges due to the failure of treatments for myocardial necrosis. By contrast, stem cells (SCs) based therapies are seen to be promising approaches to CVDs treatment. In such approaches, cardiomyocytes are differentiated from SCs. To fulfill SCs complete potential, the method should be appointed to generate cardiomyocytes with more mature structure and well-functioning operations. For heart repairing applications, a greatly scalable and medical-grade cardiomyocyte generation must be used. Nonetheless, there are some challenges such as immune rejection, arrhythmogenesis, tumorigenesis, and graft cell death potential. Herein, we discuss the types of potential SCs, and commonly used methods including embryoid bodies related techniques, co-culture, mechanical stimulation, and electrical stimulation and their applications, advantages and limitations in this field. An estimated 17.9 million people died from CVDs in 2019, representing 32 % of all global deaths. Of these deaths, 85 % were due to heart attack and stroke.

摘要

心血管疾病(CVDs)是全球公认的重要死亡和残疾原因。常见的 CVDs 治疗策略,如药物治疗,由于心肌坏死治疗的失败,带来了严重的挑战。相比之下,基于干细胞(SCs)的治疗方法被认为是治疗 CVDs 的有前途的方法。在这种方法中,将从SCs 中分化出心肌细胞。为了充分发挥SCs 的潜力,应该采用这种方法来产生具有更成熟结构和良好功能的心肌细胞。对于心脏修复应用,必须使用可极大扩展的医疗级别的心肌细胞生成方法。然而,仍然存在一些挑战,例如免疫排斥、心律失常、肿瘤发生和移植物细胞死亡的可能性。本文讨论了潜在SCs 的类型,以及包括胚状体相关技术、共培养、机械刺激和电刺激在内的常用方法,及其在该领域的应用、优点和局限性。2019 年,有 1790 万人死于 CVDs,占全球死亡人数的 32%。在这些死亡中,85%是由于心脏病发作和中风。

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