Department of Emergency Medical Sciences, Faculty of Paramedical, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Department of Cardiovascular Medicine, Tohid Hospital, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Curr Stem Cell Res Ther. 2023;18(5):595-607. doi: 10.2174/1574888X17666220628123912.
Intervertebral Disc Degeneration (IDD) is recognized as an aging process, an important and most common pathological condition caused by an imbalance of anabolic and catabolic metabolisms in the Intervertebral Disc (IVD), and leads to changes in the Extracellular Matrix (ECM), impaired metabolic regulation of Nucleus Pulposus (NP), and increased oxidative stress. IDD is mostly associated with pain in the back and neck, which is referred to as a type of disability. Pharmacological and surgical interventions are currently used to treat IDD, but evidence has shown that these interventions do not have the ability to inhibit the progression of IDD and restore IVD function because IVD lacks the intrinsic capacity for regeneration. Thus, therapies that rely on a degenerative cell repair mechanism may be a viable alternative strategy. Biological interventions have been assessed by attempting to regenerate IVD by restoring ECM and cellular function. Over the past decade, stem cell-based therapies have been considered, and promising results have been obtained in various studies. Given this, we reviewed clinical trials and preliminary studies of biological disc repair with a focus on stem cell therapy-based therapies.
椎间盘退变性疾病(IDD)被认为是一种老化过程,是一种由椎间盘(IVD)中合成代谢和分解代谢失衡引起的重要且最常见的病理状况,导致细胞外基质(ECM)的变化、髓核(NP)代谢调节受损和氧化应激增加。IDD 主要与背部和颈部疼痛有关,这种疼痛被称为一种残疾。目前,药物治疗和手术干预被用于治疗 IDD,但有证据表明,这些干预措施没有抑制 IDD 进展和恢复 IVD 功能的能力,因为 IVD 缺乏内在的再生能力。因此,依赖退行性细胞修复机制的治疗方法可能是一种可行的替代策略。生物干预已经通过尝试通过恢复 ECM 和细胞功能来再生 IVD 进行了评估。在过去的十年中,基于干细胞的治疗方法已经被考虑,并且在各种研究中已经取得了有希望的结果。有鉴于此,我们回顾了基于干细胞治疗的生物椎间盘修复的临床试验和初步研究。
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