Mohammedsaleh Zuhair M
Department of Medical Laboratory Technology, Faculty of Applied Medical Sciences. University of Tabuk, Tabuk 71491, Saudi Arabia.
Saudi J Biol Sci. 2022 May;29(5):3338-3346. doi: 10.1016/j.sjbs.2022.02.009. Epub 2022 Feb 10.
Autoimmune diseases are developed when the immune system mistakenly attacks the body's cells. These inflammatory disorders can be inherited or triggered by external forces, such as type 1 diabetes, which is caused by the immune system's destruction of pancreatic beta cells. So far, stem cells such as hESC and iPSC have been used to treat autoimmune disorders such as type 1 diabetes, rheumatoid arthritis (RA), multiple sclerosis (MS), and systemic lupus erythematosus (SLE), although these procedures have certain ethical concerns. On the other hand, bone marrow-derived mesenchymal stem cells (BM-MSC) are thought to be the best source of stem cells. Later, it was shown that mesenchymal stem cells produced from autologous adipose tissues have a great potential for producing huge volumes of stem cells. In-vitro and in-vivo investigations using autologous hematopoietic stem cells and autologous mesenchymal stem cells have been carried out on various rodent and human models, while clinical trials for inflammatory diseases such as multiple sclerosis and diabetes mellitus have yielded promising results. We attempted to summarise the usage of diverse stem cells in the therapy of various autoimmune disorders in this review. Shortly, we expect that the use of autologous stem cells will provide a new perspective on the treatment of autoimmune disorders.
当免疫系统错误地攻击身体细胞时,自身免疫性疾病就会发生。这些炎症性疾病可能是遗传的,也可能由外力引发,比如1型糖尿病,它是由免疫系统破坏胰腺β细胞所致。到目前为止,诸如人胚胎干细胞和诱导多能干细胞等干细胞已被用于治疗1型糖尿病、类风湿性关节炎(RA)、多发性硬化症(MS)和系统性红斑狼疮(SLE)等自身免疫性疾病,尽管这些操作存在一定的伦理问题。另一方面,骨髓来源的间充质干细胞(BM-MSC)被认为是干细胞的最佳来源。后来发现,由自体脂肪组织产生的间充质干细胞在大量产生干细胞方面具有巨大潜力。已在各种啮齿动物和人类模型上开展了使用自体造血干细胞和自体间充质干细胞的体外和体内研究,而针对多发性硬化症和糖尿病等炎症性疾病的临床试验也取得了有前景的结果。在本综述中,我们试图总结不同干细胞在各种自身免疫性疾病治疗中的应用。简而言之,我们期望自体干细胞的使用将为自身免疫性疾病的治疗提供新的视角。