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脂肪来源的基质血管成分在骨关节炎中的治疗应用。

Therapeutic applications of adipose-derived stromal vascular fractions in osteoarthritis.

作者信息

Tang Qi, Zhao Xian-Sheng, Guo Ao, Cui Ruo-Tong, Song Huai-Le, Qi Zi-Yang, Pan Yi, Yang Yue, Zhang Fang-Fang, Jin Liang

机构信息

School of Life Science and Technology, China Pharmaceutical University, Nanjing 211198, Jiangsu Province, China.

Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, China.

出版信息

World J Stem Cells. 2022 Oct 26;14(10):744-755. doi: 10.4252/wjsc.v14.i10.744.

DOI:10.4252/wjsc.v14.i10.744
PMID:36337155
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9630988/
Abstract

Osteoarthritis (OA) is considered to be a highly heterogeneous disease with progressive cartilage loss, subchondral bone remodeling, and low-grade inflammation. It is one of the world's leading causes of disability. Most conventional clinical treatments for OA are palliative drugs, which cannot fundamentally cure this disease. The stromal vascular fraction (SVF) from adipose tissues is a heterogeneous cell population. According to previous studies, it contains a large number of mesenchymal stem cells, which have been used to treat OA with good therapeutic results. This safe, simple, and effective therapy is expected to be applied and promoted in the future. In this paper, the detailed pathogenesis, diagnosis, and current clinical treatments for OA are introduced. Then, clinical studies and the therapeutic mechanism of SVF for the treatment of OA are summarized.

摘要

骨关节炎(OA)被认为是一种高度异质性疾病,伴有进行性软骨丢失、软骨下骨重塑和低度炎症。它是全球导致残疾的主要原因之一。大多数用于OA的传统临床治疗方法都是姑息性药物,无法从根本上治愈这种疾病。脂肪组织的基质血管成分(SVF)是一种异质性细胞群体。根据以往研究,它含有大量间充质干细胞,已被用于治疗OA,且治疗效果良好。这种安全、简单且有效的治疗方法有望在未来得到应用和推广。本文介绍了OA的详细发病机制、诊断方法及当前临床治疗方法。然后,总结了SVF治疗OA的临床研究及治疗机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e99f/9630988/6ca9d08a51bf/WJSC-14-744-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e99f/9630988/6ca9d08a51bf/WJSC-14-744-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e99f/9630988/6ca9d08a51bf/WJSC-14-744-g001.jpg

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本文引用的文献

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Int J Mol Sci. 2021 Mar 7;22(5):2693. doi: 10.3390/ijms22052693.
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ARthroscopy in Knee OsteoArthritis (ARK-OA): a multicentre study assessing compliance to national guidelines.膝关节骨关节炎关节镜检查(ARK-OA):一项评估国家指南依从性的多中心研究。
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Immunomodulatory Mechanisms and Therapeutic Potential of Mesenchymal Stem Cells.间充质干细胞的免疫调节机制和治疗潜力。
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胫骨高位截骨术或单髁膝关节置换术后恢复体力活动:系统评价和汇总数据分析。
Am J Sports Med. 2021 Apr;49(5):1372-1380. doi: 10.1177/0363546520948861. Epub 2020 Sep 22.
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