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肾自体细胞移植的综述:一种针对慢性肾病的研究方法。

A review on renal autologous cell transplantation: an investigational approach towards chronic kidney disease.

机构信息

Department of Medicine, Koc University School of Medicine, 34010, Istanbul, Turkey.

Department of Nephrology, Grigore T. Popa University of Medicine, Iasi, Romania.

出版信息

Int Urol Nephrol. 2023 Oct;55(10):2539-2544. doi: 10.1007/s11255-023-03574-5. Epub 2023 Mar 27.

Abstract

Chronic kidney disease is among the most common causes of mortality and morbidity in adult population with limited therapeutic approaches including various medications and kidney replacement therapies. Kidney transplantation is the gold standard therapeutic alternative for the management of chronic kidney disease; nonetheless, important drawbacks include the lack of adequate living or deceased donors, high rates of pre- and post-operative complications including surgical complications, infectious complications and medication-induced adverse effects. With the latest preclinical and in vitro studies demonstrating the potentiality of kidney cells obtained from diseased kidneys to convert into fully functional kidney cells lead to a novel therapeutic alternative referred as autologous selected renal cell transplantation. Even though the clinical studies investigating the efficiency and adverse effects of autologous selected renal cell transplantation are limited, it is no doubt promising. The need for future large-scale studies on chronic kidney disease patients from a diversity of etiologies is clear for the better establishment of the therapeutic potential of autologous selected renal cell transplantation. In this narrative review, our aim is to evaluate the role of renal autologous stem cell therapy in the management of chronic kidney disease.

摘要

慢性肾脏病是成年人群中最常见的死亡和发病原因之一,其治疗方法有限,包括各种药物和肾脏替代疗法。肾移植是治疗慢性肾脏病的金标准治疗选择;然而,重要的缺点包括缺乏足够的活体或已故供体,以及包括手术并发症、感染性并发症和药物引起的不良反应在内的术前和术后高并发症发生率。随着最新的临床前和体外研究表明,从患病肾脏中获得的肾细胞具有转化为完全功能肾细胞的潜力,从而产生了一种新的治疗选择,称为自体选择的肾细胞移植。尽管关于自体选择肾细胞移植的效率和不良反应的临床研究有限,但它无疑是有前途的。需要对来自不同病因的慢性肾脏病患者进行未来的大规模研究,以更好地确定自体选择的肾细胞移植的治疗潜力。在这篇叙述性综述中,我们的目的是评估肾自体干细胞治疗在慢性肾脏病管理中的作用。

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