Laboratory for Cardiac and Thoracic Diagnosis and Regeneration, Department of Thoracic Surgery, Medical University of Vienna, Vienna, Austria.
Department of Dermatology, Medical University of Vienna, Vienna, Austria.
J Invest Dermatol. 2023 Jun;143(6):893-912. doi: 10.1016/j.jid.2023.02.019.
Although the application of stem cells to chronic wounds emerged as a candidate therapy in the previous century, the mechanism of action remains unclear. Recent evidence has implicated secreted paracrine factors in the regenerative properties of cell-based therapies. In the last two decades, considerable research advances involving the therapeutic potential of stem cell secretomes have expanded the scope of secretome-based therapies beyond stem cell populations. In this study, we review the modes of action of cell secretomes in wound healing, important preconditioning strategies for enhancing their therapeutic efficacy, and clinical trials on secretome-based wound healing.
尽管上个世纪间,干细胞在慢性创面中的应用已崭露头角,成为一种候选治疗方法,但具体作用机制仍未阐明。近期研究证据提示,旁分泌因子的分泌在基于细胞的治疗方法的再生特性中发挥作用。在过去二十年中,涉及干细胞分泌组治疗潜力的大量研究进展已将基于分泌组的治疗范围扩大到了干细胞群体之外。在本研究中,我们综述了细胞分泌组在创面愈合中的作用模式、增强其治疗效果的重要预处理策略,以及基于分泌组的创面愈合的临床试验。