Department of Surgery, Section of Pediatric Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Department of Biological and Environmental Engineering, Cornell University, Ithaca, NY, USA.
Semin Pediatr Surg. 2023 Jun;32(3):151311. doi: 10.1016/j.sempedsurg.2023.151311. Epub 2023 Jun 1.
Necrotizing enterocolitis (NEC) is a devastating neonatal intestinal disease associated with significant morbidity and mortality. Although decades of research have been dedicated to understanding the pathogenesis of NEC and developing therapies, it remains the leading cause of death among neonatal gastrointestinal diseases. Mesenchymal stem cells (MSCs) have garnered significant interest recently as potential therapeutic agents for the treatment of NEC. They have been shown to rescue intestinal injury and reduce the incidence and severity of NEC in various preclinical animal studies. MSCs and MSC-derived organoids and tissue engineered small intestine (TESI) have shown potential for the treatment of long-term sequela of NEC such as short bowel syndrome, neurodevelopmental delay, and chronic lung disease. Although the advances made in the use of MSCs are promising, further research is needed prior to the widespread use of these cells for the treatment of NEC.
坏死性小肠结肠炎(NEC)是一种严重的新生儿肠道疾病,与较高的发病率和死亡率相关。尽管几十年来一直致力于研究 NEC 的发病机制并开发治疗方法,但它仍然是新生儿胃肠道疾病死亡的主要原因。间充质干细胞(MSCs)最近作为治疗 NEC 的潜在治疗药物引起了广泛关注。在各种临床前动物研究中,它们已被证明可以挽救肠道损伤并降低 NEC 的发生率和严重程度。MSCs 及其衍生的类器官和组织工程小肠(TESI)已显示出治疗 NEC 的长期后遗症(如短肠综合征、神经发育迟缓、慢性肺病)的潜力。尽管在使用 MSCs 方面取得了进展,但在广泛应用这些细胞治疗 NEC 之前,还需要进一步的研究。