Vats Amrita, Chaturvedi Pankaj
Department of Pharmacology and Regenerative Medicine, University of Illinois, Chicago, IL, 60612, USA.
Department of Cell and Developmental Biology, University of Illinois at Urbana-Champaign, Urbana, IL, 61801, USA.
Stem Cells Cloning. 2023 Sep 12;16:43-59. doi: 10.2147/SCCAA.S419474. eCollection 2023.
Idiopathic pulmonary fibrosis (IPF) is a chronic and progressive lung disease with no known cure, characterized by the formation of scar tissue in the lungs, leading to respiratory failure. Although the exact cause of IPF remains unclear, the condition is thought to result from a combination of genetic and environmental factors. One of the most widely used animal models to study IPF is the bleomycin-induced lung injury model in mice. In this model, the administration of the chemotherapeutic agent bleomycin causes pulmonary inflammation and fibrosis, which closely mimics the pathological features of human IPF. Numerous recent investigations have explored the functions of various categories of stem cells in the healing process of lung injury induced by bleomycin in mice, documenting the beneficial effects and challenges of this approach. Differentiation of stem cells into various cell types and their ability to modulate tissue microenvironment is an emerging aspect of the regenerative therapies. This review article aims to provide a comprehensive overview of the role of stem cells in repairing bleomycin-induced lung injury. It delves into the mechanisms through which various types of stem cells, including mesenchymal stem cells, embryonic stem cells, induced pluripotent stem cells, and lung resident stem cells, exert their therapeutic effects in this specific model. We have also discussed the unique set of intermediate markers and signaling factors that can influence the proliferation and differentiation of alveolar epithelial cells both during lung repair and homeostasis. Finally, we highlight the challenges and opportunities associated with translating stem cell therapy to the clinic for IPF patients. The novelty and implications of this review extend beyond the understanding of the potential of stem cells in treating IPF to the broader field of regenerative medicine. We believe that the review paves the way for further advancements in stem cell therapies, offering hope for patients suffering from this debilitating and currently incurable disease.
特发性肺纤维化(IPF)是一种慢性进行性肺部疾病,目前尚无治愈方法,其特征是肺部形成瘢痕组织,最终导致呼吸衰竭。尽管IPF的确切病因尚不清楚,但一般认为是遗传因素和环境因素共同作用的结果。用于研究IPF的最广泛使用的动物模型之一是博来霉素诱导的小鼠肺损伤模型。在这个模型中,给予化疗药物博来霉素会导致肺部炎症和纤维化,这与人类IPF的病理特征非常相似。最近的许多研究探讨了各类干细胞在博来霉素诱导的小鼠肺损伤愈合过程中的作用,记录了这种方法的益处和挑战。干细胞分化为各种细胞类型以及调节组织微环境的能力是再生疗法中一个新出现的方面。这篇综述文章旨在全面概述干细胞在修复博来霉素诱导的肺损伤中的作用。它深入探讨了包括间充质干细胞、胚胎干细胞、诱导多能干细胞和肺驻留干细胞在内的各种类型干细胞在这个特定模型中发挥治疗作用的机制。我们还讨论了在肺修复和内环境稳定过程中可能影响肺泡上皮细胞增殖和分化的一系列独特的中间标志物和信号因子。最后,我们强调了将干细胞疗法应用于IPF患者临床治疗所面临的挑战和机遇。这篇综述的新颖性和意义不仅在于对干细胞治疗IPF潜力的理解,还延伸到了更广泛的再生医学领域。我们相信,这篇综述为干细胞疗法的进一步发展铺平了道路,为患有这种使人衰弱且目前无法治愈的疾病的患者带来了希望。