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肺动脉高压的干细胞治疗:现状与未来机遇。

Stem cell therapy in pulmonary hypertension: current practice and future opportunities.

机构信息

Division of Pulmonary Medicine, The First Affiliated Hospital, Wenzhou Medical University, Wenzhou Key Laboratory of Interdiscipline and Translational Medicine, Wenzhou Key Laboratory of Heart and Lung, Wenzhou, China.

Joint Centre of Translational Medicine, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.

出版信息

Eur Respir Rev. 2023 Sep 27;32(169). doi: 10.1183/16000617.0112-2023. Print 2023 Sep 30.

Abstract

Pulmonary hypertension (PH) is a progressive disease characterised by elevated pulmonary arterial pressure and right-sided heart failure. While conventional drug therapies, including prostacyclin analogues, endothelin receptor antagonists and phosphodiesterase type 5 inhibitors, have been shown to improve the haemodynamic abnormalities of patients with PH, the 5-year mortality rate remains high. Thus, novel therapies are urgently required to prolong the survival of patients with PH. Stem cell therapies, including mesenchymal stem cells, endothelial progenitor cells and induced pluripotent stem cells, have shown therapeutic potential for the treatment of PH and clinical trials on stem cell therapies for PH are ongoing. This review aims to present the latest preclinical achievements of stem cell therapies, focusing on the therapeutic effects of clinical trials and discussing the challenges and future perspectives of large-scale applications.

摘要

肺动脉高压(PH)是一种以肺动脉压力升高和右心衰竭为特征的进行性疾病。虽然包括前列环素类似物、内皮素受体拮抗剂和磷酸二酯酶 5 抑制剂在内的常规药物治疗已被证明可以改善 PH 患者的血液动力学异常,但 5 年死亡率仍然很高。因此,迫切需要新的治疗方法来延长 PH 患者的生存时间。干细胞治疗,包括间充质干细胞、内皮祖细胞和诱导多能干细胞,已显示出治疗 PH 的潜力,并且正在进行 PH 的干细胞治疗临床试验。本综述旨在介绍干细胞治疗的最新临床前成果,重点讨论临床试验的治疗效果,并讨论大规模应用的挑战和未来前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da25/10523152/0a02f81b26c4/ERR-0112-2023.01.jpg

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