Ren Yan, Cui Yanni, Tan Yanhong, Xu Zhifang, Wang Hongwei
The Second Clinical Medical College, Shanxi Medical University, Taiyuan, China.
Department of Hematology, The Second Hospital of Shanxi Medical University, Taiyuan, China.
Vox Sang. 2023 Nov;118(11):913-920. doi: 10.1111/vox.13505. Epub 2023 Oct 13.
Haematopoietic stem cell transplantation (HSCT) is considered an effective treatment for some haematopoietic malignancies, haematopoietic failure and immunodeficiency. Compared with bone marrow and mobilized peripheral blood, cord blood has the advantages of easy access, being harmless to donors and low requirement for HLA matching. In addition, umbilical cord blood transplantation (UCBT) has achieved remarkable clinical success in the past 30 years due to the low recurrence rate of malignancies treated by UCBT, mild degree of chronic graft-versus-host disease (GVHD) and good quality of life for patients after transplantation. However, the number of cells in a single cord blood is too small for rapid bone marrow implantation. We summarize the various factors involved that need to be considered in the expansion of haematopoietic stem cells (HSCs) in vitro, which all avoid complex operations, such as vector construction and virus transfection. We also found it necessary to identify a new molecule as the carrier of HSCs cultured in vitro, which not only would provide a three-dimensional structure conducive to the self-renewal of HSCs but also prevent their differentiation.
造血干细胞移植(HSCT)被认为是治疗某些造血系统恶性肿瘤、造血功能衰竭和免疫缺陷的有效方法。与骨髓和动员外周血相比,脐带血具有易于获取、对供体无害以及对HLA匹配要求低等优点。此外,由于脐带血移植(UCBT)治疗的恶性肿瘤复发率低、慢性移植物抗宿主病(GVHD)程度轻以及移植后患者生活质量良好,在过去30年中UCBT已取得显著的临床成功。然而,单份脐带血中的细胞数量过少,无法实现快速骨髓植入。我们总结了体外扩增造血干细胞(HSCs)时需要考虑的各种因素,所有这些因素都避免了复杂的操作,如载体构建和病毒转染。我们还发现有必要鉴定一种新分子作为体外培养的HSCs的载体,它不仅能提供有利于HSCs自我更新的三维结构,还能防止其分化。