Department of Vascular Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, China; Division of Hepatobiliary Surgery and Transplantation Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, School of Biological Science and Medical Engineering, Southeast University, Nanjing 210096, China.
Division of Hepatobiliary Surgery and Transplantation Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, School of Biological Science and Medical Engineering, Southeast University, Nanjing 210096, China.
Sci Bull (Beijing). 2024 Jan 30;69(2):248-279. doi: 10.1016/j.scib.2023.12.006. Epub 2023 Dec 4.
Stem cell therapy holds immense potential as a viable treatment for a widespread range of intractable disorders. As the safety of stem cell transplantation having been demonstrated in numerous clinical trials, various kinds of stem cells are currently utilized in medical applications. Despite the achievements, the therapeutic benefits of stem cells for diseases are limited, and the data of clinical researches are unstable. To optimize tthe effectiveness of stem cells, engineering approaches have been developed to enhance their inherent abilities and impart them with new functionalities, paving the way for the next generation of stem cell therapies. This review offers a detailed analysis of engineered stem cells, including their clinical applications and potential for future development. We begin by briefly introducing the recent advances in the production of stem cells (induced pluripotent stem cells (iPSCs), embryonic stem cells (ESCs), mesenchymal stem cells (MSCs) and hematopoietic stem cells (HSCs)). Furthermore, we present the latest developments of engineered strategies in stem cells, including engineered methods in molecular biology and biomaterial fields, and their application in biomedical research. Finally, we summarize the current obstacles and suggest future prospects for engineered stem cells in clinical translations and biomedical applications.
干细胞治疗作为一种可行的治疗方法,具有治疗广泛的难治性疾病的巨大潜力。由于大量临床试验已经证明了干细胞移植的安全性,目前各种类型的干细胞正在被应用于医学领域。尽管取得了一定的成就,但干细胞对疾病的治疗效果仍然有限,且临床研究的数据也不稳定。为了优化干细胞的效果,工程学方法已经被开发出来,以增强它们的固有能力并赋予它们新的功能,为下一代干细胞疗法铺平了道路。本综述详细分析了工程化干细胞,包括它们的临床应用和未来发展的潜力。我们首先简要介绍了干细胞生产的最新进展(诱导多能干细胞(iPSCs)、胚胎干细胞(ESCs)、间充质干细胞(MSCs)和造血干细胞(HSCs))。此外,我们还介绍了工程化策略在干细胞中的最新发展,包括分子生物学和生物材料领域的工程化方法,以及它们在生物医学研究中的应用。最后,我们总结了当前工程化干细胞在临床转化和生物医学应用中所面临的障碍,并对其未来前景进行了展望。