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干细胞与疼痛。

Stem cells and pain.

作者信息

da Silva Matheus Deroco Veloso, Piva Maiara, Martelossi-Cebinelli Geovana, Stinglin Rosa Ribas Mariana, Hoffmann Salles Bianchini Beatriz, K Heintz Olivia, Casagrande Rubia, Verri Waldiceu A

机构信息

Department of Pathology, Laboratory of Pain, Inflammation, Neuropathy and Cancer, State University of Londrina, Londrina 86057-970, Paraná, Brazil.

Morningside Graduate School of Biomedical Sciences, University of Massachusetts Chan Medical School, Worcester, MA 01655, United States.

出版信息

World J Stem Cells. 2023 Dec 26;15(12):1035-1062. doi: 10.4252/wjsc.v15.i12.1035.

Abstract

Pain can be defined as an unpleasant sensory and emotional experience caused by either actual or potential tissue damage or even resemble that unpleasant experience. For years, science has sought to find treatment alternatives, with minimal side effects, to relieve pain. However, the currently available pharmacological options on the market show significant adverse events. Therefore, the search for a safer and highly efficient analgesic treatment has become a priority. Stem cells (SCs) are non-specialized cells with a high capacity for replication, self-renewal, and a wide range of differentiation possibilities. In this review, we provide evidence that the immune and neuromodulatory properties of SCs can be a valuable tool in the search for ideal treatment strategies for different types of pain. With the advantage of multiple administration routes and dosages, therapies based on SCs for pain relief have demonstrated meaningful results with few downsides. Nonetheless, there are still more questions than answers when it comes to the mechanisms and pathways of pain targeted by SCs. Thus, this is an evolving field that merits further investigation towards the development of SC-based analgesic therapies, and this review will approach all of these aspects.

摘要

疼痛可被定义为由实际的或潜在的组织损伤所引起的,或者甚至类似于那种不愉快体验的一种令人不快的感觉和情感体验。多年来,科学界一直在寻求副作用最小的治疗方法来缓解疼痛。然而,目前市场上可用的药物选择存在显著的不良事件。因此,寻找更安全、高效的镇痛治疗方法已成为当务之急。干细胞是一类非特化细胞,具有高复制能力、自我更新能力以及广泛的分化可能性。在本综述中,我们提供证据表明,干细胞的免疫和神经调节特性可能是为不同类型疼痛寻找理想治疗策略的一个有价值的工具。基于干细胞的疼痛缓解疗法具有多种给药途径和剂量的优势,已显示出有意义的结果且弊端较少。尽管如此,在干细胞靶向疼痛的机制和途径方面,问题仍然多于答案。因此,这是一个不断发展的领域,值得进一步研究以开发基于干细胞的镇痛疗法,本综述将探讨所有这些方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb12/10762525/ff492c1a100c/WJSC-15-1035-g001.jpg

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