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与骨髓微环境相关的造血干细胞体外扩增进展。

Advances in hematopoietic stem cells ex vivo expansion associated with bone marrow niche.

作者信息

Deng Ju, Tan Yanhong, Xu Zhifang, Wang Hongwei

机构信息

Institute of Hematology, The Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.

The Key Laboratory of Molecular Diagnosis and Treatment of Hematological Disease of Shanxi Province, The Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.

出版信息

Ann Hematol. 2024 Dec;103(12):5035-5057. doi: 10.1007/s00277-024-05773-1. Epub 2024 Apr 30.

Abstract

Hematopoietic stem cells (HSCs) are an ideal source for the treatment of many hematological diseases and malignancies, as well as diseases of other systems, because of their two important features, self-renewal and multipotential differentiation, which have the ability to rebuild the blood system and immune system of the body. However, so far, the insufficient number of available HSCs, whether from bone marrow (BM), mobilized peripheral blood or umbilical cord blood, is still the main restricting factor for the clinical application. Therefore, strategies to expand HSCs numbers and maintain HSCs functions through ex vivo culture are urgently required. In this review, we outline the basic biology characteristics of HSCs, and focus on the regulatory factors in BM niche affecting the functions of HSCs. Then, we introduce several representative strategies used for HSCs from these three sources ex vivo expansion associated with BM niche. These findings have deepened our understanding of the mechanisms by which HSCs balance self-renewal and differentiation and provided a theoretical basis for the efficient clinical HSCs expansion.

摘要

造血干细胞(HSCs)是治疗许多血液系统疾病、恶性肿瘤以及其他系统疾病的理想来源,因为它们具有自我更新和多能分化这两个重要特性,能够重建机体的血液系统和免疫系统。然而,迄今为止,无论是来自骨髓(BM)、动员外周血还是脐带血,可用造血干细胞数量不足仍是临床应用的主要限制因素。因此,迫切需要通过体外培养来扩增造血干细胞数量并维持其功能的策略。在这篇综述中,我们概述了造血干细胞的基本生物学特性,并重点关注骨髓微环境中影响造血干细胞功能的调节因子。然后,我们介绍了几种与骨髓微环境相关的、用于这三种来源造血干细胞体外扩增的代表性策略。这些发现加深了我们对造血干细胞平衡自我更新和分化机制的理解,并为临床高效扩增造血干细胞提供了理论依据。

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