Department of Metabolism and Endocrinology, St. Marianna University School of Medicine, Kawasaki, Japan.
Endocrinol Metab (Seoul). 2024 Aug;39(4):552-558. doi: 10.3803/EnM.2024.1989. Epub 2024 Jun 10.
Patients with permanent hypoparathyroidism require lifelong treatment. Current replacement therapies sometimes have adverse effects (e.g., hypercalciuria and chronic kidney disease). Generating parathyroid glands (PTGs) from the patient's own induced pluripotent stem cells (PSCs), with transplantation of these PTGs, would be an effective treatment option. Multiple methods for generating PTGs from PSCs have been reported. One major trend is in vitro differentiation of PSCs into PTGs. Another is in vivo generation of PSC-derived PTGs by injecting PSCs into PTG-deficient embryos. This review discusses current achievements and challenges in present and future PTG regenerative medicine.
患有永久性甲状旁腺功能减退症的患者需要终身治疗。目前的替代疗法有时会有不良反应(例如,高钙尿症和慢性肾脏病)。从患者自身诱导多能干细胞(iPSCs)生成甲状旁腺细胞(PTGs),并将这些 PTGs 移植,将是一种有效的治疗选择。已经有多种方法可以从 iPSCs 中生成 PTGs。一种主要趋势是在体外将 iPSCs 分化为 PTGs。另一种方法是通过将 iPSCs 注射到 PTG 缺乏的胚胎中来在体内生成源自 iPSC 的 PTGs。本综述讨论了当前在 PTG 再生医学方面的现有和未来成就与挑战。
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