Suppr超能文献

探索基于干细胞的视网膜再生疗法。

Exploring Stem-Cell-Based Therapies for Retinal Regeneration.

作者信息

Radu Madalina, Brănișteanu Daniel Constantin, Pirvulescu Ruxandra Angela, Dumitrescu Otilia Maria, Ionescu Mihai Alexandru, Zemba Mihail

机构信息

Department of Ophthalmology, "Dr. Carol Davila" Central Military Emergency University Hospital, 010825 Bucharest, Romania.

Department of Ophthalmology, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iasi, Romania.

出版信息

Life (Basel). 2024 May 23;14(6):668. doi: 10.3390/life14060668.

Abstract

The escalating prevalence of retinal diseases-notably, age-related macular degeneration and hereditary retinal disorders-poses an intimidating challenge to ophthalmic medicine, often culminating in irreversible vision loss. Current treatments are limited and often fail to address the underlying loss of retinal cells. This paper explores the potential of stem-cell-based therapies as a promising avenue for retinal regeneration. We review the latest advancements in stem cell technology, focusing on embryonic stem cells (ESCs), pluripotent stem cells (PSCs), and mesenchymal stem cells (MSCs), and their ability to differentiate into retinal cell types. We discuss the challenges in stem cell transplantation, such as immune rejection, integration into the host retina, and functional recovery. Previous and ongoing clinical trials are examined to highlight the therapeutic efficacy and safety of these novel treatments. Additionally, we address the ethical considerations and regulatory frameworks governing stem cell research. Our analysis suggests that while stem-cell-based therapies offer a groundbreaking approach to treating retinal diseases, further research is needed to ensure long-term safety and to optimize therapeutic outcomes. This review summarizes the clinical evidence of stem cell therapy and current limitations in utilizing stem cells for retinal degeneration, such as age-related macular degeneration, retinitis pigmentosa, and Stargardt's disease.

摘要

视网膜疾病的患病率不断攀升,尤其是年龄相关性黄斑变性和遗传性视网膜疾病,这给眼科医学带来了严峻挑战,常常导致不可逆转的视力丧失。目前的治疗方法有限,往往无法解决视网膜细胞的潜在损失问题。本文探讨了基于干细胞的疗法作为视网膜再生的一条有前景途径的潜力。我们回顾了干细胞技术的最新进展,重点关注胚胎干细胞(ESC)、多能干细胞(PSC)和间充质干细胞(MSC),以及它们分化为视网膜细胞类型的能力。我们讨论了干细胞移植中的挑战,如免疫排斥、整合到宿主视网膜以及功能恢复。对以往和正在进行的临床试验进行了研究,以突出这些新疗法的治疗效果和安全性。此外,我们还讨论了干细胞研究的伦理考量和监管框架。我们的分析表明,虽然基于干细胞的疗法为治疗视网膜疾病提供了一种开创性的方法,但仍需要进一步研究以确保长期安全性并优化治疗效果。本综述总结了干细胞治疗的临床证据以及目前在将干细胞用于视网膜变性(如年龄相关性黄斑变性、色素性视网膜炎和斯塔加特病)方面的局限性。

相似文献

2
Stem Cell Therapy for Retinal Degeneration: The Evidence to Date.视网膜变性的干细胞治疗:迄今的证据
Biologics. 2021 Jul 27;15:299-306. doi: 10.2147/BTT.S290331. eCollection 2021.
3
Towards Stem/Progenitor Cell-Based Therapies for Retinal Degeneration.迈向基于干细胞/祖细胞的视网膜变性治疗方法
Stem Cell Rev Rep. 2024 Aug;20(6):1459-1479. doi: 10.1007/s12015-024-10740-4. Epub 2024 May 29.
4
Stemming retinal regeneration with pluripotent stem cells.利用多能干细胞实现视网膜再生。
Prog Retin Eye Res. 2019 Mar;69:38-56. doi: 10.1016/j.preteyeres.2018.11.003. Epub 2018 Nov 9.
6
Retinal stem cells and potential cell transplantation treatments.视网膜干细胞与潜在的细胞移植治疗
J Chin Med Assoc. 2014 Nov;77(11):556-61. doi: 10.1016/j.jcma.2014.08.001. Epub 2014 Sep 18.
8
Restoring Vision Using Stem Cells and Transplantation.使用干细胞和移植恢复视力。
Adv Exp Med Biol. 2019;1185:563-567. doi: 10.1007/978-3-030-27378-1_92.

本文引用的文献

1
Clinical applications of stem cell-derived exosomes.干细胞衍生的外泌体的临床应用。
Signal Transduct Target Ther. 2024 Jan 12;9(1):17. doi: 10.1038/s41392-023-01704-0.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验