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间充质干细胞作为非酒精性脂肪性肝病潜在治疗策略的当前观点。

Current perspectives on mesenchymal stem cells as a potential therapeutic strategy for non-alcoholic fatty liver disease.

作者信息

Jiang Yan, Yusoff Narazah Mohd, Du Jiang, Moses Emmanuel Jairaj, Lin Jun-Tang

机构信息

School of Nursing, Xinxiang Medical University, Xinxiang 453000, Henan Province, China.

Department of Biomedical Sciences, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Kepala Batas 13200, Pulau Pinang, Malaysia.

出版信息

World J Stem Cells. 2024 Jul 26;16(7):760-772. doi: 10.4252/wjsc.v16.i7.760.

Abstract

Non-alcoholic fatty liver disease (NAFLD) has emerged as a significant health challenge, characterized by its widespread prevalence, intricate natural progression and multifaceted pathogenesis. Although NAFLD initially presents as benign fat accumulation, it may progress to steatosis, non-alcoholic steatohepatitis, cirrhosis, and hepatocellular carcinoma. Mesenchymal stem cells (MSCs) are recognized for their intrinsic self-renewal, superior biocompatibility, and minimal immunogenicity, positioning them as a therapeutic innovation for liver diseases. Therefore, this review aims to elucidate the potential roles of MSCs in alleviating the progression of NAFLD by alteration of underlying molecular pathways, including glycolipid metabolism, inflammation, oxidative stress, endoplasmic reticulum stress, and fibrosis. The insights are expected to provide further understanding of the potential of MSCs in NAFLD therapeutics, and support the development of MSC-based therapy in the treatment of NAFLD.

摘要

非酒精性脂肪性肝病(NAFLD)已成为一项重大的健康挑战,其特点是广泛流行、自然病程复杂且发病机制多方面。尽管NAFLD最初表现为良性脂肪堆积,但它可能进展为脂肪变性、非酒精性脂肪性肝炎、肝硬化和肝细胞癌。间充质干细胞(MSCs)因其内在的自我更新能力、卓越的生物相容性和最小的免疫原性而受到认可,使其成为肝脏疾病治疗的一项创新疗法。因此,本综述旨在阐明MSCs通过改变包括糖脂代谢、炎症、氧化应激、内质网应激和纤维化在内的潜在分子途径,在缓解NAFLD进展中的潜在作用。这些见解有望进一步理解MSCs在NAFLD治疗中的潜力,并支持基于MSCs的疗法在NAFLD治疗中的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7746/11287429/7e51d5ad4941/WJSC-16-760-g001.jpg

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