Aliniay-Sharafshadehi Shahrzad, Yousefi Mohammad Hasan, Ghodratie Mohammad, Kashfi Mojtaba, Afkhami Hamed, Ghoreyshiamiri Seyed Mehdi
Department of Microbiology, Faculty of Advanced Science and Technology, Tehran Medical Science, Islamic Azad University, Tehran, Iran.
Department of Tissue Engineering and Applied Cell Sciences, School of Medicine, Qom University of Medical Sciences, Qom, Iran.
Front Microbiol. 2024 Nov 29;15:1495011. doi: 10.3389/fmicb.2024.1495011. eCollection 2024.
The most prevalent and harmful injuries are burns, which are still a major global health problem. Burn injuries can cause issues because they boost the inflammatory and metabolic response, which can cause organ malfunction and systemic failure. On the other hand, a burn wound infection creates an environment that is conducive to the growth of bacteria and might put the patient at risk for sepsis. In addition, scarring is unavoidable, and this results in patients having functional and cosmetic issues. Wound healing is an amazing phenomenon with a complex mechanism that deals with different types of cells and biomolecules. Cell therapy using stem cells is one of the most challenging treatment methods that accelerates the healing of burn wounds. Since 2000, the use of mesenchymal stem cells (MSCs) in regenerative medicine and wound healing has increased. They can be extracted from various tissues, such as bone marrow, fat, the umbilical cord, and the amniotic membrane. According to studies, stem cell therapy for burn wounds increases angiogenesis, has anti-inflammatory properties, slows the progression of fibrosis, and has an excellent ability to differentiate and regenerate damaged tissue. Figuring out the main preclinical and clinical problems that stop people from using MSCs and then suggesting the right ways to improve therapy could help show the benefits of MSCs and move stem cell-based therapy forward. This review's objective was to assess mesenchymal stem cell therapy's contribution to the promotion of burn wound healing.
最常见且有害的损伤是烧伤,烧伤仍是一个重大的全球健康问题。烧伤会引发诸多问题,因为它会增强炎症和代谢反应,进而可能导致器官功能障碍和全身衰竭。另一方面,烧伤创面感染会营造有利于细菌生长的环境,并可能使患者面临败血症风险。此外,疤痕形成不可避免,这会给患者带来功能和外观方面的问题。伤口愈合是一个神奇的现象,其机制复杂,涉及不同类型的细胞和生物分子。使用干细胞的细胞疗法是加速烧伤创面愈合的最具挑战性的治疗方法之一。自2000年以来,间充质干细胞(MSCs)在再生医学和伤口愈合中的应用有所增加。它们可以从各种组织中提取,如骨髓、脂肪、脐带和羊膜。据研究,烧伤创面的干细胞疗法可促进血管生成,具有抗炎特性,减缓纤维化进程,并且具有出色的分化和再生受损组织的能力。找出阻碍人们使用间充质干细胞的主要临床前和临床问题,然后提出正确的改进治疗方法,有助于展现间充质干细胞的益处,并推动基于干细胞的治疗向前发展。本综述的目的是评估间充质干细胞疗法对促进烧伤创面愈合的贡献。