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间充质基质细胞治疗颌面部神经疾病及促进面神经再生的研究进展

Advances in the Research of Mesenchymal Stromal Cells in the Treatment of Maxillofacial Neurological Disorders and the Promotion of Facial Nerve Regeneration.

作者信息

Zhao De-Zhi, Wei Han-Xiao, Yang Yi-Bing, Yang Kang, Chen Fang, Zhang Qian, Zhang Tao

机构信息

Key Laboratory of Cell Engineering of Guizhou Province, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.

Department of Prosthetics, Affiliated Stomatology Hospital of Zunyi Medical University, Zunyi, Guizhou, China.

出版信息

Mol Neurobiol. 2025 Apr 28. doi: 10.1007/s12035-025-04981-8.

DOI:10.1007/s12035-025-04981-8
PMID:40295362
Abstract

Maxillofacial neurological disorders include a range of disorders affecting the cranial nerves, which can be caused by a variety of reasons, including infection, trauma, tumor, and surgical complications, resulting in severe dysfunction, and the study of new approaches for the treatment of these disorders is crucial for the restoration of sensory and motor functions of the face. In recent years, due to the excellent tissue regenerative ability of mesenchymal stromal cells (MSCs), research on MSCs and MSC-derived exosomes has been progressively deepened, bringing many new perspectives to the therapeutic strategies for many diseases. Facial nerve regeneration is a complex process involving various pathophysiological mechanisms and therapeutic strategies to restore nerve function after injury. And the rapid development of stem cell tissue engineering has greatly facilitated the research process of facial nerve regeneration. In this paper, we review the characteristics of MSCs and neural stem cells (NSCs), the roles they play in the neural microenvironment and the mechanisms that promote nerve regeneration, summarize the research progress of MSCs in the treatment of maxillofacial neurological disorders, and highlight the promising directions for future development.

摘要

颌面神经疾病包括一系列影响颅神经的疾病,其可由多种原因引起,包括感染、创伤、肿瘤和手术并发症,导致严重功能障碍,而研究这些疾病的新治疗方法对于恢复面部的感觉和运动功能至关重要。近年来,由于间充质基质细胞(MSCs)具有出色的组织再生能力,对MSCs和MSCs衍生外泌体的研究不断深入,为许多疾病的治疗策略带来了许多新视角。面神经再生是一个复杂的过程,涉及各种病理生理机制和损伤后恢复神经功能的治疗策略。干细胞组织工程的快速发展极大地推动了面神经再生的研究进程。在本文中,我们综述了MSCs和神经干细胞(NSCs)的特征、它们在神经微环境中所起的作用以及促进神经再生的机制,总结了MSCs在治疗颌面神经疾病方面的研究进展,并突出了未来发展的有前景的方向。

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本文引用的文献

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Tracking adipose-derived stem cell exosomes applied in a mouse crush injury model: insights from fluorescent labeling and spatial transcriptomics - an experimental study.追踪应用于小鼠挤压伤模型的脂肪来源干细胞外泌体:来自荧光标记和空间转录组学的见解——一项实验研究
Int J Surg. 2025 Feb 1;111(2):1860-1873. doi: 10.1097/JS9.0000000000002166.
2
Streamlining the Highly Reproducible Fabrication of Fibrous Biomedical Specimens toward Standardization and High Throughput.将纤维生物医学标本的高度可重复制造流程简化以实现标准化和高通量。
Adv Healthc Mater. 2025 Feb;14(4):e2402527. doi: 10.1002/adhm.202402527. Epub 2024 Dec 15.
3
Application of mesenchymal stem cells for neurodegenerative diseases therapy discovery.
间充质干细胞在神经退行性疾病治疗探索中的应用。
Regen Ther. 2024 Oct 30;26:981-989. doi: 10.1016/j.reth.2024.09.014. eCollection 2024 Jun.
4
Human iPSC-Derived MSCs Induce Neurotrophic Effects and Improve Metabolic Activity in Acute Neuronal Injury Models.人诱导多能干细胞衍生的间充质干细胞在急性神经元损伤模型中诱导神经营养作用并改善代谢活性。
J Neurosci. 2025 Jan 1;45(1):e0606242024. doi: 10.1523/JNEUROSCI.0606-24.2024.
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Therapeutic potential of mesenchymal stem cell-derived exosomes and miRNAs in neuronal regeneration and rejuvenation in neurological disorders: a mini review.间充质干细胞衍生的外泌体和微小RNA在神经疾病神经元再生与修复中的治疗潜力:一篇综述
Front Cell Neurosci. 2024 Oct 4;18:1427525. doi: 10.3389/fncel.2024.1427525. eCollection 2024.
6
Stem Cell Interventions in Neurology: From Bench to Bedside.神经科学中的干细胞干预:从基础到临床。
J Alzheimers Dis. 2024;101(s1):S395-S416. doi: 10.3233/JAD-230897.
7
Increased efficiency of peripheral nerve regeneration using supercritical carbon dioxide-based decellularization in acellular nerve graft.使用超临界二氧化碳基去细胞化在去细胞神经移植物中提高周围神经再生的效率。
Sci Rep. 2024 Oct 10;14(1):23696. doi: 10.1038/s41598-024-72672-w.
8
Significance of Programmed Cell Death Pathways in Neurodegenerative Diseases.细胞程序性死亡通路在神经退行性疾病中的意义。
Int J Mol Sci. 2024 Sep 15;25(18):9947. doi: 10.3390/ijms25189947.
9
A Comprehensive Review of the Role of Stem Cells in Neuroregeneration: Potential Therapies for Neurological Disorders.干细胞在神经再生中的作用综述:神经系统疾病的潜在疗法
Cureus. 2024 Aug 22;16(8):e67506. doi: 10.7759/cureus.67506. eCollection 2024 Aug.
10
Bone marrow mesenchymal stem cells in treatment of peripheral nerve injury.骨髓间充质干细胞治疗周围神经损伤
World J Stem Cells. 2024 Aug 26;16(8):799-810. doi: 10.4252/wjsc.v16.i8.799.