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多能干细胞衍生的心肌细胞移植:从实验台走向临床应用。

Pluripotent stem cell-derived cardiomyocyte transplantation: marching from bench to bedside.

作者信息

Hong Yi, Liu Jiarui, Wang Weixuan, Li Hao, Kong Weijing, Li Xiaoxia, Zhang Wei, Pahlavan Sara, Tang Yi-da, Wang Xi, Wang Kai

机构信息

Department of Physiology and Pathophysiology, School of Basic Medical Sciences, State Key Laboratory of Vascular Homeostasis and Remodeling, Beijing Advanced Center of Cellular Homeostasis and Aging-Related Diseases, Center for Non-coding RNA Medicine, Clinical Stem Cell Research Center, Peking University Third Hospital, Peking University, Beijing, 100191, China.

Department of Education, Peking University First Hospital, Peking University, Beijing, 100035, China.

出版信息

Sci China Life Sci. 2025 May 23. doi: 10.1007/s11427-024-2801-x.

DOI:10.1007/s11427-024-2801-x
PMID:40418524
Abstract

Cardiovascular diseases such as myocardial infarction, heart failure, and cardiomyopathy, persist as a leading global cause of death. Current treatment options have inherent limitations, particularly in terms of cardiac regeneration due to the limited regenerative capacity of adult human hearts. The transplantation of pluripotent stem cell-derived cardiomyocytes (PSC-CMs) has emerged as a promising and potential solution to address this challenge. This review aims to summarize the latest advancements and prospects of PSC-CM transplantation (PCT), along with the existing constraints, such as immune rejection and engraftment arrhythmias, and corresponding solutions. Encompassing a comprehensive range from fundamental research findings and preclinical experiments to ongoing clinical trials, we hope to offer insights into PCT from bench to bedside.

摘要

心血管疾病,如心肌梗死、心力衰竭和心肌病,仍然是全球主要的死亡原因。目前的治疗方案存在固有局限性,特别是在心脏再生方面,因为成年人类心脏的再生能力有限。多能干细胞衍生的心肌细胞(PSC-CMs)移植已成为应对这一挑战的一种有前景且潜在的解决方案。本综述旨在总结PSC-CM移植(PCT)的最新进展和前景,以及现有的限制因素,如免疫排斥和植入性心律失常,以及相应的解决方案。涵盖从基础研究结果和临床前实验到正在进行的临床试验的广泛内容,我们希望能为从实验室到床边的PCT提供见解。

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本文引用的文献

1
Human umbilical cord mesenchymal stem cell-derived treatment of severe pulmonary arterial hypertension.人脐带间充质干细胞治疗重度肺动脉高压
Nat Cardiovasc Res. 2022 Jun;1(6):568-576. doi: 10.1038/s44161-022-00083-z. Epub 2022 Jun 9.
2
First pig-to-human liver transplant recipient 'doing very well'.首例猪到人的肝脏移植受者“情况非常好”。
Nature. 2024 Jun;630(8015):18. doi: 10.1038/d41586-024-01613-4.
3
Using diffusion tensor imaging to depict myocardial changes after matured pluripotent stem cell-derived cardiomyocyte transplantation.
利用扩散张量成像描绘成熟多能干细胞衍生的心肌细胞移植后的心肌变化。
J Cardiovasc Magn Reson. 2024;26(2):101045. doi: 10.1016/j.jocmr.2024.101045. Epub 2024 May 23.
4
Cellular dynamics in pig-to-human kidney xenotransplantation.猪到人肾脏异种移植中的细胞动力学。
Med. 2024 Aug 9;5(8):1016-1029.e4. doi: 10.1016/j.medj.2024.05.003. Epub 2024 May 21.
5
Integrative multi-omics profiling in human decedents receiving pig heart xenografts.人类遗体接受猪心异种移植后的综合多组学分析。
Nat Med. 2024 May;30(5):1448-1460. doi: 10.1038/s41591-024-02972-1. Epub 2024 May 17.
6
Pig-organ transplants: what three human recipients have taught scientists.猪器官移植:三位人类接受者给科学家们带来的启示。
Nature. 2024 May;629(8014):980-981. doi: 10.1038/d41586-024-01453-2.
7
Current status and challenges of pig-to-human organ xenotransplantation.猪到人的器官异种移植的现状与挑战
Sci China Life Sci. 2024 Apr;67(4):829-831. doi: 10.1007/s11427-023-2500-9. Epub 2023 Dec 29.
8
Combined Treatment of Human Induced Pluripotent Stem Cell-Derived Cardiomyocytes and Endothelial Cells Regenerate the Infarcted Heart in Mice and Non-Human Primates.人诱导多能干细胞衍生的心肌细胞和内皮细胞的联合治疗可在小鼠和非人类灵长类动物的梗死心脏中再生。
Circulation. 2023 Oct 31;148(18):1395-1409. doi: 10.1161/CIRCULATIONAHA.122.061736. Epub 2023 Sep 21.
9
Blastoids generated purely from embryonic stem cells both in mice and humans.在小鼠和人类中均由胚胎干细胞纯系生成的类胚体。
Sci China Life Sci. 2024 Feb;67(2):418-420. doi: 10.1007/s11427-023-2419-9. Epub 2023 Sep 4.
10
2023 ESC Guidelines for the management of acute coronary syndromes.2023年欧洲心脏病学会急性冠状动脉综合征管理指南。
Eur Heart J. 2023 Oct 12;44(38):3720-3826. doi: 10.1093/eurheartj/ehad191.