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间充质干细胞及其衍生物在促进周围神经再生方面的研究进展。

Advances in mesenchymal stem cells and their derivatives for promoting peripheral nerve regeneration.

作者信息

Wei Shuai, Dong Jin, Hu Qian, Bai Jinyu, Gao Xiang, Shan Huajian, Sheng Lei, Dai Jun, Tao Lide, Yan Bing, Zhou Xiaozhong

机构信息

Department of Orthopedics, The Second Affiliated Hospital of Soochow University, No. 1055 Sanxiang Road, Gusu District, Suzhou, Jiangsu 215004, China.

Health Management Center, The Second Affiliated Hospital of Soochow University, No. 1055 Sanxiang Road, Gusu District, Suzhou, Jiangsu 215004, China.

出版信息

Burns Trauma. 2025 May 19;13:tkaf027. doi: 10.1093/burnst/tkaf027. eCollection 2025.

Abstract

Peripheral nerve injury constitutes a complex neurotraumatic pathology characterized by mechanical disruption of neural integrity, manifesting as multimodal sensorimotor deficits and impaired neuromuscular coordination. The primary clinical interventions include surgical tension-free suturing of the severed nerve ends and autologous nerve transplantation. Despite these interventions, patients often experience complications, and the outcomes are not entirely satisfactory for either patients or clinicians. Mesenchymal stem cells (MSCs) have gradually become a novel therapeutic option, with burgeoning preclinical evidence elucidating their multimodal therapeutic potential in peripheral nerve reconstruction. This research has produced promising outcomes, contributing to both fundamental research and translational medicine. However, a comprehensive synthesis of the roles of MSCs and their derivatives in nerve regeneration is still lacking. This article presents a review of the current research advancements in this area, aiming to encourage further investigations and therapeutic applications of MSCs and their derivatives in peripheral nerve injury and regenerative medicine.

摘要

周围神经损伤是一种复杂的神经创伤性病理状态,其特征为神经完整性的机械性破坏,表现为多模式感觉运动功能障碍和神经肌肉协调受损。主要的临床干预措施包括对离断神经末端进行无张力手术缝合以及自体神经移植。尽管采取了这些干预措施,患者仍常出现并发症,并且无论是对患者还是临床医生而言,治疗结果都不尽如人意。间充质干细胞(MSCs)已逐渐成为一种新的治疗选择,越来越多的临床前证据表明其在周围神经重建中具有多模式治疗潜力。这项研究已取得了有前景的成果,为基础研究和转化医学都做出了贡献。然而,目前仍缺乏对MSCs及其衍生物在神经再生中作用的全面综述。本文对该领域当前的研究进展进行了综述,旨在鼓励进一步研究以及将MSCs及其衍生物应用于周围神经损伤和再生医学的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9495/12309380/e0e0aa04cc47/tkaf027f1.jpg

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