Singh Nivisti, Choonara Yahya E, Kumar Pradeep
Wits Advanced Drug Delivery Platform Research Unit, Department of Pharmacy and Pharmacology, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Regen Ther. 2025 Apr 24;29:466-473. doi: 10.1016/j.reth.2025.04.005. eCollection 2025 Jun.
Stem cell transplantation remains at the centre of regenerative therapy. Recent, studies have demonstrated that the therapeutic effect of stem cells originates from paracrine reactions from cellular products (secretome) rather than direct cell differentiation. The secretome (cell-free therapy) has the potential to eliminate the various challenges stem cell therapy encounters including apoptotic, inflammation, and non-immunogenic effects. Cell-free therapy is a new emerging field with the number of clinical trials slowly increasing, however, vast research currently is required in this field regarding standardization of protocols used to obtain the secretome. The recent progression of research in secretome production and characterization has created new perceptions of cellular communication and protein dynamics. Standard methods of secretome production, reproducibility, optimization, and bulk production remain a major challenge for scientists. Precise identification of biomarkers and therapeutic targets, through bioinformatics, mass spectrometry, and cell-based systems are promising techniques addressing these limitations. Therefore, this review aims to report on the methods for secretome production, collection, and characterization. Breakthroughs in this field of research will open the doors for personalized medicine, regenerative therapies, and other biotechnological applications.
干细胞移植仍然是再生治疗的核心。最近的研究表明,干细胞的治疗效果源于细胞产物(分泌组)的旁分泌反应,而非直接的细胞分化。分泌组(无细胞疗法)有潜力消除干细胞疗法所面临的各种挑战,包括凋亡、炎症和非免疫原性效应。无细胞疗法是一个新兴领域,临床试验的数量正在缓慢增加,然而,目前该领域在用于获取分泌组的方案标准化方面仍需要大量研究。分泌组生产和表征方面的最新研究进展为细胞通讯和蛋白质动力学带来了新的认识。分泌组生产的标准方法、可重复性、优化和大规模生产仍然是科学家面临的主要挑战。通过生物信息学、质谱分析和基于细胞的系统精确识别生物标志物和治疗靶点是解决这些局限性的有前景的技术。因此,本综述旨在报告分泌组生产、收集和表征的方法。该研究领域的突破将为个性化医疗、再生疗法及其他生物技术应用打开大门。