中国组织工程研究 ›› 2019, Vol. 23 ›› Issue (1): 125-131.doi: 10.3969/j.issn.2095-4344.1501

• 干细胞综述 stem cell review • 上一篇    下一篇

间充质干细胞治疗急性肝损伤:肝脏归巢率及定向分化能力

孙 婷,李 凡,杜联芳   

  1. 上海市第一人民医院超声科,上海市 200080
  • 修回日期:2018-09-06 出版日期:2019-01-08 发布日期:2018-11-28
  • 通讯作者: 杜联芳,博士,主任医师,教授,博士生导师,上海市第一人民医院超声科,上海市 200080
  • 作者简介:孙婷,女,1987年生,山东省淄博市人,汉族,上海交通大学影像医学与核医学在读博士,上海市第一人民医院超声科,主要从事超声诊断和超声基础实验研究。
  • 基金资助:

    国家自然科学基金项目(81471666),项目负责人:李凡

Mesenchymal stem cells for acute liver injury: homing to the liver and directed differentiation

Sun Ting, Li Fan, Du Lianfang   

  1. Department of Ultrasound, Shanghai General Hospital, Shanghai 200080, China
  • Revised:2018-09-06 Online:2019-01-08 Published:2018-11-28
  • Contact: Du Lianfang, MD, Chief physician, Professor, Doctoral supervisor, Department of Ultrasound, Shanghai General Hospital, Shanghai 200080, China
  • About author:Sun Ting, Doctorate candidate, Department of Ultrasound, Shanghai General Hospital, Shanghai 200080, China
  • Supported by:

    the National Natural Science Foundation of China, No. 81471666 (to LF)

摘要:

文章快速阅读:

文题释义:
急性肝损伤的治疗趋势:
急性肝损伤时,肝细胞坏死、凋亡、炎症细胞浸润,导致短时间内肝脏代谢及合成功能障碍。通常,肝移植是唯一有效的治疗手段,但因为器官捐献者缺乏、手术并发症和高成本等原因,需要干细胞等新的治疗策略。
干细胞归巢率:归巢是指移植的干细胞经外周循环进入体内,在一系列趋化因子的作用下,特异性识别并达到损伤部位后进行增殖、分化和修复的过程。目前认为干细胞的归巢是配体、受体特异性结合的复杂结果,涉及多分子的参与,包括黏附分子、趋化因子和某些炎症因子等。

 

摘要
背景:
肝病是导致全球死亡率和发病率上升的主要原因。间充质干细胞具有自我更新、高增殖、多向分化、无免疫原性等特点,在治疗急性肝损伤中显示出极大的优势。
目的:对间充质干细胞治疗急性肝损伤的移植途径、治疗安全性、有效性及潜在风险做一简单综述。
方法:检索万方数据库、中国期刊全文数据库(CNKI)和PubMed数据库2010至2017年文献,检索词为“肝损伤,间充质干细胞,细胞移植”和“mesenchymal stem cells,acute liver injury,cell transplantation”。排除重复、陈旧的观点,对61篇文献进行总结分析。
结果与结论:①间充质干细胞治疗急性肝损伤的文献主要集中在基础研究和动物实验;②间充质干细胞的移植途径可能对治疗效果有一定影响;③间充质干细胞治疗急性肝损伤的机制主要有旁分泌效应、细胞转化和免疫调节3个方面;④改善间充质干细胞的肝脏归巢率和肝细胞的定向分化能力可能是急性肝损伤治疗的发展趋势。

中国组织工程研究杂志出版内容重点:干细胞;骨髓干细胞;造血干细胞;脂肪干细胞;肿瘤干细胞;胚胎干细胞;脐带脐血干细胞;干细胞诱导;干细胞分化;组织工程
ORCID:
0000-0002-8776-3259(孙婷)

关键词: 急性肝损伤, 间充质干细胞, 细胞移植, 干细胞, 国家自然科学基金

Abstract:

BACKGROUND: Liver disease is the main cause of mortality and morbidity that are rising globally. Mesenchymal stem cells are characterized with self-renewal, high proliferation, multi-directional differentiation and no immunogenicity. Mesenchymal stem cells exhibit great advantages in the treatment of acute liver injury.
OBJECTIVE: To briefly conclude the transplanted routes, safety, efficacy and potential risks of mesenchymal stem cells in the treatment of acute liver injury.
METHODS: We retrieved relevant articles published from 2010 to 2017 in the WanFang, CNKI and PubMed databases. The key words were “mesenchymal stem cells, acute liver injury, cell transplantation” in Chinese and English, respectively. After removal of the repetitive and old views, 61 eligible articles were further analyzed.
RESULTS AND CONCLUSION: Researches on mesenchymal stem cell transplantation for the treatment of acute liver injury mainly concentrate on fundamental studies and animal experiments. The transplanted routes of mesenchymal stem cells may influence the therapeutic effect of transplanted cells. The mechanisms by which mesenchymal stem cells are used to treat acute liver injury focus on paracrine effect, cell transformation and immunoregulatory effect. It is a developmental tendency to improve the homing rate of mesenchymal stem cells to the liver and hepatic differentiation ability of mesenchymal stem cells, which maybe provides a new strategy for treatment of acute liver injury. 

中国组织工程研究杂志出版内容重点:干细胞;骨髓干细胞;造血干细胞;脂肪干细胞;肿瘤干细胞;胚胎干细胞;脐带脐血干细胞;干细胞诱导;干细胞分化;组织工程

Key words: Liver Diseases, Mesenchymal Stem Cells, Cell Transplantation, Tissue Engineering

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