中国组织工程研究 ›› 2017, Vol. 21 ›› Issue (20): 3234-3240.doi: 10.3969/j.issn.2095-4344.2017.20.019

• 组织构建综述 tissue construction review • 上一篇    下一篇

细胞疗法是修复退变椎间盘最有前景的技术

王彦超1,2,席志鹏2,3,谢 林2,3   

  1. 1南京中医药大学,江苏省南京市 210023;2南京中医药大学附属中西医结合医院,江苏省南京市 210028;3江苏省中医药研究院,江苏省南京市 210028
  • 修回日期:2017-02-08 出版日期:2017-07-18 发布日期:2017-07-28
  • 通讯作者: 谢林,主任医师,研究员,南京中医药大学附属中西医结合医院,江苏省南京市210028;江苏省中医药研究院,江苏省南京市210028
  • 作者简介:王彦超,男,南京中医药大学在读硕士,主要从事中医骨伤方面的研究。
  • 基金资助:

    江苏省科技项目(BK20151604)

Cell therapy is the most promising technique for degenerative intervertebral disc repair

Wang Yan-chao1, 2, Xi Zhi-peng2, 3, Xie Lin2, 3   

  1. 1Nanjing University of Chinese Medicine, Nanjing 210023, Jiangsu Province, China; 2Nanjing Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Nanjing University of Chinese Medicine, Nanjing 210028, Jiangsu Province, China; 3Jiangsu Traditional Chinese and Medicine Institute, Nanjing 210028, Jiangsu Province, China
  • Revised:2017-02-08 Online:2017-07-18 Published:2017-07-28
  • Contact: Xie Lin, Chief physician, Researcher, Nanjing Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Nanjing University of Chinese Medicine, Nanjing 210028, Jiangsu Province, China; Jiangsu Traditional Chinese and Medicine Institute, Nanjing 210028, Jiangsu Province, China
  • About author:Wang Yan-chao, Studying for master’s degree, Nanjing University of Chinese Medicine, Nanjing 210023, Jiangsu Province, China; Nanjing Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Nanjing University of Chinese Medicine, Nanjing 210028, Jiangsu Province, China
  • Supported by:

    the Science and Technology Project of Jiangsu Province, No. BK20151604

摘要:

文章快速阅读:

文题释义:
椎间盘退变:
随着年龄的增加,椎间盘的局部微环境发生了改变。低氧、低营养、高渗透压等恶劣环境的长期作用下,椎间盘细胞,特别是髓核细胞开始出现大量的衰老、凋亡,代谢废物的堆积又加剧了环境的恶化。同时,椎间盘细胞的再生能力极其有限,所以自然情况下,椎间盘的退变是不可逆的。
细胞疗法:是一种新型治疗手段,以再生理论为基础,认为疾病的产生很大一部分是由正常细胞大量或过度的衰老、死亡造成的。因此,补充正常的细胞将会在根本上起到修复和治疗的目的。细胞疗法通过将正常体细胞、干细胞等细胞导入到损伤或退变的组织,如将髓核细胞或骨髓间充质干细胞注入退变的椎间盘中,提高局部正常细胞的绝对量,从而达到治疗目的。

 

摘要
背景:
目前临床上治疗椎间盘退变性疾病的方法,无论是手术方案还是非手术方案,均不能减缓或逆转椎间盘退变的进程,远期疗效不满意。近年来随着再生医学与组织工程的不断发展,运用细胞疗法修复退变的椎间盘得到了越来越多的研究者的关注。
目的:综述细胞疗法,特别是干细胞疗法修复退变椎间盘的研究现状及面临的一些问题。
方法:通过计算机在PubMed数据库中检索近5年的相关文献,检索的时间设置为2011年1月至2016年1月。检索的英文主题词为“stem cell;intervertebral disk degeneration。”筛选出内容与细胞疗法修复退变椎间盘相关的文献,着重选取最新的实验及临床研究成果。
结果与结论:初检获得文献205篇,最终甄选出符合纳入标准的50篇文献进行综述。干细胞与载体的结合物被注射进退变的椎间盘,从而发挥修复退变椎间盘的作用。这种方法得到了越来越多的研究者的认可,被认为未来最具有潜力的治疗方法。但是,相关的临床研究却少之又少,其临床的安全性需要进一步的评估。

 

 
ORCID: 0000-0003-3815-661X(谢林)

关键词: 组织构建, 组织工程, 细胞疗法, 间充质干细胞, 多能干细胞, 椎间盘退变, 组织工程, 器官培养技术, 再生医学, 安全性

Abstract:

BACKGROUND: Current treatmemt strategy cannot efficiently relieve or reverse the disk degeneration, and neither surgical treatment nor nonsurgical treatment has gained satisfactory long-term effect. Therefore, more and more researches have focused on the cell therapy.
OBJECTIVE: To explore the present states and application prospect of cell therapy, especially stem cells for degenerative intervertebral disc repair.
METHODS: A computer-based search for related articles in PubMed database published between January 2011 and January 2016 using the English keywords of “stem cell, intervertebral disk degeneration”. Literatures addressing cell therapy for degenerative intervertebral disc repair were selected, and the articles published lately or original researches in authoritative journals were preferred.
RESULTS AND CONCLUSION: A total of 205 articles were selected firstly, and 50 eligible articles were enrolled finally in accordance with the inclusion criteria. The mixtures of stem cells and carrier are injected into the degenerative intervertebral disk, to repair or displace abnormal cells. This strategy has been accepted by many researchers, and considered as a promising treatment. However, there is little evidence about the safety of clinical treatment with cell therapy, which still needs to be explored in depth.

 

 

Key words: Intervertebral Disk, Tissue Therapy, Tissue Engineering

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