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诱导多能干细胞在原发性纤毛运动障碍建模和个体化医疗中的应用。

Induced Pluripotent Stem Cells for Primary Ciliary Dyskinesia Modeling and Personalized Medicine.

机构信息

1 Institute for Regenerative Medicine and Biotherapy, University of Montpellier, Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Hospitalier Universitaire Montpellier, Montpellier, France.

2 PhyMedExp, University of Montpellier, INSERM, Centre Hospitalier Universitaire Montpellier, Montpellier, France; and.

出版信息

Am J Respir Cell Mol Biol. 2018 Dec;59(6):672-683. doi: 10.1165/rcmb.2018-0213TR.

Abstract

Primary ciliary dyskinesia (PCD) is a rare and heterogeneous genetic disorder that affects the structure and function of motile cilia. In the airway epithelium, impaired ciliary motion results in reduced or absent mucociliary clearance that leads to the appearance of chronic airway infection, sinusitis, and bronchiectasis. Currently, there is no effective treatment for PCD, and research is limited by the lack of convenient models to study this disease and investigate innovative therapies. Furthermore, the high heterogeneity of PCD genotypes is likely to hinder the development of a single therapy for all patients. The generation of patient-derived, induced pluripotent stem cells, and their differentiation into airway epithelium, as well as genome editing technologies, could represent major tools for in vitro PCD modeling and for developing personalized therapies. Here, we review PCD pathogenesis and then discuss how human induced pluripotent stem cells could be used to model this disease for the development of innovative, patient-specific biotherapies.

摘要

原发性纤毛运动障碍(PCD)是一种罕见的、异质性的遗传疾病,影响着游动纤毛的结构和功能。在气道上皮中,纤毛运动受损导致黏液纤毛清除减少或消失,进而导致慢性气道感染、鼻窦炎和支气管扩张。目前,PCD 尚无有效的治疗方法,研究受到缺乏方便的模型来研究这种疾病和探索创新疗法的限制。此外,PCD 基因型的高度异质性可能会阻碍为所有患者开发单一疗法。患者来源的诱导多能干细胞的产生及其分化为气道上皮,以及基因组编辑技术,可能代表体外 PCD 建模和开发个性化治疗的主要工具。在这里,我们回顾了 PCD 的发病机制,然后讨论了如何使用人类诱导多能干细胞来模拟这种疾病,以开发创新的、针对患者的生物疗法。

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