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不同身体系统中干细胞的治疗效果,一种尚未获得信任的新方法:全面综述。

Therapeutic effects of stem cells in different body systems, a novel method that is yet to gain trust: A comprehensive review.

机构信息

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

Molecular Pathology and Cytogenetics Laboratory, Department of Pathology, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Bosn J Basic Med Sci. 2021 Dec 1;21(6):672-701. doi: 10.17305/bjbms.2021.5508.

Abstract

Stem cell therapy has been used to treat several types of diseases, and it is expected that its therapeutic uses shall increase as novel lines of evidence begin to appear. Furthermore, stem cells have the potential to make new tissues and organs. Thus, some scientists propose that organ transplantation will significantly rely on stem cell technology and organogenesis in the future. Stem cells and its robust potential to differentiate into specific types of cells and regenerate tissues and body organs, have been investigated by numerous clinician scientists and researchers for their therapeutic effects. Degenerative diseases in different organs have been the main target of stem cell therapy. Neurodegenerative diseases such as Alzheimer's, musculoskeletal diseases such as osteoarthritis, congenital cardiovascular diseases, and blood cell diseases such as leukemia are among the health conditions that have benefited from stem cell therapy advancements. One of the most challenging parts of the process of incorporating stem cells into clinical practice is controlling their division and differentiation potentials. Sometimes, their potential for  uncontrolled growth will make these cells tumorigenic. Another caveat in this process is the ability to control the differentiation process. While stem cells can easily differentiate into a wide variety of cells,  a paracrine effect controlled activity, being in an appropriate medium will cause abnormal differentiation leading to treatment failure. In this review, we aim to provide an overview of the therapeutic effects of stem cells in diseases of various organ systems. In order to advance this new treatment to its full potential, researchers should focus on establishing methods to control the differentiation process, while policymakers should take an active role in providing adequate facilities and equipment for these projects. Large population clinical trials are a necessary tool that will help build trust in this method. Moreover, improving social awareness about the advantages and adverse effects of stem cell therapy is required to develop a rational demand in the society, and consequently, healthcare systems should consider established stem cell-based therapeutic methods in their treatment algorithms.

摘要

干细胞治疗已被用于治疗多种类型的疾病,随着新的证据线开始出现,预计其治疗用途将会增加。此外,干细胞具有产生新组织和器官的潜力。因此,一些科学家提出,未来器官移植将显著依赖于干细胞技术和器官发生。干细胞及其分化为特定类型细胞和再生组织和身体器官的强大潜力,已被许多临床医生科学家和研究人员研究用于其治疗效果。不同器官的退行性疾病一直是干细胞治疗的主要目标。神经退行性疾病,如阿尔茨海默病;肌肉骨骼疾病,如骨关节炎;先天性心血管疾病;以及血液细胞疾病,如白血病,这些疾病都受益于干细胞治疗的进步。将干细胞纳入临床实践过程中最具挑战性的部分之一是控制其分裂和分化潜力。有时,它们不受控制的生长潜力会使这些细胞致瘤。这个过程中的另一个注意事项是控制分化过程的能力。虽然干细胞可以轻易地分化为多种细胞,但一种旁分泌作用控制的活性,处于适当的培养基中,会导致异常分化,从而导致治疗失败。在这篇综述中,我们旨在提供干细胞在各种器官系统疾病中的治疗效果概述。为了充分发挥这种新疗法的潜力,研究人员应专注于建立控制分化过程的方法,而政策制定者应在为这些项目提供足够的设施和设备方面发挥积极作用。大规模的人群临床试验是一种必要的工具,它将有助于建立对这种方法的信任。此外,需要提高社会对干细胞治疗的优势和不良反应的认识,以便在社会中形成合理的需求,因此,医疗保健系统应该考虑在其治疗方案中纳入已建立的基于干细胞的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a12e/8554700/78dd74bc871c/BJBMS-21-672-g001.jpg

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