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间充质干细胞治疗肾脏疾病的研究进展。

Advances in the Treatment of Kidney Disorders using Mesenchymal Stem Cells.

机构信息

Department of Pharmacy, School of Medical and Allied Sciences, Galgotias University, Greater Noida, Uttar Pradesh, India.

School of Pharmacy, Graphic Era Hill University, Dehradun, India.

出版信息

Curr Pharm Des. 2024;30(11):825-840. doi: 10.2174/0113816128296105240305110312.

Abstract

Renal disease is a medical condition that poses a potential threat to the life of an individual and is related to substantial morbidity and mortality rates in clinical environments. The aetiology of this condition is influenced by multiple factors, and its incidence tends to increase with progressive aging. Although supportive therapy and kidney transplantation have potential advantages, they also have limitations in terms of mitigating the progression of KD. Despite significant advancements in the domain of supportive therapy, mortality rates in patients continue to increase. Due to their ability to self-renew and multidirectionally differentiate, stem cell therapy has been shown to have tremendous potential in the repair of the diseased kidney. MSCs (Mesenchymal stem cells) are a cell population that is extensively distributed and can be located in various niches throughout an individual's lifespan. The cells in question are characterised by their potential for indefinite replication and their aptitude for undergoing differentiation into fully developed cells of mesodermal origin under laboratory conditions. It is essential to emphasize that MSCs have demonstrated a favorable safety profile and efficacy as a therapeutic intervention for renal diseases in both preclinical as well as clinical investigations. MSCs have been found to slow the advancement of kidney disease, and this impact is thought to be due to their control over a number of physiological processes, including immunological response, tubular epithelial- mesenchymal transition, oxidative stress, renal tubular cell death, and angiogenesis. In addition, MSCs demonstrate recognised effectiveness in managing both acute and chronic kidney diseases via paracrine pathways. The proposal to utilise a therapy that is based on stem-cells as an effective treatment has been put forward in search of discovering novel therapies to promote renal regeneration. Preclinical researchers have demonstrated that various types of stem cells can provide advantages in acute and chronic kidney disease. Moreover, preliminary results from clinical trials have suggested that these interventions are both safe and well-tolerated. This manuscript provides a brief overview of the potential renoprotective effects of stem cell-based treatments in acute as well as chronic renal dysfunction. Furthermore, the mechanisms that govern the process of kidney regeneration induced by stem cells are investigated. This article will examine the therapeutic approaches that make use of stem cells for the treatment of kidney disorders. The analysis will cover various cellular sources that have been utilised, potential mechanisms involved, and the outcomes that have been achieved so far.

摘要

肾脏疾病是一种对个体生命构成潜在威胁的医学病症,与临床环境中的高发病率和死亡率密切相关。该病症的病因涉及多种因素,其发病率随着个体的衰老而逐渐增加。尽管支持性治疗和肾移植具有潜在优势,但它们在减缓 KD 进展方面也存在局限性。尽管在支持性治疗领域取得了显著进展,但患者的死亡率仍在持续上升。由于干细胞具有自我更新和多向分化的能力,因此在修复病变肾脏方面具有巨大的潜力。间充质干细胞(MSCs)是一种广泛分布的细胞群体,可以位于个体一生中的各种龛位。这些细胞的特点是具有无限复制的潜力,并且在实验室条件下能够分化为完全成熟的中胚层来源细胞。必须强调的是,MSCs 作为治疗肾脏疾病的一种治疗干预措施,在临床前和临床研究中均显示出良好的安全性和疗效。MSCs 已被发现可减缓肾脏疾病的进展,这种影响被认为是由于它们对多种生理过程的控制,包括免疫反应、肾小管上皮-间充质转化、氧化应激、肾小管细胞死亡和血管生成。此外,MSCs 通过旁分泌途径在管理急性和慢性肾脏疾病方面显示出公认的有效性。提出基于干细胞的治疗方法作为一种有效的治疗方法,是为了寻找促进肾脏再生的新疗法。临床前研究人员已经证明,各种类型的干细胞可以为急性和慢性肾脏疾病提供优势。此外,来自临床试验的初步结果表明,这些干预措施既安全又耐受良好。本文简要概述了基于干细胞的治疗方法在急性和慢性肾功能障碍中的潜在肾保护作用。此外,还研究了干细胞诱导肾脏再生的机制。本文将探讨利用干细胞治疗肾脏疾病的治疗方法。分析将涵盖迄今为止已使用的各种细胞来源、涉及的潜在机制以及取得的成果。

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