首页|间充质干细胞预处理策略及其在脊髓损伤修复中应用的研究进展

间充质干细胞预处理策略及其在脊髓损伤修复中应用的研究进展

扫码查看
脊髓损伤是一种严重的中枢神经系统损伤,可导致患者感觉和运动功能部分或全部丧失.其治疗方法包括椎板切开减压术、大剂量静脉注射甲基强的松龙等,但疗效均不理想.间充质干细胞(MSCs)具有可塑性、低免疫原性、强大的旁分泌能力及多向分化能力,是有前景的脊髓损伤修复策略,但移植后依然存在存活率低、定向迁移能力低和不可预测的细胞分化等问题.通过基因过表达、理化因素刺激、三维培养、细胞的预分化等方法在体外预先处理MSCs以增强其疗效的策略已经在多项脊髓损伤修复的研究中应用,但目前尚未有较完整的总结.笔者对MSCs预处理策略及其在脊髓损伤修复中的研究进展进行综述,为脊髓损伤修复的相关基础研究及临床治疗提供参考.
Preconditioning strategies for mesenchymal stem cells and their application in repair of spinal cord injury:a review
Spinal cord injury is a severe central nervous system injury that may result in partial or complete loss of sensory and motor function.Its treatment methods include laminotomy decompression,high-dose intravenous injection of methylprednisolone,etc.,but their efficacy is not satisfactory.Mesenchymal stem cells(MSCs)are promising in treating spinal cord injury due to their plasticity,low immunogenicity,strong paracrine ability and multi-directional differentiation ability,but problems still exist such as low survival rate,low directional migration ability and unpredictable cell differentiation after transplantation.The strategies for preconditioning MSCs in vitro to enhance their efficacy through gene overexpression,stimulation by physicochemical factors,three-dimensional culture,and cell pre-differentiation have been applied in several studies upon repair of spinal cord injury,but there is no complete summary at present.The authors reviewed these preconditioning strategies for MSCs and the related research progress in spinal cord injury repair so as to provide a reference for the basic research and clinical treatment.

Spinal cord injuriesMesenchymal stem cell transplantationPreconditioning

吴正超、王恒、卢洋、陈诚、陈晓庆

展开 >

南通大学附属医院脊柱外科,南通大学医学院,南通 226001

脊髓损伤 间质干细胞移植 预处理

2024

中华创伤杂志
中华医学会

中华创伤杂志

CSTPCD北大核心
影响因子:1.425
ISSN:1001-8050
年,卷(期):2024.40(9)