therapeutic applications

治疗应用
  • 文章类型: Journal Article
    我们对间充质干细胞(MSCs)及其生物学特性的了解正在稳步增长,随着越来越多的研究关注它们在免疫学领域的治疗效果,组织工程和再生医学。MSCs可能来自组织如骨髓,脂肪,脐带,以及来自牙齿组织(例如,牙胚,牙囊,脱落的乳牙和恒牙的牙髓组织,顶端乳头,牙周膜,牙龈,和牙槽骨)。牙龈间充质干细胞(GMSC)是从牙龈固有层分离的非造血成体干细胞。当与从各种牙齿和非牙齿组织纯化的MSC相比时,GMSCs来源更丰富,相对非侵入性获得,基因稳定。近年来,许多研究发现GMSCs具有自我更新的能力,多方向分化,和趋化性到炎症部位进行免疫调节。它们的分子和干细胞特性使它们非常适合临床前和临床研究。由GMSC分泌的细胞外囊泡(EV)由于其模拟GMSC自身的生物学和治疗活性的能力而具有关键兴趣。因此,本文将回顾目前关于GMSC的共识,调查它们的来源和隔离方法,它们的生物学特性,以及它们在炎症和免疫相关疾病中的治疗应用。
    Our understanding of mesenchymal stem cells (MSCs) and their biological properties is steadily increasing, with more studies focusing on their therapeutic effects in the domains of immunology, tissue engineering and regenerative medicine. MSCs may be derived from tissues such as bone marrow, adipose, the umbilical cord, as well as from dental tissues (e.g., tooth germ, dental follicle, pulp tissue of exfoliated deciduous and permanent teeth, apical papilla, periodontal ligament, gingiva, and alveolar bone). Gingival mesenchymal stem cells (GMSCs) are non-hematopoietic adult stem cells isolated from the gingival lamina propria. When compared to MSCs purified from various dental and non-dental tissues, GMSCs are more abundant in source, relatively non-invasive to obtain, and genetically stable. In recent years, many studies have found that GMSCs possess the ability of self-renewal, multi-directional differentiation, and chemotaxis to inflammatory sites for immunity regulation. Their molecular and stem-cell properties make them highly suitable for both preclinical and clinical research. Extracellular vesicles (EVs) secreted by GMSCs are of key interest due to their ability to emulate the biological and therapeutic activity of GMSCs themselves. This paper will therefore review the current consensus on GMSCs, surveying their sources and isolation methods, their biological properties, and their therapeutic applications on inflammatory and immune-related diseases.
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  • 文章类型: Journal Article
    几丁质和壳聚糖主要来自甲壳类动物的外骨骼,昆虫,和真菌。几丁质是仅次于纤维素的第二丰富的生物聚合物,它是一种纤维多糖,在胃中抵抗酶降解,但在结肠中经历微生物发酵,产生有益的代谢产物。壳聚糖,在碱性小肠中更易溶,更容易受到酶的作用。两种生物聚合物都显示出有限的血液吸收,更小的颗粒表现出更好的生物利用度。健康影响包括抗炎特性,免疫系统调节的潜力,对胆固醇水平的影响,和抗菌作用,特别关注对肠道健康的影响。几丁质和壳聚糖通过与免疫细胞相互作用而表现出抗炎特性,影响细胞因子的产生,调节免疫反应,这可能有利于以慢性炎症为特征的疾病。这些生物聚合物可以通过与膳食脂肪结合并减少脂质吸收来影响胆固醇水平。此外,它们的抗菌特性通过控制有害病原体和促进有益的肠道微生物群而有助于肠道健康。本文综述了甲壳素和壳聚糖的广泛健康益处和应用。提供对其化学成分的详细检查,膳食来源,和应用,并在人类福祉的背景下批判性地评估其促进健康的影响。
    Chitin and chitosan are mostly derived from the exoskeletons of crustaceans, insects, and fungi. Chitin is the second most abundant biopolymer after cellulose, and it is a fibrous polysaccharide which resists enzymatic degradation in the stomach but undergoes microbial fermentation in the colon, producing beneficial metabolites. Chitosan, which is more soluble in the alkaline small intestine, is more susceptible to enzymatic action. Both biopolymers show limited absorption into the bloodstream, with smaller particles exhibiting better bioavailability. The health effects include anti-inflammatory properties, potential in immune system modulation, impacts on cholesterol levels, and antimicrobial effects, with a specific focus on implications for gut health. Chitin and chitosan exhibit anti-inflammatory properties by interacting with immune cells, influencing cytokine production, and modulating immune responses, which may benefit conditions characterized by chronic inflammation. These biopolymers can impact cholesterol levels by binding to dietary fats and reducing lipid absorption. Additionally, their antimicrobial properties contribute to gut health by controlling harmful pathogens and promoting beneficial gut microbiota. This review explores the extensive health benefits and applications of chitin and chitosan, providing a detailed examination of their chemical compositions, dietary sources, and applications, and critically assessing their health-promoting effects in the context of human well-being.
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  • 文章类型: Journal Article
    红细胞,也被称为红细胞(RBC),作为潜在的药物输送载体,由于其固有的特性,如生物相容性,生物降解性,延长循环半衰期。本文对红细胞在给药过程中的作用进行了全面的综述,阐明在提供各种治疗剂方面的最新进展,包括小分子,核酸,抗体,蛋白质酶,和纳米粒子。系统地讨论了将药物包封在红细胞内的两种主要策略:内部负载和表面负载。每种策略在药物稳定性和释放动力学方面都具有独特的优势。值得注意的是,红细胞膜伪装纳米载体的利用有望增强常规纳米颗粒的生物相容性并促进靶向药物递送。此外,研究了基于红细胞的药物递送系统的广泛的生物医学应用,从癌症治疗到糖尿病管理,预防血栓形成,和免疫疗法。这篇综述提供了对当前红细胞载药技术的综合评价。突出优势,弱点,以及在各种疾病背景下推进治疗干预的未来方向。
    Erythrocytes, also known as red blood cells (RBCs), have garnered considerable attention as potential carriers for drug delivery, owing to their inherent properties such as biocompatibility, biodegradability, and prolonged circulation half-life. This paper presents a comprehensive overview of the role of erythrocytes in drug delivery, elucidating recent advancements in delivering a diverse array of therapeutic agents, including small molecules, nucleic acids, antibodies, protein enzymes, and nanoparticles. Two primary strategies for encapsulating drugs within erythrocytes are systematically discussed: internal loading and surface loading. Each strategy offers distinct advantages in terms of drug stability and release kinetics. Notably, the utilization of erythrocyte membrane camouflaged nanocarriers holds promise for enhancing the biocompatibility of conventional nanoparticles and facilitating targeted drug delivery. Furthermore, the broad spectrum of biomedical applications of erythrocyte-based drug delivery systems are examined, ranging from cancer treatment to diabetes management, thrombosis prevention, and immunotherapy. This review provides a comprehensive evaluation of current technologies in erythrocyte-loaded drug delivery, highlighting the strengths, weaknesses, and future directions for advancing therapeutic interventions in various disease contexts.
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  • 文章类型: Case Reports
    这篇综述全面概述了神经外科荧光成像的治疗和诊断意义。荧光成像已成为一种有价值的术中可视化和指导工具,促进精确的手术干预。检查了荧光的治疗作用,包括其在光动力治疗和肿瘤靶向治疗中的应用。它还探索了其在肿瘤检测中的诊断能力,保证金评估,和血脑屏障评估。根据临床和临床前研究,这篇综述强调了越来越多的证据支持荧光成像在神经外科实践中的有效性.此外,它讨论了当前的局限性和未来的方向,强调新兴技术增强荧光成像的实用性和可及性的潜力,最终改善神经外科患者的预后。
    This review provides a comprehensive overview of the therapeutic and diagnostic implications of fluorescence imaging in neurosurgery. Fluorescence imaging has become a valuable intraoperative visualization and guidance tool, facilitating precise surgical interventions. The therapeutic role of fluorescence is examined, including its application in photodynamic therapy and tumor-targeted therapy. It also explores its diagnostic capabilities in tumor detection, margin assessment, and blood-brain barrier evaluation. Drawing from clinical and preclinical studies, the review underscores the growing evidence supporting the efficacy of fluorescence imaging in neurosurgical practice. Furthermore, it discusses current limitations and future directions, emphasizing the potential for emerging technologies to enhance the utility and accessibility of fluorescence imaging, ultimately improving patient outcomes in neurosurgery.
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  • 文章类型: Journal Article
    结核病(TB),由细菌病原体结核分枝杆菌(MTB)引起,仍然是世界上最流行和致命的传染病之一。目前,结核病中宿主细胞与病原体之间存在复杂的相互作用。发作时,programming,结核病的消退不仅与MTB的毒力有关,而且与结核病患者的免疫力有关。外泌体是细胞分泌的膜结合纳米囊泡,具有包含多种生物分子的脂质双层,如代谢物,脂质,蛋白质,和核酸。外泌体介导的细胞-细胞通讯和与微环境的相互作用代表了外泌体发挥其功能作用的关键机制。外泌体在生理和病理条件下具有广泛的调节作用,包括MTB感染。外泌体可以调节免疫反应,新陈代谢,和细胞死亡重塑MTB感染的进展。在MTB感染期间,外泌体显示独特的概况和数量,可以作为诊断生物标志物,这表明外泌体提供了对MTB感染不断发展的景观的揭示。此外,来自MTB和间充质干细胞的外泌体可以用作疫苗平台和药物递送载体,用于精确靶向和治疗结核病。在这次审查中,我们重点介绍了外泌体影响结核病进展的功能和机制.此外,我们揭示了外泌体成分在结核病诊断和治疗应用中的重要意义,旨在为抗击结核病提供新的观点和策略。
    Tuberculosis (TB), caused by the bacterial pathogen Mycobacterium tuberculosis (MTB), remains one of the most prevalent and deadly infectious diseases worldwide. Currently, there are complex interactions between host cells and pathogens in TB. The onset, progression, and regression of TB are correlated not only with the virulence of MTB but also with the immunity of TB patients. Exosomes are cell-secreted membrane-bound nanovesicles with lipid bilayers that contain a variety of biomolecules, such as metabolites, lipids, proteins, and nucleic acids. Exosome-mediated cell-cell communication and interactions with the microenvironment represent crucial mechanisms through which exosomes exert their functional effects. Exosomes harbor a wide range of regulatory roles in physiological and pathological conditions, including MTB infection. Exosomes can regulate the immune response, metabolism, and cellular death to remodel the progression of MTB infection. During MTB infection, exosomes display distinctive profiles and quantities that may act as diagnostic biomarkers, suggesting that exosomes provide a revealing glimpse into the evolving landscape of MTB infections. Furthermore, exosomes derived from MTB and mesenchymal stem cells can be harnessed as vaccine platforms and drug delivery vehicles for the precise targeting and treatment of TB. In this review, we highlight the functions and mechanisms through which exosomes influence the progression of TB. Additionally, we unravel the critical significance of exosomal constituents in the diagnosis and therapeutic applications of TB, aiming to offer novel perspectives and strategies for combating TB.
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  • 文章类型: Journal Article
    溃疡性结肠炎(UC)是一种复杂的免疫介导的慢性炎症性肠病。其主要特征是结肠和直肠粘膜弥漫性炎症,屏障功能受损。识别新的生物标志物以开发更有效的UC疗法仍然是当前研究的紧迫任务。铁凋亡是一种新发现的以铁依赖性脂质过氧化为特征的调节性细胞死亡形式。随着研究的深入,铁性凋亡已被证明与许多疾病的病理过程有关。越来越多的证据表明,UC的发病机制与铁性凋亡有关,铁凋亡的调控为UC的治疗提供了新的机会。然而,铁凋亡参与UC发展的具体机制仍有待更全面和彻底的研究.因此,在这次审查中,本文重点介绍了近年来有关铁凋亡机制的研究进展,并阐述了铁凋亡在UC发病机制中的潜在作用。此外,我们探讨了铁凋亡与巨噬细胞等其他机制之间的交联途径的潜在作用,中性粒细胞,自噬,内质网应激,和UC中的肠道微生物群。最后,我们还总结了未来可能在UC中作为铁凋亡抑制剂的潜在化合物。
    Ulcerative colitis (UC) is a complex immune-mediated chronic inflammatory bowel disease. It is mainly characterized by diffuse inflammation of the colonic and rectal mucosa with barrier function impairment. Identifying new biomarkers for the development of more effective UC therapies remains a pressing task for current research. Ferroptosis is a newly identified form of regulated cell death characterized by iron-dependent lipid peroxidation. As research deepens, ferroptosis has been demonstrated to be involved in the pathological processes of numerous diseases. A growing body of evidence suggests that the pathogenesis of UC is associated with ferroptosis, and the regulation of ferroptosis provides new opportunities for UC treatment. However, the specific mechanisms by which ferroptosis participates in the development of UC remain to be more fully and thoroughly investigated. Therefore, in this review, we focus on the research advances in the mechanism of ferroptosis in recent years and describe the potential role of ferroptosis in the pathogenesis of UC. In addition, we explore the underlying role of the crosslinked pathway between ferroptosis and other mechanisms such as macrophages, neutrophils, autophagy, endoplasmic reticulum stress, and gut microbiota in UC. Finally, we also summarize the potential compounds that may act as ferroptosis inhibitors in UC in the future.
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  • 文章类型: Journal Article
    弥漫性大B细胞淋巴瘤(DLBCL),异质性淋巴恶性肿瘤,对人类健康构成重大威胁。DLBCL患者的标准治疗方案是利妥昔单抗,环磷酰胺,阿霉素,长春新碱,和泼尼松(R-CHOP),具有50-70%的典型治愈率。然而,一些患者在完全缓解(CR)后复发或对R-CHOP治疗表现耐药.因此,新的治疗方法对于治疗高危或难治性DLBCL至关重要.铁凋亡是由铁依赖性磷脂过氧化作用驱动的,一个依赖于过渡金属铁的过程,活性氧(ROS),和含有多不饱和脂肪酸的磷脂(PUFA-PLs)。研究表明,铁凋亡与各种致癌和抗癌途径有关。几种血液疾病表现出对铁性凋亡诱导的细胞死亡的敏感性提高。DLBCL细胞,特别是,证明了对铁的需求增加和脂肪酸合酶表达的上调。此外,铁凋亡相关基因与DLBCL的预后存在相关性。因此,铁凋亡可能是DLBCL治疗的一个有希望的新靶点。在这次审查中,我们阐明了铁死亡机制,它在DLBCL中的作用,和DLBCL的潜在治疗靶点。这篇综述为铁性凋亡在DLBCL治疗策略中的应用提供了新的见解。
    Diffuse large B-cell lymphoma (DLBCL), a heterogeneous lymphoid malignancy, poses a significant threat to human health. The standard therapeutic regimen for patients with DLBCL is rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP), with a typical cure rate of 50-70%. However, some patients either relapse after complete remission (CR) or exhibit resistance to R-CHOP treatment. Therefore, novel therapeutic approaches are imperative for managing high-risk or refractory DLBCL. Ferroptosis is driven by iron-dependent phospholipid peroxidation, a process that relies on the transition metal iron, reactive oxygen species (ROS), and phospholipids containing polyunsaturated fatty acids-containing phospholipids (PUFA-PLs). Research indicates that ferroptosis is implicated in various carcinogenic and anticancer pathways. Several hematological disorders exhibit heightened sensitivity to cell death induced by ferroptosis. DLBCL cells, in particular, demonstrate an increased demand for iron and an upregulation in the expression of fatty acid synthase. Additionally, there exists a correlation between ferroptosis-associated genes and the prognosis of DLBCL. Therefore, ferroptosis may be a promising novel target for DLBCL therapy. In this review, we elucidate ferroptosis mechanisms, its role in DLBCL, and the potential therapeutic targets in DLBCL. This review offers novel insights into the application of ferroptosis in treatment strategies for DLBCL.
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  • 文章类型: Journal Article
    肾结石症是与高发病率和复发相关的主要公共卫生问题。尽管经过几十年的研究,肾结石的发病机制尚不完全清楚,缺乏有效的预防。越来越多的证据表明,非编码RNA,特别是microRNA(miRNAs)和长链非编码RNA(lncRNAs),在结石形成和结石相关的肾损伤中发挥作用。MiRNAs已经在肾结石中进行了广泛的研究,大量特定的miRNA与肾结石的发病机理有关,涉及钙代谢的显著变化,草酸盐代谢,氧化应激,细胞晶体粘附,细胞自噬,凋亡,和巨噬细胞(Mp)极化和代谢。新的证据表明miRNAs作为肾结石的新型诊断生物标志物的潜力。LncRNAs作为竞争性内源性RNAs(ceRNAs)结合miRNA,从而调节mRNA表达参与调节肾结石的生理机制。小干扰RNA(siRNAs)可以通过治疗引起肾结石的相关代谢状况来提供肾结石预防和治疗的新方法。对这些非编码RNA的进一步研究将对肾结石形成和结石相关肾损伤的机制产生新的见解,并可能导致诊断和治疗这种疾病的新策略。
    Nephrolithiasis is a major public health concern associated with high morbidity and recurrence. Despite decades of research, the pathogenesis of nephrolithiasis remains incompletely understood, and effective prevention is lacking. An increasing body of evidence suggests that non-coding RNAs, especially microRNAs (miRNAs) and long non-coding RNAs (lncRNAs), play a role in stone formation and stone-related kidney injury. MiRNAs have been studied quite extensively in nephrolithiasis, and a plethora of specific miRNAs have been implicated in the pathogenesis of nephrolithiasis, involving remarkable changes in calcium metabolism, oxalate metabolism, oxidative stress, cell-crystal adhesion, cellular autophagy, apoptosis, and macrophage (Mp) polarization and metabolism. Emerging evidence suggests a potential for miRNAs as novel diagnostic biomarkers of nephrolithiasis. LncRNAs act as competing endogenous RNAs (ceRNAs) to bind miRNAs, thereby modulating mRNA expression to participate in the regulation of physiological mechanisms in kidney stones. Small interfering RNAs (siRNAs) may provide a novel approach to kidney stone prevention and treatment by treating related metabolic conditions that cause kidney stones. Further investigation into these non-coding RNAs will generate novel insights into the mechanisms of renal stone formation and stone-related renal injury and might lead to new strategies for diagnosing and treating this disease.
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  • 文章类型: Journal Article
    本文综述了纳米材料(NM)在特定类型细胞中诱导的焦亡的研究进展。我们阐明了焦亡的相关性,并描述了其机制和分类。我们还回顾性分析了各种NMs在广泛的非肿瘤细胞环境中诱导的焦亡,以强调NMs在调节细胞死亡途径中的多功能性。我们确定了当前研究中的关键知识差距,并提出了未来探索的潜在领域。这篇综述强调需要关注研究较少的领域,包括非肿瘤特异性细胞类型中NM触发的焦亡的途径和机制,生物和环境因素之间的相互作用,以及NMs和细胞之间的相互作用。这篇综述旨在鼓励进一步研究NMs和焦度之间的复杂相互作用,从而为开发更安全、更有效的纳米医学治疗应用提供了基础。
    This review presents the advancements in nanomaterial (NM)-induced pyroptosis in specific types of cells. We elucidate the relevance of pyroptosis and delineate its mechanisms and classifications. We also retrospectively analyze pyroptosis induced by various NMs in a broad spectrum of non-tumorous cellular environments to highlight the multifunctionality of NMs in modulating cell death pathways. We identify key knowledge gaps in current research and propose potential areas for future exploration. This review emphasizes the need to focus on less-studied areas, including the pathways and mechanisms of NM-triggered pyroptosis in non-tumor-specific cell types, the interplay between biological and environmental factors, and the interactions between NMs and cells. This review aims to encourage further investigations into the complex interplay between NMs and pyroptosis, thereby providing a basis for developing safer and more effective nanomedical therapeutic applications.
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  • 文章类型: Journal Article
    前列腺癌是全世界困扰男性的最普遍的恶性肿瘤之一。肿瘤微环境在肿瘤进展中起着关键作用,包括各种细胞类型,包括内皮细胞,肿瘤相关成纤维细胞,和巨噬细胞。最近积累的证据强调了内皮细胞对前列腺癌发展的不可或缺的贡献。内皮细胞和肿瘤细胞都会释放多种刺激血管生成的因子,转移,甚至前列腺癌的耐药性。这些因素充当肿瘤微环境内的调节剂,并且代表用于管理前列腺癌的潜在治疗靶标。在这次审查中,我们概述了内皮细胞在血管生成中的关键功能,转移,和抗药性,以及它们在对抗这种疾病中的未来治疗应用。
    Prostate cancer stands as one of the most prevalent malignancies afflicting men worldwide. The tumor microenvironment plays a pivotal role in tumor progression, comprising various cell types including endothelial cells, tumor-associated fibroblasts, and macrophages. Recent accumulating evidence underscores the indispensable contribution of endothelial cells to prostate cancer development. Both endothelial cells and tumor cells release a multitude of factors that instigate angiogenesis, metastasis, and even drug resistance in prostate cancer. These factors serve as regulators within the tumor microenvironment and represent potential therapeutic targets for managing prostate cancer. In this review, we provide an overview of the crucial functions of endothelial cells in angiogenesis, metastasis, and drug resistance, and their prospective therapeutic applications in combating this disease.
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