Stem cell

干细胞
  • 文章类型: Journal Article
    干细胞(SC)移植已显示出作为卵巢早衰(POF)的治疗方法的潜力。尽管如此,尚未对SC治疗人类POF的疗效进行定量分析。为了解决这个差距,本研究进行了一项荟萃分析,以评估SC移植改善POF患者卵巢功能的有效性.通过搜索PubMed,在这方面进行了系统的审查,ScienceDirect,clinicalTrial.gov,和Cochrane的图书馆数据库进行,以确定相关的研究,同时也考虑了相关的评论。提取的数据包括诸如雌二醇(E2),卵泡刺激素(FSH),卵泡计数(FC),卵巢重量(OW),怀孕次数,和活产。根据上次随访时间的综合效果,SC组的FSH和AMH水平低于基线水平(SMD:1.58,95%CI:0.76至3.92,P值:0.185>0.05,I2:94.03%)和(SMD:1.34,95%CI:0.77至1.92,P值:0.001<0.05,I2:0%)。而SC组的E2和OW平均值高于基线(SMD:-0.47,95%CI:-0.73至-0.21,P值:0.001<0.01,I2:38.23%)和(SMD:-1.18,95%CI:-2.62至0.26,P值:0.108>0.05,I2:76.68%)。以5%的显着性水平的妊娠和活产比例测量的总效应大小为(组合比例:0.09,95%CI:0.03至0.15,P值:0.002<0.05,I2:46.29%)和(SMD:0.09,95%CI:0.03至0.15,P值:0.003<0.05,I2:1.76%)。基于固定效应模型,卵泡计数的估计平均对数比值比为1.0234(95%CI:0.1252~1.9216).因此,由于SC移植,平均结局与0显着不同(P值:0.0255<0.05)。这些结果表明,使用SCs恢复卵巢功能对于治疗POF可能是可行的。然而,由于受检研究的异质性,将来需要进行更大,质量更好的调查.
    Stem cell (SC) transplantation has shown potential as a therapeutic approach for premature ovarian failure (POF). Despite this, no quantitative analysis has been conducted on the efficacy of SC therapy for POF in humans. To address this gap, the present study conducted a meta-analysis to evaluate the effectiveness of the transplantation of SC in improving ovarian function among POF patients. A systematic review in this regard by searching PubMed, ScienceDirect, clinicalTrial.gov, and Cochrane\'s library databases was conducted to identify relevant studies, while associated reviews were also considered. The extracted data included parameters such as estradiol (E2), follicle-stimulating hormone (FSH), follicle count (FC), ovarian weight (OW), number of pregnancies, and live birth. As per the combined effect taking the last follow-up time, the level of FSH and AMH for the SC group was lower than these were at the baseline as (SMD: 1.58, 95% CI: 0.76 to 3.92, P-value: 0.185 > 0.05, I2: 94.03%) and (SMD: 1.34, 95% CI: 0.77 to 1.92, P-value: 0.001 < 0.05, I2: 0%) respectively. While the means of E2 and OW for the SC group was higher than these were at the baseline as (SMD: -0.47, 95% CI: -0.73 to -0.21, P-value: 0.001 < 0.01, I2: 38.23%) and (SMD: -1.18, 95% CI: -2.62 to 0.26, P-value: 0.108 > 0.05, I2: 76.68%) respectively. The overall effect size measured with proportion of pregnancy and live birth at a 5% level of significance expected SC transplantation results were as (combined proportion: 0.09, 95% CI: 0.03 to 0.15, P-value: 0.002 < 0.05, I2: 46.29%) and (SMD: 0.09, 95% CI: 0.03 to 0.15, P-value: 0.003 < 0.05, I2: 1.76%) respectively. Based on the fixed-effects model, the estimated average log odds ratio of Follicles count was 1.0234 (95% CI: 0.1252 to 1.9216). Therefore, the average outcome differed significantly from zero (P-value: 0.0255 < 0.05) due to SC transplantation. These results suggest that using SCs to restore ovarian function may be viable for treating POF. However, larger and better-quality investigations would need to be conducted in the future due to the heterogeneity of the examined studies.
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  • 文章类型: Journal Article
    目的:外上髁炎是日常实践中遇到的主要骨科问题之一。治疗比治愈更有症状。经皮钻孔是一种微创方法,可提供令人满意的结果。这项研究的目的是评估接受经皮穿刺治疗慢性外上髁炎的患者。
    方法:该研究包括2018年至2021年因慢性上髁外炎而接受手术经皮穿刺的31例患者。根据人口统计学特征对患者进行评估,包括年龄,性别,体重指数(BMI),职业,教育水平,爱好,占主导地位的一面,和吸烟状况。VAS(视觉模拟量表)疼痛评分,PRTEE评分(患者级网球肘评估-外上髁炎功能量表),术前、术后1个月和12个月检查Roles-Maudsly评分,并用Jamar手部测力计测量握力。
    结果:活动期间的VAS评分从手术前的8.9到术后12个月的2.06有统计学意义的改善(p<0.01),在PRTEE评分中,从术前64.12到术后12个月的20.61(p<0.01)。术后12个月的Roles-Maudsly评分在13例(41.9%)患者中被确定为优秀的,14人中表现良好(45.2%)。平均握力从治疗前的69.55增加到术后12个月结束时的90.97。
    结论:自体生物学治疗是目前治疗肌腱病的最前沿。经皮穿刺钻孔是一种封闭的方法,可以被认为是治疗血肿中炎症和间充质干细胞(MSCs)引起的肌腱病的理想方法。对于具有美学问题的患者,它也是有利的治疗方法,因为它不留下任何疤痕组织并且具有低的并发症风险。
    OBJECTIVE: Lateral epicondylitis is one of the leading orthopedic problems encountered in daily practice. Treatments are more symptomatic than curative. Percutaneous drilling is a minimally invasive method that provides satisfactory results. The aim of this study was to evaluate patients who had undergone percutaneous drilling for chronic lateral epicondylitis.
    METHODS: The study included 31 patients who underwent surgical percutaneous drilling because of chronic lateral epicondylitis between 2018 and 2021. The patients were evaluated with respect to demographic characteristics, including age, gender, body mass index (BMI), occupation, education level, hobbies, dominant side, and smoking status. The VAS (Visual Analog Scale) pain scores, PRTEE score (Patient-Rated Tennis Elbow Evaluation - a lateral epicondylitis function scale), and Roles-Maudsly score were examined preoperatively and at one and 12 months postoperatively together with grip strength measured with a Jamar hand dynamometer.
    RESULTS: Statistically significant improvements were determined in the VAS score during activity from 8.9 preoperatively to 2.06 at 12 months postoperatively (p<0.01), and in the PRTEE score, from 64.12 preoperatively to 20.61 at 12 months postoperatively (p<0.01). The Roles-Maudsly score at 12 months postoperatively was determined to be excellent in 13 (41.9%) patients, and good in 14 (45.2%). Mean grip strength increased from 69.55 before treatment to 90.97 at the end of 12 months postoperatively.
    CONCLUSIONS: Autobiological treatments are at the forefront of current treatments for tendinopathies. Percutaneous drilling is a closed method and can be considered an ideal method in the treatment of tendinosis caused by inflammation and mesenchymal stem cells (MSCs) contained in hematoma. It is also an advantageous treatment method for patients with aesthetic concerns as it does not leave any scar tissue and has a low risk of complications.
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  • 文章类型: Journal Article
    这项研究调查了hAFSCs是否可以通过靶向特定的细胞途径来改善部分膀胱出口梗阻(pBOO)大鼠的膀胱功能。将36只雌性大鼠分为假手术组和pBOO组,分别向膀胱壁注射和不注射hAFSC。测压,炎症/缺氧,胶原/纤维化/间隙连接蛋白,在pBOO或假手术后2和6周检查平滑肌肌球蛋白/毒蕈碱受体。在pBOO膀胱中,峰值排尿压力和残余体积的显着增加刺激了炎症和缺氧因素的显着上调,TGF-β1和Smad2/3。胶原沉积蛋白,胶原蛋白1和3,显着增加,但是膀胱纤维化标志物,小窝蛋白1和3均显着降低。间隙连接细胞间通讯蛋白,连接蛋白43,显着增加,但是小窝的数量明显减少。平滑肌表型的标志物,肌球蛋白重链11和鸟苷酸依赖性蛋白激酶,以及M2毒蕈碱受体,在培养的逼尿肌细胞中显著增加。然而,hAFSCs治疗可通过抑制TGFβ-Smad信号通路显著改善膀胱功能障碍,减少胶原蛋白沉积,破坏间隙连接细胞间通讯,并改变平滑肌肌球蛋白和小窝/小窝蛋白的表达。结果支持基于hAFSCs治疗BOO患者膀胱功能障碍的潜在价值。
    This study investigates whether hAFSCs can improve bladder function in partial bladder outlet obstruction (pBOO) rats by targeting specific cellular pathways. Thirty-six female rats were divided into sham and pBOO groups with and without hAFSCs single injection into the bladder wall. Cystometry, inflammation/hypoxia, collagen/fibrosis/gap junction proteins, and smooth muscle myosin/muscarinic receptors were examined at 2 and 6 weeks after pBOO or sham operation. In pBOO bladders, significant increases in peak voiding pressure and residual volume stimulated a significant upregulation of inflammatory and hypoxic factors, TGF-β1 and Smad2/3. Collagen deposition proteins, collagen 1 and 3, were significantly increased, but bladder fibrosis markers, caveolin 1 and 3, were significantly decreased. Gap junction intercellular communication protein, connexin 43, was significantly increased, but the number of caveolae was significantly decreased. Markers for the smooth muscle phenotype, myosin heavy chain 11 and guanylate-dependent protein kinase, as well as M2 muscarinic receptors, were significantly increased in cultured detrusor cells. However, hAFSCs treatment could significantly ameliorate bladder dysfunction by inactivating the TGFβ-Smad signaling pathway, reducing collagen deposition, disrupting gap junctional intercellular communication, and modifying the expressions of smooth muscle myosin and caveolae/caveolin proteins. The results support the potential value of hAFSCs-based treatment of bladder dysfunction in BOO patients.
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  • 文章类型: Journal Article
    肝脏是人体最重要的代谢器官。虽然小鼠模型和细胞系进一步加深了我们对肝脏生物学和相关疾病的理解,它们在复制人类肝脏组织的关键方面存在缺陷,特别是其复杂的结构和代谢功能。类器官模型代表了细胞生物学的重大突破,彻底改变了生物医学研究。类器官是体外三维(3D)生理结构,概括了体内组织的形态和功能特征,与传统细胞培养方法相比具有显著优势。在这次审查中,我们讨论了该领域的生成策略和当前进展,重点是它们在再生医学中的应用,药物发现和建模疾病。
    The liver is the most important metabolic organ in the body. While mouse models and cell lines have further deepened our understanding of liver biology and related diseases, they are flawed in replicating key aspects of human liver tissue, particularly its complex structure and metabolic functions. The organoid model represents a major breakthrough in cell biology that revolutionized biomedical research. Organoids are in vitro three-dimensional (3D) physiological structures that recapitulate the morphological and functional characteristics of tissues in vivo, and have significant advantages over traditional cell culture methods. In this review, we discuss the generation strategies and current advances in the field focusing on their application in regenerative medicine, drug discovery and modeling diseases.
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  • 文章类型: Journal Article
    背景:癌症干细胞(CSC)是限制胃癌(GC)治疗有效性的关键因素。环状RNA(circularRNAs,circRNAs)被证实是许多癌症的重要调节因子。然而,它们在调节GC的CSC样特性中的作用仍然未知。我们的研究旨在探讨circUBA2在CSC维持中的作用及其潜在机制。
    方法:我们使用circRNA微阵列分析将circUBA2鉴定为上调基因。qRT-PCR用于检测正常和GC组织中的circUBA2水平。进行体外和体内功能测定以验证circUBA2在增殖中的作用,迁移,GC细胞的转移和CSC样特性。使用生物信息学分析表征circUBA2、miR-144-5p和STC1之间的关系,双荧光报告系统,FISH,和RIP测定。
    结果:CircUBA2表达在GC组织中显著增加,circUBA2高表达的GC患者预后不良。CircUBA2增强了GC的CSC样特性,从而促进细胞增殖,迁移,和转移。机械上,circUBA2通过充当miR-144-5p的海绵来上调STC1表达并进一步激活IL-6/JAK2/STAT3信号通路,从而促进GC恶性和CSC样特性。更重要的是,circUBA2增强CSC样特性的能力被托珠单抗抑制,人源化白细胞介素-6受体(IL-6R)抗体。因此,circUBA2敲低和托珠单抗协同抑制CSC样特性。
    结论:我们的研究证明了circUBA2在调节GC中的CSC样性质中的关键作用。CircUBA2可能是GC的有希望的预后生物标志物。
    BACKGROUND: Cancer stem cells (CSCs) are critical factors that limit the effectiveness of gastric cancer (GC) therapy. Circular RNAs (circRNAs) are confirmed as important regulators of many cancers. However, their role in regulating CSC-like properties of GC remains largely unknown. Our study aimed to investigate the role of circUBA2 in CSC maintenance and the underlying mechanisms.
    METHODS: We identified circUBA2 as an upregulated gene using circRNA microarray analysis. qRT-PCR was used to examine the circUBA2 levels in normal and GC tissues. In vitro and in vivo functional assays were performed to validate the role of circUBA2 in proliferation, migration, metastasis and CSC-like properties of GC cell. The relationship between circUBA2, miR-144-5p and STC1 was characterised using bioinformatics analysis, a dual fluorescence reporter system, FISH, and RIP assays.
    RESULTS: CircUBA2 expression was significantly increased in GC tissues, and patients with GC with high circUBA2 expression had a poor prognosis. CircUBA2 enhances CSC-like properties of GC, thereby promoting cell proliferation, migration, and metastasis. Mechanistically, circUBA2 promoted GC malignancy and CSC-like properties by acting as a sponge for miR-144-5p to upregulate STC1 expression and further activate the IL-6/JAK2/STAT3 signaling pathway. More importantly, the ability of circUBA2 to enhance CSC-like properties was inhibited by tocilizumab, a humanised Interleukin-6 receptor (IL-6R) antibody. Thus, circUBA2 knockdown and tocilizumab synergistically inhibited CSC-like properties.
    CONCLUSIONS: Our study demonstrated the critical role of circUBA2 in regulating CSC-like properties in GC. CircUBA2 may be a promising prognostic biomarker for GC.
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  • 文章类型: Journal Article
    器官发育,再生和癌症的发生通常受到组织特异性干细胞增殖和谱系可塑性的影响.前列腺中间细胞,表现出基底细胞和腔细胞的特征,在病理状态和器官发育过程中普遍存在。然而,身份,这些中间细胞在前列腺发育中的命运和功能尚不清楚。通过对新生儿泌尿生殖窦组织进行单细胞RNA-seq分析,我们鉴定了具有干细胞潜能的中间细胞.在前列腺发育期间观察到中间细胞群体的显著下降。通过增强的双重组酶介导的遗传追踪系统,在出生后的早期和晚期发育中特异性标记了前列腺中间细胞。我们的发现表明,这些细胞具有显着的干细胞能力,如在类器官形成和细胞命运作图分析中所证明的。这些中间细胞还表现出内在的双电位特性,使它们能够分化成基底细胞和腔细胞。此外,我们发现在前列腺发育过程中从表达神经内分泌标志物的中间细胞向神经内分泌细胞的新转变。这项研究强调了中间细胞作为重要的干细胞群,并增强了我们对它们在前列腺发育和前列腺癌谱系可塑性中的作用的理解。
    Organ development, regeneration and cancer initiation are typically influenced by the proliferation and lineage plasticity of tissue-specific stem cells. Prostate intermediate cells, which exhibit characteristics of both basal and luminal cells, are prevalent in pathological states and during organ development. However, the identity, fate and function of these intermediate cells in prostate development are not well understood. Through single-cell RNA-seq analysis on neonatal urogenital sinus tissue, we identified intermediate cells exhibiting stem cell potential. A notable decline in the population of intermediate cells was observed during prostate development. Prostate intermediate cells were specifically labeled in early and late postnatal development by the enhanced dual-recombinase-mediated genetic tracing systems. Our findings revealed that these cells possess significant stem cell capabilities as demonstrated in organoid formation and cell fate mapping assays. These intermediate cells also exhibited intrinsic bipotential properties, enabling them to differentiate into both basal and luminal cells. Additionally, we discovered a novel transition from intermediate cell expressing neuroendocrine markers to neuroendocrine cell during prostate development. This study highlights intermediate cells as a crucial stem cell population and enhances our understanding of their role in prostate development and the plasticity of prostate cancer lineage.
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  • 文章类型: Journal Article
    干细胞的标志,如扩散,自我更新,发展,分化,和再生,对于维持由遗传和表观遗传因素维持的干细胞身份至关重要。超级增强剂(SE),由活性增强剂簇组成,通过特定的转录模型在维持干性标志方面发挥核心作用。SE导航转录复合物,包括SE,非编码RNA,掌握转录因子,调解员和其他共同激活者,形成相分离的冷凝物,它提供了指导不同干细胞命运的切换。随着多元组学技术的蓬勃发展,应用于研究SE的不同方面,我们首先提出了“超级增强子组学”的概念,与泛经济学有着千丝万缕的联系。在审查中,我们讨论了SE的时空组织和概念,并描述SE导航转录复合物和干细胞特征之间的联系,比如干细胞身份,自我更新,多能性,分化和发展。我们还阐明了通过癌症干细胞中的基因组和表观遗传改变劫持来调节癌症干细胞的干性和致癌SEs的机制。此外,我们讨论了使用小分子化合物靶向SE复合物成分的潜力,基因组编辑,和反义寡核苷酸治疗SE相关的器官功能障碍和疾病,包括癌症.这篇综述还通过SE的范式提供了对干细胞研究未来的见解。
    The hallmarks of stem cells, such as proliferation, self-renewal, development, differentiation, and regeneration, are critical to maintain stem cell identity which is sustained by genetic and epigenetic factors. Super-enhancers (SEs), which consist of clusters of active enhancers, play a central role in maintaining stemness hallmarks by specifically transcriptional model. The SE-navigated transcriptional complex, including SEs, non-coding RNAs, master transcriptional factors, Mediators and other co-activators, forms phase-separated condensates, which offers a toggle for directing diverse stem cell fate. With the burgeoning technologies of multiple-omics applied to examine different aspects of SE, we firstly raise the concept of \"super-enhancer omics\", inextricably linking to Pan-omics. In the review, we discuss the spatiotemporal organization and concepts of SEs, and describe links between SE-navigated transcriptional complex and stem cell features, such as stem cell identity, self-renewal, pluripotency, differentiation and development. We also elucidate the mechanism of stemness and oncogenic SEs modulating cancer stem cells via genomic and epigenetic alterations hijack in cancer stem cell. Additionally, we discuss the potential of targeting components of the SE complex using small molecule compounds, genome editing, and antisense oligonucleotides to treat SE-associated organ dysfunction and diseases, including cancer. This review also provides insights into the future of stem cell research through the paradigm of SEs.
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  • 文章类型: Journal Article
    血管周围脂肪组织(PVAT)由于其合成血管活性产物的能力及其机械性能而调节血管功能。PVATs最丰富的细胞是脂肪细胞,它们的种群是由成熟的脂肪细胞祖细胞(APC),可能在心血管疾病的发病机制中起关键作用。然而,APC在PVAT仓库内的分布,它们在空间位置上的潜在变化,性别和年龄对其丰度的影响仍然未知。我们假设PVAT中的APC丰度受位置影响,年龄,性别和APC亚型具有特定的空间分布。来自胸主动脉和腹主动脉的PVAT,和肠系膜动脉,和来自肩胛骨的AT,性腺,分析了来自13周龄和30周龄雌性和雄性Pdgfrα-CreERT2xLSL-td番茄小鼠(n=28)的皮下储库。腹主动脉PVAT的祖细胞少于肠系膜PVAT和性腺AT。衰老降低了胸主动脉中APC的丰度,但增加了肠系膜PVAT中APC的数量。在肠系膜PVAT和性腺AT仓库中,女性的APC比男性多。APC在主动脉和肠系膜PVAT中表现出独特的空间分布,它们定位了邻近的血管和动脉。在所有PVAT储库中鉴定了APC亚型(APC1、APC2、APC3、diffAPC)。胸主动脉PVATAPC3位于外膜,而diffAPC位于实质。这项研究确定了基于仓库的APC种群的变异性,年龄,和性爱。独特的空间分布和不同APC亚型的存在表明,它们可能对心血管疾病诱导的PVAT重塑有不同的贡献。
    Perivascular adipose tissue (PVAT) regulates vascular function due to its capacity to synthesize vasoactive products and its mechanical properties. PVATs most abundant cells are adipocytes, and their populations are maintained by the maturation of adipocyte progenitor cells (APC), which may play a pivotal role in the pathogenesis of cardiovascular diseases. However, the distribution of APC within PVAT depots, their potential variation in spatial location, and the influence of sex and age on their abundance remain unknown. We hypothesize that APC abundance in PVAT is affected by location, age, sex and that APC subtypes have specific spatial distributions. PVAT from thoracic and abdominal aorta, and mesenteric arteries, and AT from interscapular, gonadal, and subcutaneous depots from 13-week and 30-week-old females and males Pdgfrα-CreERT2 x LSL-tdTomato mice (n = 28) were analyzed. Abdominal aorta PVAT had fewer progenitors than mesenteric PVAT and gonadal AT. Aging reduced the abundance of APC in the thoracic aorta but increased their numbers in mesenteric PVAT. Females had more APC than males in mesenteric PVAT and gonadal AT depots. APC exhibited unique spatial distribution in the aorta and mesenteric PVAT where they localized neighboring vasa vasorum and arteries. APC subtypes (APC1, APC2, APC3, diff APC) were identified in all PVAT depots. Thoracic aorta PVAT APC3 were located in the adventitia while diff APC were in the parenchyma. This study identified variability in APC populations based on depot, age, and sex. The distinctive spatial distribution and the presence of diverse APC subtypes suggest that they may contribute differently to cardiovascular diseases-induced PVAT remodeling.
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  • 文章类型: Journal Article
    了解人类干细胞分化为成骨细胞和破骨细胞对于骨再生和疾病建模至关重要。许多形态学技术已被用来评估这种分化,但是缺乏对其应用和有效性的全面审查。
    在PRISMA框架的指导下,我们通过PubMed进行了严格的搜索,WebofScience和Scopus数据库,分析254篇文章每篇文章都根据预先定义的纳入标准进行了审查,精选了14项值得深入分析的研究。
    鉴定了使用形态学方法分析成骨细胞和破骨细胞分化的趋势。成骨细胞最常用的三种技术是茜素红S(矿化;六篇),vonKossa(矿化;三篇文章)和碱性磷酸酶(ALP;两篇文章),然后是一篇关于Giemsa染色(细胞形态学)的文章,最后是免疫化学(三篇文章涉及Vinculin,F-肌动蛋白和Col1生物标志物)。对于破骨细胞,抗酒石酸酸性磷酸酶(TRAP染色)的文章数量最多(6篇),接下来是两篇关于DAPI染色(细胞形态学)的文章,和免疫化学(两篇带有VNR的文章,组织蛋白酶K和TROP2。该研究涉及四种干细胞类型:外周血单核细胞,间充质,牙髓,和牙周韧带.
    这篇综述为研究人员提供了宝贵的资源,茜素红S和TRAP染色是成骨细胞和破骨细胞最常用的形态学程序,分别。这种理解为这一快速变化的领域的未来研究提供了基础。
    UNASSIGNED: Understanding human stem cell differentiation into osteoblasts and osteoclasts is crucial for bone regeneration and disease modeling. Numerous morphological techniques have been employed to assess this differentiation, but a comprehensive review of their application and effectiveness is lacking.
    UNASSIGNED: Guided by the PRISMA framework, we conducted a rigorous search through the PubMed, Web of Science and Scopus databases, analyzing 254 articles. Each article was scrutinized against pre-defined inclusion criteria, yielding a refined selection of 14 studies worthy of in-depth analysis.
    UNASSIGNED: The trends in using morphological approaches were identified for analyzing osteoblast and osteoclast differentiation. The three most used techniques for osteoblasts were Alizarin Red S (mineralization; six articles), von Kossa (mineralization; three articles) and alkaline phosphatase (ALP; two articles) followed by one article on Giemsa staining (cell morphology) and finally immunochemistry (three articles involved Vinculin, F-actin and Col1 biomarkers). For osteoclasts, tartrate-resistant acid phosphatase (TRAP staining) has the highest number of articles (six articles), followed by two articles on DAPI staining (cell morphology), and immunochemistry (two articles with VNR, Cathepsin K and TROP2. The study involved four stem cell types: peripheral blood monocyte, mesenchymal, dental pulp, and periodontal ligament.
    UNASSIGNED: This review offers a valuable resource for researchers, with Alizarin Red S and TRAP staining being the most utilized morphological procedures for osteoblasts and osteoclasts, respectively. This understanding provides a foundation for future research in this rapidly changing field.
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  • 文章类型: Journal Article
    背景:压力性尿失禁(SUI)是一种常见病,对女性患者的生活质量有重大影响。当前治疗策略的局限性促使人们探索新的有效和微创的替代方法,包括细胞疗法.
    方法:进行文献检索,以更新干细胞治疗女性压力性尿失禁的临床现状。
    结果:已经设计了30多项临床研究来评估可行性,女性SUI细胞治疗的安全性和有效性。尽管细胞类型和协议不同,总体治疗程序相似.标准的主观和客观评估工具,随访期从6周到6年不等。细胞注射已被证明是治疗女性SUI的安全疗法。然而,最近的随机试验结果显示,在恢复尿失禁方面的结果不如预期有希望.使用不同细胞类型和剂量的异质性研究方法使得很难得出关于有效性的结论。仍有几个关键点需要在未来的临床试验中进一步探索。
    结论:为了促进细胞疗法的发展,必须了解所涉及的机制,以便能够正确地指导它,其功效和注射细胞的耐久性。严格且均质化的临床前和临床研究证明了其范围并改善了其应用,对于验证女性SUI的治疗是必要的。
    BACKGROUND: Stress urinary incontinence (SUI) is a common condition with a significant impact on the quality of life of female patients. The limitations of current treatment strategies have prompted the exploration of new effective and minimally invasive alternative approaches, including cell therapy.
    METHODS: A literature search was conducted to update the current clinical status of stem cell therapy in the management of female stress urinary incontinence.
    RESULTS: Over thirty clinical studies have been designed to assess the feasibility, safety and efficacy of cell therapy for female SUI. Despite differences in cell types and protocols, the overall treatment procedures were similar. Standard subjective and objective assessment tools, and follow-up periods ranged from 6 weeks to 6 years have been used. Cell injection has shown to be a safe therapy in the treatment of female SUI. However, the results from more recent randomized trials have shown less promising results than expected in restoring continence. Heterogeneous research methodologies using different cell types and doses make it difficult to draw conclusions about effectiveness. Several key points remain that need to be further explored in future clinical trials.
    CONCLUSIONS: To advance in the development of cell therapy, it is essential to know the mechanisms involved to be able to direct it properly, its efficacy and the durability of the injected cells. Rigorous and homogenized preclinical and clinical studies that demonstrate its scope and improve its application are necessary for validation in the treatment of female SUI.
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