BM-MSCs

BM - MSCs
  • 文章类型: Journal Article
    本研究探讨了大鼠和小鼠骨髓间充质干细胞(BM-MSCs)对四氯化碳(CCl4)对Wistar大鼠肾损伤和毒性的可能治疗作用。
    腹膜内注射CCl4(0.5mL/kg,每周两次)八周后,雄性Wistar大鼠每周用大鼠和小鼠BM-MSC(0.2mLDulbecco's改良Eagle培养基(DMEM)中的1×106个细胞/大鼠/周)静脉内治疗,持续4周。使用苏木精和曙红(H&E)评估肾功能并检查肾脏样本,Masson三色(MT)染色技术,和电子显微镜分析。肾环氧合酶-2(COX-2),蛋白53(p53),免疫组织化学染色技术检测肿瘤坏死因子-α(TNF-α)。此外,在肾脏组织中鉴定了氧化应激和抗氧化防御系统的生物指标。
    在注射CCl4的大鼠中,血清肌酐,尿素,尿酸水平显著上升,肾脏脂质过氧化(LPO),而超氧化物歧化酶,谷胱甘肽过氧化物酶(GPx),谷胱甘肽(GSH)转移酶,肾脏的GSH水平显著下降。组织学上,肾脏表现出广泛的结构异常,如肾小球收缩,肾小管扩张术,炎性白细胞浸润,成纤维细胞增殖,胶原蛋白含量升高。炎性细胞因子如COX-2和TNF-α以及促凋亡介质p53显著上调。用注射CCl4的大鼠处理来自小鼠和大鼠的BM-MSC显著减少了先前注意到的异常。
    通过增强抗氧化防御,减少细胞凋亡和炎症,来自小鼠和大鼠的BM-MSC能够增强接受CCl4注射的大鼠的肾功能和组织学完整性。
    UNASSIGNED: This study explores the possible therapeutic role of rats and mice bone marrow-derived mesenchymal stem cells (BM-MSCs) on renal damage and toxicity brought on by carbon tetrachloride (CCl4) in Wistar rats.
    UNASSIGNED: Following an intraperitoneal injection of CCl4 (0.5 mL/kg b.w. twice weekly) for eight weeks, male Wistar rats were intravenously treated with rats and mice BM-MSCs (1 × 106 cells in 0.2 mL Dulbecco\'s Modified Eagle Medium (DMEM)/rat/week) a week for four weeks. Kidney functions were evaluated and kidney samples were examined using hematoxylin and eosin (H&E), Masson\'s trichrome (MT) staining techniques, and electron microscopy analysis. Kidney cyclooxygenase-2 (COX-2), protein 53 (p53), and tumor necrosis factor-α (TNF-α) were detected by immunohistochemical staining techniques. Additionally, bioindicators of oxidative stress and antioxidant defense systems were identified in kidney tissue.
    UNASSIGNED: In CCl4-injected rats, serum creatinine, urea, and uric acid levels significantly increased, as did renal lipid peroxidation (LPO), while superoxide dismutase, glutathione peroxidase (GPx), glutathione (GSH) transferase, and GSH levels significantly dropped in the kidneys. Histologically, the kidneys displayed a wide range of structural abnormalities, such as glomerular shrinkage, tubular dilations, inflammatory leukocytic infiltration, fibroblast proliferation, and elevated collagen content. Inflammatory cytokines like COX-2 and TNF-α as well as the pro-apoptotic mediator p53 were considerably upregulated. Treatment of BM-MSCs from mice and rats with CCl4-injected rats considerably reduced the previously noted abnormalities.
    UNASSIGNED: By boosting antioxidant defense and reducing apoptosis and inflammation, BM-MSCs from mice and rats were able to enhance kidney function and histological integrity in rats that had received CCl4 injections.
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  • 文章类型: Journal Article
    背景:勃起功能障碍(ED)是一种常见的男性性功能障碍,随着发病率的增加,目前的治疗往往是无效的。
    方法:用血管内皮生长因子(VEGFA)治疗骨髓间充质干细胞(BM-MSCs),并通过Transwell测定法测定它们的细胞迁移速率。vonWillebrand因子(vWF)VE-cadherin的表达,通过qRT-PCR和Westernblot分析确定内皮型一氧化氮合酶(eNOS)内皮标志物。通过用si-MALAT1转染VEGFA诱导的BM-MSC并过表达CDC42和PAK1,探索了MALAT1诱导的BM-MC通过CDC42/PAK1/桩蛋白途径向EC分化。通过蛋白质免疫沉淀检查了VEGFA处理和非VEGFA处理的BM-MSC中CDC42,PAK1和桩蛋白之间的结合能力。MiR-206在VEGFA诱导的BM-MSC中过表达,MALAT1、miR-206和CDC42的结合位点使用荧光素酶测定进行鉴定。将60只雄性SD大鼠分为6组(n=10/组)。通过APO实验证明了DMED建模,并通过测量血糖水平进行了评估。通过测量海绵体内压(ICP)和平均动脉压(MAP)评估勃起功能。通过qRT-PCR分析阴茎勃起组织,蛋白质印迹分析,和免疫组织化学染色。
    结果:VEGFA处理条件下的MALAT1通过调节CDC42/PAK1/桩蛋白轴来调节BM-MSCs向ECs的分化。体外实验表明,干扰CDC42和MALAT1的表达抑制了BM-MSCs向EC的分化。CDC42与PAK1结合,PAK1与桩蛋白结合。此外,VEGFA组中的CDC42具有更大的与PAK1结合的能力,而VEGFA组中的PAK1具有更大的与桩蛋白结合的能力。miR-206在VEGFA诱导的BM-MSC中的过表达表明MALAT1与CDC423'-UTR竞争结合miR-206,进而参与BM-MSC向EC的分化。与DMED模型组相比,3个BM-MSCs治疗组的ICP/MAP比值显著增高.
    结论:MALAT1通过调节miR-206/CDC42/PAK1/桩蛋白轴来促进BM-MSC分化为ECs,从而改善ED。本发现揭示了MALAT1在修复BM-MSCs勃起功能中的重要作用,并为BM-MSC介导的DMED修复提供了新的机制见解。
    BACKGROUND: Erectile dysfunction (ED) is a common male sexual dysfunction, with an increasing incidence, and the current treatment is often ineffective.
    METHODS: Vascular endothelial growth factor (VEGFA) was used to treat bone marrow-derived mesenchymal stem cells (BM-MSCs), and their cell migration rates were determined by Transwell assays. The expression of the von Willebrand Factor (vWF)VE-cadherin, and endothelial nitric oxide synthase(eNOS) endothelial markers was determined by qRT‒PCR and Western blot analyses. The MALAT1-induced differentiation of BM-MCs to ECs via the CDC42/PAK1/paxillin pathway was explored by transfecting VEGFA-induced BM-MSC with si-MALAT1 and overexpressing CDC42 and PAK1. The binding capacity between CDC42, PAK1, and paxillin in VEGFA-treated and non-VEGFA-treated BM-MSCs was examined by protein immunoprecipitation. MiR-206 was overexpressed in VEGFA-induced BM-MSC, and the binding sites of MALAT1, miR-206, and CDC42 were identified using a luciferase assay. Sixty male Sprague‒Dawley rats were divided into six groups (n = 10/group). DMED modelling was demonstrated by APO experiments and was assessed by measuring blood glucose levels. Erectile function was assessed by measuring the intracavernosa pressure (ICP) and mean arterial pressure (MAP). Penile erectile tissue was analysed by qRT‒PCR, Western blot analysis, and immunohistochemical staining.
    RESULTS: MALAT1 under VEGFA treatment conditions regulates the differentiation of BM-MSCs into ECs by modulating the CDC42/PAK1/paxillin axis. In vitro experiments demonstrated that interference with CDC42 and MALAT1 expression inhibited the differentiation of BM-MSCs to ECs. CDC42 binds to PAK1, and PAK1 binds to paxillin. In addition, CDC42 in the VEGFA group had a greater ability to bind to PAK1, whereas PAK1 in the VEGFA group had a greater ability to bind to paxillin. Overexpression of miR-206 in VEGFA-induced BM-MSCs demonstrated that MALAT1 competes with the CDC42 3\'-UTR for binding to miR-206, which in turn is involved in the differentiation of BM-MSCs to ECs. Compared to the DMED model group, the ICP/MAP ratio was significantly greater in the three BM-MSCs treatment groups.
    CONCLUSIONS: MALAT1 facilitates BM-MSC differentiation into ECs by regulating the miR-206/CDC42/PAK1/paxillin axis to improve ED. The present findings revealed the vital role of MALAT1 in the repair of BM-MSCs for erectile function and provided new mechanistic insights into the BM-MSC-mediated repair of DMED.
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  • 文章类型: Journal Article
    目的:了解局部注射骨髓间充质干细胞(BM-MSCs)在甲状腺功能减退大鼠舌内的作用。
    方法:使用总共24只雄性Wister大鼠并将其分成3组(n=8)。至于对照组,大鼠通过口服灌胃接受蒸馏水。甲状腺功能减退组,大鼠服用卡比马唑5毫克/250克/天连续6周,甲状腺功能减退的诱导。BM-MSC治疗甲状腺功能减退组(BM-MSC组);甲状腺功能减退大鼠舌内局部注射50万个BM-MSC。BM-MSC注射后六周,舌样进行苏木精和伊红(H和E)染色处理,Ki67免疫组织化学和组织形态计量学分析。
    结果:甲状腺功能减退组显示舌乳头变性改变,与对照组相比,舌下上皮明显变薄。BM-MSC组的舌头描绘了正常舌头组织学的恢复。与对照组相比,甲状腺功能减退组舌上皮的Ki67免疫反应明显减少,然而,BM-MSC组恢复了Ki67免疫染色.
    结论:我们的数据表明,给予BM-MSCs挽救了舌粘膜的退行性变化,可能的潜在机制之一可能是舌上皮细胞增殖的恢复。
    OBJECTIVE: To decipher the role of locally injected bone marrow mesenchymal stem cells (BM-MSCs) in the tongue of hypothyroid rats.
    METHODS: A total 24 male Wister rats were utilized and allocated into 3 groups (n = 8). As for the control group, rats received distilled water via oral gavage. In the hypothyroid group, rats administered carbimazole 5 mg/ 250 g/ day for 6 successive weeks, for hypothyroidism induction. The BM-MSC treated hypothyroid group (BM-MSC group); hypothyroid rats received local injection of 0.5 million BM-MSCs in tongue. Six weeks after BM-MSC injection, tongue samples were processed for Hematoxylin and eosin (H and E) staining, Ki67-immunohistochemistry and histomorphometric analysis.
    RESULTS: The hypothyroid group revealed degenerative alterations in the lingual papillae, and apparent thinning of the inferior lingual epithelium compared to their controls. Tongues of the BM-MSC group depicted restoration of the normal tongue histology. The Ki67 immunoreaction was apparently decreased in the lingual epithelium of hypothyroid group compared to their controls, however the BM-MSC group regained Ki67 immunostaining.
    CONCLUSIONS: Our data suggest that administration of BM-MSCs rescued the degenerative changes in the lingual mucosa and one of the possible underlying mechanisms could be the restoration of cellular proliferation in the lingual epithelium.
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  • 文章类型: Journal Article
    目的:促进治疗骨质疏松症的药物发现和开发。
    背景:随着全球老龄化,骨质疏松症已成为威胁老年人健康的常见问题。探索新的药物干预靶点,开发有前景的治疗骨质疏松症的药物具有重要的临床价值。
    目的:了解介导骨质疏松症和骨关节炎患者骨髓间充质干细胞(BM-MSCs)细胞群之间通讯的主要分子,并确定潜在的可重复使用的治疗骨质疏松症的药物。
    方法:使用Seurat软件包对GSE147287数据集中的BM-MSCs的单细胞RNA测序(scRNA-seq)数据进行分类。CellChat致力于分析有助于BM-MSC亚群之间通信的配体-受体对(LR对)。在GSE35959数据集中筛选了在骨质疏松样品和对照样品之间差异表达且与免疫评分显著相关的LR对,GSE35959和GSE13850数据集中的差异表达基因被鉴定为单个配体或受体的靶标。采用网络邻近法筛选治疗骨质疏松症的药物,并选择排名靠前的药物与目标靶点进行分子对接和分子动力学模拟。
    结果:确定了12个BM-MSCs亚群,其中CD45-BM-MSCS_4、CD45-BM-MSCS_5和CD45+BM-MSCs_5亚群在骨质疏松样本和骨关节炎样本之间表现出明显不同的分布。在这三个BM-MSC亚群和其他BM-MSC亚群之间的双向通信中鉴定了六个LR对。其中,MIF-CD74和ITGB2-ICAM2与免疫评分显著相关。CD74被确定为目标,共鉴定出48种靶向CD47蛋白的药物。其中,DB01940具有与CD74蛋白的最低自由能结合得分,并且结合状态非常稳定。
    结论:这项研究为药物重复使用提供了一个新的基于网络的框架,并确定了在骨质疏松症中靶向CD74的治疗药物的初步见解。这可能对促进骨质疏松症治疗的发展有意义。
    OBJECTIVE: To facilitate drug discovery and development for the treatment of osteoporosis.
    BACKGROUND: With global aging, osteoporosis has become a common problem threatening the health of the elderly. It is of important clinical value to explore new targets for drug intervention and develop promising drugs for the treatment of osteoporosis.
    OBJECTIVE: To understand the major molecules that mediate the communication between the cell populations of bone marrow-derived mesenchymal stem cells (BM-MSCs) in osteoporosis and osteoarthritis patients and identify potential reusable drugs for the treatment of osteoporosis.
    METHODS: Single-cell RNA sequencing (scRNA-seq) data of BM-MSCs in GSE147287 dataset were classified using the Seurat package. CellChat was devoted to analyzing the ligand-receptor pairs (LR pairs) contributing to the communication between BM-MSCs subsets. The LR pairs that were differentially expressed between osteoporosis samples and control samples and significantly correlated with immune score were screened in the GSE35959 dataset, and the differentially expressed gene in both GSE35959 and GSE13850 data sets were identified as targets from a single ligand or receptor. The therapeutic drugs for osteoporosis were screened by network proximity method, and the top-ranked drugs were selected for molecular docking and molecular dynamics simulation with the target targets.
    RESULTS: Twelve subsets of BM-MSCs were identified, of which CD45-BM-MSCS_4, CD45-BM- MSCS_5, and CD45+ BM-MSCs_5 subsets showed significantly different distributions between osteoporosis samples and osteoarthritis samples. Six LR pairs were identified in the bidirectional communication between these three BM-MSCs subsets and other BM-MSCs subsets. Among them, MIF-CD74 and ITGB2-ICAM2 were significantly correlated with the immune score. CD74 was identified as the target, and a total of 48 drugs targeting CD47 protein were identified. Among them, DB01940 had the lowest free energy binding score with CD74 protein and the binding state was very stable.
    CONCLUSIONS: This study provided a new network-based framework for drug reuse and identified initial insights into therapeutic agents targeting CD74 in osteoporosis, which may be meaningful for promoting the development of osteoporosis treatment.
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  • 文章类型: Journal Article
    背景:间充质干细胞/基质细胞(MSC)已被认为是骨髓(BM)微环境中最重要的基质细胞,用于生理性造血和伴随的血液系统恶性肿瘤。然而,对多发性骨髓瘤(MM)中BM-MSCs的生物学和转录组特征的系统和详细的解剖在很大程度上是未知的.
    方法:在本研究中,我们从10名原发性MM患者和10名健康供体(HD)中分离并鉴定了BM-MSCs。一方面,我们比较了两个BM-MSCs的多方面生物学特征,包括生物标志物表达模式,多谱系分化潜能,干性和核型分析,连同细胞活力和免疫抑制特性。另一方面,我们利用RNA-SEQ和生物信息学分析来验证MM-MSCs和HD-MSCs在转录组水平上的异同.
    结果:关于生物表型和生物功能,MM-MSCs在免疫表型中显示出保守性,具有HD-MSCs的干细胞和向脂肪细胞和软骨细胞分化,而成骨分化潜能受损,细胞活力和免疫抑制特性。至于转录组特性,MM-MSCs揭示了基因表达谱和遗传变异的多维改变。
    结论:总体而言,我们的日期系统和详细地反映了MM-MSCs和HD-MSCs在细胞和分子水平上的多方面相似性和差异,特别是,MM-MSCs的免疫调节和细胞活力的改变,该伤口有利于从BM-MSCs的角度进一步探索多发性骨髓瘤的发病机制和新药应用(NDA)。
    BACKGROUND: Mesenchymal stem/stromal cells (MSCs) have been acknowledged as the most important stromal cells in the bone marrow (BM) microenvironment for physiologic hematopoiesis and the concomitant hematologic malignancies. However, the systematic and detailed dissection of the biological and transcriptomic signatures of BM-MSCs in multiple myeloma (MM) are largely unknown.
    METHODS: In this study, we isolated and identified BM-MSCs from 10 primary MM patients and 10 healthy donors (HD). On the one hand, we compared the multifaceted biological characteristics of the indicated two BM-MSCs, including biomarker expression pattern, multilineage differentiation potential, stemness and karyotyping, together with the cellular vitality and immunosuppressive property. On the other hand, we took advantage of RNA-SEQ and bioinformatics analysis to verify the similarities and differences at the transcriptomic level between MM-MSCs and HD-MSCs.
    RESULTS: As to biological phenotypes and biofunctions, MM-MSCs revealed conservation in immunophenotype, stemness and differentiation towards adipocytes and chondrocytes with HD-MSCs, whereas with impaired osteogenic differentiation potential, cellular vitality and immunosuppressive property. As to transcriptomic properties, MM-MSCs revealed multidimensional alterations in gene expression profiling and genetic variations.
    CONCLUSIONS: Overall, our date systematic and detailed reflected the multifaceted similarities and variations between MM-MSCs and HD-MSCs both at the cellular and molecular levels, and in particular, the alterations of immunomodulation and cellular viability of MM-MSCs, which wound benefit the further exploration of the pathogenesis and new drug application (NDA) of multiple myeloma from the view of BM-MSCs.
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  • 文章类型: Journal Article
    间充质干细胞来源的外泌体和长链非编码RNA(lncRNA)已被确定在急性肺损伤(ALI)中发挥作用。在这项研究中,我们研究了外泌体lncRNAs是否可以调节ALI及其潜在机制。骨髓间充质干细胞(BM-MSCs)经低氧或常氧预处理,随后从常氧BM-MSC(Nor-exos)和低氧BM-MSC(Hypo-exos)中提取外泌体。通过脂多糖(LPS)的气道灌注建立了大鼠ALI模型。通过尾静脉施用外来体以评价外来体在ALI中的体内作用。将暴露于LPS的RLE-6TN细胞与外泌体一起孵育以探索其在ALI中的体外作用。荧光素酶报告基因测定用于评估lncRNAXIST和miR-455-3p之间的相互作用,以及miR-455-3p和Claudin-4。我们发现,外泌体在体外和体内均减轻了LPS诱导的ALI和Hypo-Exos与Nor-exos相比具有更大的治疗作用。此外,与Nor-exos相比,在Hypo-exos中观察到丰富的lncRNAXIST。机械上,LncRNAXIST在ALI中作为miR-455-3p海绵和靶向Claudin-4。我们的结果为外泌体lncRNAXIST在ALI治疗中的作用提供了新的见解。因此,低氧预处理可能是提高外泌体治疗效果的有效方法。
    Mesenchymal stem cell-derived exosomes and long non-coding RNAs (lncRNAs) have been identified to play a role in acute lung injury (ALI). In this study, we investigated whether exosomal lncRNAs could regulate ALI and the underlying mechanisms. Bone marrow mesenchymal stem cells (BM-MSCs) were pretreated with hypoxia or normoxia, and exosomes were subsequently extracted from normoxic BM-MSCs (Nor-exos) and hypoxic BM-MSCs (Hypo-exos). A rat model of ALI was established via an airway perfusion of lipopolysaccharide (LPS). Exosomes were administered via the tail vein to evaluate the in vivo effect of exosomes in ALI. LPS-exposed RLE-6TN cells were incubated with exosomes to explore their in vitro effect in ALI. A luciferase reporter assay was used to evaluate the interaction between lncRNA XIST and miR-455-3p, as well as miR-455-3p and Claudin-4. We found that the exosomes attenuated LPS-induced ALI and Hypo-Exos exerted a greater therapeutic effect compared with Nor-exos both in vitro and in vivo. Moreover, an abundance of lncRNA XIST was observed in Hypo-exos compared with Nor-exos. Mechanistically, LncRNA XIST functioned as a miR-455-3p sponge and targeted Claudin-4 in ALI. Our results provide novel insight into the role of exosomal lncRNA XIST for the treatment of ALI. Thus, hypoxic pretreatment may represent an effective method for improving the therapeutic effects of exosomes.
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  • 文章类型: Journal Article
    评估和比较骨髓间充质干细胞(BM-MSCs)与胰岛素对实验诱导的I型糖尿病大鼠下颌骨牙槽复合体胶原形成和β-catenin(β-catenin)表达的治疗效果。
    将28只雄性白化病大鼠平分如下:第I组:由不接受药物的大鼠组成。其余大鼠单次腹膜内注射链脲佐菌素(STZ)(40mg/kg)。在确认糖尿病诱导后,将大鼠分为:第II组:糖尿病大鼠不给予治疗。组III:糖尿病大鼠接受单次BM-MSC静脉内注射(1x106个细胞)。IV组:糖尿病大鼠每日皮下注射胰岛素(5IU/kg)。28天后,下颌骨被苏木精和伊红(H&E)处理和染色,Masson三色和抗β-连环蛋白抗体。进行统计分析以测量Masson三色和β-catenin的阳性面积百分比。
    第二组牙槽骨复合体组织和细胞在组织学上表现出破坏性变化,而III组和IV组表现出改善的组织学特征。第二组在所有的牙腺-肺泡复合体组织中呈现几乎老的胶原蛋白,和接近阴性的β-catenin表达。III组和IV组显示新形成的胶原蛋白与很少的旧胶原蛋白区域混合,两组均显示β-catenin免疫反应性阳性。统计上,第III组和第IV组代表了马森的三色面积%和β-连环蛋白面积%的最高平均值,而第二组报告的平均值最低。
    链脲佐菌素对牙槽复合物的结构和功能具有破坏性作用。BM-MSCs和胰岛素在受STZ影响的牙周组织中显示出再生能力,和统计,它们增加胶原形成和β-catenin表达。
    UNASSIGNED: To assess and compare the therapeutic effect of bone marrow mesenchymal stem cells (BM-MSCs) versus insulin on mandibular dento-alveolar complex collagen formation and beta-catenin (β-catenin) expression in experimentally induced type I diabetes in albino rat.
    UNASSIGNED: Twenty-eight male albino rats were equally divided as follows; Group I: was composed of rats which received no drug. The remaining rats were administrated a single streptozotocin (STZ) (40 mg/kg) intra-peritoneal injection. After affirmation of diabetes induction, the rats were divided into: Group II: Diabetic rats were given no treatment. Group III: Diabetic rats received a single BM-MSCs intravenous injection (1x106 cells). Group IV: Diabetic rats were given a daily insulin subcutaneous injection (5 IU/kg). After 28 days, mandibles were processed and stained by Hematoxylin & Eosin (H&E), Masson\'s trichrome and anti-β-catenin antibody. A statistical analysis was performed to measure positive area% of Masson\'s trichrome and β-catenin.
    UNASSIGNED: Dento-alveolar complex tissues and cells of Group II showed destructive changes histologically, while Groups III and IV demonstrated improved histological features. Group II presented almost old collagen in all dento-alveolar complex tissues, and nearly negative β-catenin expression. Groups III and IV revealed a newly formed collagen intermingled with very few areas of old collagen, and both groups showed positive β-catenin immunoreactivity. Statistically, Groups III and IV represented the highest mean values of Masson\'s trichrome area% and β-catenin area%, while Group II reported the lowest mean.
    UNASSIGNED: Streptozotocin has a destructive effect on the dento-alveolar complex structure and function. BM-MSCs and insulin show regenerative capacity in STZ-affected periodontal tissues, and statistically, they increase collagen formation and β-catenin expression.
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  • 文章类型: Meta-Analysis
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  • 文章类型: Clinical Trial, Phase II
    背景:急性非动脉炎性缺血性视神经病变(NA-AION)的有效治疗方法尚未被知晓或证实。以前的研究表明,同种异体骨髓间充质干细胞具有神经保护作用。这项研究旨在报告对接受玻璃体腔注射同种异体骨髓间充质干细胞(BM-MSCs)(MSV®)治疗的急性非动脉炎性视神经病变(NA-AION)患者的临床试验结果。
    方法:我们进行了前瞻性,非随机化,临床II期研究(EudraCT编号2016-003029-40;ClinicalTrials.govRegistryNCT03173638),纳入5例在症状发作后2周内诊断为急性单侧NA-AION的患者,并接受玻璃体内注射同种异体BM-MSCs(0.05ml;细胞浓度:1.5×106cells/mL).患者接受了定期眼科检查,并随访了一年。
    结果:在本试验中,同种异体BM-MSCs似乎是安全的,因为没有患者出现急性或慢性眼内炎症或眼压明显变化的迹象,尽管一名患者出现了视网膜前膜。在另一位有意义的患者中,注射后不久形成的后牙聚集体在几周内自发消失。留下囊下白内障。4例患者视力改善,3例患者的视觉诱发电位记录中P100的振幅增加。随访期间视网膜神经纤维层和黄斑神经节细胞层厚度明显下降。
    结论:除了一个患者的视网膜前膜的发展,玻璃体内应用同种异体BM-MSCs在眼内表现出良好的耐受性.因此,不仅NA-AION,而且BM-MSCs也值得获得更多的临床试验资源和更大的随机多中心试验,这将为玻璃体内注射同种异体BM-MSCs在急性NA-AION中的安全性和潜在治疗效果提供更有力的证据.
    背景:玻璃体内间质干细胞治疗急性非动脉炎性前部缺血性视神经病变(神经干细胞)的安全性评估。NCT03173638。注册2017年6月2日https://clinicaltrials.gov/ct2/show/NCT03173638。
    An effective treatment for acute non-arteritic ischemic optic neuropathy (NA-AION) has not been known or proven yet. Previous studies have suggested a neuroprotective effect of allogeneic bone marrow-derived mesenchymal stem cells. This study aims to report the results of a clinical trial on patients with acute non-arteritic optic neuropathy (NA-AION) treated with an intravitreal injection of allogeneic bone marrow-derived mesenchymal stem cells (BM-MSCs) (MSV®).
    We conducted a prospective, non-randomized, clinical phase-II study (Eudra CT number 2016-003029-40; ClinicalTrials.gov Registry NCT03173638) that included 5 patients with acute unilateral NA-AION diagnosed within 2 weeks after symptom onset and who received an intravitreal injection of allogeneic BM-MSCs (0.05 ml; cell concentration: 1.5 × 106cells/mL). The patients underwent regular ophthalmological examinations and were followed for one year.
    In this trial, allogeneic BM-MSCs appeared to be safe as no patients developed signs of acute nor chronic intraocular inflammation or a significant change in intraocular pressure, although an epiretinal membrane was developed in one patient. A retrolental aggregate formed shortly after the injection spontaneously disappeared within a few weeks in another phakic patient, leaving a subcapsular cataract. Visual improvement was noted in 4 patients, and amplitudes of P100 on the visually evoked potentials recordings increased in three patients. The retinal nerve fiber layer and macular ganglion cell layer thicknesses significantly decreased during the follow-up.
    Besides the development of an epiretinal membrane in one patient, the intravitreal application of allogeneic BM-MSCs appeared to be intraocularly well tolerated. Consequently, not only NA-AION but also BM-MSCs deserve more clinical investigational resources and a larger randomized multicenter trial that would provide stronger evidence both about safety and the potential therapeutic efficacy of intravitreally injected allogeneic BM-MSCs in acute NA-AION.
    Safety Assessment of Intravitreal Mesenchymal Stem Cells for Acute Non-Arteritic Anterior Ischemic Optic Neuropathy (NEUROSTEM). NCT03173638. Registered June 02, 2017 https://clinicaltrials.gov/ct2/show/NCT03173638 .
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  • 文章类型: Journal Article
    这项研究的目的是评估骨髓间充质干细胞(BM-MSCs)对雄性大鼠中分级剂量的γ辐射(Rad)和左乙拉西坦和奥卡西平的联合治疗引起的肾毒性的影响。成年年夜鼠随机分为四组。第一组:控制,第二组:抗癫痫药(AEDs),组III:AED+Rad和组IV:AED+Rad+MSC。用AED治疗并暴露于分级剂量的γ辐射的大鼠显示出血清尿素的明显增加,肌酐,肾损伤标志物,肾脏丙二醛,转化生长因子β(TGF-β)和Smad3的相对表达随着Smad7和谷胱甘肽水平的相对表达降低。或者,用AED和Rad的BM-MSCs治疗的组显示出大多数评估参数的实质性改变,并且看起来在降低AED和放射联合治疗的危害方面是成功的。肾组织病理学研究支持生化分析。总之,BM-MSC表现出针对分级剂量的γ-辐射和AED诱导的肾毒性的治疗潜力。该结果由TGF-β/Smad途径的下调引起。BM-MSCs可能被认为是一种有价值的治疗策略,可以克服AEDs联合治疗期间γ辐射引起的肾损伤。
    The goal of this study was to assess the influence of bone marrow-derived mesenchymal stem cells (BM-MSCs) on the nephrotoxicity induced by fractionated doses of gamma irradiation (Rad) and the cotherapy of levetiracetam and oxcarbazepine in male rats. Adult rats were randomly divided into four groups. Group I: Control, Group II: antiepileptic drugs (AEDs), Group III: AEDs +Rad and Group IV: AEDs + Rad + MSCs. Rats treated with AEDs and exposed to fractionated doses of γ-irradiation displayed a discernible increase in serum urea, creatinine, kidney injury marker, kidney malondialdehyde, transforming growth factor beta (TGF-β) and the relative expression of Smad3 along with a decrease in the relative expression of Smad7 and glutathione level. Alternatively, groups treated with BM-MSCs with AEDs and Rad showed a substantial modification in the majority of the evaluated parameters and looked to be successful in reducing the hazards of the combination therapy of AEDs and radiation. The reno-histopathological study supports the biochemical analysis. In conclusion, BM-MSCs exhibited therapeutic potential against nephrotoxicity induced by fractionated doses of γ-irradiation and AEDs. The outcome was brought about by the downregulation of the TGF-β/Smad pathway. BM-MSCs might be suggested as a valuable therapeutic strategy to overcome kidney injury induced by gamma irradiation during AEDs cotherapy.
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