PDGF, Platelet-derived growth factor

PDGF,血小板源性生长因子
  • 文章类型: Journal Article
    脱发,或者脱发,与几种心理社会和医学合并症有关,它仍然是个人和社会的经济负担。脱发可归因于多种机制,并具有多因素倾向,和现有的常规医疗干预措施有几个局限性。因此,目前正在探索再生医学中脱发的几种治疗策略,随着越来越多的证据表明间充质干细胞(MSC)植入,MSC来源的分泌组治疗,血液来源的富含血小板的血浆疗法是潜在的治疗选择。在这次审查中,我们搜查了Cochrane图书馆,MEDLINE(PubMed),EMBASE,和Scopus使用各种术语组合,如“干细胞,\"\"脱发,\"\"脱发,\"\"雄激素性脱发,\"\"男性型脱发,\"\"女性型脱发,\"\"再生头发的生长,细胞疗法,间充质干细胞,“\”MSC衍生的细胞外囊泡,\"\"MSC衍生的外泌体,“和“富血小板血浆”,并总结了最有希望的脱发再生治疗方法。此外,讨论了提高疗效的进一步机会和促进临床应用的创新策略。
    Hair loss, or alopecia, is associated with several psychosocial and medical comorbidities, and it remains an economic burden to individuals and the society. Alopecia is attributable to varied mechanisms and features a multifactorial predisposition, and the available conventional medical interventions have several limitations. Thus, several therapeutic strategies for alopecia in regenerative medicine are currently being explored, with increasing evidence suggesting that mesenchymal stem cell (MSC) implantation, MSC-derived secretome treatment, and blood-derived platelet-rich plasma therapies are potential treatment options. In this review, we searched the Cochrane Library, MEDLINE (PubMed), EMBASE, and Scopus using various combinations of terms, such as \"stem cell,\" \"alopecia,\" \"hair loss,\" \"Androgenetic alopecia,\" \"male-pattern hair loss,\" \"female-pattern hair loss,\" \"regenerative hair growth,\" \"cell therapy,\" \"mesenchymal stem cells,\" \"MSC-derived extracellular vesicles,\" \"MSC-derived exosomes,\" and \"platelet-rich plasma\" and summarized the most promising regenerative treatments for alopecia. Moreover, further opportunities of improving efficacy and innovative strategies for promoting clinical application were discussed.
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  • 文章类型: Journal Article
    肝肺综合征(HPS)是肝脏疾病的肺血管并发症,这对预后产生不利影响。该疾病的特征是肺内血管扩张和分流,导致气体交换受损。肝脏之间复杂的相互作用,肠道和肺,主要影响肺内皮细胞,免疫细胞和呼吸道上皮细胞,负责在HPS中观察到的典型肺改变的发展。肝移植是唯一的治疗选择,通常可以逆转HPS。自终末期肝病(MELD)标准例外政策模型实施以来,HPS患者的结局明显优于MELD前时代.这篇综述总结了当前的知识,并强调了关于HPS的诊断和管理的新内容。以及我们基于实验模型和转化研究对发病机理的理解。
    Hepatopulmonary syndrome (HPS) is a pulmonary vascular complication of liver disease, which adversely affects prognosis. The disease is characterised by intrapulmonary vascular dilatations and shunts, resulting in impaired gas exchange. A complex interaction between the liver, the gut and the lungs, predominately impacting pulmonary endothelial cells, immune cells and respiratory epithelial cells, is responsible for the development of typical pulmonary alterations seen in HPS. Liver transplantation is the only therapeutic option and generally reverses HPS. Since the implementation of the model for end-stage liver disease (MELD) standard exception policy, outcomes in patients with HPS have been significantly better than they were in the pre-MELD era. This review summarises current knowledge and highlights what\'s new regarding the diagnosis and management of HPS, and our understanding of pathogenesis based on experimental models and translational studies.
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  • 文章类型: Case Reports
    血管炎是一组异质性疾病,其特征是中枢神经系统中小血管的多灶性节段炎症。脑血管炎的主要症状是中风,头痛,和脑病。其他症状包括癫痫发作,颅神经麻痹,和脊髓病。成像技术在确定血管炎的诊断和证明大脑受累中起着至关重要的作用。一名患有永久性心房颤动的89岁女性发生了栓塞性中风。在治疗中,左大脑中动脉完全顺行再灌注静脉溶栓和取栓,没有临床效果。头颅MRI显示在眼眶内侧有双侧卵圆形病变,最初被误解为眼眶肿瘤。最终诊断证实,由于炎症性动脉炎引起的眼眶变化,动脉壁增厚。十天后,进行了随访MRI,显示眼眶肿块完全消退.原发性中枢神经系统血管炎,表现为急性缺血性中风,早期全身溶栓治疗可能是可逆的。
    Vasculitis is a heterogeneous group of disorders characterized by multifocal segmental inflammation of the small and medium vessels of the central nervous system. The predominant symptoms of cerebral vasculitis are stroke, headache, and encephalopathy. Additional symptoms include seizures, cranial nerve palsies, and myelopathy. Imaging techniques play a crucial role in identifying the diagnosis of vasculitis and demonstrating brain involvement. An 89-year-old woman with permanent atrial fibrillation developed an embolic stroke. In treatment, intravenous thrombolysis and thrombectomy with complete antegrade reperfusion of the left middle cerebral artery was used, without the clinical effectiveness. Brain MRI revealed bilateral oval lesions in medial parts of the orbits, which were initially misinterpreted as orbital tumors. Final diagnosis confirmed thickened arterial walls as orbital changes due to inflammatory arteritis. Ten days later, follow-up MRI was performed and showed complete regression of the orbital masses. Primary central nervous system vasculitis, manifesting as acute ischemic stroke, may be reversible with early systemic thrombolytic treatment.
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  • 文章类型: Journal Article
    未经授权:带蒂大网膜,当使用近孔固定术应用于有压力的心脏时,已被证明对人类和动物有保护作用。使用网膜固定术进行心脏保护的潜在机制仍然难以捉摸。这项研究检查了巨噬细胞介导的血管生成是否解释了小鼠大网膜切除术的心脏保护作用。
    UNASSIGNED:C57BL/6小鼠接受微创横主动脉缩窄6周,随后接受心脏大网膜固定术8周。对照小鼠经历了相同的外科手术程序,没有主动脉缩窄或心脏网膜固定术。
    未经证实:主动脉横向缩窄导致左心室同心肥大,二尖瓣E/A比降低,心肌细胞大小增加,和心肌纤维化的小鼠接受了假心脏大网膜手术。主动脉横缩窄的负面影响可通过心脏大网膜固定术预防。在接受主动脉缩窄和假心脏大网膜固定术的小鼠中,心肌微血管密度升高,和心网膜固定术进一步增强血管生成。Nanostring基因阵列分析揭示了心脏-网膜固定术对血管生成基因网络的激活。流式细胞仪分析显示,心网膜固定术触发了心脏MHCIIloLyve1TimD4(主要组织相容性复合物II类淋巴管内皮透明质酸受体1T细胞免疫球蛋白和粘蛋白结构域包含4)在网膜-心脏界面处的巨噬细胞积累。有趣的是,使用氯膦酸盐-脂质体的巨噬细胞的消耗导致心脏网膜固定术无法保护心脏并促进血管生成。
    UNASSIGNED:心囊外固定术通过促进心肌血管生成保护心脏免受压力超负荷引起的左心室肥厚和功能障碍。心脏MHCIIloLyve1+TimD4+常驻巨噬细胞在心脏-网膜固定术的心脏保护作用和血管生成中起关键作用。
    UNASSIGNED: The pedicled greater omentum, when applied onto stressed hearts using omentopexy, has been shown to be protective in humans and animals. The mechanisms underlying cardioprotection using omentopexy remain elusive. This study examined whether macrophage-mediated angiogenesis accounts for the cardioprotective effect of omentopexy in mice.
    UNASSIGNED: C57BL/6 mice were subjected to minimally invasive transverse aortic constriction for 6 weeks and subsequent cardio-omentopexy for 8 weeks. Control mice underwent the same surgical procedures without aortic constriction or cardio-omentopexy.
    UNASSIGNED: Transverse aortic constriction led to left ventricular concentric hypertrophy, reduced mitral E/A ratio, increased cardiomyocyte size, and myocardial fibrosis in the mice that underwent sham cardio-omentopexy surgery. The negative effects of transverse aortic constriction were prevented by cardio-omentopexy. Myocardial microvessel density was elevated in the mice that underwent aortic constriction and sham cardio-omentopexy surgery, and cardio-omentopexy further enhanced angiogenesis. Nanostring gene array analysis uncovered the activation of angiogenesis gene networks by cardio-omentopexy. Flow cytometric analysis revealed that cardio-omentopexy triggered the accumulation of cardiac MHCIIloLyve1+TimD4+ (Major histocompatibility complex class IIlow lymphatic vessel endothelial hyaluronan receptor 1+ T cell immunoglobulin and mucin domain conataining 4+) resident macrophages at the omental-cardiac interface. Intriguingly, the depletion of macrophages with clodronate-liposome resulted in the failure of cardio-omentopexy to protect the heart and promote angiogenesis.
    UNASSIGNED: Cardio-omentopexy protects the heart from pressure overload-elicited left ventricular hypertrophy and dysfunction by promoting myocardial angiogenesis. Cardiac MHCIIloLyve1+TimD4+ resident macrophages play a critical role in the cardioprotective effect and angiogenesis of cardio-omentopexy.
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  • 文章类型: Journal Article
    非酒精性脂肪性肝病(NAFLD)正在达到流行病的比例,全球成人患病率为25%。非酒精性脂肪性肝炎(NASH),会导致肝硬化,已经成为欧洲和美国肝移植的主要适应症。肝纤维化是持续的结果,迭代肝损伤,以及NASH结局的主要决定因素。肝脏具有显著的内在可塑性,肝纤维化可以在去除有害物质后消退,从而提供了通过治疗干预改变长期结局的机会.尽管肝细胞损伤是NASH的关键驱动因素,肝纤维化小生境内的多个其他细胞系在炎症的延续中起主要作用,间充质细胞活化,细胞外基质积累以及纤维化分辨率。这种细胞相互作用的成分,以及纤维化小生境中的各种亚群如何相互作用以驱动纤维发生是一个活跃的研究领域。纤维化小生境的重要细胞成分包括内皮细胞,巨噬细胞,传代免疫细胞群和肌成纤维细胞。在这次审查中,我们将描述单细胞基因组学等技术的快速发展,空间转录组学和单细胞配体受体分析正在改变我们对NAFLD/NASH细胞相互作用组的理解,以及这个新的,利用高分辨率信息为NASH患者开发合理的新疗法.
    Non-alcoholic fatty liver disease (NAFLD) is reaching epidemic proportions, with a global prevalence of 25% in the adult population. Non-alcoholic steatohepatitis (NASH), which can lead to cirrhosis, has become the leading indication for liver transplantation in both Europe and the USA. Liver fibrosis is the consequence of sustained, iterative liver injury, and the main determinant of outcomes in NASH. The liver possesses remarkable inherent plasticity, and liver fibrosis can regress when the injurious agent is removed, thus providing opportunities to alter long-term outcomes through therapeutic interventions. Although hepatocyte injury is a key driver of NASH, multiple other cell lineages within the hepatic fibrotic niche play major roles in the perpetuation of inflammation, mesenchymal cell activation, extracellular matrix accumulation as well as fibrosis resolution. The constituents of this cellular interactome, and how the various subpopulations within the fibrotic niche interact to drive fibrogenesis is an area of active research. Important cellular components of the fibrotic niche include endothelial cells, macrophages, passaging immune cell populations and myofibroblasts. In this review, we will describe how rapidly evolving technologies such as single-cell genomics, spatial transcriptomics and single-cell ligand-receptor analyses are transforming our understanding of the cellular interactome in NAFLD/NASH, and how this new, high-resolution information is being leveraged to develop rational new therapies for patients with NASH.
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  • 文章类型: Journal Article
    心力衰竭(HF)的特征在于进行性纤维化。成纤维细胞和间充质干细胞(MSC)都可以分化成促纤维化肌成纤维细胞。MSCs分泌和表达血小板源性生长因子(PDGF)及其受体。我们假设心脏MSCs(cMSCs)中的PDGF信号促进其肌成纤维细胞分化,并加重心肌梗死后左心室重构和纤维化。我们表明,心肌梗死后心脏衰竭的cMSC表现出改变的表型。抑制PDGF信号在体外抑制cMSC-肌成纤维细胞分化,而在建立的缺血性HF期间的体内抑制减轻了左心室重构和功能,减少心肌纤维化,肥大,和炎症。因此,调节cMSCPDGF受体表达可能代表了一种限制HF病理性心脏纤维化的新方法。
    Heart failure (HF) is characterized by progressive fibrosis. Both fibroblasts and mesenchymal stem cells (MSCs) can differentiate into pro-fibrotic myofibroblasts. MSCs secrete and express platelet-derived growth factor (PDGF) and its receptors. We hypothesized that PDGF signaling in cardiac MSCs (cMSCs) promotes their myofibroblast differentiation and aggravates post-myocardial infarction left ventricular remodeling and fibrosis. We show that cMSCs from failing hearts post-myocardial infarction exhibit an altered phenotype. Inhibition of PDGF signaling in vitro inhibited cMSC-myofibroblast differentiation, whereas in vivo inhibition during established ischemic HF alleviated left ventricular remodeling and function, and decreased myocardial fibrosis, hypertrophy, and inflammation. Modulating cMSC PDGF receptor expression may thus represent a novel approach to limit pathologic cardiac fibrosis in HF.
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  • 文章类型: Journal Article
    富血小板血浆(PRP)是一种广泛接受的治疗方法,并提高了医生的护理质量。在过去的十年里,PRP被用来提高整形疗法的临床效果,牙周手术和骨内缺损。根据某些研究,PRP生长因子水平升高,可以促进组织修复,并有可能使PRP有益于颌面和口腔外科医生的再生过程,兽医,运动医学专家和皮肤科医生长期以来一直很钦佩。PRP是一种自体全血成分,含有大量的多种生长因子,如表皮生长因子(EGF),血管内皮生长因子(VEGF),肝细胞生长因子(HGF),成纤维细胞生长因子(FGFs),转化生长因子β-1(TGF-b),胰岛素样生长因子-I(IGF-I)和血小板衍生生长因子(PDGF)可以促进修复和再生。此外,一项针对重度心绞痛患者的PRP临床试验显示其良好的安全性.然而,PRP是一种非常复杂的生物物质,具有一系列活性生物分子,其功能尚未完全阐明。此外,评估PRP可能的心血管组织获益的工作不足.因此,仍然有必要确定临床上最重要的心血管应用,并且需要对临床情景中的进一步研究进行验证.
    Platelet-rich plasma (PRP) is a widely accepted treatment approach and has heightened the quality of care among physicians. PRP has been used over the last decade to boost clinical results of plastic therapies, periodontal surgery and intra-bony defects. According to certain research, elevated levels of PRP growth factors that could promote tissue repair and have the potential for PRP to be beneficial in regenerating processes that Maxillofacial and Oral Surgeons, Veterinary Officers, Athletic medicine specialists and Dermatologists have long admired. PRP is an autologous whole blood fraction that has a heavy amount of a variety of growth factors such as epidermal growth factor (EGF), Vascular Endothelial Growth Factor (VEGF), hepatocyte growth factor (HGF), fibroblast growth factors (FGFs), transforming growth factor beta-1 (TGF-b), insulin-like growth factor-I (IGF-I) and platelet-derived growth factor (PDGF) which can facilitate repair and regeneration. Moreover, a clinical trial of PRP in severe angina patients has shown its excellent safety profile. However, PRP is a very complex biological substance with an array of active biomolecules, its functions are yet to be fully clarified. In-addition, there was insufficient work assessing possible cardiovascular tissue benefits from PRP. Thus, it still remains necessary to identify the most clinically important cardiovascular applications and further research in clinical scenario need to be validated.
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  • 文章类型: Journal Article
    再狭窄的过程基于由血管成形术引起的血管创伤触发的各种机械和生物过程的相互作用。早期动脉反冲,负血管重塑,因此,新内膜形成限制了介入再通手术的长期通畅性。这些过程中最严重的是新生内膜增生,这可以追溯到4个主要机制:内皮损伤和激活;单核细胞在内膜下空间的积累;成纤维细胞迁移;和血管平滑肌细胞的转化。存在各种各样的动物模型来研究潜在的病理生理学。虽然小鼠模型,由于它们容易进行基因操纵,实现以细胞和分子为中心的基础研究,大鼠提供了使用高通量支架和球囊模型的机会,两种啮齿动物都缺乏与人类相当的脂质代谢。相反,兔子建立了一座桥梁,以缩小基础研究和临床研究之间的差距,由于它们类似于人类的脂质代谢,以及它们的大小可用于临床血管成形术。每种不同的动物组合,饮食,伤害模型有各种优点和缺点,和一个适当的模型的决定需要了解特定物种的生物学特性,从血管形态到不同的细胞和分子特征。
    The process of restenosis is based on the interplay of various mechanical and biological processes triggered by angioplasty-induced vascular trauma. Early arterial recoil, negative vascular remodeling, and neointimal formation therefore limit the long-term patency of interventional recanalization procedures. The most serious of these processes is neointimal hyperplasia, which can be traced back to 4 main mechanisms: endothelial damage and activation; monocyte accumulation in the subintimal space; fibroblast migration; and the transformation of vascular smooth muscle cells. A wide variety of animal models exists to investigate the underlying pathophysiology. Although mouse models, with their ease of genetic manipulation, enable cell- and molecular-focused fundamental research, and rats provide the opportunity to use stent and balloon models with high throughput, both rodents lack a lipid metabolism comparable to humans. Rabbits instead build a bridge to close the gap between basic and clinical research due to their human-like lipid metabolism, as well as their size being accessible for clinical angioplasty procedures. Every different combination of animal, dietary, and injury model has various advantages and disadvantages, and the decision for a proper model requires awareness of species-specific biological properties reaching from vessel morphology to distinct cellular and molecular features.
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  • 文章类型: Journal Article
    背景:对ECM的功能多功能性和动态特性的更深入了解提高了对癌症生物学的理解。翻译意义:这项工作提供了ECM的重要性,以开发更多的模拟乳腺癌模型的深入视图,旨在重建肿瘤微环境的组成部分和架构。特别关注来自组织和细胞培养的脱细胞基质,在采购和应用中,因为他们在癌症研究和制药领域取得了巨大的成功。摘要:细胞外基质(ECM)越来越被认为是细胞行为和对乳腺癌(BC)治疗反应的主要调节因子。在BC进展期间,乳腺ECM在组成和组织上被重塑和改变。积累的证据表明,ECM的组成和力学的变化,由肿瘤-基质相互作用以及ECM重塑酶协调,积极参与BC的进展和转移。了解特定的ECM成分如何调节致瘤过程已导致对开发基于生物材料的仿生ECM模型以概括关键肿瘤特征的兴趣增加。脱细胞ECMs(dECMs)已成为有前途的体外3D肿瘤模型,其在加工和应用方面的最新进展可能成为BC研究和制药业卓越的生物材料。这篇综述详细介绍了ECM在BC进展中的贡献,并强调了基于dECM的生物材料作为有前途的个性化肿瘤模型的应用,可以更准确地模拟BC的致瘤机制和对治疗的反应。这将允许设计适合每个肿瘤的特定特征的靶向治疗方法,这将对应用于BC患者的精准医学产生重大影响。
    BACKGROUND: A deeper knowledge of the functional versatility and dynamic nature of the ECM has improved the understanding of cancer biology. Translational Significance: This work provides an in-depth view of the importance of the ECM to develop more mimetic breast cancer models, which aim to recreate the components and architecture of tumor microenvironment. Special focus is placed on decellularized matrices derived from tissue and cell culture, both in procurement and applications, as they have achieved great success in cancer research and pharmaceutical sector. Abstract: The extracellular matrix (ECM) is increasingly recognized as a master regulator of cell behavior and response to breast cancer (BC) treatment. During BC progression, the mammary gland ECM is remodeled and altered in the composition and organization. Accumulated evidence suggests that changes in the composition and mechanics of ECM, orchestrated by tumor-stromal interactions along with ECM remodeling enzymes, are actively involved in BC progression and metastasis. Understanding how specific ECM components modulate the tumorigenic process has led to an increased interest in the development of biomaterial-based biomimetic ECM models to recapitulate key tumor characteristics. The decellularized ECMs (dECMs) have emerged as a promising in vitro 3D tumor model, whose recent advances in the processing and application could become the biomaterial by excellence for BC research and the pharmaceutical industry. This review offers a detailed view of the contribution of ECM in BC progression, and highlights the application of dECM-based biomaterials as promising personalized tumor models that more accurately mimic the tumorigenic mechanisms of BC and the response to treatment. This will allow the design of targeted therapeutic approaches adapted to the specific characteristics of each tumor that will have a great impact on the precision medicine applied to BC patients.
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  • 文章类型: Journal Article
    肿瘤血管生成对于各种实体癌的生长和发展至关重要,因此是有效且有前途的治疗靶标。不幸的是,目前可用的抗血管生成药物的使用仅使无进展生存期增加了几个月.相反,靶向血管生成以促进血管减少和正常化,最近被认为是提高治疗效果的有希望的方法。作为一把双刃剑,这种攻击线可能在一侧停止肿瘤生长,作为减少营养和氧气供应给肿瘤细胞的结果,另一方面,改善药物输送,因此,功效。因此,最重要的是更好地表征调节血管稳定性的机制。在这种情况下,沿血管募集周细胞对其成熟和稳定至关重要。由于细胞外基质分子Multimerin-2由内皮细胞分泌并沉积在内皮细胞和周细胞之间,我们探讨了Multimerin-2在两种细胞类型之间的串扰中的作用。我们发现Multimerin-2是周细胞的粘附基质。有趣的是,并且与Multimerin-2是在血管形成的后期阶段沉积的稳态分子的概念一致,我们发现内皮细胞和周细胞之间的相互作用促进了Multimerin-2的表达。此外,我们发现Multimerin-2调节内皮细胞和周细胞中关键细胞因子的表达.总的来说,我们的研究结果认为Multimerin-2是内皮细胞和周细胞间相互作用的关键分子,提示该糖蛋白的表达是维持血管稳定性所必需的.
    Tumor angiogenesis is vital for the growth and development of various solid cancers and as such is a valid and promising therapeutic target. Unfortunately, the use of the currently available anti-angiogenic drugs increases the progression-free survival by only a few months. Conversely, targeting angiogenesis to prompt both vessel reduction and normalization, has been recently viewed as a promising approach to improve therapeutic efficacy. As a double-edged sword, this line of attack may on one side halt tumor growth as a consequence of the reduction of nutrients and oxygen supplied to the tumor cells, and on the other side improve drug delivery and, hence, efficacy. Thus, it is of upmost importance to better characterize the mechanisms regulating vascular stability. In this context, recruitment of pericytes along the blood vessels is crucial to their maturation and stabilization. As the extracellular matrix molecule Multimerin-2 is secreted by endothelial cells and deposited also in juxtaposition between endothelial cells and pericytes, we explored Multimerin-2 role in the cross-talk between the two cell types. We discovered that Multimerin-2 is an adhesion substrate for pericytes. Interestingly, and consistent with the notion that Multimerin-2 is a homeostatic molecule deposited in the later stages of vessel formation, we found that the interaction between endothelial cells and pericytes promoted the expression of Multimerin-2. Furthermore, we found that Multimerin-2 modulated the expression of key cytokines both in endothelial cells and pericytes. Collectively, our findings posit Multimerin-2 as a key molecule in the cross-talk between endothelial cells and pericytes and suggest that the expression of this glycoprotein is required to maintain vascular stability.
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