mononuclear cells

  • 文章类型: Journal Article
    慢性肾脏病(CKD)和急性肾损伤(AKI)是以肾功能丧失为特征的尿路疾病。他们的治疗需要不同的治疗目标。间充质干细胞(MSC)移植多年来作为许多疾病的治疗方法已经传播。在泌尿道,研究报告抗炎,抗凋亡,抗纤维化,抗氧化和血管生成作用。这项工作报告了关于MSC应用对患有AKI和CKD的狗和猫的血清肌酐水平的影响的荟萃分析结果。这项工作遵循了PRISMA准则。对数据进行了筛选,选定,并提取了有关研究的特征。根据鉴定对损伤的种类进行分类,并通过系统SYRCLE计算偏倚风险。通过逆方差法合并各组的结果。通过I2检验评价异质性。肌酐的平均值,根据研究组和应用数量进行荟萃分析,根据损伤的种类分别对对照组和治疗组进行荟萃分析,剂量,申请路线,和时刻。总之,找到4742篇文章。其中,40人入选资格,16进行了定性分析,9进行了定量。结果表明用MSC治疗的组优于安慰剂。在组合分析和亚组划分中均观察到统计学差异。然而,发现了高度的异质性,这表明研究之间存在相当大的差异,这表明在推广结果时要谨慎。
    Chronic kidney disease (CKD) and acute kidney injury (AKI) are diseases which affect the urinary tract characterized by the loss of renal function. Their therapy requires different therapeutic goals. Mesenchymal stem cells (MSC) transplantation has spread over the years as a treatment for many diseases. In the urinary tract, studies report anti-inflammatory, antiapoptotic, antifibrotic, antioxidant and angiogenic effects. This work reports the results of a meta-analysis about the effects of the MSC application in serum levels of creatinine in dogs and cats with AKI and CKD. The work followed PRISMA guidelines. Data were screened, selected, and extracted with characteristics about the studies. The kinds of injury were classified according to their identification and the risk of bias was calculated by the system SYRCLE. The results of each group were combined by the inverse variance method. The heterogeneity was evaluated by the I2 test. For the mean of creatinine, a meta-analysis was performed according to the study group and number of applications and separately for the control and treatment groups according to the kind of injury, dose, application route, and moment. At all, 4742 articles were found. Of these, 40 were selected for eligibility, 16 underwent qualitative analysis and 9 to the quantitative. The results denote advantage to the group treated with MSC over placebo. A statistical difference was observed both in combined analysis and in the subgroups division. However, a high heterogeneity was found, which indicates considerable variation between the studies, which indicates caution in generalize the results.
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  • 文章类型: Journal Article
    各种外生因素,如微生物和化学污染条件食品安全。鼠伤寒沙门氏菌(S.鼠伤寒)是沙门氏菌病的原因。这种细菌利用吞噬作用来产生细菌储库。另一方面,接触化学污染物,比如杀虫剂,增加对多种感染的易感性。因此,本研究旨在评估重氮酮和鼠伤寒沙门氏菌共同暴露对体外感染动力学的影响。为此,将人单核细胞在体外预先暴露于重氮酮,然后在1、8和24小时用鼠伤寒沙门氏菌攻击。细菌内化,肌动蛋白聚合,和活性氧(ROS)进行了分析。所获得的数据表明,先前暴露于重氮酮的单核细胞表现出鼠伤寒沙门氏菌的更大内化。同样,观察到更多的ROS产生和肌动蛋白聚合的增加。因此,在提议的方案中,获得的数据表明,同时接触二氮唑酮和鼠伤寒沙门氏菌会增加患疾病的易感性.
    Various exogenous factors, such as microbiological and chemical contamination condition food security. Salmonella Typhimurium (S. Typhimurium) is the cause of salmonellosis. This bacterium utilizes phagocytosis to create bacterial reservoirs. On the other hand, exposure to chemical contaminants, such as pesticides, increases susceptibility to numerous infections. Therefore, this research aims to evaluate the effect of co-exposure to diazoxon and S. Typhimurium on the in vitro infection dynamics. For this purpose, human mononuclear cells were pre-exposed in vitro to diazoxon and then challenged with S. Typhimurium at 1, 8, and 24 h. Bacterial internalization, actin polymerization, and reactive oxygen species (ROS) were analyzed. Obtained data show that mononuclear cells previously exposed to diazoxon exhibit greater internalization of S. Typhimurium. Likewise, greater ROS production and an increase in actin polymerization were observed. Therefore, in the proposed scenario, obtained data suggest that co-exposure to diazoxon and S. Typhimurium increases susceptibility to acquiring an illness.
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  • 文章类型: Journal Article
    背景:最近的研究已经确定了LMNA/C的替代转录变体(LMNA,LMNC,LMNAΔ10和LMNAΔ50)和胰岛素受体(INSR)作为各种类型癌症的潜在生物标志物。这项研究的目的是评估白血病患者外周血单核细胞(PBMC)中LMNA/C和INSR转录本变体的表达,以研究其作为诊断生物标志物的潜力。方法:采用定量TaqMan逆转录酶聚合酶链反应(RT-qPCR)对LMNA/C(LMNA,LMNC,LMNAΔ10和LMNAΔ50)以及从健康个体(n=32)和被诊断为原发性白血病的患者(急性髓细胞性白血病(AML):n=17;急性淋巴细胞性白血病(ALL):n=8;慢性粒细胞性白血病(CML):n=5;和慢性淋巴细胞性白血病(CLL):n=15)。结果:仅LMNA和LMNC转录物显著存在于PBMC中。与健康对照组相比,两者在白血病患者中的表达水平均显着降低。特别是,AML患者的LMNC:LMNA比值明显较高.有趣的是,在任何PBMC样品中均未检测到IR-B表达,排除计算IR-A:IR-B比率作为诊断标记。尽管在所有类型的白血病中表达降低,IR-A水平仍然可检测,表明它可能参与疾病进展。结论:本研究强调了白血病患者PBMC中LMNA/C和INSR转录变体的不同表达模式。LMNC:LMNA比率显示出有望作为AML的潜在诊断指标,需要进一步研究了解IR-A在白血病发病机制中的作用及其作为治疗靶点的潜力。
    Background: Recent research has identified alternative transcript variants of LMNA/C (LMNA, LMNC, LMNAΔ10, and LMNAΔ50) and insulin receptors (INSRs) as potential biomarkers for various types of cancer. The objective of this study was to assess the expression of LMNA/C and INSR transcript variants in peripheral blood mononuclear cells (PBMCs) of leukemia patients to investigate their potential as diagnostic biomarkers. Methods: Quantitative TaqMan reverse transcriptase polymerase chain reaction (RT-qPCR) was utilized to quantify the mRNA levels of LMNA/C (LMNA, LMNC, LMNAΔ10, and LMNAΔ50) as well as INSR (IR-A and IR-B) variants in PBMCs obtained from healthy individuals (n = 32) and patients diagnosed with primary leukemias (acute myeloid leukemia (AML): n = 17; acute lymphoblastic leukemia (ALL): n = 8; chronic myeloid leukemia (CML): n = 5; and chronic lymphocytic leukemia (CLL): n = 15). Results: Only LMNA and LMNC transcripts were notably present in PBMCs. Both exhibited significantly decreased expression levels in leukemia patients compared to the healthy control group. Particularly, the LMNC:LMNA ratio was notably higher in AML patients. Interestingly, IR-B expression was not detectable in any of the PBMC samples, precluding the calculation of the IR-A:IR-B ratio as a diagnostic marker. Despite reduced expression across all types of leukemia, IR-A levels remained detectable, indicating its potential involvement in disease progression. Conclusions: This study highlights the distinct expression patterns of LMNA/C and INSR transcript variants in PBMCs of leukemia patients. The LMNC:LMNA ratio shows promise as a potential diagnostic indicator for AML, while further research is necessary to understand the role of IR-A in leukemia pathogenesis and its potential as a therapeutic target.
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  • 文章类型: Journal Article
    目标:H.幽门螺杆菌感染可以促进全身性炎症综合征,最终导致肠上皮化生和胃癌。本研究的目的是探讨血脂异常与幽门螺杆菌胃炎的组织病理学特征之间的可能关联。
    方法:观察性,我们在2017-2022年期间对快速尿素酶试验阳性的有症状患者进行了回顾性研究.这项研究共纳入了121例接受上消化道内镜检查和胃活检的患者。基于更新的悉尼系统,我们调查了中性粒细胞之间的关联,单核细胞,肠上皮化生,或胃萎缩和血脂改变。
    结果:在应用快速尿素酶试验后,研究组发现幽门螺杆菌感染率很高,无论患者性别如何,都与血脂异常有关。所有的内窥镜诊断(急性,慢性,或者萎缩性慢性胃炎,化生)与组织病理学特征相关。在H.pylori阳性的血脂异常患者中更可能发现单核细胞和化生,这与幽门螺杆菌在胃粘膜中引起的急性和慢性炎症一致。
    结论:尽管我们的研究是小规模的,它提供了有关幽门螺杆菌感染和组织病理学特征的新见解和细节.在幽门螺杆菌阳性患者中,单核细胞和化生与血脂改变有关。这些发现值得未来调查,如根除前后胃活检和血脂谱的演变。
    OBJECTIVE: H. pylori infection can promote a systemic inflammatory syndrome, eventually leading to intestinal metaplasia and gastric cancer. The aim of our study was to investigate the possible association between dyslipidemia and histopathological features of H. pylori gastritis.
    METHODS: An observational, retrospective study was conducted over the period 2017-2022 on symptomatic patients with a positive rapid urease test. A total of 121 patients who underwent upper gastrointestinal endoscopy with stomach biopsy were enrolled in this study. Based on the updated Sydney System, we investigated the association between neutrophils, mononuclear cells, intestinal metaplasia, or gastric atrophy and altered lipid profiles.
    RESULTS: A high prevalence of H. pylori infection was noticed in the studied group upon the application of the rapid urease test, being associated with dyslipidemia regardless of patient sex. All the endoscopic diagnoses (acute, chronic, or atrophic chronic gastritis, metaplasia) correlated with the histopathological features. Mononuclear cells and metaplasia were more likely to be found in H. pylori-positive patients with dyslipidemia, which is consistent with acute and chronic inflammation caused by H. pylori in the gastric mucosa.
    CONCLUSIONS: Although our study was conducted on a small scale, it offers new insights and details regarding H. pylori infection and histopathological features. Mononuclear cells and metaplasia were associated with an altered lipid profile in H. pylori-positive patients. These findings warrant future investigation, such as the evolution of gastric biopsies and lipid profiles before and after eradication.
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  • 文章类型: Journal Article
    SARS-CoV-2P.1变体,负责玛瑙斯的爆发,巴西,以S蛋白中的12个氨基酸差异为特征,潜在增加其ACE-2亲和力和免疫逃避能力。我们调查了该变体与原始B.1菌株相比的先天免疫反应,特别是关于细胞因子的产生。对3名严重COVID-19患者的血样进行了两种菌株感染后的分析。结果表明,两种变体的单核细胞和中性粒细胞的细胞因子产生均无显着差异。虽然B.1具有较高的细胞致病性,均未在单核细胞中显示病毒复制。S蛋白的结构分析突出了物理化学变化,这可能与菌株之间的感染性差异有关。我们的研究指出,P.1的感染性增加可能源于免疫原性和受体结合亲和力的改变。
    The SARS-CoV-2 P.1 variant, responsible for an outbreak in Manaus, Brazil, is distinguished by 12 amino acid differences in the S protein, potentially increasing its ACE-2 affinity and immune evasion capability. We investigated the innate immune response of this variant compared to the original B.1 strain, particularly concerning cytokine production. Blood samples from three severe COVID-19 patients were analyzed post-infection with both strains. Results showed no significant difference in cytokine production of mononuclear cells and neutrophils for either variant. While B.1 had higher cytopathogenicity, neither showed viral replication in mononuclear cells. Structural analyses of the S protein highlighted physicochemical variations, which might be linked to the differences in infectivity between the strains. Our studies point to the increased infectivity of P.1 could stem from altered immunogenicity and receptor-binding affinity.
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  • 文章类型: Journal Article
    外周血和腹水中的单核细胞是翻译和基础研究中常用的重要临床资源。然而,不同的冷冻保存时间和额外的冻融循环对单核细胞数量和功能的影响尚不清楚。
    从健康志愿者和卵巢癌患者收集外周血样品(n=21)和腹水样品(n=8)。分离单核细胞,冷冻,在6个月和12个月时解冻。冷冻保存对细胞活力的影响,表型,流式细胞术分析T细胞的活化和增殖情况。应用单细胞测序研究其潜在机制。
    冷冻保存后,外周血和腹水中单个核细胞的细胞数量和活力显着降低。T淋巴细胞,尤其是CD4+T细胞,受影响最大。相比之下,单核细胞,自然杀伤(NK)细胞,自然杀伤T(NKT)细胞,B细胞的耐受性更强。同时,长期冷冻保存后,T细胞增殖和IL-2分泌受到显着影响。机械上,高活性氧(ROS)诱导的细胞死亡与冷冻保存后CD4+T细胞的减少有关。
    我们的数据表明,冷冻保存后,单核细胞的不同亚型表现出不同的耐受能力。因此,我们的研究可以为使用冷冻的临床患者来源的单核细胞进行实验的个体提供证据和支持,用于基础研究或临床试验。此外,当研究人员在不同冷冻保存条件下获得的数据集之间比较外周血或腹水的免疫细胞功能时,值得格外小心.
    UNASSIGNED: Mononuclear cells in peripheral blood and ascites are important clinical resources commonly used in translational and basic research. However, the impact of different cryopreservation durations and extra freeze-thaw cycles on the number and function of mononuclear cells is unknown.
    UNASSIGNED: Peripheral blood samples (n = 21) and ascites samples (n = 8) were collected from healthy volunteers and ovarian cancer patients. Mononuclear cells were isolated, frozen, and thawed at 6 and 12 months. The impact of cryopreservation on cell viability, the phenotype, and the activation and proliferation of T cells were analyzed by flow cytometry. Single-cell sequencing was applied to investigate the underlying mechanism.
    UNASSIGNED: The cell number and viability of mononuclear cells in peripheral blood and ascites were significantly decreased after cryopreservation. The T lymphocytes, especially CD4+ T cells, were affected the most significantly. By contrast, monocytes, natural killer (NK) cells, natural killer T (NKT) cells, and B cells were more tolerant. Meanwhile, T cell proliferation and IL-2 secretion are significantly affected after long-term cryopreservation. Mechanistically, the cell death induced by elevated reactive oxygen species (ROS) was involved in the reduction of CD4+ T cells after cryopreservation.
    UNASSIGNED: Our data indicates that different subtypes of mononuclear cells exhibit different tolerance capacities upon cryopreservation. Thus, our research can provide evidence and support for individuals who are conducting experiments using frozen clinical patient-derived mononuclear cells, for basic research or clinical trials. In addition, extra caution is worthwhile when researchers compare immune cell functionality from peripheral blood or ascites across datasets obtained in different cryopreservation conditions.
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  • 文章类型: Journal Article
    缺氧缺血性脑病(HIE)是一种破坏性疾病,影响全球约8.5/1000的新生儿。治疗性低温(TH)可以降低死亡率,在有限的程度上,残疾后。然而,需要新的有效治疗策略.使用单核细胞(MNC)的基于细胞的治疗,可以来自脐带血,目前正在调查。尽管临床前结果有希望,目前尚无该方法临床疗效的有力指标。此分析旨在为这种差异提供潜在的解释。
    根据系统评价和荟萃分析(PRISMA)指南的首选报告项目进行系统评价和荟萃分析。临床前和临床研究从PubMed检索,WebofScience,Scopus,和clinicaltrials.gov使用预定义的搜索策略。共纳入17项临床前研究和7项临床研究。我们分析了临床前试验中MNC的总体疗效,临床前与临床试验的方法学质量和相关设计特征。
    在HIE的临床前模型中,有证据表明MNC治疗有效。临床前研究的方法学质量并不理想,统计设计质量特别差。然而,方法学质量高于其他领域的标准。在临床前与临床研究设计中存在显著差异,包括使用TH作为基线治疗(仅在临床研究中)和在临床前研究中应用高得多的MNC剂量。
    根据分析的数据,在临床前研究中,治疗效果大小不太可能被过度估计.更合理的是,临床前和临床试验之间的许多设计差异是迄今为止缺乏MNC治疗HIE有效性证据的原因。需要额外的临床前和临床研究来优化MNC在实验性HIE治疗中的应用。
    UNASSIGNED: Hypoxic-ischemic encephalopathy (HIE) is a devastating condition affecting around 8.5 in 1000 newborns globally. Therapeutic hypothermia (TH) can reduce mortality and, to a limited extent, disability after HIE. Nevertheless, there is a need for new and effective treatment strategies. Cell based treatments using mononuclear cells (MNC), which can be sourced from umbilical cord blood, are currently being investigated. Despite promising preclinical results, there is currently no strong indicator for clinical efficacy of the approach. This analysis aimed to provide potential explanations for this discrepancy.
    UNASSIGNED: A systematic review and meta-analysis was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines. Preclinical and clinical studies were retrieved from PubMed, Web of Science, Scopus, and clinicaltrials.gov using a predefined search strategy. A total of 17 preclinical and 7 clinical studies were included. We analyzed overall MNC efficacy in preclinical trials, the methodological quality of preclinical trials and relevant design features in preclinical versus clinical trials.
    UNASSIGNED: There was evidence for MNC therapeutic efficacy in preclinical models of HIE. The methodological quality of preclinical studies was not optimal, and statistical design quality was particularly poor. However, methodological quality was above the standard in other fields. There were significant differences in preclinical versus clinical study design including the use of TH as a baseline treatment (only in clinical studies) and much higher MNC doses being applied in preclinical studies.
    UNASSIGNED: Based on the analyzed data, it is unlikely that therapeutic effect size is massively overestimated in preclinical studies. It is more plausible that the many design differences between preclinical and clinical trials are responsible for the so far lacking proof of efficacy of MNC treatments in HIE. Additional preclinical and clinical research is required to optimize the application of MNC for experimental HIE treatment.
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  • 文章类型: Case Reports
    进化保守的甲羟戊酸途径在胆固醇和类异戊二烯化合物的合成中起重要作用。甲羟戊酸激酶(MVK)和磷酸甲羟戊酸激酶(PMVK)酶通过顺序磷酸化甲羟戊酸以产生调节蛋白质异戊二烯化和细胞信号传导的下游代谢物来调节该途径中的关键限速步骤。MVK中的双等位基因致病变体引起一系列罕见的自身炎症性疾病,一端包括轻度形式的高IgD综合征(HIDS),另一端则更严重的甲羟戊酸尿症。相比之下,在PMVK中报道的致病变异是杂合的,并与孔角化病有关,没有全身表现的皮肤病。最近,在两名无关患者中,PMVK的双等位基因变异体首次被报道为自身炎症性疾病的原因.在这项研究中,我们描述了一个患有复发性关节炎和HIDS样表型的儿童,该儿童具有新型纯合变体c.398C>T(p。Ala133Val)在PMVK中。从患者中分离的单核细胞显示白细胞介素1β的产生显着升高,在HIDS中形成炎症反应的关键细胞因子。蛋白质建模研究表明PMVK酶活性存在潜在缺陷。这些结果进一步扩大了自身炎性疾病的基因型范围,包括双等位基因PMVK变体。
    The evolutionarily conserved mevalonate pathway plays an important role in the synthesis of cholesterol and isoprenoid compounds. Mevalonate kinase (MVK) and phosphomevalonate kinase (PMVK) enzymes regulate key rate-limiting steps in this pathway by sequentially phosphorylating mevalonic acid to yield downstream metabolites that regulate protein prenylation and cell signaling. Biallelic pathogenic variants in MVK cause a spectrum of rare autoinflammatory disorders that encompass milder forms of hyper-IgD syndrome (HIDS) at one end and the more severe mevalonic aciduria on the other. In contrast, pathogenic variants reported in PMVK are heterozygous and associated with porokeratosis, a skin disorder with no systemic manifestations. Recently, biallelic variants in PMVK were reported as a cause for an autoinflammatory disorder for the first time in two unrelated patients. In this study, we describe a child with recurrent arthritis and a HIDS-like phenotype harboring a novel homozygous variant c.398 C>T (p.Ala133Val) in PMVK. Mononuclear cells isolated from the patient showed significantly elevated production of interleukin 1β, a key cytokine that shapes the inflammatory response in HIDS. Protein modeling studies suggested potential defects in PMVK enzyme activity. These results posit a further expanding of the genotypic spectrum of autoinflammatory disease to include biallelic PMVK variants.
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  • 文章类型: Journal Article
    背景:骨髓间充质基质细胞(BM-MSCs)用于再生医学和涉及免疫调节的相关研究,抗炎,抗纤维化和再生功能。从在全髋关节置换术(THA)期间获得的样品中分离BM-MSC通常是可能的。大多数接受THA的患者的高龄和合并症限制了其适用性。我们的研究旨在通过分析细胞产量和细胞特征来评估髋臼周围截骨术(PAO)中获得的骨髓作为年轻供体BM-MSCs新来源的潜力。
    方法:从PAO期间的前Os或耻骨上Os和初次THA期间的股体腔获得骨样本。通过密度梯度离心进行骨髓来源的单核细胞(BM-MNC)的分离。PAO和THA患者的样本在BM-MSC产量方面进行了比较,集落形成和BM-MSC在BM-MNC群体中的比例使用流式细胞术分析。基于BM-MSC特异性表面标志物的表达来表征细胞。通过定量解冻后的活力来比较细胞的功能。代谢活动,增殖能力,衰老相关β-半乳糖苷酶(SA-β-gal)表达,三系分化潜能和主要分泌体蛋白。
    结果:当使用含有超过0.24g骨髓的PAO骨时,BM-MNC的分离可能以可靠和可重复的方式进行。PAO患者比THA组患者年轻。与在THA期间获得的BM-MSC相比,在PAO期间获得的骨含有较少的骨髓并且在第一次细胞培养传代后导致较低的BM-MSC数量。来自PAO样品的BM-MSC的特征在于更高的增殖能力。这导致在细胞培养传代2中更高的产量,当归一化为样本重量时。来自PAO患者的BM-MSC在成骨分化后显示TGF-β1,TIMP2和VEGF的分泌增加。来自PAO和THA患者的BM-MSC在SA-β-gal表达和三系分化能力方面表现出相似的结果。
    结论:我们建议在PAO过程中获得的骨是年轻供体BM-MSCs的有希望的新来源。在早期细胞培养传代中必须考虑由于低样品重量而导致的有限的绝对细胞产量,并且对于来自该来源的BM-MSC的可能的临床应用范围可能是关键的。来自年轻供体的BM-MSCs更高的增殖能力和增加的生长因子分泌可能有利于未来的再生细胞治疗。体外模型,和组织工程。
    Bone marrow-derived mesenchymal stromal cells (BM-MSCs) are used in regenerative medicine and related research involving immunomodulatory, anti-inflammatory, anti-fibrotic and regenerative functions. Isolation of BM-MSCs from samples obtained during total hip arthroplasty (THA) is routinely possible. Advanced age and comorbidities of the majority of patients undergoing THA limit their applicability. Our study aimed to evaluate the potential of bone marrow obtained during periacetabular osteotomy (PAO) as a novel source of BM-MSCs from young donors by analyzing cell yield and cell characteristics.
    Bone samples were obtained from the anterior Os ilium or superior Os pubis during PAO and from the femoral cavity during primary THA. Isolation of bone marrow-derived mononuclear cells (BM-MNCs) was performed by density gradient centrifugation. The samples from PAO and THA patients were compared in terms of BM-MSC yield, colony formation and the proportion of BM-MSCs within the BM-MNC population using flow cytometry analysis. The cells were characterized based on the expression of BM-MSC-specific surface markers. The functionality of the cells was compared by quantifying post-thaw viability, metabolic activity, proliferation capacity, senescence-associated beta galactosidase (SA-β-gal) expression, trilineage differentiation potential and major secretome proteins.
    Isolation of BM-MNCs was possible in a reliable and reproducible manner when using bone from PAO containing more than 0.24 g bone marrow. PAO patients were younger than patients of the THA group. Bone obtained during PAO contained less bone marrow and led to a lower BM-MSC number after the first cell culture passage compared to BM-MSCs obtained during THA. BM-MSCs from PAO samples are characterized by a higher proliferation capacity. This results in a higher yield in cell culture passage two, when normalized to the sample weight. BM-MSCs from PAO patients showed increased secretion of TGF-β1, TIMP2, and VEGF upon osteogenic differentiation. BM-MSCs from PAO and THA patients revealed similar results regarding the onset of SA-β-gal expression and trilineage differentiation capacity.
    We suggest that bone obtained during PAO is a promising novel source for BM-MSCs from young donors. Limited absolute cell yield due to low sample weight must be considered in early cell culture passages and might be critical for the range of clinical applications possible for BM-MSCs from this source. The higher proliferation capacity and increased growth factor secretion of BM-MSCs from young donors may be beneficial for future regenerative cell therapies, in vitro models, and tissue engineering.
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  • 文章类型: Journal Article
    严重肢体缺血(CLI),外周动脉疾病的严重后果,经常与病态结果有关。现有的治疗方式不能提供令人满意的结果,导致明显的并发症,如关节挛缩和截肢,造成了很高的经济负担。外周血管疾病在糖尿病和动脉粥样硬化患者中往往会引起更多的发病率,考虑到糖尿病患者先前存在的中小血管灌注受损。通过外科手术,血管受损的机会进一步增加,诱导明显更高的截肢率。因此,需要非手术治疗方式,如干细胞疗法(SCT),促进血管生成,是有保证的。在CLI中,SCT通过新生血管形成和侧支动脉的发育起作用,这增加了缺血肢体软组织的血液供应,提供令人满意的结果。在PubMed中进行了电子数据库搜索,Scopus,EMBASE,和ScienceDirect来确定已发表的临床试验数据,研究,并综述了干细胞治疗严重肢体缺血的相关文章。搜索结果共有2391个结果。重复文章筛选产生565篇文章。对摘要和研究标题进行深入筛选,排除520篇文章,产生45篇适合全文审查的文章。关于全文的回顾,筛选结果重叠和相似的文章,以25篇文章结尾SCT促进动脉生成,和骨髓来源的间充质基质细胞产生显著的效果,如降低发病率,提高无截肢生存率(AFS),即使在“无选项”CLI患者中,也能改善远端灌注。SCT是CLI患者的一种有希望的治疗方式,即使在那些血管内和血运重建手术是不可能的。SCT确保延长的AFS率,改善远端灌注,改善步行距离,降低截肢率,生存率提高,并且耐受性良好。
    Critical limb ischemia (CLI), a serious outcome of peripheral artery disease, is frequently associated with morbid outcomes. The available treatment modalities do not provide satisfactory results, leading to marked morbidities such as joint contracture and amputations, resulting in a high economic burden. The peripheral vascular disease tends to cause more morbidity in patients with diabetes and atherosclerosis, given the pre-existing compromised perfusion of medium and small vessels in diabetic patients. With surgical procedures, the chance of vascular compromise further increases, inducing a significantly greater rate of amputation. Hence, the need for nonsurgical treatment modalities such as stem cell therapy (SCT), which promotes angiogenesis, is warranted. In CLI, SCT acts through neovascularization and the development of collateral arteries, which increases blood supply to the soft tissues of the ischemic limb, providing satisfactory outcomes. An electronic database search was performed in PubMed, SCOPUS, EMBASE, and ScienceDirect to identify published clinical trial data, research studies, and review articles on stem cell therapy in critical limb ischemia. The search resulted in a total of 2391 results. Duplicate articles screening resulted in 565 articles. In-depth screening of abstracts and research titles excluded 520 articles, yielding 45 articles suitable for full-text review. On review of full text, articles with overlapping and similar results were filtered, ending in 25 articles. SCT promotes arteriogenesis, and bone marrow-derived mesenchymal stromal cells produce significant effects like reduced morbidity, improved amputation-free survival (AFS ) rate, and improved distal perfusion even in \"no-option\" CLI patients. SCT is a promising treatment modality for CLI patients, even in those in whom endovascular and revascularization procedures are impossible. SCT assures a prolonged AFS rate, improved distal perfusion, improved walking distances, reduced amputation rates, and increased survival ratio, and is well-tolerated.
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