Mesenchymal Stem Cell Therapy For Chronic Wound Healing

Samantha Spence, V. Gallicchio
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Abstract

Chronic or non-healing skin wounds present an ongoing challenge in advanced wound care and the current wound healing technologies remain insufficient. Recently, stem cell therapy has emerged as a promising new approach for chronic wound healing, with mesenchymal stem cells (MSCs) being of the most interest. MSCs have proven to be an attractive cell type for cell-based therapy due to their ease of isolation, vast differentiation potential, and immunomodulatory effects during transplantation. Furthermore, MSCs were determined to play an innate role in the wound healing process making them an obvious candidate for treatment of chronic wounds. When introduced into the wound bed, MSCs have been shown to promote fibroblast migration, stimulate extracellular matrix (ECM) deposition, facilitate wound closure, initiate re-epithelialization, enhance angiogenesis, and mitigate inflammation in preclinical animal models. The efficacy and safety of MSC application for treatment of chronic wounds was further confirmed by several clinical studies involving human subjects which yielded similar positive results with no adverse side effects. However, while MSCs appear to be a promising resource for chronic wound care, more research is required to determine the optimal cell source and route of delivery before this technology can be applied in clinical medicine. ability. Several comparative analyses have been conducted to compare the cell morphology, immunophenotype, gene expression profile, proliferation potential, differentiation potential, and immunomodulatory MSCs isolated from
间充质干细胞治疗慢性伤口愈合
慢性或不愈合的皮肤伤口在高级伤口护理中是一个持续的挑战,目前的伤口愈合技术仍然不足。最近,干细胞治疗已成为一种很有前途的慢性伤口愈合新方法,其中间充质干细胞(MSCs)最受关注。MSCs已被证明是一种有吸引力的细胞类型,可用于基于细胞的治疗,因为它们易于分离,具有巨大的分化潜力,并且在移植过程中具有免疫调节作用。此外,MSCs被确定在伤口愈合过程中发挥先天性作用,使其成为治疗慢性伤口的明显候选者。在临床前动物模型中,当将MSCs引入伤口床时,MSCs已显示出促进成纤维细胞迁移、刺激细胞外基质(ECM)沉积、促进伤口闭合、启动上皮再形成、增强血管生成和减轻炎症。几项涉及人类受试者的临床研究进一步证实了MSC应用于治疗慢性伤口的有效性和安全性,这些研究产生了类似的积极结果,没有不良副作用。然而,尽管间充质干细胞似乎是慢性伤口护理的一种很有前途的资源,但在这项技术应用于临床医学之前,还需要更多的研究来确定最佳的细胞来源和递送途径。能力已经进行了一些比较分析,以比较从
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