Stem Cell-Based Therapeutics to Improve Wound Healing

Michael S. Hu, Tripp Leavitt, Samir Malhotra, D. Duscher, Michael S. Pollhammer, G. Walmsley, Z. Maan, Alexander T. M. Cheung, Manfred Schmidt, G. Huemer, M. Longaker, H. Lorenz
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引用次数: 40

Abstract

Issues surrounding wound healing have garnered deep scientific interest as well as booming financial markets invested in novel wound therapies. Much progress has been made in the field, but it is unsurprising to find that recent successes reveal new challenges to be addressed. With regard to wound healing, large tissue deficits, recalcitrant wounds, and pathological scar formation remain but a few of our most pressing challenges. Stem cell-based therapies have been heralded as a promising means by which to surpass current limitations in wound management. The wide differentiation potential of stem cells allows for the possibility of restoring lost or damaged tissue, while their ability to immunomodulate the wound bed from afar suggests that their clinical applications need not be restricted to direct tissue formation. The clinical utility of stem cells has been demonstrated across dozens of clinical trials in chronic wound therapy, but there is hope that other aspects of wound care will inherit similar benefit. Scientific inquiry into stem cell-based wound therapy abounds in research labs around the world. While their clinical applications remain in their infancy, the heavy investment in their potential makes it a worthwhile subject to review for plastic surgeons, in terms of both their current and future applications.
干细胞疗法改善伤口愈合
围绕伤口愈合的问题已经获得了深刻的科学兴趣,以及蓬勃发展的金融市场对新型伤口疗法的投资。这一领域已经取得了很大进展,但最近的成功揭示了有待解决的新挑战,这并不令人惊讶。关于伤口愈合,大组织缺损,顽固性伤口和病理性瘢痕形成仍然是我们最紧迫的挑战。干细胞疗法被认为是一种很有前途的方法,可以超越目前伤口管理的局限性。干细胞的广泛分化潜力允许恢复丢失或受损组织的可能性,而它们从远处免疫调节伤口床的能力表明它们的临床应用不需要局限于直接组织形成。干细胞的临床应用已经在数十个慢性伤口治疗的临床试验中得到证实,但伤口护理的其他方面也有希望继承类似的益处。在世界各地的研究实验室中,对干细胞伤口治疗的科学研究比比皆是。虽然它们的临床应用仍处于起步阶段,但对其潜力的大量投资使其成为整形外科医生在当前和未来应用方面值得审查的主题。
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