再生医学的进展:干细胞和生长因子治疗骨关节炎的综合综述。

IF 6.1 3区 医学 Q1 MATERIALS SCIENCE, BIOMATERIALS
Chen-Yuan Hung, Tai-Yuan Hsueh, Lekshmi Rethi, Hsien-Tsung Lu and Andrew E.-Y. Chuang
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引用次数: 0

摘要

骨关节炎(OA)是一种常见的退行性关节疾病,其特征是软骨逐渐退化、炎症和疼痛,这些疾病共同给全球医疗保健系统带来了相当大的压力。虽然传统疗法通常能缓解症状,但它们不能解决该疾病的核心病理生理方面。再生医学最近成为解决OA的一个有前途的领域,利用干细胞和生长因子的再生能力来促进组织愈合和更新。这篇全面的综述深入研究了干细胞和生长因子治疗OA的最新进展,包括临床前研究、临床试验和新技术发展。我们讨论了干细胞的不同来源,如间充质干细胞(MSCs)、诱导多能干细胞(iPSCs)和脂肪来源干细胞(ASCs),强调了它们在临床前和临床环境中的治疗作用和有效性。此外,我们还探讨了转化生长因子(TGF)-β、血小板衍生生长因子(PDGF)和胰岛素样生长因子(IGF)等生长因子在改变OA病理和促进组织修复中的作用。此外,本文还讨论了与当前再生策略相关的障碍和限制,包括细胞来源的标准化、输送技术的改进以及对长期安全性的考虑。通过仔细评估最新的研究成果和技术突破,本综述旨在揭示干细胞和生长因子疗法作为OA即将到来的治疗选择的潜力,从而推动再生医学领域的发展,并提高患有这种致残疾病的个体的临床结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Advancements in regenerative medicine: a comprehensive review of stem cell and growth factor therapies for osteoarthritis

Advancements in regenerative medicine: a comprehensive review of stem cell and growth factor therapies for osteoarthritis

Osteoarthritis (OA) is a widely encountered degenerative joint disorder marked by gradual cartilage deterioration, inflammation, and pain, which collectively impose considerable strain on global healthcare systems. While traditional therapies typically offer relief from symptoms, they do not tackle the core pathophysiological aspects of the disease. Regenerative medicine has recently risen as a promising field for addressing OA, capitalizing on the regenerative capabilities of stem cells and growth factors to foster tissue healing and renewal. This thorough review delves into the most recent progress in stem cell and growth factor treatments for OA, covering preclinical studies, clinical trials, and novel technological developments. We discuss the diverse origins of stem cells, such as mesenchymal stem cells (MSCs), induced pluripotent stem cells (iPSCs), and adipose-derived stem cells (ASCs), underscoring their therapeutic actions and effectiveness in both preclinical and clinical environments. Moreover, we explore contributions of growth factors like transforming growth factor (TGF)-β, platelet-derived growth factor (PDGF), and insulin-like growth factor (IGF) in modifying OA's pathology and enhancing tissue restoration. Additionally, this review discusses the hurdles and constraints tied to current regenerative strategies, including the standardization of cell sources, the refinement of delivery techniques, and considerations for long-term safety. By meticulously assessing the latest research outcomes and technological breakthroughs, this review aims to shed light on the potential of stem cell and growth factor therapies as forthcoming therapeutic options for OA, thereby propelling forward the domain of regenerative medicine and enhancing clinical results for individuals afflicted with this incapacitating ailment.

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来源期刊
Journal of Materials Chemistry B
Journal of Materials Chemistry B MATERIALS SCIENCE, BIOMATERIALS-
CiteScore
11.50
自引率
4.30%
发文量
866
期刊介绍: Journal of Materials Chemistry A, B & C cover high quality studies across all fields of materials chemistry. The journals focus on those theoretical or experimental studies that report new understanding, applications, properties and synthesis of materials. Journal of Materials Chemistry A, B & C are separated by the intended application of the material studied. Broadly, applications in energy and sustainability are of interest to Journal of Materials Chemistry A, applications in biology and medicine are of interest to Journal of Materials Chemistry B, and applications in optical, magnetic and electronic devices are of interest to Journal of Materials Chemistry C.Journal of Materials Chemistry B is a Transformative Journal and Plan S compliant. Example topic areas within the scope of Journal of Materials Chemistry B are listed below. This list is neither exhaustive nor exclusive: Antifouling coatings Biocompatible materials Bioelectronics Bioimaging Biomimetics Biomineralisation Bionics Biosensors Diagnostics Drug delivery Gene delivery Immunobiology Nanomedicine Regenerative medicine & Tissue engineering Scaffolds Soft robotics Stem cells Therapeutic devices
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