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综述

间充质干细胞治疗肝病的研究进展

  • 魏玉华 ,
  • 施宝民
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  • 同济大学附属同济医院普外科,上海 200065
魏玉华(1992—),男,博士在读,从事临床外科工作

收稿日期: 2020-03-02

  网络出版日期: 2020-09-16

Advances on treatment of liver diseases using mesenchymal stem cells

  • WEI Yuhua ,
  • SHI Baomin
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  • Department of General Surgery, Tongji Hospital Affiliated to Tongji University, Shanghai 200065, China

Received date: 2020-03-02

  Online published: 2020-09-16

摘要

各种急慢性肝病严重危害人类健康,但目前对于多种肝病治疗仍缺乏有效方法。间充质干细胞 (mesenchymal stem cells, MSCs) 是多能干细胞,具有多向分化的潜能,其来源广泛,异体移植免疫原性较低,被广泛应用于多种临床疾病治疗,其有效性已得到证实。现今,MSCs也被运用于肝病治疗的研究,而且已经取得了一定的成果。但MSCs治疗肝病的具体作用机制还不明确,如何提高其治疗效果以及治疗效率等问题,还有待解决。现作一综述,总结MSCs治疗肝病的研究进展,并探讨未来MSCs的应用前景。

本文引用格式

魏玉华 , 施宝民 . 间充质干细胞治疗肝病的研究进展[J]. 外科研究与新技术(中英文), 2020 , 9(2) : 105 -109 . DOI: 10.3969/j.issn.2095-378X.2020.02.010

Abstract

Various acute and chronic liver diseases seriously affect human health, but there is still a lack of effective treatment methods. Mesenchymal stem cells (MSCs) are pluripotent stem cells with the potential for multidirectional differentiation. They come from a wide range of sources and have low immunogenicity in allotransplantation. They are widely used in the treatment of a variety of clinical diseases and have been proved effective. Nowadays, MSCs have also been used in the studies about the treatment of liver diseases, and some achievements have been made. However, the specific mechanism of MSCs in the treatment of diseases is still unclear, and how to improve its treatment effect and efficiency need to be solved. This review summarized the research advances on MSCs in the treatment of liver diseases, and discussed the application prospect of MSCs in the future.

参考文献

[1] Couri T, Pillai A.Goals and targets for personalized therapy for HCC[J]. Hepatol Int, 2019, 13(2): 125-37.
[2] Bray F, Ferlay J, Soerjomataram I, et al.Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2018, 68(6): 394-424.
[3] Ferguson S W, Wang J, Lee C J, et al.The microRNA regulatory landscape of MSC-derived exosomes: a systems view[J]. Sci Rep, 2018, 8(1): 1419.
[4] Bernal W.Acute liver failure: review and update[J]. Int Anesthesiol Clin,2017,55(2): 92-106.
[5] Sang W, Lu B, Li K, et al.Therapeutic efficacy and safety of umbilical cord mesenchymal stem cell transplantation for liver cirrhosis in Chinese population: a meta-analysis[J]. Clin Res Hepatol Gastroenterol,2018, 42(3): 193-204.
[6] Willis G R, Fernandez-gonzalez A, Anastas J, et al. Mesenchymal stromal cell exosomes ameliorate experimental bronchopulmonary dysplasia and restore lung function through macrophage immunomodulation[J]. Am J Respir Crit Care Med. 2018,197(1):104-116.
[7] Liang J, Zhang H, Zhao C, et al.Effects of allogeneic mesenchymal stem cell transplantation in the treatment of liver cirrhosis caused by autoimmune diseases[J]. Int J Rheum Dis,2017,20(9): 1219-26.
[8] Golpanian S, Wdf A, Hatzistergos K E, et al.Rebuilding the damaged heart: mesenchymal stem cells, cell-based therapy, and engineered heart tissue[J]. Physiol Rev, 2016, 96(3): 1127-68.
[9] Dominici M, Le Blanc K, Mueller I,et al.Minimal criteria for defining multipotent mesenchymal stromal cells. The International Society for Cellular Therapy position statement[J]. Cytotherapy,2006,8(4): 315-317.
[10] Zhou P, Liu Z, Li X, et al.Migration ability and Toll-like receptor expression of human mesenchymal stem cells improves significantly after three-dimensional culture[J]. Biochem Biophys Res Commun,2017, 491(2): 323.
[11] Kojima Y, Tsuchiya A, Ogawa M, et al.Mesenchymal stem cells cultured under hypoxic conditions had a greater therapeutic effect on mice with liver cirrhosis compared to those cultured under normal oxygen conditions[J]. Regen Ther,2019,20(11): 269-281.
[12] Jiang H, Wang H, Liu T, et al.Co-cultured the MSCs and cardiomyocytes can promote the growth of cardiomyocytes[J]. Cytotechnology, 2018,70(2): 793-806.
[13] Li N, Hua J.Interactions between mesenchymal stem cells and the immune system[J]. Cell Mol Life Sci,2017,74(13): 2345-2360.
[14] Yin F, Wang W Y, Jiang W H.Human umbilical cord mesenchymal stem cells ameliorate liver fibrosis in vitro and in vivo: From biological characteristics to therapeutic mechanisms[J].World J Stem Cells,2019,11(8): 548-564.
[15] Tsuchiya A, Takeuchi S, Watanabe T, et al.Mesenchymal stem cell therapies for liver cirrhosis: MSCs as "conducting cells" for improvement of liver fibrosis and regeneration[J]. Inflamm Regen,2019,9(39):18.
[16] Lanthier N, Lin-marq N, Rubbia-brandt L, et al. Autologous bone marrow-derived cell transplantation in decompensated alcoholic liver disease: what is the impact on liver histology and gene expression patterns? [J]. Stem Cell Res Ther,2017,18:8(1):88.
[17] Qi X, Guo X, Su C.Clinical Outcomes of the transplantation of stem cells from various human tissue sources in the management of liver cirrhosis: a systematic review and meta-analysis[J]. Curr Stem Cell Res Ther,2015,10(2):166-180.
[18] Alfaifi M, Zom Y W, Newsome P N, et al.Mesenchymal stromal cell therapy for liver diseases[J]. J Hepatol, 2018, 68(6): 1272-1285.
[19] Fang X, Liu L, Dong J,et al.A study about immunomodulatory effect and efficacy and prognosis of human umbilical cord mesenchymal stem cells in patients with chronic hepatitis B-induced decompensated liver cirrhosis[J]. J Gastroenterol Hepatol,2018,33(4): 774-780.
[20] Lin B L, Chen J F, Qiu W H, et al.Allogeneic bone marrow-derived mesenchymal stromal cells for hepatitis B virus-related acute-on-chronic liver failure: a randomized controlled trial[J]. Hepatology,2017,66(1):209-219.
[21] Zhou X, Cui L, Zhou X, et al.Induction of hepatocyte-like cells from human umbilical cord-derived mesenchymal stem cells by defined microRNAs[J]. J Cell Mol Med, 2017, 21(5): 881-93.
[22] Zhang G Z, Sun H C, Zheng L B, et al.In vivo hepatic differentiation potential of human umbilical cord-derived mesenchymal stem cells: Therapeutic effect on liver fibrosis/cirrhosis[J]. World J Gastroenterol, 2017, 23(46): 8152-68.
[23] Sangiamsuntorn K, Hongeng S, Wongkajornsilp A.Development of hepatocyte-like cell derived from human induced pluripotent stem cell as a host for clinically isolated hepatitis C virus[J]. Curr Protoc Stem Cell Biol. 2017,14(42):1-4.
[24] Ewida S F, Abdou A G, El-rasiol Elhosary A A, et al. Hepatocyte-like versus mesenchymal stem cells in CCl4-induced liver fibrosis[J]. Appl Immunohistochem Mol Morphol, 2017, 25(10):736-745.
[25] 万思哲, 朱萱. 间充质干细胞对肝纤维化进展的调控机制[J].生命科学,2019,31(10):1054-1059.
[26] Yousefifard M, Nasirinezhad F, Shardi Manaheji H,et al.Human bone marrow-derived and umbilical cord-derived mesenchymal stem cells for alleviating neuropathic pain in a spinal cord injury model[J]. Stem Cell Res Ther, 2016,7(1):36.
[27] Luo X Y, Meng X J, Cao D C, et al.Transplantation of bone marrow mesenchymal stromal cells attenuates liver fibrosis in mice by regulating macrophage subtypes[J]. Stem Cell Res Ther, 2019,10(1):16.
[28] Wang M, Zhang M, Fu L, et al.Liver-targeted delivery of TSG-6 by calcium phosphate nanoparticles for the management of liver fibrosis[J]. Theranostics,2020,10(1):36-49.
[29] Jeong D, Han C, Kang I, et al.Effect of concentrated fibroblast-conditioned media on in vitro maintenance of rat primary hepatocyte[J]. PLoS One, 2016,11(2):1-14.
[30] Keshtkar S, Azarpira N, Ghahremani M H.Mesenchymal stem cell-derived extracellular vesicles: novel frontiers in regenerative medicine[J]. Stem Cell Res Ther, 2018, 9(1):63.
[31] Lou G, Chen Z, Zheng M, et al.Mesenchymal stem cell-derived exosomes as a new therapeutic strategy for liver diseases[J]. Exp Mol Med,2017,49(6):346.
[32] Phinney D G, Pittenger M F.Concise review: MSC-derived exosomes for cell-free therapy[J]. Stem Cells (Dayton, Ohio), 2017, 35(4):851-858.
[33] Lai R C, Yeo R W, Lim S K.Mesenchymal stem cell exosomes[J]. Semin Cell Dev Biol.2015, 40:82-88.
[34] Zhou X, Cui L, Zhou X, et al.Induction of hepatocyte-like cells from human umbilical cord-derived mesenchymal stem cells by defined microRNAs[J]. J Cell Mol Med, 2017, 21(5):881-893.
[35] Zhang S, Chuah S J, Lai R C, et al.MSC exosomes mediate cartilage repair by enhancing proliferation, attenuating apoptosis and modulating immune reactivity[J]. Biomaterials,2018,15(6):16-27.
[36] 肖帅,施宝民.干细胞诱导分化为肝细胞调控机制研究进展[J].外科研究与新技术,2017(3):47-50+55.
[37] Fiore E J, Dominguez L M, Bayo J, et al.Taking advantage of the potential of mesenchymal stromal cells in liver regeneration: cells and extracellular vesicles as therapeutic strategies[J]. World J Gastroenterol,2018,24(23):2427-2440.
[38] Wu P, Zahng B, Shi H, et al.MSC-exosome: a novel cell-free therapy for cutaneous regeneration[J]. Cytotherapy, 2018,20(3):291-301.
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