摘要
慢性创伤与显著的发病率和死亡率有关,需要长期有效的治疗,并对全球卫生保健系统造成巨大的财政压力。用干细胞的再生药物最近已成为一种有前途的方法,并且是一个活跃的研究领域,它们有可能分化成特定类型的细胞,从而具有自我更新,再生和免疫调节作用。此外,随着技术的兴起,各种细胞疗法和细胞类型,如骨髓和脂肪来源的间充质细胞(ADMSC),内皮祖细胞(EPC),胚胎干细胞(ESC),间充质干细胞(MSCs)和多能干细胞(PSC)被研究其对修复过程和组织再生的治疗影响。细胞疗法已被证明对提高皮肤再生和伤口修复的质量和速度具有实质性的控制作用。文献综述揭示了伤口愈合的机制,导致慢性伤口的异常以及伤口护理研究人员面临的障碍,从而探索了众多潜在改进的机会。此外,本综述的重点是在临床试验的背景下提供有关可能的细胞衍生治疗选择及其在愈合方面的相关挑战的详细信息,因为这些挑战的解决方案将为改进研究设计提供新的和更好的未来机会,从而为开发更专业的治疗方法提供大量数据。
关键词: 细胞疗法,细胞功能障碍,慢性创伤,创伤愈合,干细胞,再生医学
[http://dx.doi.org/10.1016/j.nantod.2021.101290]
[http://dx.doi.org/10.1002/ppap.200900097]
[http://dx.doi.org/10.1089/wound.2019.0946]
[http://dx.doi.org/10.1155/2021/8834590] [PMID: 33505474]
[http://dx.doi.org/10.1126/scitranslmed.3009337] [PMID: 25473038]
[http://dx.doi.org/10.1016/S0168-8227(87)80030-X] [PMID: 3121272]
[http://dx.doi.org/10.1007/s00520-019-05170-9] [PMID: 32080767]
[http://dx.doi.org/10.24018/ejmed.2021.3.6.1105]
[http://dx.doi.org/10.1089/wound.2017.0761] [PMID: 29984112]
[http://dx.doi.org/10.1155/2019/3706315]
[http://dx.doi.org/10.1038/JID.2015.346] [PMID: 26763449]
[http://dx.doi.org/10.3389/fcell.2021.648098]
[http://dx.doi.org/10.1634/stemcells.2007-0226] [PMID: 17615264]
[http://dx.doi.org/10.1038/aps.2017.161] [PMID: 29219948]
[http://dx.doi.org/10.4314/tjpr.v16i6.15]
[http://dx.doi.org/10.1111/iwj.12935] [PMID: 29893025]
[http://dx.doi.org/10.17533/udea.iee.v36n1e11] [PMID: 29898350]
[http://dx.doi.org/10.1016/j.ijbiomac.2019.09.186] [PMID: 31669274]
[http://dx.doi.org/10.1016/j.ijbiomac.2020.02.048] [PMID: 32044364]
[http://dx.doi.org/10.1016/j.lfs.2020.118932] [PMID: 33400933]
[http://dx.doi.org/10.1111/trf.14836] [PMID: 30737822]
[http://dx.doi.org/10.1097/GOX.0000000000002371] [PMID: 31592387]
[http://dx.doi.org/10.1155/2017/3945403] [PMID: 28303152]
[http://dx.doi.org/10.1007/s40097-014-0125-y]
[http://dx.doi.org/10.1016/S0140-6736(15)60461-5] [PMID: 25771249]
[http://dx.doi.org/10.3109/14653249.2011.553594]
[http://dx.doi.org/10.1186/scrt407] [PMID: 24476740]
[http://dx.doi.org/10.1089/ten.teb.2019.0351] [PMID: 32242479]
[http://dx.doi.org/10.1016/j.bej.2020.107601]
[http://dx.doi.org/10.1111/j.1524-475X.2007.00305.x]
[http://dx.doi.org/10.1096/fj.06-6769com] [PMID: 17284483]
[http://dx.doi.org/10.1155/2021/9570325] [PMID: 33777324]
[http://dx.doi.org/10.1007/978-3-030-35626-2]
[http://dx.doi.org/10.4252/wjsc.v7.i1.165] [PMID: 25621116]
[http://dx.doi.org/10.12968/jowc.2017.26.11.652]
[http://dx.doi.org/10.1021/acs.molpharmaceut.0c00177]
[http://dx.doi.org/10.1046/j.1523-1747.1998.00381.x] [PMID: 9804349]
[http://dx.doi.org/10.1152/ajpregu.00177.2007] [PMID: 18003791]
[http://dx.doi.org/10.1007/s10787-021-00846-3] [PMID: 34283371]
[http://dx.doi.org/10.1111/j.1524-475X.2012.00772.x] [PMID: 22380690]
[http://dx.doi.org/10.1111/iwj.12491]
[http://dx.doi.org/10.1073/pnas.2020152118]
[http://dx.doi.org/10.1089/wound.2011.0308]
[http://dx.doi.org/10.2174/1381612825666190703162648]
[http://dx.doi.org/10.1111/crj.13182] [PMID: 32162441]
[http://dx.doi.org/10.1038/ncomms11945] [PMID: 27324848]
[http://dx.doi.org/10.1002/app.43260]
[http://dx.doi.org/10.1016/j.ejphar.2018.12.012] [PMID: 30537490]
[http://dx.doi.org/10.1002/wnan.1626] [PMID: 32166881]
[http://dx.doi.org/10.1101/cshperspect.a020487] [PMID: 25957303]
[http://dx.doi.org/10.1016/j.addr.2018.12.014] [PMID: 30605737]
[http://dx.doi.org/10.3892/ol.2021.13046]
[http://dx.doi.org/10.1089/scd.2018.0119]
[http://dx.doi.org/10.1038/s41419-019-1508-2] [PMID: 30890699]
[http://dx.doi.org/10.1126/scitranslmed.aat2189]
[http://dx.doi.org/10.3389/fimmu.2019.01112]
[http://dx.doi.org/10.1155/2021/1634782] [PMID: 34745268]
[http://dx.doi.org/10.1021/acs.molpharmaceut.7b01138]
[http://dx.doi.org/10.1055/s-2005-872886] [PMID: 16235157]
[http://dx.doi.org/10.1089/ten.2006.0278] [PMID: 17518741]
[http://dx.doi.org/10.1186/s13287-018-1105-9] [PMID: 30606242]
[http://dx.doi.org/10.3389/fphys.2018.00464] [PMID: 29867527]
[http://dx.doi.org/10.1186/s13287-015-0013-5]
[http://dx.doi.org/10.1016/j.intimp.2020.106595] [PMID: 32454419]
[http://dx.doi.org/10.3390/jcm6120115] [PMID: 29206194]
[http://dx.doi.org/10.1002/jbio.201700336] [PMID: 29575792]
[http://dx.doi.org/10.1007/s00441-017-2723-8] [PMID: 29150821]
[http://dx.doi.org/10.1111/jcmm.14456] [PMID: 31287219]
[http://dx.doi.org/10.1089/ten.tea.2015.0277] [PMID: 26871860]
[http://dx.doi.org/10.1089/ten.tea.2020.0320] [PMID: 33789446]
[http://dx.doi.org/10.1016/j.jss.2017.04.032] [PMID: 28595815]
[http://dx.doi.org/10.3389/fcell.2020.00638]
[http://dx.doi.org/10.1186/s41038-019-0148-1] [PMID: 30993143]
[http://dx.doi.org/10.3390/biom9090470]
[http://dx.doi.org/10.1166/jbn.2017.2443]
[http://dx.doi.org/10.1186/gb-2001-2-3-reviews3005]
[http://dx.doi.org/10.1073/pnas.101130898] [PMID: 11344264]
[http://dx.doi.org/10.1152/physrev.1999.79.4.1283] [PMID: 10508235]
[http://dx.doi.org/10.1046/j.1524-475X.1997.50108.x] [PMID: 16984454]
[http://dx.doi.org/10.1111/j.1349-7006.2008.00761.x] [PMID: 18380792]
[http://dx.doi.org/10.1089/wound.2011.0326]
[http://dx.doi.org/10.3109/02844319409071186] [PMID: 8079129]
[http://dx.doi.org/10.1111/j.1524-475X.2008.00410.x] [PMID: 19128254]
[http://dx.doi.org/10.1038/sj.gt.3301798] [PMID: 12224009]
[http://dx.doi.org/10.1096/fasebj.13.13.1774] [PMID: 10506580]
[http://dx.doi.org/10.1371/journal.pone.0001886] [PMID: 18382669]
[http://dx.doi.org/10.2174/1381612826666201026152209] [PMID: 33106138]
[http://dx.doi.org/10.1016/j.jddst.2020.101930]
[http://dx.doi.org/10.1016/S0305-4179(00)00123-6] [PMID: 11417518]
[http://dx.doi.org/10.1038/scientificamerican0499-83] [PMID: 10232963]
[http://dx.doi.org/10.1111/j.1524-475X.2009.00485.x] [PMID: 19660037]
[http://dx.doi.org/10.1007/s40097-021-00432-7]
[http://dx.doi.org/10.1155/2012/190436] [PMID: 22567251]
[http://dx.doi.org/10.1016/j.cpm.2007.03.011] [PMID: 17613390]
[http://dx.doi.org/10.1089/wound.2015.0663] [PMID: 27366592]
[http://dx.doi.org/10.3390/pharmaceutics12080735] [PMID: 32764269]
[http://dx.doi.org/10.1186/s13287-019-1212-2] [PMID: 30922387]
[http://dx.doi.org/10.1016/j.ymthe.2017.09.023] [PMID: 29066165]
[PMID: 25878485]
[http://dx.doi.org/10.1016/j.cellimm.2017.08.009] [PMID: 28919171]
[http://dx.doi.org/10.3390/polym12030590] [PMID: 32151022]
[http://dx.doi.org/10.1016/j.reth.2021.02.003] [PMID: 33778134]
[http://dx.doi.org/10.1186/s13287-019-1415-6] [PMID: 31623669]
[http://dx.doi.org/10.1007/s10561-014-9440-2] [PMID: 24651970]
[http://dx.doi.org/10.1002/jcp.29486] [PMID: 31960454]
[http://dx.doi.org/10.1186/s13287-020-01879-1] [PMID: 32859266]
[http://dx.doi.org/10.1186/s13287-019-1165-5]
[http://dx.doi.org/10.1186/s13287-015-0031-3] [PMID: 25889402]
[http://dx.doi.org/10.1002/pat.5364]
[http://dx.doi.org/10.1016/j.stem.2018.04.015]
[http://dx.doi.org/10.1177/1758835920918470] [PMID: 32489429]
[http://dx.doi.org/10.1101/cshperspect.a006692] [PMID: 22762017]
[http://dx.doi.org/10.1161/CIRCULATIONAHA.116.024754]
[http://dx.doi.org/10.1186/s12967-015-0417-0]
[http://dx.doi.org/10.1016/j.stem.2018.05.027]
[http://dx.doi.org/10.3109/14653249.2010.512632] [PMID: 21235296]
[http://dx.doi.org/10.1080/14712598.2019.1596257] [PMID: 30900481]
[http://dx.doi.org/10.1007/s12015-017-9737-1] [PMID: 28536890]
[http://dx.doi.org/10.1016/j.stem.2017.03.012] [PMID: 28686864]
[http://dx.doi.org/10.1155/2017/5217967] [PMID: 29213192]
[http://dx.doi.org/10.1016/j.addr.2018.07.004] [PMID: 29990578]
[http://dx.doi.org/10.1186/2193-8865-3-37]
[http://dx.doi.org/10.1007/s40097-021-00444-3] [PMID: 34512930]
[http://dx.doi.org/10.1111/exd.14241] [PMID: 33205468]
[http://dx.doi.org/10.1186/1756-8722-5-19] [PMID: 22546280]
[http://dx.doi.org/10.1186/s13619-020-00058-0] [PMID: 33258056]
[http://dx.doi.org/10.3727/096368915X689622] [PMID: 26423725]
[http://dx.doi.org/10.1002/stem.2551] [PMID: 27888550]
[http://dx.doi.org/10.3390/ijms21030708] [PMID: 31973182]
[http://dx.doi.org/10.1089/rej.2009.0872] [PMID: 19929258]
[http://dx.doi.org/10.1179/2045772311Y.0000000010] [PMID: 21756569]
[http://dx.doi.org/10.1016/j.bjps.2005.04.054] [PMID: 16043157]
[http://dx.doi.org/10.2217/17460751.2.5.785] [PMID: 17907931]
[http://dx.doi.org/10.3390/ijms161025476] [PMID: 26512657]
[http://dx.doi.org/10.1016/j.jaad.2021.04.031] [PMID: 33852923]
[http://dx.doi.org/10.1038/s41598-021-99579-0] [PMID: 34654868]
[http://dx.doi.org/10.1111/wrr.12851] [PMID: 32715574]
[http://dx.doi.org/10.1002/dmrr.3283] [PMID: 32176450]