Mesenchymal-Stem-Cell-Based Strategies for Retinal Diseases.

Mesenchymal-Stem-Cell-Based Strategies for Retinal Diseases.
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基于间充质干细胞的视网膜疾病策略

DOI:
10.3390/genes13101901
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发表时间:
2022-10-19
期刊:
影响因子:
3.5
通讯作者:
Li, Xiaorong
Li, Xiaorong
中科院分区:
生物学3区
文献类型:
--
作者:
Chen, Xiteng;Jiang, Yuanfeng;Duan, Yanan;Zhang, Xiaomin;Li, Xiaorong

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视网膜疾病是造成视力不可逆丧失和失明的主要原因。尽管对其病理生理学和病因学进行了广泛的研究,但药物治疗的有效性和手术结果仍然很差。基于大量的临床前研究,给予间充质干细胞(MSC)作为视网膜疾病的治疗策略具有很大的希望,并且各种方法已应用于治疗。然而,由于视网膜屏障的阻碍,干细胞替代策略的最初设想未能达到预期效果,现在受到质疑。越来越多的证据表明,旁分泌效应可能在基于MSC的治疗中发挥主导作用,MSC衍生的细胞外囊泡成为无细胞治疗的一种新的令人信服的替代方案。本文综述了这类迷人的细胞在视网膜变性和其他视网膜功能障碍中的治疗潜力和当前策略。
Retinal diseases are major causes of irreversible vision loss and blindness. Despite extensive research into their pathophysiology and etiology, pharmacotherapy effectiveness and surgical outcomes remain poor. Based largely on numerous preclinical studies, administration of mesenchymal stem cells (MSCs) as a therapeutic strategy for retinal diseases holds great promise, and various approaches have been applied to the therapies. However, hindered by the retinal barriers, the initial vision for the stem cell replacement strategy fails to achieve the anticipated effect and has now been questioned. Accumulating evidence now suggests that the paracrine effect may play a dominant role in MSC-based treatment, and MSC-derived extracellular vesicles emerge as a novel compelling alternative for cell-free therapy. This review summarizes the therapeutic potential and current strategies of this fascinating class of cells in retinal degeneration and other retinal dysfunctions.
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