应激性尿失禁中的细胞再生疗法:新的前沿 - - 一个叙述性回顾
Karl-Erik Andersson1,2, Koudy Williams1
1Wake Forest Institute for Regenerative Medicine, Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Translational andrology and urology
|September 16, 2024
概括
对应激性尿失禁 (SUI) 的再生医学的探索显示出有希望. 新型疗法,如指导因子,干细胞分泌体和再生电刺激 (RES) 提供了潜在的改善,超出了目前的干细胞治疗SUI.
科学领域:
- 再生医学是一种再生医学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 生物医学工程 生物医学工程
背景情况:
- 干细胞治疗对应激性尿失禁 (SUI) 是安全有效的,但需要替代方案.
- 干细胞的益处可能来自分泌的因素 (秘密体),这表明基于秘密体的治疗方法.
- 导向因子,如树皮衍生生长因子1 (SDF-1;CXCL12),和刺激技术 (Li-ESWT,RES) 是新兴的再生方法.
研究的目的:
- 审查目前关于SUI再生医学替代品的文献.
- 为了评估在治疗SUI时的指导因子,分泌物,Li-ESWT和RES的潜力.
- 为了确定这些新型SUI治疗的临床研究中的差距.
主要方法:
- 在PubMed,Scopus和谷歌学者 (2000-2023) 的文献搜索.
- 包括原始的基础科学文章,系统评论和随机对照试验.
- 关键词: "女性压力失禁"",家庭因素"",CXCL12"",secretome"",低强度冲击波疗法"",再生电刺激".
主要成果:
- 在SUI的非人类灵长类模型中,CXCL12显示出恢复关节功能的潜力.
- 人类SUI的定位因子临床研究正在进行中.
- 介质干细胞 (MSC) 分泌基因组的研究对于其他疾病是广泛的,但对于SUI还没有.
- 在SUI患者中没有研究再生电刺激 (RES).
- 低强度冲击波疗法 (Li-ESWT) 显示了改善女性SUI的临床证据.
结论:
- 归属因子,MSC分泌物/组件,Li-ESWT和RES代表了SUI的有前途的治疗途径.
- 需要进行进一步的临床试验,以验证这些SUI治疗的再生方法.
- 这些新疗法针对SUI的关节损伤.
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