肿瘤细胞治疗研究
英文原题:Therapeutic Perspectives for the Clinical Application of Umbilical Cord Hematopoietic and Mesenchymal Stem Cells: Overcoming Complications Arising After Allogeneic Hematopoietic Stem Cell Transplantation.
Therapeutic Perspectives for the Clinical Application of Umbilical Cord Hematopoietic and Mesenchymal Stem Cells: Overcoming Complications Arising After Allogeneic Hematopoietic Stem Cell Transplantation.
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本综述聚焦于脐带血(UCB)细胞作为同种异体造血干细胞移植(aHSCT)来源的治疗特性,用于成人和儿童群体中治疗恶性及非恶性血液系统疾病、遗传性疾病或免疫系统病变,当标准治疗(如化疗)无效或临床禁忌时。本文中,我们总结了使用UCB干细胞的免疫学特性及其优缺点,并讨论了在成人和儿科群体中使用来自不同供体的不同干细胞来源的各种治疗结果。我们还强调了UCB细胞达到更好生存率的关键特性(取决于HLA相容性的总有核细胞剂量),揭示了双份与单份脐带血单位移植的优势,并呈现了最新研究的建议。此外,我们总结了间充质脐带细胞的作用机制和潜在益处,并指出了最常见的移植后并发症。
This review focuses on the therapeutic features of umbilical cord blood (UCB) cells as a source for allogeneic hematopoietic stem cell transplantation (aHSCT) in adult and child populations to treat malignant and nonmalignant hematologic diseases, genetic disorders, or pathologies of the immune system, when standard treatment (e.
g. , chemotherapy) is not effective or clinically contraindicated. In this article, we summarize the immunological properties and the advantages and disadvantages of using UCB stem cells and discuss a variety of treatment outcomes using different sources of stem cells from different donors both in adults and pediatric population.
We also highlight the critical properties (total nucleated cell dose depending on HLA compatibility) of UCB cells that reach better survival rates, reveal the advantages of double versus single cord blood unit transplantation, and present recommendations from the most recent studies.
Moreover, we summarize the mechanism of action and potential benefit of mesenchymal umbilical cord cells and indicate the most common posttransplantation complications.
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