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MSC-based therapy in female pelvic floor disorders

机译:基于MSC的女性骨盆楼疾病治疗

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Mesenchymal stem cells (MSCs), also referred to as multipotent stromal cells or mesenchymal stromal cells, are present in multiple tissues and capable of differentiating into diverse cell lineages, holding a great promise in developing cell-based therapy for a wide range of conditions. Pelvic floor disorders (PFDs) is a common degenerative disease in women and may diminish a woman’s quality of life at any age. Since the treatments for this disease are limited by the high rates of recurrence and surgical complications, seeking an ideal therapy in the restoration of pelvic floor function is an urgent issue at present. Herein, we summarize the cell sources of MSCs used for PFDs and discuss the potential mechanisms of MSCs in treating PFDs. Specifically, we also provide a comprehensive review of current preclinical and clinical trials dedicated to investigating MSC-based therapy for PFDs. The novel therapy has presented promising therapeutic effects which include relieving the symptoms of urinary or fecal incontinence, improving the biological properties of implanted meshes and promoting the injured tissue repair. Nevertheless, MSC-based therapies for PFDs are still experimental and the unstated issues on their safety and efficacy should be carefully addressed before their clinical applications.
机译:间充质干细胞(MSCs),也称为多能基质细胞或间充质基质细胞,存在于多种组织中,并且能够区分为不同的细胞谱系,在开发基于细胞的治疗方面具有广泛的条件的巨大希望。骨盆楼盘(PFD)是妇女常见的退行性疾病,可能会在任何年龄段的女性的生活质量下降。由于该疾病的治疗受到重复性和手术并发症的高率的限制,因此寻求理想的疗法在骨盆底函数恢复时是目前的紧急问题。在此,我们总结了用于PFD的MSC的细胞来源,并讨论MSCs在处理PFD中的潜在机制。具体而言,我们还提供了对专用于研究基于MSC的PFD治疗的目前临床前和临床试验的全面审查。该新疗法提出了有希望的治疗效果,包括缓解尿失禁或粪便尿失禁的症状,改善植入网眼的生物学性质,促进受伤的组织修复。尽管如此,基于MSC的PFD疗法仍然是实验性的,并且在临床应用之前,应仔细解决其安全性和疗效的未列出的问题。

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