Stem Cells Int:细胞疗法对GC诱导的ONFH的治疗效果

2018-06-30 MedSci MedSci原创

https://www.ncbi.nlm.nih.gov/pubmed/29951100

糖皮质激素诱导的股骨头坏死(ONFH)限制了需要进行大剂量类固醇治疗的患者。目前,没有有效的治疗方法可以逆转GC诱导的ONFH。干细胞治疗或是一个有前途的方法。虽然目前GC诱导的ONFH的发病机制还不完全清楚,但是过量的GC上调Dickkopf-1(Dkk-1)可阻碍了经典的Wnt通路,或可用于解释此机制。因此,本研究旨在探究具有Dkk-1干扰的同种异体移植骨髓干细胞(BMSC)在预防GC诱导的ONFH进展中的作用。

将慢病毒介导的Dkk-1 RNAi引入BMSCs,并暴露于地塞米松(10-6mol/L)。这种干扰通过GC阻断Dkk-1过表达,然后促使Wnt/β-连环蛋白的转导,其中分别上调Runx2和下调PPARγ。因此,促进了成骨,同时抑制了脂肪生成。在体内,通过用Dkk-1干扰同种异体移植BMSCs来处理GC诱导的ONFH大鼠,并且防止疾病的进展。然而,这种效应并不明显优于非基因修饰或正常骨髓间充质干细胞的治疗。

原始出处:

Zhun W, Donghai L, et al.,  Efficiency of Cell Therapy to GC-Induced ONFH: BMSCs with Dkk-1 Interference Is Not Superior to Unmodified BMSCs. Stem Cells Int. 2018 May 22;2018:1340252. doi: 10.1155/2018/1340252. eCollection 2018.

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    2019-03-26 维他命
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    2018-07-01 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

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    2018-07-01 1209e435m98(暂无昵称)

    学习了.谢谢分享

    0