间充质干细胞治疗在椎间盘退变中的研究与应用进展
Research and Application Progress of Mesenchymal Stem Cell Therapy in Intervertebral Disc Degeneration
摘要: 椎间盘退变是一种严重影响患者生活质量的疾病,其治疗一直是医学研究的热点。近年来,间充质干细胞因具有多向分化、免疫调节和分泌细胞因子等的能力,在治疗椎间盘退变方面展现出巨大潜力。本文通过检索了知网、万方、维普、Pubmed等数据库近3年来国内外相关研究文献,综述了间充质干细胞治疗椎间盘退变的最新研究进展,包括其作用机制、治疗效果及临床应用等方面,目的在于为未来间充质干细胞治疗椎间盘退变的研究及临床应用方面提供参考依据。
Abstract: Intervertebral disc degeneration is a disease that seriously affects the quality of life of patients. Its treatment has always been a hot spot in medical research. In recent years, mesenchymal stem cells have shown great potential in the treatment of intervertebral disc degeneration due to their abilities of multi-directional differentiation, immune regulation and secretion of cytokines. This article reviews the latest research progress of mesenchymal stem cells in the treatment of intervertebral disc degeneration by retrieving relevant research literatures at home and abroad in the past three years from databases such as CNKI, Wanfang, VIP and Pubmed, including its mechanism of action, therapeutic effect and clinical application. The purpose is to provide a reference for the research and clinical application of mesenchymal stem cells in the treatment of intervertebral disc degeneration in the future.
文章引用:周鑫, 皮雅雯. 间充质干细胞治疗在椎间盘退变中的研究与应用进展[J]. 临床医学进展, 2024, 14(12): 148-157. https://doi.org/10.12677/acm.2024.14123060

参考文献

[1] Shi, Z.-W., et al. (2023) Roles of Hippo—Yap/Taz Signalling in Intervertebral Disc Degeneration. Biomedicine & Pharmacotherapy, 159, Article ID: 114099. [Google Scholar] [CrossRef] [PubMed]
[2] Ge, Y., Chen, Y., Guo, C., Luo, H., Fu, F., Ji, W., et al. (2022) Pyroptosis and Intervertebral Disc Degeneration: Mechanistic Insights and Therapeutic Implications. Journal of Inflammation Research, 15, 5857-5871. [Google Scholar] [CrossRef] [PubMed]
[3] Romaniyanto, F., Mahyudin, F., Prakoeswa, C.R.S., Notobroto, H.B., Tinduh, D., Ausrin, R., et al. (2022) Adipose-derived Stem Cells (ASCS) for Regeneration of Intervertebral Disc Degeneration: Review Article. Stem Cells and Cloning: Advances and Applications, 15, 67-76. [Google Scholar] [CrossRef] [PubMed]
[4] Zhang, J., Zhang, W., Sun, T., Wang, J., Li, Y., Liu, J., et al. (2022) The Influence of Intervertebral Disc Microenvironment on the Biological Behavior of Engrafted Mesenchymal Stem Cells. Stem Cells International, 2022, Article ID: 8671482. [Google Scholar] [CrossRef] [PubMed]
[5] Peng, B. and Yan, X. (2022) Barriers to Mesenchymal Stromal Cells for Low Back Pain. World Journal of Stem Cells, 14, 815-821. [Google Scholar] [CrossRef] [PubMed]
[6] Li, W., Xu, Y. and Chen, W. (2022) Bone Mesenchymal Stem Cells Deliver Exogenous lncRNA CAHM via Exosomes to Regulate Macrophage Polarization and Ameliorate Intervertebral Disc Degeneration. Experimental Cell Research, 421, Article ID: 113408. [Google Scholar] [CrossRef] [PubMed]
[7] Chen, D., Jiang, X. and Zou, H. (2023) hASCs-Derived Exosomal miR-155-5p Targeting TGFβR2 Promotes Autophagy and Reduces Pyroptosis to Alleviate Intervertebral Disc Degeneration. Journal of Orthopaedic Translation, 39, 163-176. [Google Scholar] [CrossRef] [PubMed]
[8] Hu, Y., Zhang, X., Lin, M., Zhou, H., Cong, M., Chen, X., et al. (2023) Nanoscale Treatment of Intervertebral Disc Degeneration: Mesenchymal Stem Cell Exosome Transplantation. Current Stem Cell Research & Therapy, 18, 163-173. [Google Scholar] [CrossRef] [PubMed]
[9] Liu, Z., Bian, Y., Wu, G. and Fu, C. (2022) Application of Stem Cells Combined with Biomaterial in the Treatment of Intervertebral Disc Degeneration. Frontiers in Bioengineering and Biotechnology, 10, Article ID: 1077028. [Google Scholar] [CrossRef] [PubMed]
[10] Di Martino, A., Barile, F., Fiore, M., Ruffilli, A. and Faldini, C. (2022) Are Injectable Regenerative Therapies Effective in the Treatment of Degenerative Disc Disease? a Systematic Review. Journal of Neurosurgical Sciences, 66, 399-405. [Google Scholar] [CrossRef] [PubMed]
[11] Dong, X., Hu, F., Yi, J., Zhang, Y., Liu, C., Geng, P., et al. (2022) DPSCs Protect Architectural Integrity and Alleviate Intervertebral Disc Degeneration by Regulating Nucleus Pulposus Immune Status. Stem Cells International, 2022, Article ID: 7590337. [Google Scholar] [CrossRef] [PubMed]
[12] Chen, Q., Yang, Q., Pan, C., Ding, R., Wu, T., Cao, J., et al. (2023) Quiescence Preconditioned Nucleus Pulposus Stem Cells Alleviate Intervertebral Disc Degeneration by Enhancing Cell Survival via Adaptive Metabolism Pattern in Rats. Frontiers in Bioengineering and Biotechnology, 11, Article ID: 1073238. [Google Scholar] [CrossRef] [PubMed]
[13] Hu, J., Li, C., Jin, S., Ye, Y., Fang, Y., Xu, P., et al. (2022) Salvianolic Acid B Combined with Bone Marrow Mesenchymal Stem Cells Piggybacked on HAMA Hydrogel Re-Transplantation Improves Intervertebral Disc Degeneration. Frontiers in Bioengineering and Biotechnology, 10, Article ID: 950625. [Google Scholar] [CrossRef] [PubMed]
[14] Peng, Y., Chen, X., Liu, S., Wu, W., Shu, H., Tian, S., et al. (2023) Extracellular Vesicle‐Conjugated Functional Matrix Hydrogels Prevent Senescence by Exosomal miR-3594-5p-Targeted HIPK2/p53 Pathway for Disc Regeneration. Small, 19, e2206888. [Google Scholar] [CrossRef] [PubMed]
[15] Chen, J., Qi, F., Li, G., Deng, Q., Zhang, C., Li, X., et al. (2023) Identification of the Hub Genes Involved in Stem Cell Treatment for Intervertebral Disc Degeneration: A Conjoint Analysis of Single-Cell and Machine Learning. Stem Cells International, 2023, Article ID: 7055264. [Google Scholar] [CrossRef] [PubMed]
[16] Chen, X., Li, Q. and Wang, H. (2023) Sequencing and Bioinformatics Analysis of miRNA from Rat Endplate Chondrogenic Exosomes. Experimental and Therapeutic Medicine, 25, Article No. 267. [Google Scholar] [CrossRef] [PubMed]
[17] Tilotta, V., Vadalà, G., Ambrosio, L., Cicione, C., Di Giacomo, G., Russo, F., et al. (2023) Mesenchymal Stem Cell-Derived Secretome Enhances Nucleus Pulposus Cell Metabolism and Modulates Extracellular Matrix Gene Expression in Vitro. Frontiers in Bioengineering and Biotechnology, 11, Article ID: 1152207. [Google Scholar] [CrossRef] [PubMed]
[18] Yu, Y., Li, W., Xian, T., Tu, M., Wu, H. and Zhang, J. (2023) Human Embryonic Stem-Cell-Derived Exosomes Repress NLRP3 Inflammasome to Alleviate Pyroptosis in Nucleus Pulposus Cells by Transmitting Mir-302c. International Journal of Molecular Sciences, 24, Article No. 7664. [Google Scholar] [CrossRef] [PubMed]
[19] Hou, Y., Shi, J., Guo, Y. and Shi, G. (2023) DNMT1 Regulates Polarization of Macrophage-Induced Intervertebral Disc Degeneration by Modulating SIRT6 Expression and Promoting Pyroptosis in Vivo. Aging, 15, 4288-4303. [Google Scholar] [CrossRef] [PubMed]
[20] Wang, B., Xu, N., Cao, L., Yu, X., Wang, S., Liu, Q., et al. (2022) Mir-31 from Mesenchymal Stem Cell-Derived Extracellular Vesicles Alleviates Intervertebral Disc Degeneration by Inhibiting NFAT5 and Upregulating the Wnt/β-Catenin Pathway. Stem Cells International, 2022, Article ID: 2164057. [Google Scholar] [CrossRef] [PubMed]
[21] Schol, J., Sakai, D., Warita, T., Nukaga, T., Sako, K., Wangler, S., et al. (2022) Homing of Vertebral‐Delivered Mesenchymal Stromal Cells for Degenerative Intervertebral Discs Repair—An in Vivo Proof‐of‐Concept Study. JOR Spine, 6, e1228. [Google Scholar] [CrossRef] [PubMed]
[22] Wang, Z., Liu, B., Ma, X., Wang, Y., Han, W. and Xiang, L. (2022) LncRNA ZFAS1 Promotes Intervertebral Disc Degeneration by Upregulating AAK1. Open Medicine, 17, 1973-1986. [Google Scholar] [CrossRef] [PubMed]
[23] Khalid, S., Ekram, S., Ramzan, F., Salim, A. and Khan, I. (2023) Co-Regulation of Sox9 and TGFβ1 Transcription Factors in Mesenchymal Stem Cells Regenerated the Intervertebral Disc Degeneration. Frontiers in Medicine, 10, Article ID: 1127303. [Google Scholar] [CrossRef] [PubMed]
[24] Akeda, K., Fujiwara, T., Takegami, N., Yamada, J. and Sudo, A. (2023) Retrospective Analysis of Factors Associated with the Treatment Outcomes of Intradiscal Platelet-Rich Plasma-Releasate Injection Therapy for Patients with Discogenic Low Back Pain. Medicina, 59, Article No. 640. [Google Scholar] [CrossRef] [PubMed]
[25] Hao, Y., Zhu, G., Yu, L., Ren, Z., Zhang, P., Zhu, J., et al. (2022) Extracellular Vesicles Derived from Mesenchymal Stem Cells Confer Protection against Intervertebral Disc Degeneration through a Microrna-217-Dependent Mechanism. Osteoarthritis and Cartilage, 30, 1455-1467. [Google Scholar] [CrossRef] [PubMed]
[26] Gao, D., Hu, B., Ding, B., Zhao, Q., Zhang, Y. and Xiao, L. (2022) N6-Methyladenosine-Induced Mir-143-3p Promotes Intervertebral Disc Degeneration by Regulating Sox5. Bone, 163, Article ID: 116503. [Google Scholar] [CrossRef] [PubMed]
[27] Gong, Y., Qiu, J., Jiang, T., Li, Z., Zhang, W., Zheng, X., et al. (2022) Maltol Ameliorates Intervertebral Disc Degeneration through Inhibiting PI3K/Akt/NF-κB Pathway and Regulating NLRP3 Inflammasome-Mediated Pyroptosis. Inflammopharmacology, 31, 369-384. [Google Scholar] [CrossRef] [PubMed]
[28] Zhang, W., Wang, D., Li, H., Xu, G., Zhang, H., Xu, C., et al. (2023) Mesenchymal Stem Cells Can Improve Discogenic Pain in Patients with Intervertebral Disc Degeneration: A Systematic Review and Meta-Analysis. Frontiers in Bioengineering and Biotechnology, 11, Article ID: 1155357. [Google Scholar] [CrossRef] [PubMed]
[29] Wang, J., Xia, Z., Su, Z., et al. (2023) Knockdown of microRNA-96-5p Resists Oxidative Stress-Induced Apoptosis in Nucleus Pulposus Cells. American Journal of Translational Research, 15, 4912-4921.
[30] Chen, Z., Liao, Z., Liu, M., Lin, F., Chen, S., Wang, G., et al. (2023) Nucleus Pulposus‐targeting Nanocarriers Facilitate Mirna‐Based Therapeutics for Intervertebral Disc Degeneration. Advanced Healthcare Materials, 12, e2301337. [Google Scholar] [CrossRef] [PubMed]
[31] Chen, W., Deng, Z., Zhu, J., Yuan, L., Li, S., Zhang, Y., et al. (2023) Rosuvastatin Suppresses TNF-α-Induced Matrix Catabolism, Pyroptosis and Senescence via the Hmgb1/NF-κB Signaling Pathway in Nucleus Pulposus Cells. Acta Biochimica et Biophysica Sinica, 55, 795-808. [Google Scholar] [CrossRef] [PubMed]