间充质干细胞治疗炎症性疾病的研究进展
Research Progress in the Treatment of Inflammatory Diseases with Mesenchymal Stem Cells
DOI: 10.12677/ACM.2023.1392052, PDF,    科研立项经费支持
作者: 陈 于:重庆医科大学第二临床学院,重庆;曾 勇:重庆医科大学附属第二医院急诊科,重庆
关键词: 间充质干细胞炎症性疾病治疗制备Mesenchymal Stem Cells Inflammatory Diseases Treatment Preparation
摘要: 炎症性疾病是存在于人类生命活动中的普遍性疾病,严重威胁着人们的生命健康。目前,炎症性疾病的治疗方法主要是药物对症治疗。由于缺乏有效的治疗方式,患者面临预后不良的问题。间充质干细胞(mesenchymal stem cells, MSCs)具有抗炎和免疫调节、分化成损伤细胞、归巢到炎症部位等功能,所有这些都是炎症性疾病治疗的关键点。尽管目前国内外有大量制备MSCs的方法,但由于缺乏统一标准,导致制备的MSCs数量、活性、纯度、表型和分化潜能有较大差异,从而进一步导致临床试验效果各异和基础研究结论不一。本文就MSCs的制备、MSCs在炎症性疾病中的作用机制、MSCs在炎症性疾病中的应用进行综述。
Abstract: Inflammatory diseases are universal diseases existing in human life activities, which seriously threaten people’s life and health. At present, the treatment of inflammatory diseases is mainly drug symptomatic treatment. Due to the lack of effective treatment, patients face a poor prognosis. mes-enchymal stem cells (MSCs) have functions such as anti-inflammatory and immune regulation, dif-ferentiation into damaged cells, and homing to inflammatory sites, all of which are key points in the treatment of inflammatory diseases. Although there are a large number of methods for preparing MSCs at home and abroad, due to the lack of unified standards, the number, activity, purity, pheno-type and differentiation potential of prepared MSCs are quite different, which further leads to dif-ferent clinical trial effects and different basic research conclusions. This article reviews the prepa-ration of MSCs, the mechanism of action of MSCs in inflammatory diseases, and the application of MSCs in inflammatory diseases.
文章引用:陈于, 曾勇. 间充质干细胞治疗炎症性疾病的研究进展[J]. 临床医学进展, 2023, 13(9): 14678-14686. https://doi.org/10.12677/ACM.2023.1392052

参考文献

[1] Visan, I. (2020) Inflammasomes Drive Tau Pathology. Nature Immunology, 21, Article No. 8. [Google Scholar] [CrossRef] [PubMed]
[2] Alessandri, A.L., Sousa, L.P., Lucas, C.D., et al. (2013) Resolu-tion of Inflammation: Mechanisms and Opportunity for Drug Development. Pharmacology & Therapeutics, 139, 189-212. [Google Scholar] [CrossRef] [PubMed]
[3] Iqbal, A.J., Fisher, E.A. and Greaves, D.R. (2016) Inflam-mation—A Critical Appreciation of the Role of Myeloid Cells. Microbiology Spectrum, 4. [Google Scholar] [CrossRef
[4] Friedenstein, A.J., Gorskaja, J.F. and Kulagina, N.N. (1976) Fibroblast Precursors in Normal and Irradiated Mouse Hematopoietic Organs. Experimental Hematology, 4, 267-274.
[5] Dominici, M., Le Blanc, K., Mueller, I., et al. (2006) Minimal Criteria for Defining Multipotent Mesen-chymal Stromal Cells. The International Society for Cellular Therapy Position Statement. Cytotherapy, 8, 315-317. [Google Scholar] [CrossRef] [PubMed]
[6] Polisetti, N., Chaitanya, V.G., Babu, P.P. and Vemuganti, G.K. (2010) Isolation, Characterization and Differentiation Potential of Rat Bone Marrow Stromal Cells. Neurology India, 58, 201-208. [Google Scholar] [CrossRef] [PubMed]
[7] 段长伟, 柴彦杰, 赵疆东, 等. 骨髓间充质干细胞分离与培养技术[J]. 宁夏医学杂志, 2021, 43(6): 573-576. [Google Scholar] [CrossRef
[8] Insausti, C.L., Blanquer, M.B., Olmo, L.M., et al. (2012) Isolation and Characterization of Mesenchymal Stem Cells from the Fat Layer on the Density Gradient Separated Bone Marrow. Stem Cells and Development, 21, 260-272. [Google Scholar] [CrossRef] [PubMed]
[9] Zohar, R., Sodek, J. and McCulloch, C.A. (1997) Characterization of Stromal Progenitor Cells Enriched by Flow Cytometry. Blood, 90, 3471-3481. [Google Scholar] [CrossRef
[10] Encina, N.R., Billotte, W.G. and Hofmann, M.C. (1999) Immuno-magnetic Isolation of Osteoprogenitors from Human Bone Marrow Stroma. Laboratory Investigation: A Journal of Technical Methods and Pathology, 79, 449-457.
[11] 刘元果 & 刘志勇. (2015).大鼠骨髓间充质干细胞分离、培养与鉴定.现代医学(03),291-296.
[12] Zhou, Y., Yamamoto, Y., Xiao, Z. and Ochiya, T. (2019) The Immunomodulatory Functions of Mesenchymal Stromal/Stem Cells Mediated via Paracrine Activity. Journal of Clinical Medicine, 8, Article No. 1025. [Google Scholar] [CrossRef] [PubMed]
[13] Song, W.J., Li, Q., Ryu, M.-O., et al. (2018) TSG-6 Released from In-traperitoneally Injected Canine Adipose Tissue-Derived Mesenchymal Stem Cells Ameliorate Inflammatory Bowel Dis-ease by Inducing M2 Macrophage Switch in Mice. Stem Cell Research & Therapy, 9, Article No. 91. [Google Scholar] [CrossRef] [PubMed]
[14] Geng, Y., Zhang, L., Fu, B., et al. (2014) Mesenchymal Stem Cells Ameliorate Rhabdomyolysis-Induced Acute Kidney Injury via the Activation of M2 Macrophages. Stem Cell Re-search & Therapy, 5, Article No. 80. [Google Scholar] [CrossRef] [PubMed]
[15] Zhou, G., Yu, L., Fang, L., et al. (2018) CD177+ Neutrophils as Functionally Activated Neutrophils Negatively Regulate IBD. Gut, 67, 1052-1063. [Google Scholar] [CrossRef] [PubMed]
[16] Ye, Q., Wang, B. and Mao, J. (2020) The Pathogenesis and Treatment of the ‘Cytokine Storm’ in COVID-19. The Journal of Infection, 80, 607-613. [Google Scholar] [CrossRef] [PubMed]
[17] Zindl, C.L., Lai, J.-F., Lee, Y.K., et al. (2013) IL-22-Producing Neutrophils Contribute to Antimicrobial Defense and Restitution of Colonic Epithelial Integrity during Colitis. Proceed-ings of the National Academy of Sciences of the United States of America, 110, 12768-12773. [Google Scholar] [CrossRef] [PubMed]
[18] Bacskai, I., Mázló, A., Kis-Tóth, K., et al. (2015) Mesenchymal Stromal Cell-Like Cells Set the Balance of Stimulatory and Inhibitory Signals in Monocyte-Derived Dendritic Cells. Stem Cells and Development, 24, 1805-1816. [Google Scholar] [CrossRef] [PubMed]
[19] English, K., Barry, F.P. and Mahon, B.P. (2008) Murine Mesenchymal Stem Cells Suppress Dendritic Cell Migration, Maturation and Antigen Presentation. Immunology Letters, 115, 50-58. [Google Scholar] [CrossRef] [PubMed]
[20] Djouad, F., Charbonnier, L.-M., et al. (2007) Mesenchymal Stem Cells Inhibit the Differentiation of Dendritic Cells through an Interleukin-6-Dependent Mechanism. Stem Cells, 25, 2025-2032. [Google Scholar] [CrossRef] [PubMed]
[21] Liu, Y., Yin, Z., Zhang, R., et al. (2014) MSCs Inhibit Bone Marrow-Derived DC Maturation and Function through the Release of TSG-6. Biochemical and Biophysical Research Communications, 450, 1409-1415. [Google Scholar] [CrossRef] [PubMed]
[22] Benkhoucha, M., Molnarfi, N., et al. (2014) Hepatocyte Growth Factor Limits Autoimmune Neuroinflammation via Glucocorticoid-Induced Leucine Zipper Expression in Dendritic Cells. Journal of Immunology, 193, 2743-2752. [Google Scholar] [CrossRef] [PubMed]
[23] Spaggiari, G.M., Capobianco, A., Becchetti, S., Mingari, M.C. and Moretta, L. (2006) Mesenchymal Stem Cell-Natural Killer Cell Interactions: Evidence That Activated NK Cells Are Ca-pable of Killing MSCs, Whereas MSCs Can Inhibit IL-2-Induced NK-Cell Proliferation. Blood, 107, 1484-1490. [Google Scholar] [CrossRef] [PubMed]
[24] Sotiropoulou, P.A., Perez, S.A., Gritzapis, A.D., Baxevanis, C.N. and Papamichail, M. (2006) Interactions between Human Mesenchymal Stem Cells and Natural Killer Cells. Stem Cells, 24, 74-85. [Google Scholar] [CrossRef] [PubMed]
[25] Spaggiari, G.M., Capobianco, A., et al. (2008) Mesenchymal Stem Cells Inhibit Natural Killer-Cell Proliferation, Cytotoxicity, and Cytokine Production: Role of Indoleamine 2,3-Dioxygenase and Prostaglandin E2. Blood, 111, 1327-1333. [Google Scholar] [CrossRef] [PubMed]
[26] Selmani, Z., Naji, A., Zidi, I., et al. (2008) Human Leukocyte Antigen-G5 Secretion by Human Mesenchymal Stem Cells Is Required to Suppress T Lymphocyte and Natural Killer Function and to Induce CD4+CD25highFOXP3+ Regulatory T Cells. Stem Cells, 26, 212-222. [Google Scholar] [CrossRef] [PubMed]
[27] Krampera, M., Glennie, S., Dyson, J., et al. (2003) Bone Marrow Mesenchymal Stem Cells Inhibit the Response of Naive and Memory Antigen-Specific T Cells to Their Cognate Peptide. Blood, 101, 3722-3729. [Google Scholar] [CrossRef] [PubMed]
[28] Ren, G., Zhao, X., Zhang, L., et al. (2010) Inflammatory Cyto-kine-Induced Intercellular Adhesion Molecule-1 and Vascular Cell Adhesion Molecule-1 in Mesenchymal Stem Cells Are Critical for Immunosuppression. Journal of Immunology, 184, 2321-2328. [Google Scholar] [CrossRef] [PubMed]
[29] Del Papa, B., Sportoletti, P., Cecchini, D., et al. (2013) Notch1 Modulates Mesenchymal Stem Cells Mediated Regulatory T-Cell Induction. European Journal of Immunology, 43, 182-187. [Google Scholar] [CrossRef] [PubMed]
[30] Wang, G., Zhang, S., et al. (2013) Expression and Biological Function of Programmed Death Ligands in Human Placenta Mesenchymal Stem Cells. Cell Biology International, 37, 137-148. [Google Scholar] [CrossRef] [PubMed]
[31] Liotta, F., Angeli, R., Cosmi, L., et al. (2008) Toll-Like Recep-tors 3 and 4 Are Expressed by Human Bone Marrow-Derived Mesenchymal Stem Cells and Can Inhibit Their T-Cell Modulatory Activity by Impairing Notch Signaling. Stem Cells, 26, 279-289. [Google Scholar] [CrossRef] [PubMed]
[32] Ren, G., Zhang, L., Zhao, X., et al. (2008) Mesenchymal Stem Cell-Mediated Immunosuppression Occurs via Concerted Action of Chemokines and Nitric Oxide. Cell Stem Cell, 2, 141-150. [Google Scholar] [CrossRef] [PubMed]
[33] Franquesa, M., Mensah, F.K., Huizinga, R., et al. (2015) Human Adipose Tissue-Derived Mesenchymal Stem Cells Abrogate Plasmablast Formation and Induce Regulatory B Cells Independently of T Helper Cells. Stem Cells, 33, 880-891. [Google Scholar] [CrossRef] [PubMed]
[34] Healy, M.E., Bergin, R., Mahon, B.P. and English, K. (2015) Mesenchymal Stromal Cells Protect against Caspase 3-Mediated Apoptosis of CD19+ Peripheral B Cells through Contact-Dependent Upregulation of VEGF. Stem Cells and Develop-ment, 24, 2391-2402. [Google Scholar] [CrossRef] [PubMed]
[35] Barrio, L., Cuevas, V.D., Menta, R., et al. (2014) Human Adipose Tissue-Derived Mesenchymal Stromal Cells Promote B-Cell Motility and Chemoattraction. Cytotherapy, 16, 1692-1699. [Google Scholar] [CrossRef] [PubMed]
[36] Corcione, A., Benvenuto, F., Ferretti, E., et al. (2006) Human Mesenchymal Stem Cells Modulate B-Cell Functions. Blood, 107, 367-372. [Google Scholar] [CrossRef] [PubMed]
[37] Tabera, S., Pérez-Simón, J.A., Díez-Campelo, M., et al. (2008) The Effect of Mesenchymal Stem Cells on the Viability, Proliferation and Differentiation of B-Lymphocytes. Haemato-logica, 93, 1301-1309. [Google Scholar] [CrossRef] [PubMed]
[38] Karp, J.M. and Leng Teo, G.S. (2009) Mesenchymal Stem Cell Hom-ing: The Devil Is in the Details. Cell Stem Cell, 4, 206-216. [Google Scholar] [CrossRef] [PubMed]
[39] Nitzsche, F., Müller, C., Lukomska, B., et al. (2017) Concise Re-view: MSC Adhesion Cascade-Insights into Homing and Transendothelial Migration. Stem Cells, 35, 1446-1460. [Google Scholar] [CrossRef] [PubMed]
[40] Ullah, M., Liu, D.D. and Thakor, A.S. (2019) Mesenchymal Stromal Cell Homing: Mechanisms and Strategies for Improvement. iScience, 15, 421-438. [Google Scholar] [CrossRef] [PubMed]
[41] Han, Y., Li, X., Zhang, Y., et al. (2019) Mesenchymal Stem Cells for Regenerative Medicine. Cells, 8, Article No. 886. [Google Scholar] [CrossRef] [PubMed]
[42] Jiang, Y., Jahagirdar, B.N., Reinhardt, R.L., et al. (2002) Pluripotency of Mesenchymal Stem Cells Derived from Adult Marrow. Nature, 418, 41-49. [Google Scholar] [CrossRef] [PubMed]
[43] Barker N. (2014) Adult Intestinal Stem Cells: Critical Drivers of Epithelial Homeostasis and Regeneration. Nature Reviews Molecular Cell Biology, 15, 19-33. [Google Scholar] [CrossRef] [PubMed]
[44] Wang, C., Li, Y., Yang, M., et al. (2018) Efficient Differentiation of Bone Marrow Mesenchymal Stem Cells into Endothelial Cells in Vitro. European Journal of Vascular and Endovascular Sur-gery, 55, 257-265. [Google Scholar] [CrossRef] [PubMed]
[45] De Almeida, D.C., Donizetti-Oliveira, C., Barbosa-Costa, P., et al. (2013) In Search of Mechanisms Associated with Mesenchymal Stem Cell-Based Therapies for Acute Kidney Injury. The Clinical Biochemist Reviews, 34, 131-144.
[46] Li, N. and Hua, J. (2017) Interactions between Mesenchymal Stem Cells and the Immune System. Cellular and Molecular Life Sciences, 74, 2345-2360. [Google Scholar] [CrossRef] [PubMed]
[47] Caplan, A.I. and Dennis, J.E. (2006) Mesenchymal Stem Cells as Trophic Mediators. Journal of Cellular Biochemistry, 98, 1076-1084. [Google Scholar] [CrossRef] [PubMed]
[48] Baglio, S.R., Rooijers, K., Koppers-Lalic, D., et al. (2015) Human Bone Marrow- and Adipose-Mesenchymal Stem Cells Secrete Exosomes Enriched in Distinctive miRNA and tRNA Species. Stem Cell Research & Therapy, 6, Article No. 127. [Google Scholar] [CrossRef] [PubMed]
[49] Panés, J., García-Olmo, D., Van Assche, G., et al. (2016) Ex-panded Allogeneic Adipose-Derived Mesenchymal Stem Cells (Cx601) for Complex Perianal Fistulas in Crohn’s Dis-ease: A Phase 3 Randomised, Double-Blind Controlled Trial. Lancet, 388, 1281-1290. [Google Scholar] [CrossRef
[50] Izadi, M., Nejad, A.S.H., et al. (2022) Mesenchymal Stem Cell Transplantation in Newly Diagnosed Type-1 Diabetes Patients: A Phase I/II Randomized Placebo-Controlled Clini-cal Trial. Stem Cell Research & Therapy, 13, Article No. 264. [Google Scholar] [CrossRef] [PubMed]
[51] Kang, S.J., Gu, N.-Y., Byeon, J.S., et al. (2023) Immunomodu-latory Effects of Canine Mesenchymal Stem Cells in an Experimental Atopic Dermatitis Model. Frontiers in Veterinary Science, 10, Article 1201382. [Google Scholar] [CrossRef] [PubMed]
[52] Liang, J., Zhang, H., Hua, B., et al. (2010) Allogenic Mesenchy-mal Stem Cells Transplantation in Refractory Systemic Lupus Erythematosus: A Pilot Clinical Study. Annals of the Rheumatic Diseases, 69, 1423-1429. [Google Scholar] [CrossRef] [PubMed]
[53] Ruane, J.J., Ross, A., Zigmont, V., et al. (2021) A Single-Blinded Randomized Controlled Trial of Mesenchymal Stem Cell Therapy for the Treatment of Osteoarthritis of the Knee with Active Control. Journal of Stem Cells & Regenerative Medicine, 17, 3-17. [Google Scholar] [CrossRef] [PubMed]
[54] Vij, R., Stebbings, K.A., Kim, H., Park, H. and Chang, D. (2022) Safety and Efficacy of Autologous, Adipose-Derived Mesenchymal Stem Cells in Patients with Rheumatoid Arthritis: A Phase I/IIa, Open-Label, Non-Randomized Pilot Trial. Stem Cell Research & Therapy, 13, Article No. 88. [Google Scholar] [CrossRef] [PubMed]
[55] Nabavi, S.M., Karimi, S., Arab, L., et al. (2023) Intravenous Transplantation of Bone Marrow-Derived Mesenchymal Stromal Cells in Patients with Multiple Sclerosis, a Phase I/IIa, Double Blind, Randomized Controlled Study. Multiple Sclerosis and Related Disorders, 78, Article ID: 104895. [Google Scholar] [CrossRef] [PubMed]
[56] Schiess, M., Suescun, J., Doursout, M.F., et al. (2021) Alloge-neic Bone Marrow-Derived Mesenchymal Stem Cell Safety in Idiopathic Parkinson’s Disease. Movement Disorders, 36, 1825-1834. [Google Scholar] [CrossRef] [PubMed]