文章摘要
康鹏云1 周鑫磊2 张宇晶1 平超强1 李亮2 洪珞珈1△.脐带间充质干细胞与再生障碍性贫血[J].,2012,12(10):1965-1968
脐带间充质干细胞与再生障碍性贫血
Umbilical Cord Mesenchymal Stem Cells and Aplastic Anemia
  
DOI:
中文关键词: 脐带  间充质干细胞  再生障碍性贫血  免疫性
英文关键词: Umbilical cord  Mesenchymal stem cells  Aplastic anemia  Immunity
基金项目:黑龙江省留学人员归国基金(LC08C24)
作者单位
康鹏云1 周鑫磊2 张宇晶1 平超强1 李亮2 洪珞珈1△ 哈尔滨医科大学第四附属医院血液科 
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中文摘要:
      再生障碍性贫血(aplastic anemia,AA)是由于物理、化学、生物或不明因素作用使骨髓造血干细胞和骨髓微环境严重受损,造 成骨髓造血功能降低或衰竭,以全血细胞减少为主要表现的一组综合征。间充质干细胞(MSC)是属于中胚层的一类多能干细胞, 主要存在于结缔组织和器官间质中。不仅具有多向分化潜能,还有多种免疫调节作用。许多研究表明MSCs 抑制同种异体效应T 淋巴细胞增殖,还能下调T 淋巴细胞表面的活化分子CD25、CD38、CD69 的表达。MSCs 对DCs 的分化、成熟和活化具有抑制作 用,改变DCs 的细胞因子分泌,使成熟的DCl 分泌TNF-a 减少,DC2 分泌IL-10 增加,从而抑制T 淋巴细胞增殖。MSCs 能够抑制 IL-2 和IL-15 介导的NK 细胞增殖,使IL-2 刺激NK 细胞分泌的IFN- y 减少。通过这些机制来干预再生障碍性贫血,同时研究发 现MSCs 免疫原性较低。尤其脐带MSC,因为其独特优势,目前已经成为干细胞干预治疗AA 的研究热点。
英文摘要:
      Aplastie anemia is all acquired bone marrow failure syndrome, characterized by an empty bone marrow, pancytopenia, as well as anemia, bleeding, infection syndrome eytokines. Mesenchymal stem cells (MSC) are widely studied as an alternative cell source for their ability to differentiate into multiple mesenchymal lineage. Studies showed that MSC might restraint T lymphocyte hybridoma and regulate down expression of T lymphocyte bioactive molecule, such as CD25, CD38, CD69. An important function for MSC for autoimmune diseases is their immunomedulatory effect on differentiation, maturity and activation of dendritic cells. UC-MSCs make TNF-a, which is secreted by maturity DC1, reduce and IL-10 augment secrete by maturity DC2. These mechanisms may be related with aplastic anemia. Umbilical cord MSCs (UC-MSCs) had a higher proliferation capacity and lower immunogenicity, which indicated that it might be a novel alternative seurce of human MSC for clinical application and may be a hot fields during treatment of aplastic anemia.
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