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Mesenchymal Stem Cells Transplantation following Partial Hepatectomy: A New Concept to Promote Liver Regeneration—Systematic Review of the Literature Focused on Experimental Studies in Rodent Models

机译:肝部分切除后的间充质干细胞移植:促进肝脏再生的新概念-针对啮齿动物模型实验研究的文献的系统综述

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摘要

Mesenchymal stem cells (MSCs) are an attractive source for regenerative medicine because they are easily accessible through minimally invasive methods and have the potential to enhance liver regeneration (LG) and improve liver function, following partial hepatectomy (PH) and acute or chronic liver injury. A systematic review of the literature was conducted for articles published up to September 1st, 2016, using the MEDLINE database. The keywords that were used in various combinations were as follows: “Mesenchymal stem cells”, “transplantation”, “stem cells”, “adipose tissue derived stem cells”, “bone marrow-derived stem cells”, “partial hepatectomy”, “acute liver failure”, “chronic liver failure”, “liver fibrosis”, “liver cirrhosis”, “rats”, “mice”, and “liver regeneration”. All introduced keywords were searched for separately in MeSH Database to control relevance and terminological accuracy and validity. A total of 41 articles were identified for potential inclusion and reviewed in detail. After a strict selection process, a total of 28 articles were excluded, leaving 13 articles to form the basis of this systematic review. MSCs transplantation promoted LG and improved liver function. Furthermore, MSCs had the ability to differentiate in hepatocyte-like cells, increase survival, and protect hepatocytes by paracrine mechanisms. MSCs transplantation may provide beneficial effects in the process of LG after PH and acute or chronic liver injury. They may represent a new therapeutic option to treat posthepatectomy acute liver failure.
机译:间充质干细胞(MSCs)是再生医学的诱人来源,因为它们可通过微创方法轻松获得,并具有在部分肝切除(PH)和急性或慢性肝损伤后增强肝脏再生(LG)和改善肝功能的潜力。 。使用MEDLINE数据库对截至2016年9月1日发表的文章进行了系统的文献综述。在各种组合中使用的关键字如下:“间充质干细胞”,“移植”,“干细胞”,“脂肪组织来源的干细胞”,“骨髓来源的干细胞”,“部分肝切除术”,“急性肝衰竭”,“慢性肝衰竭”,“肝纤维化”,“肝硬化”,“大鼠”,“小鼠”和“肝再生”。在MeSH数据库中分别搜索所有引入的关键字,以控制相关性以及术语的准确性和有效性。共有41篇文章被确定为可能包含并进行了详细审查。经过严格的筛选过程,总共排除了28篇文章,剩下13篇文章构成了系统评价的基础。 MSCs移植促进LG和改善肝功能。此外,MSC具有通过旁分泌机制分化成肝细胞样细胞,增加存活率和保护肝细胞的能力。 MSCs移植可能在PH和急性或慢性肝损伤后的LG过程中发挥有益作用。它们可能代表治疗肝切除术后急性肝衰竭的新治疗选择。

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