Cell derivatives in heart injury repair progress and application prospects
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摘要: 急性心肌梗死(AMI)仍然是导致冠心病患者死亡的首要原因。需要针对AMI后心脏的损伤修复研究出新的治疗策略,最新的研究表明细胞衍生物在心脏损伤修复方面展现出巨大的潜力,是当今医学研究的热点。细胞衍生物包括细胞外囊泡(EVs)、非编码RNA、生长因子等。文章结合最新的研究进展,展现了心肌细胞、内皮细胞、免疫细胞衍生的EVs在AMI后的变化以及作用;总结了临床前研究以及临床研究中微小核糖核酸、长链非编码核糖核酸、环状核糖核酸在AMI后的变化以及作用;重点介绍了血管内皮生长因子以及成纤维细胞生长因子在AMI后的变化及作用;最后从临床应用角度总结了EVs、非编码RNA、生长因子作为诊断和预测临床疾病进展的生物标志物相关的研究,以及利用这些细胞衍生物作为AMI治疗手段的研究。总之,细胞衍生物在心脏损伤修复方面有非常大的潜力,值得深入研究。Abstract: Acute myocardial infarction (AMI) is still the leading cause of death in patients with coronary heart disease. New treatment strategies for repairing the damaged heart after AMI need to be developed. The latest research shows that cell derivatives exhibit great potential in the repair of heart damage, which is a hot spot in current medical research. Cell derivatives include extracellular vehicles (EVs), non-coding RNA, and growth factors. Combined with the latest research progress, this review shows the changes and functions of EVs derived from cardiomyocytes, endothelial cells and immune cells after AMI. The changes and effects of microribonucleic acid, long non-coding ribonucleic acid and circular ribonucleic acid in preclinical and clinical research after AMI are summarised. The focus is on the changes and effects of vascular endothelial growth factor and fibroblast growth factor after AMI. Finally, from the perspective of clinical application, the research on EVs, non-coding RNA, growth factors as biomarkers for the diagnosis and prediction of clinical disease progression, and the use of these cell derivatives as treatment methods for AMI are summarised. In short, cell derivatives have great potential in the repair of heart damage and are worthy of in-depth study.
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