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Mesenchymal stem cells: Potential role in corneal wound repair and transplantation 被引量:8
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作者 Fei Li Shao-Zhen Zhao 《World Journal of Stem Cells》 SCIE CAS 2014年第3期296-304,共9页
Corneal diseases are a major cause of blindness in the world. Although great progress has been achieved in the treatment of corneal diseases, wound healing after severe corneal damage and immunosuppressive therapy aft... Corneal diseases are a major cause of blindness in the world. Although great progress has been achieved in the treatment of corneal diseases, wound healing after severe corneal damage and immunosuppressive therapy after corneal transplantation remain prob-lematic. Mesenchymal stem cells(MSCs) derived from bone marrow or other adult tissues can differentiate into various types of mesenchymal lineages, such as osteocytes, adipocytes, and chondrocytes, both in vivo and in vitro. These cells can further differentiate into specific cell types under specific conditions. MSCs migrate to injury sites and promote wound healing by secreting anti-inflammatory and growth factors. In ad-dition, MSCs interact with innate and acquired immune cells and modulate the immune response through their powerful paracrine function. Over the last decade, MSCs have drawn considerable attention because of their beneficial properties and promising therapeutic prospective. Furthermore, MSCs have been applied to various studies related to wound healing, autoim-mune diseases, and organ transplantation. This review discusses the potential functions of MSCs in protecting corneal tissue and their possible mechanisms in corneal wound healing and corneal transplantation. 展开更多
关键词 MESENCHYMAL stem cells corneal injury wound repair IMMUNE modulation TRANSPLANTATION
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Netrin-1 promotes epithelium repair in corneal injury 被引量:1
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作者 Yun Han Nan Jiang +8 位作者 Ting Su Qi-Chen Yang Cong-Cong Yan Lei Ye Qing Yuan Pei-Wen Zhu Wei Li Zu-Guo Liu Yi Shao 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2020年第2期206-212,共7页
●AIM:To explore netrin-1 functions on corneal epithelium in vitro and in vivo.●METHODS:In vitro the human corneal epithelial(HCE)cells were treated with serum free DMEM-F12 basic media containing 0,50,100,200,300,50... ●AIM:To explore netrin-1 functions on corneal epithelium in vitro and in vivo.●METHODS:In vitro the human corneal epithelial(HCE)cells were treated with serum free DMEM-F12 basic media containing 0,50,100,200,300,500,800,and 1000 ng/mL of netrin-1,respectively.The cells viability was detected by cell counting kit-8(CCK-8).The wound-healing assay was applied to assess the migration proficiency of HCE cells.Flow cytometry was used to analyze the cell-cycle distribution and apoptosis.In vivo,normal c57(6 wk)mice were demarcated with a trephine in the middle of the cornea to produce a 3-mm circular wound.Mice corneas were inflicted no epithelium with a 3-mm wound displayed,but remained the limbal epithelium intact.A blunt scalpel blade was used to remove the corneal epithelian cells,followed by topical netrin-1 application(200 ng/mL),and the group treated by PBS as control.The treated group was injected netrin-1 into the normal c57 mice inferior subconjunctival 4 h before trauma.Mouse corneal inflammation and neovascularization were observed under slit lamp microscope.The apoptosis of corneal cells was determined by TUNEL staining.●RESLUTS:A concentration of 200 ng/mL netrin-1 enhanced 25%of the HCE viability.The relative migration rates were 76.3%and 100%in control and netrin-1 treated group after cultured 72 h.Treated with netrin-1(200 ng/mL)decreased the apoptosis of HCE cells,as well as decreased their percentage from 19.3%±0.57%to 12.7%±0.42%of the total.The remaining wound area was 1.22 mm2 in control group but 0.22 mm2 in the netrin-1 treated group.Exogenous Netrin-1 inhibits apoptosis of corneal epithelial cells of c57 mice.TUNEL-positive cells at the epithelial layer of the corneas of the control and netrin-1 treated c57 mice at 24 h after wounding were 43.3%and 16.7%respectively.●CONCLUSION:Netrin-1 can reduce HCE apoptosis as well as promote its proliferation and migration.Topical application of netrin-1 promotes the injuryed cornea epithelial wound repair and inhibits apoptosis of corneal epithelial cells.These findings may offer potential therapies to repair the defects of corneal epithelial based on netrin-1. 展开更多
关键词 NETRIN-1 corneal EPITHELIUM proliferation apoptosis migration wound repair
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生物羊膜和角膜绷带镜对翼状胬肉手术后角膜创面修复的作用
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作者 王世娟 陈文生 唐慧 《中国组织工程研究》 CAS 北大核心 2024年第17期2642-2646,共5页
背景:有文献报道,生物羊膜与角膜绷带镜应用于翼状胬肉术中均可明显减轻翼状胬肉切除术后疼痛反应、促进角膜创面愈合。目的:对比生物羊膜与角膜绷带镜对翼状胬肉术后角膜创面修复与神经性疼痛的影响。方法:选择南阳市第二人民医院2020... 背景:有文献报道,生物羊膜与角膜绷带镜应用于翼状胬肉术中均可明显减轻翼状胬肉切除术后疼痛反应、促进角膜创面愈合。目的:对比生物羊膜与角膜绷带镜对翼状胬肉术后角膜创面修复与神经性疼痛的影响。方法:选择南阳市第二人民医院2020年8月至2022年5月收治的原发性翼状胬肉患者121例(142眼),均接受翼状胬肉切除联合自体游离结膜瓣移植手术,其中63例(68眼)采用生物羊膜修复角膜创面(生物羊膜组),58例(74眼)采用硬性透氧性角膜接触镜修复角膜创面(绷带镜组)。术后随访,观察患者术后2周内的角膜创面修复情况;术后当天及术后1 d、2周,采用Wong-Baker脸评估神经性疼痛情况;术前、术后1个月、术后3个月,检测患者角膜地形图表面不对称指数、最佳矫正视力、角膜散光度及表面规则指数。结果与结论:①绷带镜组患者术后2周的角膜创面愈合率高于生物羊膜组(P<0.05),创面愈合时间短于生物羊膜组(P<0.01);②绷带镜组患者术后当天及术后1 d的神经性疼痛程度低于生物羊膜组(P<0.001),两组术后2周的神经性疼痛比较差异无显著性意义(P>0.05);③两组患者术后1,3个月的角膜地形图表面不对称指数、最佳矫正视力、角膜散光度及表面规则指数均较术前明显改善(P<0.05),绷带镜组患者术后1,3个月的角膜散光度、角膜地形图表面不对称指数及表面规则指数均低于生物羊膜组(P<0.05);④术后3个月内,生物羊膜组复发1眼(1.47%),绷带镜组复发3眼(4.05%),组间比较差异无显著性意义(P>0.05);⑤结果表明,与生物羊膜相比,角膜绷带镜修复翼状胬肉手术后角膜创面的效果更佳。 展开更多
关键词 翼状胬肉 生物羊膜 角膜绷带镜 创面修复 神经性疼痛
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Limbal stem cells: Central concepts of corneal epithelial homeostasis 被引量:11
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作者 Jinny J Yoon Salim Ismail Trevor Sherwin 《World Journal of Stem Cells》 SCIE CAS 2014年第4期391-403,共13页
A strong cohort of evidence exists that supports the localisation of corneal stem cells at the limbus. The distinguishing characteristics of limbal cells as stem cells include slow cycling properties, high proliferati... A strong cohort of evidence exists that supports the localisation of corneal stem cells at the limbus. The distinguishing characteristics of limbal cells as stem cells include slow cycling properties, high proliferative potential when required, clonogenicity, absence of differentiation marker expression coupled with positive expression of progenitor markers, multipotency, centripetal migration, requirement for a distinct niche environment and the ability of transplanted limbal cells to regenerate the entire corneal epithelium. The existence of limbal stem cells supports the prevailing theory of corneal homeostasis, known as the XYZ hypothesis where X represents proliferation and stratification of limbal basal cells, Y centripetal migration of basal cells and Z desquamation of superficial cells. To maintain the mass of cornea, the sum of X and Y must equal Z and very elegant cell tracking experiments provide strong evidence in support of this theory. However, several recent stud-ies have suggested the existence of oligopotent stem cells capable of corneal maintenance outside of the limbus. This review presents a summary of data which led to the current concepts of corneal epithelial homeostasis and discusses areas of controversy surrounding the existence of a secondary stem cell reservoir on the corneal 展开更多
关键词 Limbal stem cell corneal EPITHELIUM XYZ HYPOTHESIS corneal HOMEOSTASIS corneal wound repair
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兔角膜后弹力层剥除联合深板层内皮移植术后植片与植床愈合的观察 被引量:4
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作者 夏宁 洪晶 《眼科研究》 CSCD 北大核心 2008年第7期517-521,共5页
目的探讨小切口下兔角膜后弹力层剥除联合深板层内皮移植(DSEK)术后不同时间植片与植床的愈合情况。方法30只新西兰大白兔,供体组10只(20只眼),受体组20只(20只眼),右眼为实验组,行同种异体DSEK手术,左眼为正常对照组。术后裂隙灯定期... 目的探讨小切口下兔角膜后弹力层剥除联合深板层内皮移植(DSEK)术后不同时间植片与植床的愈合情况。方法30只新西兰大白兔,供体组10只(20只眼),受体组20只(20只眼),右眼为实验组,行同种异体DSEK手术,左眼为正常对照组。术后裂隙灯定期观察角膜透明度;应用SL-OCT观察植片与植床的贴附情况及角膜厚度;分别于术后1、2、3、4、8周各取兔4只,制作角膜组织病理学切片,光镜下观察植片与植床的愈合情况。结果实验组中1只眼由于植片严重卷曲未与植床贴附导致角膜持续混浊水肿,其余19只眼全部恢复透明。裂隙灯下见术后第1d角膜水肿严重,以后逐渐减轻,术后4周角膜完全透明。SL-OCT见各个时间点植片与植床均紧密贴附,术后第1d角膜明显增厚,以后逐渐变薄,至第4周角膜恢复到正常的厚度和形态。光镜下组织学观察,术后早期植片与植床界面清晰易辨,胶原纤维间缝隙增宽,排列紊乱。术后4周植片与植床的界面辨认不清,胶原纤维结构和排列基本恢复正常,角膜中央光学区无瘢痕形成。结论DSEK术后,植片与植床能迅速达到无瘢痕的组织学愈合,该愈合对角膜透明度的恢复起重要作用。 展开更多
关键词 角膜移植 创口愈合 组织修复 角膜后弹力层剥除联合深板层内皮移植术
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表皮生长因子对兔眼角膜修复作用的量效关系研究
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作者 唐向辉 和协超 +1 位作者 陈云鹤 纳冬荃 《中国生化药物杂志》 CAS CSCD 1997年第5期241-243,共3页
用角膜表皮刮磨方法人工造成兔眼角膜创伤直径为10mm的圆形创面,分析小鼠表皮生长因子(EGF)对其修复的剂量关系。5个浓度EGF(100、50、20、10和0.5μm/ml)治疗的试验组痊愈时间均比对照组提前,有非常显著的差异(P<0.01),但... 用角膜表皮刮磨方法人工造成兔眼角膜创伤直径为10mm的圆形创面,分析小鼠表皮生长因子(EGF)对其修复的剂量关系。5个浓度EGF(100、50、20、10和0.5μm/ml)治疗的试验组痊愈时间均比对照组提前,有非常显著的差异(P<0.01),但在这5个浓度组之间,痊愈时间无显著性差异。结果表明,小鼠EGF对兔眼角膜损伤有促修复作用,实验所用的5个浓度与修复作用无剂量依赖关系。 展开更多
关键词 表皮生长因子 角膜修复 药理 实验
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眼科疾病中细胞表型转化的研究进展 被引量:1
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作者 韩雪 冯卓蕾 《医学综述》 2020年第15期2924-2929,共6页
细胞表型转化是指在特定条件下细胞从一种细胞类型转变为另一种细胞类型的生理病理过程。细胞表型转化与全身疾病联系密切,而细胞表型转化作为多种眼病的发病机制,近年来受到广泛关注。多种眼部疾病与细胞表型转化相关,包括Fuchs角膜内... 细胞表型转化是指在特定条件下细胞从一种细胞类型转变为另一种细胞类型的生理病理过程。细胞表型转化与全身疾病联系密切,而细胞表型转化作为多种眼病的发病机制,近年来受到广泛关注。多种眼部疾病与细胞表型转化相关,包括Fuchs角膜内皮营养不良、组织创伤修复、白内障及青光眼术后并发症以及新生血管形成等。有多种因子参与细胞表型转化进而参与眼科疾病的调节,明确相关因子及细胞转化类型可为以后的治疗提供新的切入点。 展开更多
关键词 细胞表型转化 Fuchs角膜内皮营养不良 组织创伤修复 术后并发症 新生血管形成
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翼状胬肉切除联合自体角膜缘干细胞移植对创面上皮修复及复发的影响 被引量:4
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作者 于慧娟 《中国继续医学教育》 2016年第22期79-81,共3页
目的观察翼状胬肉切除联合自体角膜缘干细胞移植对创面上皮修复及复发的影响。方法选取我院收治的72例翼状胬肉患者,随机分组,观察组36例(41眼)与对照组36例(44眼),对照组采取翼状胬肉切除术治疗,观察组在对照组基础上联合应用自体角膜... 目的观察翼状胬肉切除联合自体角膜缘干细胞移植对创面上皮修复及复发的影响。方法选取我院收治的72例翼状胬肉患者,随机分组,观察组36例(41眼)与对照组36例(44眼),对照组采取翼状胬肉切除术治疗,观察组在对照组基础上联合应用自体角膜缘干细胞移植术治疗,对比术后创面愈合时间及复发情况。结果观察组创面愈合时间为(2.7±0.8)d,对照组为(4.9±1.3)d,观察组短于对照组,且观察组术后6个月翼状胬肉复发率低于对照组,差异均有统计学意义(P<0.05)。结论翼状胬肉切除联合自体角膜缘干细胞移植术治疗翼状胬肉,可显著缩短创面上皮愈合时间,降低术后复发率,疗效显著。 展开更多
关键词 翼状胬肉切除 自体角膜缘干细胞移植 创面上皮修复
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胸腺肽β_4研究进展 被引量:2
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作者 司信喜 方宏清 陈惠鹏 《生物技术通讯》 CAS 2009年第4期580-583,共4页
β胸腺肽是一个多肽家族,由高度保守的极性氨基酸组成,相对分子质量约5000。研究表明,在绝大多数哺乳动物组织中,胸腺肽β4都是该家族丰度最高的成员。1991年发现胸腺肽β4是人血小板中主要的肌动蛋白隐蔽肽,随后发现它在创伤愈合和血... β胸腺肽是一个多肽家族,由高度保守的极性氨基酸组成,相对分子质量约5000。研究表明,在绝大多数哺乳动物组织中,胸腺肽β4都是该家族丰度最高的成员。1991年发现胸腺肽β4是人血小板中主要的肌动蛋白隐蔽肽,随后发现它在创伤愈合和血管生成、角膜修复、抑制炎症及肿瘤转移等方面具有重要作用。我们简要综述胸腺肽β4的上述作用及临床应用的研究进展。 展开更多
关键词 胸腺肽β4 创伤愈合 炎症反应 角膜修复 肿瘤转移
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细胞生长因子在小动物角膜损伤修复中的作用
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作者 丁一 王琼 +5 位作者 陈建国 程莉莉 吴仪强 熊成 周敏燕 魏嘉 《动物医学进展》 CSCD 北大核心 2010年第8期88-92,共5页
小动物(尤其犬和猫)角膜损伤在兽医临床上十分常见。角膜损伤治疗不当或愈合延迟会导致视力障碍,甚至失明。研究表明,在角膜损伤的修复中细胞生长因子有成纤维细胞生长因子、表皮生长因子、转化生长因子-β、角质细胞生长因子、血小板... 小动物(尤其犬和猫)角膜损伤在兽医临床上十分常见。角膜损伤治疗不当或愈合延迟会导致视力障碍,甚至失明。研究表明,在角膜损伤的修复中细胞生长因子有成纤维细胞生长因子、表皮生长因子、转化生长因子-β、角质细胞生长因子、血小板衍生生长因子和神经生长因子等,起着重要的调节作用。这些细胞生长因子通过自分泌或旁分泌作用于角膜组织细胞相应受体,并经多种信号转导通路影响其下游产物的表达,调控角膜细胞的增殖、迁移、分化和凋亡。细胞生长因子及其受体在角膜组织各层的分布、数量和作用的时序性差异决定着损伤角膜的有效修复。体内及体外研究显示,细胞生长因子将在小动物临床上有广阔的应用前景。 展开更多
关键词 细胞生长因子 角膜损伤修复
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