Stem cell therapy for voiding and erectile dysfunction

作者:Vaegler Martin; Lenis Andrew T; Daum Lisa; Amend Bastian; Stenzl Arnulf; Toomey Patricia; Renninger Markus; Damaser Margot S; Sievert Karl Dietrich*
来源:Nature Reviews Urology, 2012, 9(8): 435-447.
DOI:10.1038/nrurol.2012.111

摘要

Voiding dysfunction comprises a variety of disorders, including stress urinary incontinence and overactive bladder, and affects millions of men and women worldwide. Erectile dysED) also decreases quality of life for millions of men, as well as for their partners. Advanced age and diabetes are common comorbidities that can exacerbate and negatively impact upon the development of these disorders. Therapies that target the pathophysiology of these conditions to halt progression are not currently available. However, stem cell therapy could fill this therapeutic void. Stem cells can reduce inflammation, prevent fibrosis, promote angiogenesis, recruit endogenous progenitor cells, and differentiate to replace damaged cells. Adult multipotent stem cell therapy, in particular, has shown promise in case reports and preclinical animal studies. Stem cells also have a role in urological tissue engineering for ex vivo construction of bladder wall and urethral tissue (using a patient%26apos;s own cells) prior to transplantation. More recent studies have focused on bioactive factor secretion and homing of stem cells. In the future, clinicians are likely to utilize allogeneic stem cell sources, intravenous systemic delivery, and ex vivo cell enhancement to treat voiding dysfunction and ED.

  • 出版日期2012-8