综述

间充质干细胞在急性髓系白血病骨髓微环境中的研究进展

  • 万星煜 ,
  • 李楠 ,
  • 刘水清 ,
  • 张曦
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  • 1.陆军军医大学第二附属医院血液病医学中心、血液病与微环境重庆市重点实验室 (重庆 400037 )
    2.金凤实验室 (重庆 401329 )

收稿日期: 2024-10-24

  网络出版日期: 2025-01-26

基金资助

国家自然科学基金项目(82300197);陆军军医大学第二附属医院青年博士人才孵化计划(2022YQB076)

Research advances of mesenchymal stem cells in the bone marrow microenvironment of acute myeloid leukemia

  • Xingyu WAN ,
  • Nan LI ,
  • Shuiqing LIU ,
  • Xi. ZHANG
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  • *.Medical Center of Hematology,Chongqing Key Laboratory of Hematology and Microenvironment,Second Affiliated Hospital of Army Medical University,Chongqing 400037,Chongqing,China

Received date: 2024-10-24

  Online published: 2025-01-26

摘要

急性髓系白血病(acute myeloid leukemia, AML)是一种高度异质性、多基因突变驱动的血液肿瘤,具有发病率高、致死率高的特点。间充质干细胞(mesenchymal stem cells, MSCs)是具有自我更新、多向分化潜能的多能干细胞,是骨髓微环境中的重要细胞成分。研究表明,MSCs通过转移线粒体、传递细胞外囊泡、促进自身成脂分化、分泌促癌蛋白等多种机制促进AML的发生发展。该文就MSCs在AML骨髓微环境中的作用作一综述,为靶向MSCs治疗AML的新策略提供参考。

本文引用格式

万星煜 , 李楠 , 刘水清 , 张曦 . 间充质干细胞在急性髓系白血病骨髓微环境中的研究进展[J]. 实用医学杂志, 2025 , 41(2) : 294 -299 . DOI: 10.3969/j.issn.1006-5725.2025.02.021

Abstract

Acute myeloid leukemia (AML) is a highly heterogeneous hematological malignancy, driven by multiple gene mutations and characterized by high incidence and mortality rates. Mesenchymal stem cells (MSCs), which possess self?renewal and multidirectional differentiation potentials, play crucial roles within the bone marrow microenvironment. Emerging research has demonstrated that MSCs contribute to AML development through various mechanisms, including mitochondrial transfer, transmission of extracellular vesicles, adipogenic differentiation, and secretion of pro?cancer proteins. This review provides a comprehensive summary of the involvement of MSCs in the AML bone marrow microenvironment and offers insights for developing novel therapeutic strategies targeting MSCs in AML treatment.

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