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北京石油化工学院2026年研究生招生接收调剂公告
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modestmonkey

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[资源] 《柳叶刀》最新牛文 世界首例干细胞复合生物人工纳米气管支气管移植

《lancet》11月24日牛文:世界首例干细胞复合生物人工纳米气管支气管移植

Tracheobronchial transplantation with a stem-cell-seeded bioartificial nanocomposite: a proof-of-concept study

Summary
Background
Tracheal tumours can be surgically resected but most are an inoperable size at the time of diagnosis; therefore, new therapeutic options are needed. We report the clinical transplantation of the tracheobronchial airway with a stem-cell-seeded bioartificial nanocomposite.
Methods
A 36-year-old male patient, previously treated with debulking surgery and radiation therapy, presented with recurrent primary cancer of the distal trachea and main bronchi. After complete tumour resection, the airway was replaced with a tailored bioartificial nanocomposite previously seeded with autologous bone-marrow mononuclear cells via a bioreactor for 36 h. Postoperative granulocyte colony-stimulating factor filgrastim (10 μg/kg) and epoetin beta (40 000 UI) were given over 14 days. We undertook flow cytometry, scanning electron microscopy, confocal microscopy epigenetics, multiplex, miRNA, and gene expression analyses.
Findings
We noted an extracellular matrix-like coating and proliferating cells including a CD105+ subpopulation in the scaffold after the reseeding and bioreactor process. There were no major complications, and the patient was asymptomatic and tumour free 5 months after transplantation. The bioartificial nanocomposite has patent anastomoses, lined with a vascularised neomucosa, and was partly covered by nearly healthy epithelium. Postoperatively, we detected a mobilisation of peripheral cells displaying increased mesenchymal stromal cell phenotype, and upregulation of epoetin receptors, antiapoptotic genes, and miR-34 and miR-449 biomarkers. These findings, together with increased levels of regenerative-associated plasma factors, strongly suggest stem-cell homing and cell-mediated wound repair, extracellular matrix remodelling, and neovascularisation of the graft.
Interpretation
Tailor-made bioartificial scaffolds can be used to replace complex airway defects. The bioreactor reseeding process and pharmacological-induced site-specific and graft-specific regeneration and tissue protection are key factors for successful clinical outcome.
Funding
European Commission, Knut and Alice Wallenberg Foundation, Swedish Research Council, StratRegen, Vinnova Foundation, Radiumhemmet, Clinigene EU Network of Excellence, Swedish Cancer Society, Centre for Biosciences (The Live Cell imaging Unit), and UCL Business.

原文链接:http://www.thelancet.com/journal ... 11)61715-7/fulltext
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_呱呱_

铁杆木虫 (正式写手)


★★★★★ 五星级,优秀推荐

好东东,顶一下。
楼主能不能给个下载啊,我们学校没买这本杂志呢。。
2楼2011-11-29 12:22:22
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zhmgeneral

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★★★★★ 五星级,优秀推荐

不错不错,LZ跟踪新文章的能力很强~赞
4楼2011-11-30 12:57:12
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zoujie

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★★★★★ 五星级,优秀推荐

组织工程的一大进步啊!!
5楼2011-11-30 16:15:21
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leabi511

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无下载啊。。
6楼2011-12-25 02:26:55
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简单回复
2011-11-30 10:50   回复  
五星好评  谢谢分享
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