The Current Status of Stem-Cell Therapy in Erectile Dysfunction: A Review

被引:35
作者
Reed-Maldonado, Amanda B. [1 ]
Lue, Tom F. [1 ]
机构
[1] Univ Calif San Francisco, Dept Urol, San Francisco, CA 94143 USA
关键词
Erectile dysfunction; Stem cells; CAVERNOUS NERVE INJURY; AMYOTROPHIC-LATERAL-SCLEROSIS; INTENSITY PULSED ULTRASOUND; MESENCHYMAL STROMAL CELLS; VERSUS-HOST-DISEASE; SHOCK-WAVE THERAPY; RAT MODEL; RADICAL PROSTATECTOMY; PERIPROSTATIC IMPLANTATION; INTRACAVERNOSAL INJECTION;
D O I
10.5534/wjmh.2016.34.3.155
中图分类号
R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
摘要
Stem cells are undifferentiated cells that are capable of renewal and repair of tissue due to their capacity for division and differentiation. The purpose of this review is to describe recent advances in the use of stem cell (SC) therapy for male erectile dysfunction (ED). We performed a MEDLINE database search of all relevant articles regarding the use of SCs for ED. We present a concise summary of the scientific principles behind the usage of SC for ED. We discuss the different types of SCs, delivery methods, current pre-clinical literature, and published clinical trials. Four clinical trials employing SC for ED have been published. These articles are summarized in this review. All four report improvements in ED after SC therapy. SC therapy remains under investigation for the treatment of ED. It is reassuring that clinical trials thus far have reported positive effects on erectile function and few adverse events. Safety and methodical concerns about SC acquisition, preparation and delivery remain and require continued investigation prior to wide-spread application of these methods.
引用
收藏
页码:155 / 164
页数:10
相关论文
共 78 条
[21]   Penile rehabilitation after radical prostatectomy: what the evidence really says [J].
Fode, Mikkel ;
Ohl, Dana A. ;
Ralph, David ;
Sonksen, Jens .
BJU INTERNATIONAL, 2013, 112 (07) :998-1008
[22]   Anatomy, Physiology, and Pathophysiology of Erectile Dysfunction [J].
Gratzke, Christian ;
Angulo, Javier ;
Chitaley, Kanchan ;
Dai, Yu-tian ;
Kim, Noel N. ;
Paick, Jaw-Seung ;
Simonsen, Ulf ;
Ueckert, Stefan ;
Wespes, Eric ;
Andersson, Karl E. ;
Lue, Tom F. ;
Stief, Christian G. .
JOURNAL OF SEXUAL MEDICINE, 2010, 7 (01) :445-475
[23]   Safety and Potential Effect of a Single Intracavernous Injection of Autologous Adipose-Derived Regenerative Cells in Patients with Erectile Dysfunction Following Radical Prostatectomy: An Open-Label Phase I Clinical Trial [J].
Haahr, Martha Kirstine ;
Jensen, Charlotte Harken ;
Toyserkani, Navid Mohamadpour ;
Andersen, Ditte Caroline ;
Damkier, Per ;
Sorensen, Jens Ahm ;
Lund, Lars ;
Sheikh, Soren Paludan .
EBIOMEDICINE, 2016, 5 :204-210
[24]   EAU Guidelines on Penile Curvature [J].
Hatzimouratidis, Konstantinos ;
Eardley, Ian ;
Giuliano, Francois ;
Hatzichristou, Dimitrios ;
Moncada, Ignacio ;
Salonia, Andrea ;
Vardi, Yoram ;
Wespes, Eric .
EUROPEAN UROLOGY, 2012, 62 (03) :543-552
[25]   The Effect of Intracavernous Injection of Adipose Tissue-Derived Stem Cells on Hyperlipidemia-Associated Erectile Dysfunction in a Rat Model [J].
Huang, Yun-Ching ;
Ning, Hongxiu ;
Shindel, Alan W. ;
Fandel, Thomas M. ;
Lin, Guiting ;
Harraz, Ahmed M. ;
Lue, Tom F. ;
Lin, Ching-Shwun .
JOURNAL OF SEXUAL MEDICINE, 2010, 7 (04) :1391-1400
[26]   Histological alterations in cavernous tissue after radical prostatectomy [J].
Iacono, F ;
Giannella, R ;
Somma, P ;
Manno, G ;
Fusco, F ;
Mirone, V .
JOURNAL OF UROLOGY, 2005, 173 (05) :1673-1676
[27]   Embryonic stem cell differentiation: emergence of a new era in biology and medicine [J].
Keller, G .
GENES & DEVELOPMENT, 2005, 19 (10) :1129-1155
[28]   Transplantation of Nonhematopoietic Adult Bone Marrow Stem/Progenitor Cells Isolated by p75 Nerve Growth Factor Receptor Into the Penis Rescues Erectile Function in a Rat Model of Cavernous Nerve Injury [J].
Kendirci, Muammer ;
Trost, Landon ;
Bakondi, Benjamin ;
Whitney, Mandolin J. ;
Hellstrom, Wayne J. G. ;
Spees, Jeffrey L. .
JOURNAL OF UROLOGY, 2010, 184 (04) :1560-1566
[29]   Mesenchymal Stem Cell Therapy for the Treatment of Erectile Dysfunction [J].
Khera, Mohit ;
Albersen, Maarten ;
Mulhall, John P. .
JOURNAL OF SEXUAL MEDICINE, 2015, 12 (05) :1105-1106
[30]   Primer and Interviews: The Dynamic Stem Cell Niche [J].
Kiefer, Julie C. .
DEVELOPMENTAL DYNAMICS, 2011, 240 (03) :737-743