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脊髓损伤后干细胞造血刺激因子疗法的应用。

The use of stem cells' hematopoietic stimulating factors therapy following spinal cord injury.

作者信息

Divani Afshin A, Hussain Muhammad S, Magal Ella, Heary Robert F, Qureshi Adnan I

机构信息

Department of Neurology and Neurosciences, UMDNJ, New Jersey Medical School, Zeenat Qureshi Stroke Research Center, Newark, NJ 07103, USA.

出版信息

Ann Biomed Eng. 2007 Oct;35(10):1647-56. doi: 10.1007/s10439-007-9359-x. Epub 2007 Jul 20.

Abstract

Spinal cord injury (SCI) remains one of the most devastating conditions in medicine, particularly due to the loss of productive life years and the high economic burden it places on our society. There are limited therapeutic options available to reduce the morbidity and mortality related to SCI. However, recent work with stem cells in repairing SCI appears to be promising, making this one of the most exciting frontiers in medicine. A brief review of the mechanisms of SCI is presented. Stem cells from a variety of sources have shown effectiveness in improving motor function after SCI in animals. The pre-clinical use of stem cells in SCI and methods of delivery are discussed. The potential use of granulocyte-colony stimulating factor (G-CSF) to increase the number of stem cells engrafting at the site of injury in order to improve neurological and motor function recovery following SCI is introduced. G-CSF, through stimulation of lymphohemopoietic stem cells in peripheral blood, can potentially cause repopulation of the SCI region with neural progenitor cells. This allows for improved functional outcomes. More pre-clinical and translational research exploring this possibility is required.

摘要

脊髓损伤(SCI)仍然是医学上最具毁灭性的病症之一,尤其是因为它导致有生产能力的生命年数减少,以及给社会带来沉重的经济负担。目前,用于降低与脊髓损伤相关的发病率和死亡率的治疗选择有限。然而,最近利用干细胞修复脊髓损伤的研究似乎很有前景,使其成为医学上最令人兴奋的前沿领域之一。本文简要回顾了脊髓损伤的机制。来自多种来源的干细胞已显示出在改善动物脊髓损伤后的运动功能方面的有效性。本文讨论了干细胞在脊髓损伤中的临床前应用及其递送方法。本文还介绍了利用粒细胞集落刺激因子(G-CSF)增加损伤部位植入的干细胞数量,以改善脊髓损伤后神经和运动功能恢复的潜在用途。G-CSF通过刺激外周血中的淋巴细胞造血干细胞,有可能使脊髓损伤区域重新填充神经祖细胞。这有助于改善功能结局。需要更多的临床前和转化研究来探索这种可能性。

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