Yu Diana, Silva Gabriel A
Department of Bioengineering, University of California, San Diego, USA.
Neurosurg Focus. 2008;24(3-4):E11. doi: 10.3171/FOC/2008/24/3-4/E10.
In the past decades, stem cell biology has made a profound impact on our views of mammalian development as well as opened new avenues in regenerative medicine. The potential of stem cells to differentiate into various cell types of the body is the principal reason they are being explored in treatments for diseases in which there may be dysfunctional cells and/or loss of healthy cells due to disease. In addition, other properties are unique to stem cells; their endogenous trophic support, ability to home to sites of pathological entities, and stability in culture, which allows genetic manipulation, are also being utilized to formulate stem cell-based therapy for central nervous system (CNS) disorders. In this review, the authors will review key characteristics of embryonic and somatic (adult) stem cells, consider therapeutic strategies employed in stem cell therapy, and discuss the recent advances made in stem cell-based therapy for a number of progressive neurodegenerative diseases in the CNS as well as neuronal degeneration secondary to other abnormalities and injuries. Although a great deal of progress has been made in our knowledge of stem cells and their utility in treating CNS disorders, much still needs to be elucidated regarding the biology of the stem cells and the pathogenesis of targeted CNS diseases to maximize therapeutic benefits. Nonetheless, stem cells present tremendous promise in the treatment of a variety of neurodegenerative diseases.
在过去几十年中,干细胞生物学对我们对哺乳动物发育的认识产生了深远影响,同时也为再生医学开辟了新途径。干细胞能够分化为身体的各种细胞类型,这是它们被用于探索治疗因疾病导致细胞功能失调和/或健康细胞丧失的疾病的主要原因。此外,干细胞还有其他独特特性;它们的内源性营养支持、归巢至病理实体部位的能力以及在培养中的稳定性(这使得基因操作成为可能),也正被用于制定针对中枢神经系统(CNS)疾病的干细胞疗法。在这篇综述中,作者将回顾胚胎干细胞和成体(体细胞)干细胞的关键特性,探讨干细胞治疗中所采用的治疗策略,并讨论基于干细胞的疗法在治疗多种中枢神经系统进行性神经退行性疾病以及继发于其他异常和损伤的神经元变性方面取得的最新进展。尽管我们在干细胞知识及其在治疗中枢神经系统疾病中的应用方面已经取得了很大进展,但关于干细胞生物学以及靶向中枢神经系统疾病的发病机制仍有许多需要阐明之处,以便最大限度地提高治疗效果。尽管如此,干细胞在治疗多种神经退行性疾病方面展现出了巨大的前景。