Liu Yi Ping, Lang Bradley T, Baskaya Mustafa K, Dempsey Robert J, Vemuganti Raghu
Department of Neurological Surgery, University of Wisconsin, K4/8 Mail code CSC 8660, 600 Highland Ave, Madison, WI, 53792, USA.
Acta Neuropathol. 2009 May;117(5):469-80. doi: 10.1007/s00401-009-0516-1. Epub 2009 Mar 13.
Acute injuries to CNS such as stroke induce neural progenitor proliferation in adult brain which might be an endogenous attempt to self-repair. This process is known to be altered by several exogenous and endogenous modulators including growth factors that could help to reinforce the post-stroke neurogenesis. Increasing the neurogenesis may be a future therapeutic option to decrease the cognitive and behavioral deficits following stroke. In addition, transplantation of various types of stem cells into the injured brain is currently thought to be an exciting option to replace the neurons lost in the post-ischemic brain. These include immortalized stem cell lines, neural progenitors prepared from embryonic and adult animals and mesenchymal stem cells. Using exogenous stem cells in addition to modulating endogenous neurogenesis, we may be able to repair the injured brain after a devastating stroke. This article reviewed the current literature of these two issues.
中枢神经系统的急性损伤,如中风,会诱导成人大脑中神经祖细胞增殖,这可能是一种内源性的自我修复尝试。已知这一过程会受到多种外源性和内源性调节因子的影响,包括生长因子,这些生长因子可能有助于增强中风后的神经发生。增加神经发生可能是未来减少中风后认知和行为缺陷的一种治疗选择。此外,目前认为将各种类型的干细胞移植到受损大脑中是一种令人兴奋的选择,可以替代缺血后大脑中丢失的神经元。这些包括永生化干细胞系、从胚胎和成年动物制备的神经祖细胞以及间充质干细胞。除了调节内源性神经发生外,使用外源性干细胞,我们或许能够修复严重中风后的受损大脑。本文综述了关于这两个问题的当前文献。