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使用干细胞进行中风的恢复性治疗。

Restorative therapy in stroke using stem cells.

作者信息

Padma Srivastava M V

机构信息

Department of Neurology, All India Institute of Medical Sciences, New Delhi-110 029, India.

出版信息

Neurol India. 2009 Jul-Aug;57(4):381-6. doi: 10.4103/0028-3886.55582.

Abstract

The nonregenerative capability of the injured adult brain has been challenged in recent years and neural plasticity has been observed experimentally in both global and focal brain ischemia in animal models. Whether neuro-genesis increases in response to brain lesions or stem cells can be used for transplantation are the potential questions to be answered. Functional recovery may occur in a small or a localized brain injury using rehabilitation measures, but for large ischemic strokes, the restoration may require new synaptic connections within and away from the damaged tissue. In an infarcted area, the ischemic core may not respond to any pharmacological or rehabilitative intervention. For these reasons, the prospects of repairing the neuron system, using cell transplantation seems promising and may offer a unique approach for brain repair and restoration of function. On going animal and human trials have greatly helped us to burgeon our hopes on this method of restorative therapy after stroke. The ultimate aim of any therapeutic strategy is the maximum restoration possible and eventual complete normalcy of function.

摘要

近年来,成年大脑损伤后无法再生的观点受到了挑战,并且在动物模型的全脑和局灶性脑缺血实验中均观察到了神经可塑性。神经发生是否会因脑损伤而增加,或者干细胞是否可用于移植,都是有待解答的潜在问题。对于轻度或局部脑损伤,采用康复措施可能会实现功能恢复,但对于大面积缺血性中风,恢复可能需要在受损组织内外建立新的突触连接。在梗死区域,缺血核心可能对任何药物或康复干预均无反应。出于这些原因,利用细胞移植修复神经系统的前景似乎很乐观,并且可能为脑修复和功能恢复提供一种独特的方法。正在进行的动物和人体试验极大地增强了我们对这种中风后恢复性治疗方法的信心。任何治疗策略的最终目标都是尽可能最大程度地恢复功能,并最终实现功能完全正常。

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