Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China.
Neurosci Bull. 2011 Apr;27(2):107-14. doi: 10.1007/s12264-011-1147-9.
Neurodegenerative diseases, including Parkinson's disease, Alzheimer's disease and Amyotrophic Lateral Sclerosis, are characterized by idiopathic neuron loss in different regions of the central nervous system, which contributes to the relevant dysfunctions in the patients. The application of cell replacement therapy using human embryonic stem (hES) cells, though having attracted much attention, has been hampered by the intrinsic ethical problems. It has been demonstrated that adult somatic cells can be reprogrammed into the embryonic state, called induced pluripotent stem (iPS) cells. It is soon realized that iPS cells may be an alternative source for cell replacement therapy, because it raises no ethical problems and using patient-specific iPS cells for autologous transplantation will not lead to immunological rejection. What's more, certain types of neurons derived from patient-specific iPS cells may display disease-relevant phenotypes. Thus, patient-specific iPS cells can provide a unique opportunity to directly investigate the pathological properties of relevant neural cells in individual patient, and to study the vulnerability of neural cells to pathogenic factors in vitro, which may help reveal the pathogenesis of many neurodegenerative diseases. In this review, the recent development in cellular treatment of neurodegenerative diseases using iPS cells was summarized, and the potential value of iPS cells in the modeling of neurodegenerative disease was discussed.
神经退行性疾病,包括帕金森病、阿尔茨海默病和肌萎缩性侧索硬化症,其特征是中枢神经系统不同区域的特发性神经元丧失,这导致了患者的相关功能障碍。使用人胚胎干细胞(hES)进行细胞替代治疗的应用虽然引起了广泛关注,但受到内在伦理问题的阻碍。已经证明,成体细胞可以被重编程为胚胎状态,称为诱导多能干细胞(iPS)细胞。人们很快意识到,iPS 细胞可能是细胞替代治疗的另一种来源,因为它不会引起伦理问题,并且使用患者特异性 iPS 细胞进行自体移植不会导致免疫排斥。更重要的是,源自患者特异性 iPS 细胞的某些类型的神经元可能表现出与疾病相关的表型。因此,患者特异性 iPS 细胞为直接研究个体患者中相关神经细胞的病理特性以及在体外研究神经细胞对致病因素的易感性提供了独特的机会,这可能有助于揭示许多神经退行性疾病的发病机制。本文总结了使用 iPS 细胞治疗神经退行性疾病的细胞治疗的最新进展,并讨论了 iPS 细胞在神经退行性疾病模型中的潜在价值。