Department of Neurosurgery and Brain Repair, University of South Florida College of Medicine, 12901 Bruce B. Downs Blvd., Tampa, FL, USA.
Neurosci Biobehav Rev. 2012 Jan;36(1):177-90. doi: 10.1016/j.neubiorev.2011.05.010. Epub 2011 May 27.
Cerebrovascular diseases are the third leading cause of death and the primary cause of long-term disability in the United States. The only approved therapy for stroke is tPA, strongly limited by the short therapeutic window and hemorrhagic complications, therefore excluding most patients from its benefits. Parkinson's and Huntington's disease are the other two most studied basal ganglia diseases and, as stroke, have very limited treatment options. Inflammation is a key feature in central nervous system disorders and it plays a dual role, either improving injury in early phases or impairing neural survival at later stages. Stem cells can be opportunely used to modulate inflammation, abrogate cell death and, therefore, preserve neural function. We here discuss the role of stem cells as restorative treatments for basal ganglia disorders, including Parkinson's disease, Huntington's disease and stroke, with special emphasis to the recently investigated menstrual blood stem cells. We highlight the availability, proliferative capacity, pluripotentiality and angiogenic features of these cells and explore their present and future experimental and clinical applications.
脑血管疾病是美国的第三大致死原因和主要长期致残原因。中风唯一获批的治疗方法是 tPA,但它受到治疗窗口短和出血并发症的严重限制,因此将大多数患者排除在其受益范围之外。帕金森病和亨廷顿病是另外两种研究最多的基底神经节疾病,与中风一样,治疗选择非常有限。炎症是中枢神经系统疾病的一个关键特征,它具有双重作用,既能在早期改善损伤,也能在后期损害神经存活。干细胞可被适时用于调节炎症、阻止细胞死亡,从而保护神经功能。我们在这里讨论了干细胞作为基底神经节疾病(包括帕金森病、亨廷顿病和中风)的修复治疗方法,特别强调了最近研究的月经血干细胞。我们强调了这些细胞的可用性、增殖能力、多能性和血管生成特性,并探讨了它们目前和未来的实验和临床应用。