Department of Cell Therapy and Regenerative Medicine, Andalusian Center for Molecular Biology and Regenerative Medicine (CABIMER), 41092 Seville, Spain.
Neural Plast. 2011;2011:384216. doi: 10.1155/2011/384216. Epub 2011 Jun 20.
Numerous neurological disorders are caused by a dysfunction of the GABAergic system that impairs or either stimulates its inhibitory action over its neuronal targets. Pharmacological drugs have generally been proved very effective in restoring its normal function, but their lack of any sort of spatial or cell type specificity has created some limitations in their use. In the last decades, cell-based therapies using GABAergic neuronal grafts have emerged as a promising treatment, since they may restore the lost equilibrium by cellular replacement of the missing/altered inhibitory neurons or modulating the hyperactive excitatory system. In particular, the discovery that embryonic ganglionic eminence-derived GABAergic precursors are able to disperse and integrate in large areas of the host tissue after grafting has provided a strong rationale for exploiting their use for the treatment of diseased brains. GABAergic neuronal transplantation not only is efficacious to restore normal GABAergic activities but can also trigger or sustain high neuronal plasticity by promoting the general reorganization of local neuronal circuits adding new synaptic connections. These results cast new light on dynamics and plasticity of adult neuronal assemblies and their associated functions disclosing new therapeutic opportunities for the near future.
许多神经紊乱是由于 GABA 能系统功能障碍引起的,这会损害或刺激其对神经元靶标的抑制作用。药物在恢复其正常功能方面通常被证明非常有效,但由于缺乏任何类型的空间或细胞类型特异性,它们的应用受到了一些限制。在过去的几十年中,使用 GABA 能神经元移植的基于细胞的治疗方法已经成为一种有前途的治疗方法,因为它们可以通过细胞替代缺失/改变的抑制性神经元或调节过度活跃的兴奋性系统来恢复失去的平衡。特别是,发现胚胎神经节隆起衍生的 GABA 能前体细胞在移植后能够在宿主组织的大片区域中分散和整合,这为利用它们治疗患病大脑提供了强有力的依据。GABA 能神经元移植不仅能有效地恢复正常的 GABA 能活性,还能通过促进局部神经元回路的整体重组,增加新的突触连接,触发或维持高神经元可塑性。这些结果为成年神经元组合的动力学和可塑性提供了新的认识,并为不久的将来揭示了新的治疗机会。