Center of Excellence for Aging and Brain Repair, Department of Neurosurgery and Brain Repair, University of South Florida, Tampa, FL 33612, USA.
Br Med Bull. 2012;101(1):163-81. doi: 10.1093/bmb/lds001. Epub 2012 Feb 21.
Introduction Neurological disorders are routinely characterized by loss of cells in response to an injury or a progressive insult. Stem cells could therefore be useful to treat these disorders. Sources of data Pubmed searches of recent literature. Areas of agreement Stem cells exhibit proliferative capacity making them ideally suited for replacing dying cells. However, instead of cell replacement therapy stem cell transplants frequently appear to work via neurotrophic factor release, immunomodulation and upregulation of endogenous stem cells. Areas of controversy and areas timely for developing research Many questions remain with respect to the use of stem cells as a therapy, the answers to which will vary depending on the disorder to be treated and mode of action. Whereas the potential tumorigenic capability of stem cells is a concern, most studies do not support this notion. Further determination of the optimal cell type, and whether to perform allogeneic or autologous transplants warrant investigation before the full potential of stem cells can be realized. In addition, the use of stem cells to develop disease models should not be overlooked.
介绍
神经系统疾病通常表现为细胞因损伤或进行性损伤而死亡。因此,干细胞可能对治疗这些疾病有用。
数据来源
对近期文献的 Pubmed 检索。
意见一致
干细胞具有增殖能力,非常适合替代死亡细胞。然而,干细胞移植似乎更经常通过神经营养因子释放、免疫调节和上调内源性干细胞来发挥作用,而不是细胞替代疗法。
争议和需要研究的领域
对于将干细胞用作治疗方法,仍有许多问题有待解决,答案将因待治疗的疾病和作用模式而异。虽然干细胞的潜在致瘤能力是一个问题,但大多数研究并不支持这一观点。在充分发挥干细胞的潜力之前,还需要进一步确定最佳的细胞类型,以及是否进行同种异体或自体移植。此外,不应忽视使用干细胞来开发疾病模型。