Department of Neurology, Vanderbilt Kennedy Center, Vanderbilt Center for Stem Cell Biology, Vanderbilt Brain Institute, Vanderbilt University School of Medicine, Nashville, TN 37232, USA.
Exp Biol Med (Maywood). 2013 Mar;238(3):308-14. doi: 10.1177/1535370213480713.
Disorders of the brain and spinal cord are common worldwide problems but have remained very difficult to treat. As a group they have diverse etiologies and can be due to trauma, infection, tumors, genetic mutations and environmental insults. Though distinct in etiology, neurological disorders share an overall intractability as current therapies are largely limited to treatment of symptoms. Improved outcomes are further constrained by the minimal endogenous capacity of the brain and spinal cord for repair. Spectacular recent scientific advances, however, suggest that new stem cell-based approaches may change this undesirable situation. In this review, I will broadly outline the challenges of studying and treating disorders of the brain and spinal cord. I will review ongoing attempts to use stem cell-based therapies to both model and treat neurological disorders. While this field is in its infancy, expected advances and needed breakthroughs point to a future where patient-derived stem cells will be the basis for the emerging discipline of regenerative neurology.
脑和脊髓疾病是全球性的常见问题,但一直很难治疗。它们种类繁多,病因各异,可能由创伤、感染、肿瘤、基因突变和环境损伤等引起。尽管病因不同,但神经疾病的总体难治性相似,因为目前的治疗方法主要局限于症状治疗。由于大脑和脊髓的内源性修复能力有限,因此改善治疗效果受到进一步限制。然而,最近的科学进展表明,新的基于干细胞的方法可能会改变这种不理想的情况。在这篇综述中,我将广泛概述研究和治疗脑和脊髓疾病的挑战。我将回顾目前利用基于干细胞的疗法来模拟和治疗神经疾病的尝试。虽然这个领域还处于起步阶段,但预期的进展和需要的突破表明,未来患者来源的干细胞将成为再生神经科学这一新兴学科的基础。