Gutiérrez-Fernández María, Rodríguez-Frutos Berta, Otero-Ortega Laura, Ramos-Cejudo Jaime, Fuentes Blanca, Díez-Tejedor Exuperio
Neuroscience and Cerebrovascular Research Laboratory, Department of Neurology and Stroke Centre, La Paz University Hospital, Neuroscience Area of IdiPAZ, Autonoma University of Madrid, Madrid 28046, Spain.
Discov Med. 2013 Aug;16(86):37-43.
More recently, growing interests have brought cell therapy to the forefront of promising new approaches towards efficacious treatment for stroke. Of all cell-types, adipose tissue-derived mesenchymal stem cells (AD-MSC) are considered good candidates for stroke treatment because of their abundance and easy harvesting without invasive surgery from healthy donors. A wide number of experimental studies have demonstrated the potential of AD-MSC administration for improving functional deficits and have led to the first clinical trials in stroke patients. Trophic factor release and paracrine interactions, transdifferentiation potential, and immunomodulatory effects have all been cited as the main functional mechanisms involved in AD-MSC therapy. These properties make AD-MSC therapy of special interest in fomenting the enhancement of natural brain repair mechanisms such as neurogenesis, gliagenesis, oligodendrogenesis, axonal sprouting, nerve repair, and angiogenesis. This review will focus on studies showing promising results of AD-MSC in stroke treatment.
最近,越来越多的关注使细胞疗法成为治疗中风有效新方法的前沿领域。在所有细胞类型中,脂肪组织来源的间充质干细胞(AD-MSC)被认为是中风治疗的良好候选者,因为它们数量丰富,且无需对健康供体进行侵入性手术即可轻松获取。大量实验研究已证明给予AD-MSC可改善功能缺损,并促成了针对中风患者的首批临床试验。营养因子释放和旁分泌相互作用、转分化潜能以及免疫调节作用都被认为是AD-MSC治疗所涉及的主要功能机制。这些特性使得AD-MSC疗法在促进自然脑修复机制(如神经发生、胶质细胞生成、少突胶质细胞生成、轴突发芽、神经修复和血管生成)增强方面特别受关注。本综述将聚焦于显示AD-MSC在中风治疗中取得有前景结果的研究。