Li Yingchen, Hu Guoheng, Cheng Qilai
Post-Graduate School, Hunan University of Traditional Chinese Medicine, Changsha, 410208, China.
Front Med. 2015 Mar;9(1):20-9. doi: 10.1007/s11684-014-0371-x. Epub 2014 Dec 9.
Ischemic stroke is a focal cerebral insult that often leads to many adverse neurological complications severely affecting the quality of life. The prevalence of stroke is increasing throughout the world, while the efficacy of current pharmacological therapies remains unclear. As a neuroregenerative therapy, the implantation of human umbilical cord mesenchymal stem cells (hUC-MSCs) has shown great possibility to restore function after stroke. This review article provides an update role of hUC-MSCs implantation in the treatment of ischemic stroke. With the unique "immunosuppressive and immunoprivilege" property, hUC-MSCs are advised to be an important candidate for allogeneic cell treatment. Nevertheless, most of the treatments are still at primary stage and not clinically feasible at the current time. Several uncertain problems, such as culture conditions, allograft rejection, and potential tumorigenicity, are the choke points in this cellular therapy. More preclinical researches and clinical studies are needed before hUC-MSCs implantation can be used as a routinely applied clinical therapy.
缺血性中风是一种局灶性脑损伤,常导致许多严重影响生活质量的不良神经并发症。中风在全球的患病率正在上升,而目前药物治疗的疗效仍不明确。作为一种神经再生疗法,人脐带间充质干细胞(hUC-MSCs)植入已显示出中风后恢复功能的巨大潜力。这篇综述文章提供了hUC-MSCs植入在缺血性中风治疗中的最新作用。凭借独特的“免疫抑制和免疫特惠”特性,hUC-MSCs被认为是同种异体细胞治疗的重要候选者。然而,大多数治疗仍处于初级阶段,目前在临床上不可行。一些不确定的问题,如培养条件、同种异体移植排斥和潜在的致瘤性,是这种细胞治疗的关键点。在hUC-MSCs植入能够作为常规应用的临床治疗方法之前,还需要更多的临床前研究和临床研究。