Department of Astrocyte Biology and Neurodegeneration, The Netherlands Institute for Neuroscience, An Institute of the Royal Netherlands Academy of Sciences Amsterdam, Netherlands.
Department of Molecular Cell Biology and Immunology, VU University Medical Center Amsterdam, Netherlands.
Front Neurosci. 2015 Jan 20;8:454. doi: 10.3389/fnins.2014.00454. eCollection 2014.
Multiple sclerosis (MS) is a chronic inflammatory disorder of the central nervous system, leading to severe neurological deficits. Current MS treatment regimens, consist of immunomodulatory agents aiming to reduce the rate of relapses. However, these agents are usually insufficient to treat chronic neurological disability. A promising perspective for future therapy of MS is the regeneration of lesions with replacement of the damaged oligodendrocytes or neurons. Therapies targeting to the enhancement of endogenous remyelination, aim to promote the activation of either the parenchymal oligodendrocyte progenitor cells or the subventricular zone-derived neural stem cells (NSCs). Less studied but highly potent, is the strategy of neuronal regeneration with endogenous NSCs that although being linked to numerous limitations, is anticipated to ameliorate cognitive disability in MS. Focusing on the forebrain, this review highlights the role of NSCs in the regeneration of MS lesions.
多发性硬化症(MS)是一种中枢神经系统的慢性炎症性疾病,可导致严重的神经功能缺损。目前的 MS 治疗方案包括免疫调节药物,旨在降低复发率。然而,这些药物通常不足以治疗慢性神经残疾。MS 未来治疗的一个有希望的方向是通过损伤的少突胶质细胞或神经元的替代来再生病变。针对增强内源性髓鞘形成的治疗方法旨在促进实质少突胶质前体细胞或室下区衍生的神经干细胞(NSC)的激活。研究较少但潜力巨大的是内源性 NSC 的神经元再生策略,尽管它与许多限制有关,但预计可以改善 MS 的认知障碍。本文聚焦于大脑前区,强调了 NSC 在 MS 病变再生中的作用。