Földes Anna, Kádár Kristóf, Kerémi Beáta, Zsembery Ákos, Gyires Klára, S Zádori Zoltán, Varga Gábor
Departments of Oral Biology, Semmelweis University, Budapest, Hungary.
Curr Neuropharmacol. 2016;14(8):914-934. doi: 10.2174/1570159x14666160121115210.
Alzheimer's disease, Parkinson's disease, traumatic brain and spinal cord injury and neuroinflammatory multiple sclerosis are diverse disorders of the central nervous system. However, they are all characterized by various levels of inappropriate inflammatory/immune response along with tissue destruction. In the gastrointestinal system, inflammatory bowel disease (IBD) is also a consequence of tissue destruction resulting from an uncontrolled inflammation. Interestingly, there are many similarities in the immunopathomechanisms of these CNS disorders and the various forms of IBD. Since it is very hard or impossible to cure them by conventional manner, novel therapeutic approaches such as the use of mesenchymal stem cells, are needed. Mesenchymal stem cells have already been isolated from various tissues including the dental pulp and periodontal ligament. Such cells possess transdifferentiating capabilities for different tissue specific cells to serve as new building blocks for regeneration. But more importantly, they are also potent immunomodulators inhibiting proinflammatory processes and stimulating anti-inflammatory mechanisms. The present review was prepared to compare the immunopathomechanisms of the above mentioned neurodegenerative, neurotraumatic and neuroinflammatory diseases with IBD. Additionally, we considered the potential use of mesenchymal stem cells, especially those from dental origin to treat such disorders. We conceive that such efforts will yield considerable advance in treatment options for central and peripheral disorders related to inflammatory degeneration.
阿尔茨海默病、帕金森病、创伤性脑和脊髓损伤以及神经炎性多发性硬化症是中枢神经系统的多种疾病。然而,它们都具有不同程度的不适当炎症/免疫反应以及组织破坏的特征。在胃肠系统中,炎症性肠病(IBD)也是由不受控制的炎症导致组织破坏的结果。有趣的是,这些中枢神经系统疾病和各种形式的IBD的免疫发病机制有许多相似之处。由于用传统方法很难或无法治愈它们,因此需要新的治疗方法,如使用间充质干细胞。间充质干细胞已经从包括牙髓和牙周韧带在内的各种组织中分离出来。这些细胞具有向不同组织特异性细胞转分化的能力,可作为再生的新构建块。但更重要的是,它们也是强大的免疫调节剂,能够抑制促炎过程并刺激抗炎机制。本综述旨在比较上述神经退行性、神经创伤性和神经炎性疾病与IBD的免疫发病机制。此外,我们还考虑了间充质干细胞,特别是源自牙齿的间充质干细胞在治疗这些疾病方面的潜在用途。我们认为,这些努力将在与炎症性退变相关的中枢和外周疾病的治疗选择方面取得相当大的进展。