Bali Parul, Lahiri Debomoy K, Banik Avijit, Nehru Bimla, Anand Akshay
Neuroscience Research Lab, Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Curr Alzheimer Res. 2017;14(2):208-220. doi: 10.2174/1567205013666160314145347.
Alzheimer's disease (AD) is one of the most common causes of dementia. Despite several decades of research in AD, there is no standard disease- modifying therapy available and currentlyapproved drugs provide only symptomatic relief. Stem cells hold immense potential to regenerate damaged tissues and are currently tested in some brain-related disorders, such as AD, amyotrophic lateral sclerosis (ALS) and Parkinson's disease (PD). We review stem cell transplantation studies using preclinical and clinical tools. We describe different sources of stem cells used in various animal models and explaining the putative molecular mechanisms that can rescue neurodegenerative disorders. The clinical studies suggest safety, efficacy and translational potential of stem cell therapy. The therapeutic outcome of stem cell transplantation has been promising in many studies, but no unifying hypothesis can convincingly explain the underlying mechanism. Some studies have reported paracrine effects exerted by these stem cells via the release of neurotrophic factors, while other studies describe the immunomodulatory effects exerted by the transplanted cells. There are also reports which indicate that stem cell transplantation might result in endogenous cell proliferation or replacement of diseased cells. In animal models of AD, stem cell transplantation is also believed to increase expression of synaptic proteins.
阿尔茨海默病(AD)是痴呆最常见的病因之一。尽管对AD进行了数十年的研究,但尚无标准的疾病修饰疗法,目前获批的药物仅能缓解症状。干细胞具有再生受损组织的巨大潜力,目前正在一些与脑相关的疾病中进行测试,如AD、肌萎缩侧索硬化症(ALS)和帕金森病(PD)。我们使用临床前和临床工具对干细胞移植研究进行综述。我们描述了在各种动物模型中使用的不同干细胞来源,并解释了可能拯救神经退行性疾病的分子机制。临床研究表明了干细胞疗法的安全性、有效性和转化潜力。在许多研究中,干细胞移植的治疗效果很有前景,但没有一个统一的假说能够令人信服地解释其潜在机制。一些研究报告了这些干细胞通过释放神经营养因子发挥旁分泌作用,而其他研究则描述了移植细胞发挥的免疫调节作用。也有报告表明干细胞移植可能导致内源性细胞增殖或患病细胞的替代。在AD动物模型中,干细胞移植也被认为会增加突触蛋白的表达。