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干细胞疗法:阿尔茨海默病的一种前瞻性治疗方法。

Stem Cell Therapy: A Prospective Treatment for Alzheimer's Disease.

作者信息

Lee Ji Han, Oh Il-Hoan, Lim Hyun Kook

机构信息

Washington University in St. Louis, St. Louis, MO, USA.

The Catholic High-Performance Cell Therapy Center & Department of Medical Lifescience, The Catholic University of Korea, Seoul, Republic of Korea.

出版信息

Psychiatry Investig. 2016 Nov;13(6):583-589. doi: 10.4306/pi.2016.13.6.583. Epub 2016 Nov 24.

Abstract

Alzheimer's disease (AD) without cure remains as a serious health issue in the modern society. The major neuropathological alterations in AD are characterized by chronic neuroinflammation and neuronal loss due to neurofibrillary tangles (NFTs) of abnormally hyperphosphorylated tau, plaques of β-amyloid (Aβ) and various metabolic dysfunctions. Due to the multifaceted nature of AD pathology and our limited understanding on its etiology, AD is difficult to be treated with currently available pharmaceuticals. This unmet need, however, could be met with stem cell technology that can be engineered to replace neuronal loss in AD patients. Although stem cell therapy for AD is only in its development stages, it has vast potential uses ranging from replacement therapy to disease modelling and drug development. Current progress with stem cells in animal model studies offers promising results for the new prospective treatment for AD. This review will discuss the characteristics of AD, current progress in stem cell therapy and remaining challenges and promises in its development.

摘要

阿尔茨海默病(AD)无法治愈,仍然是现代社会中一个严重的健康问题。AD的主要神经病理学改变的特征是慢性神经炎症以及由于异常过度磷酸化的tau蛋白形成神经原纤维缠结(NFTs)、β-淀粉样蛋白(Aβ)斑块和各种代谢功能障碍导致的神经元丧失。由于AD病理学的多面性以及我们对其病因的有限理解,AD很难用目前可用的药物进行治疗。然而,这种未满足的需求可以通过干细胞技术来满足,该技术可以被设计用于替代AD患者的神经元丧失。尽管用于AD的干细胞疗法仍处于发展阶段,但它具有从替代疗法到疾病建模和药物开发等广泛的潜在用途。目前在动物模型研究中干细胞的进展为AD的新的前瞻性治疗提供了有希望的结果。本综述将讨论AD的特征、干细胞治疗的当前进展以及其发展中仍然存在的挑战和前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3221/5128344/bdc31e0075e9/pi-13-583-g001.jpg

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