Hasan Anwarul, Deeb George, Rahal Rahaf, Atwi Khairallah, Mondello Stefania, Marei Hany Elsayed, Gali Amr, Sleiman Eliana
Department of Mechanical and Industrial Engineering, Qatar University , Doha , Qatar.
Biomedical Engineering and Department of Mechanical Engineering, American University of Beirut , Beirut , Lebanon.
Front Neurol. 2017 Feb 20;8:28. doi: 10.3389/fneur.2017.00028. eCollection 2017.
Traumatic brain injury (TBI) is characterized by a disruption in the normal function of the brain due to an injury following a trauma, which can potentially cause severe physical, cognitive, and emotional impairment. The primary insult to the brain initiates secondary injury cascades consisting of multiple complex biochemical responses of the brain that significantly influence the overall severity of the brain damage and clinical sequelae. The use of mesenchymal stem cells (MSCs) offers huge potential for application in the treatment of TBI. MSCs have immunosuppressive properties that reduce inflammation in injured tissue. As such, they could be used to modulate the secondary mechanisms of injury and halt the progression of the secondary insult in the brain after injury. Particularly, MSCs are capable of secreting growth factors that facilitate the regrowth of neurons in the brain. The relative abundance of harvest sources of MSCs also makes them particularly appealing. Recently, numerous studies have investigated the effects of infusion of MSCs into animal models of TBI. The results have shown significant improvement in the motor function of the damaged brain tissues. In this review, we summarize the recent advances in the application of MSCs in the treatment of TBI. The review starts with a brief introduction of the pathophysiology of TBI, followed by the biology of MSCs, and the application of MSCs in TBI treatment. The challenges associated with the application of MSCs in the treatment of TBI and strategies to address those challenges in the future have also been discussed.
创伤性脑损伤(TBI)的特征是由于创伤后的损伤导致大脑正常功能中断,这可能会潜在地引起严重的身体、认知和情感障碍。对大脑的原发性损伤引发继发性损伤级联反应,该反应由大脑的多种复杂生化反应组成,这些反应会显著影响脑损伤的整体严重程度和临床后遗症。间充质干细胞(MSCs)的应用为TBI的治疗提供了巨大的潜力。MSCs具有免疫抑制特性,可减轻受损组织中的炎症。因此,它们可用于调节损伤的继发性机制,并在损伤后阻止大脑继发性损伤的进展。特别是,MSCs能够分泌促进大脑中神经元再生的生长因子。MSCs收获来源的相对丰富性也使其特别具有吸引力。最近,许多研究调查了将MSCs注入TBI动物模型的效果。结果显示受损脑组织的运动功能有显著改善。在本综述中,我们总结了MSCs在TBI治疗中的应用的最新进展。综述首先简要介绍了TBI的病理生理学,接着介绍了MSCs的生物学特性以及MSCs在TBI治疗中的应用。还讨论了MSCs在TBI治疗中应用所面临的挑战以及未来应对这些挑战的策略。