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神经疾病新兴潜在疗法综述:人类胚胎干细胞疗法

A review of the emerging potential therapy for neurological disorders: human embryonic stem cell therapy.

作者信息

Shroff Geeta, Dhanda Titus Jyoti, Shroff Rhea

机构信息

Department of Stem Cell Therapy, Nutech Mediworld, H-8, Green Park ExtensionNew Delhi 110016, India.

Department of Administration, Nutech Mediworld, H-8, Green Park ExtensionNew Delhi 110016, India.

出版信息

Am J Stem Cells. 2017 Apr 15;6(1):1-12. eCollection 2017.

Abstract

The first human embryonic stem cell (hESC) line was developed in the late nineties. hESCs are capable of proliferating indefinitely and differentiate into all the three embryonic germ layers. Further, the differentiation of hESC lines into neural precursor cells and neurons, astrocytes and oligodendrocytes showed their potential in treating several incurable neurological disorders such as spinal cord injury (SCI), cerebral palsy (CP), Parkinson's disease (PD). In this review, we will discuss the global scenario of research and therapeutic use of hESCs in the treatment of neurological disorders. Following this, we will discuss the development of a unique hESC line, how it differs from the other available hESC lines and its use in the treatment of neurological disorders. hESCs were isolated from mixture of neuronal and non-neuronal progenitor cells in their pre progenitor state in a Good Laboratory Practices, Good Tissue Practices and Good Manufacturing Practices compliant laboratory. Blastomere cells have served as a source to derive the hESCs and the xeno-free culture was demonstrated to be more safe and effective in clinical therapeutic application of hESCs. All the patients showed a remarkable improvement in their conditions and no serious adverse events were reported. This study concluded that hESC lines could be scalable and used in the treatment of various neurological disorders such as SCI, CP, and PD.

摘要

第一条人类胚胎干细胞(hESC)系于九十年代后期建立。hESC能够无限增殖,并分化为所有三个胚胎胚层。此外,hESC系向神经前体细胞、神经元、星形胶质细胞和少突胶质细胞的分化显示出其在治疗多种无法治愈的神经系统疾病(如脊髓损伤(SCI)、脑瘫(CP)、帕金森病(PD))方面的潜力。在本综述中,我们将讨论hESC在神经系统疾病治疗中的研究和治疗应用的全球情况。在此之后,我们将讨论一种独特的hESC系的建立、它与其他现有hESC系的不同之处以及它在神经系统疾病治疗中的应用。hESC是在一个符合良好实验室规范、良好组织规范和良好生产规范的实验室中,从处于祖细胞前期状态的神经元和非神经元祖细胞混合物中分离出来的。卵裂球细胞已作为获取hESC的来源,并且无动物源培养在hESC的临床治疗应用中被证明更安全有效。所有患者的病情都有显著改善,且未报告严重不良事件。本研究得出结论,hESC系可进行规模化培养,并用于治疗各种神经系统疾病,如SCI、CP和PD。

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