Department of Neurology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Stroke Vasc Neurol. 2017 May 22;2(2):59-64. doi: 10.1136/svn-2017-000070. eCollection 2017 Jun.
Ischaemic stroke remains a leading cause of death and disability. Current stroke treatment options aim to minimise the damage from a pending stroke during the acute stroke period using intravenous thrombolytics and endovascular thrombectomy; however, there are no currently approved treatment options for reversing neurological damage once a stroke is completed. Preclinical studies suggest that cell therapy may be safe and effective in improving functional outcomes. Several recent clinical trials have reported safety and some improvement in outcomes following cell therapy administration in ischaemic stroke, which are reviewed. Cell therapy may provide a promising new treatment for stroke reducing stroke-related disability. Further investigation is needed to determine specific effects of cell therapy and to optimise cell delivery methods, cell dosing, type of cells used, timing of delivery, infarct size and location of infarct that are likely to benefit from cell therapy.
缺血性中风仍然是死亡和残疾的主要原因。目前的中风治疗方法旨在通过静脉溶栓和血管内血栓切除术来减少急性中风期间即将发生的中风造成的损害;然而,目前尚无批准的治疗方法可逆转中风完成后的神经损伤。临床前研究表明,细胞疗法在改善功能预后方面可能是安全有效的。最近的几项临床试验报告了细胞疗法在缺血性中风中的安全性和一些结果的改善,本文对此进行了综述。细胞疗法可能为中风减少中风相关残疾提供一种有前途的新治疗方法。需要进一步研究以确定细胞疗法的具体效果,并优化细胞递送方法、细胞剂量、使用的细胞类型、递送时间、梗死大小和可能受益于细胞疗法的梗死部位。