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干细胞治疗:脑出血有前途的治疗方法。

Stem Cell Therapy: A Promising Therapeutic Method for Intracerebral Hemorrhage.

机构信息

1 Department of Neurosurgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Zhejiang, China.

出版信息

Cell Transplant. 2018 Dec;27(12):1809-1824. doi: 10.1177/0963689718773363. Epub 2018 Jun 5.

Abstract

Spontaneous intracerebral hemorrhage (ICH) is one type of the most devastating cerebrovascular diseases worldwide, which causes high morbidity and mortality. However, efficient treatment is still lacking. Stem cell therapy has shown good neuroprotective and neurorestorative effect in ICH and is a promising treatment. In this study, our aim was to review the therapeutic effects, strategies, related mechanisms and safety issues of various types of stem cell for ICH treatment. Numerous studies had demonstrated the therapeutic effects of diverse stem cell types in ICH. The potential mechanisms include tissue repair and replacement, neurotrophy, promotion of neurogenesis and angiogenesis, anti-apoptosis, immunoregulation and anti-inflammation and so forth. The microenvironment of the central nervous system (CNS) can also influence the effects of stem cell therapy. The detailed therapeutic strategies for ICH treatment such as cell type, the number of cells, time window, and the routes of medication delivery, varied greatly among different studies and had not been determined. Moreover, the safety issues of stem cell therapy for ICH should not be ignored. Stem cell therapy showed good therapeutic effect in ICH, making it a promising treatment. However, safety should be carefully evaluated, and more clinical trials are required before stem cell therapy can be extensively applied to clinical use.

摘要

自发性脑出血(ICH)是全球最具破坏性的脑血管疾病之一,其发病率和死亡率都很高。然而,目前仍缺乏有效的治疗方法。干细胞治疗在 ICH 中显示出良好的神经保护和神经修复作用,是一种很有前途的治疗方法。在本研究中,我们旨在综述各种类型的干细胞治疗 ICH 的治疗效果、策略、相关机制和安全性问题。大量研究已经证明了多种干细胞类型在 ICH 中的治疗效果。潜在的机制包括组织修复和替代、神经营养、促进神经发生和血管生成、抗细胞凋亡、免疫调节和抗炎等。中枢神经系统(CNS)的微环境也会影响干细胞治疗的效果。不同研究中,用于 ICH 治疗的详细治疗策略(如细胞类型、细胞数量、时间窗和给药途径)差异很大,尚未确定。此外,ICH 干细胞治疗的安全性问题也不容忽视。干细胞治疗在 ICH 中显示出良好的治疗效果,使其成为一种很有前途的治疗方法。然而,在干细胞治疗广泛应用于临床之前,应仔细评估其安全性,并需要更多的临床试验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc2d/6300771/d98e099e4f37/10.1177_0963689718773363-fig1.jpg

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