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神经移植疗法。

Neurotransplantation therapy.

作者信息

Cendelin Jan, Mitoma Hiroshi

机构信息

Department of Pathological Physiology and Laboratory of Neurodegenerative Disorders, Biomedical Center, Faculty of Medicine, Charles University, Pilsen, Czech Republic.

Department of Medical Education, Tokyo Medical University, Tokyo, Japan.

出版信息

Handb Clin Neurol. 2018;155:379-391. doi: 10.1016/B978-0-444-64189-2.00025-1.

Abstract

Neurotransplantation may be a promising approach for therapy of cerebellar diseases characterized by a substantial loss of neurons. Neurotransplantation could rescue neurons from degeneration and maintain cerebellar reserve, facilitate cerebellar compensation, or help reconstruct damaged neural circuits by cell substitution. These mechanisms of action can be of varying importance according to the type of cerebellar disease. Neurotransplantation therapy in cerebellar ataxias is still at the stage of experimental studies. There is currently little knowledge regarding cerebellar patients. Nevertheless, data provided by experiments in animal models of cerebellar degeneration and both clinical studies and experiences in patients with other neurologic diseases enable us to suggest basic principles, expectations, limitations, and future directions of neurotransplantation therapy for cerebellar diseases.

摘要

神经移植可能是治疗以大量神经元丧失为特征的小脑疾病的一种有前景的方法。神经移植可以挽救神经元免于退化并维持小脑储备,促进小脑代偿,或通过细胞替代帮助重建受损的神经回路。根据小脑疾病的类型,这些作用机制的重要性可能各不相同。小脑共济失调的神经移植治疗仍处于实验研究阶段。目前对小脑疾病患者了解甚少。然而,小脑变性动物模型实验以及其他神经系统疾病患者的临床研究和经验所提供的数据,使我们能够提出小脑疾病神经移植治疗的基本原则、期望、局限性和未来方向。

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