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干细胞:治疗神经系统疾病的一个有前景的候选者。

Stem cells: a promising candidate to treat neurological disorders.

作者信息

Song Chang-Geng, Zhang Yi-Zhe, Wu Hai-Ning, Cao Xiu-Li, Guo Chen-Jun, Li Yong-Qiang, Zheng Min-Hua, Han Hua

机构信息

Department of Medical Genetics and Developmental Biology, Fourth Military Medical University, Xi'an, Shaanxi Province, China.

Department of Medical Genetics and Developmental Biology, Fourth Military Medical University; Department of Biochemistry and Molecular Biology, Fourth Military Medical University, Xi'an, Shaanxi Province, China.

出版信息

Neural Regen Res. 2018 Jul;13(7):1294-1304. doi: 10.4103/1673-5374.235085.

Abstract

Neurologic impairments are usually irreversible as a result of limited regeneration in the central nervous system. Therefore, based on the regenerative capacity of stem cells, transplantation therapies of various stem cells have been tested in basic research and preclinical trials, and some have shown great prospects. This manuscript overviews the cellular and molecular characteristics of embryonic stem cells, induced pluripotent stem cells, neural stem cells, retinal stem/progenitor cells, mesenchymal stem/stromal cells, and their derivatives in vivo and in vitro as sources for regenerative therapy. These cells have all been considered as candidates to treat several major neurological disorders and diseases, owing to their self-renewal capacity, multi-directional differentiation, neurotrophic properties, and immune modulation effects. We also review representative basic research and recent clinical trials using stem cells for neurodegenerative diseases, including Parkinson's disease, Alzheimer's disease, and age-related macular degeneration, as well as traumatic brain injury and glioblastoma. In spite of a few unsuccessful cases, risks of tumorigenicity, and ethical concerns, most results of animal experiments and clinical trials demonstrate efficacious therapeutic effects of stem cells in the treatment of nervous system disease. In summary, these emerging findings in regenerative medicine are likely to contribute to breakthroughs in the treatment of neurological disorders. Thus, stem cells are a promising candidate for the treatment of nervous system diseases.

摘要

由于中枢神经系统的再生能力有限,神经损伤通常是不可逆的。因此,基于干细胞的再生能力,各种干细胞的移植疗法已在基础研究和临床试验中进行了测试,其中一些已显示出巨大的前景。本文综述了胚胎干细胞、诱导多能干细胞、神经干细胞、视网膜干/祖细胞、间充质干/基质细胞及其在体内和体外的衍生物作为再生治疗来源的细胞和分子特征。由于这些细胞具有自我更新能力、多向分化能力、神经营养特性和免疫调节作用,它们都被视为治疗几种主要神经疾病的候选细胞。我们还回顾了使用干细胞治疗神经退行性疾病(包括帕金森病、阿尔茨海默病和年龄相关性黄斑变性)以及创伤性脑损伤和胶质母细胞瘤的代表性基础研究和近期临床试验。尽管有一些不成功的案例、致瘤风险和伦理问题,但大多数动物实验和临床试验结果表明干细胞在治疗神经系统疾病方面具有有效的治疗效果。总之,再生医学中的这些新发现可能会为神经系统疾病的治疗带来突破。因此,干细胞是治疗神经系统疾病的有希望的候选者。

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