Center of Excellence for Aging and Brain Repair, Department of Neurosurgery and Brain Repair, University of South Florida Morsani College of Medicine, Tampa, FL 33612, USA.
Center of Excellence for Aging and Brain Repair, Department of Neurosurgery and Brain Repair, University of South Florida Morsani College of Medicine, Tampa, FL 33612, USA.
Neurobiol Dis. 2019 Jun;126:85-104. doi: 10.1016/j.nbd.2018.09.011. Epub 2018 Sep 13.
Age-related neurological disorders continue to pose a significant societal and economic burden. Aging is a complex phenomenon that affects many aspects of the human body. Specifically, aging can have detrimental effects on the progression of brain diseases and endogenous stem cells. Stem cell therapies possess promising potential to mitigate the neurological symptoms of such diseases. However, aging presents a major obstacle for maximum efficacy of these treatments. In this review, we discuss current preclinical and clinical literature to highlight the interactions between aging, stem cell therapy, and the progression of major neurological disease states such as Parkinson's disease, Huntington's disease, stroke, traumatic brain injury, amyotrophic lateral sclerosis, multiple sclerosis, and multiple system atrophy. We raise important questions to guide future research and advance novel treatment options.
与年龄相关的神经退行性疾病仍然是一个重大的社会和经济负担。衰老(aging)是一种复杂的现象,会影响人体的许多方面。具体而言,衰老会对大脑疾病和内源性干细胞的进展产生有害影响。干细胞疗法具有减轻此类疾病神经症状的巨大潜力。然而,衰老对这些治疗方法的最大疗效构成了重大障碍。在本综述中,我们讨论了当前的临床前和临床文献,以强调衰老、干细胞治疗以及帕金森病、亨廷顿病、中风、创伤性脑损伤、肌萎缩侧索硬化症、多发性硬化症和多系统萎缩等主要神经疾病状态进展之间的相互作用。我们提出了一些重要的问题,以指导未来的研究并推进新的治疗选择。