Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
Stem Cell Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
J Cell Biochem. 2019 Jun;120(6):8849-8862. doi: 10.1002/jcb.28207. Epub 2018 Dec 2.
Neurological disorders, such as stroke, are triggered by a loss of neurons and glial cells. Ischemic stroke remains a substantial problem for industrialized countries. Over the previous few decades our understanding about the pathophysiology of stroke has enhanced, nevertheless, more awareness is required to advance the field of stroke recovery. Existing therapies are incapable to adequately relief the disease outcome and are not appropriate to all patients. Meanwhile, the majority of patients continue to show neurological deficits even subsequent effective thrombolysis, recuperative therapies are immediately required that stimulate brain remodeling and repair once stroke damage has happened. Cell therapy is emergent as a hopeful new modality for increasing neurological recovery in ischemic stroke. Numerous types of stem cells from various sources have been identified and their possibility and efficiency for the treatment of stroke have been investigated. Stem cell therapy in patients with stroke using adult stem cells have been first practiced in clinical trials since 15 years ago. Even though stem cells have revealed a hopeful role in ischemic stroke in investigational studies besides early clinical pilot studies, cellular therapy in human is still at a primary stage. In this review, we summarize the types of stem cells, various delivery routes, and clinical application of stem cell-based therapy for stroke treatment.
神经紊乱,如中风,是由神经元和神经胶质细胞的丧失引发的。缺血性中风仍然是工业化国家的一个重大问题。在过去的几十年中,我们对中风病理生理学的理解有所提高,然而,为了推进中风康复领域,还需要更多的认识。现有的治疗方法不能充分缓解疾病的结果,也不适合所有患者。同时,即使在有效的溶栓治疗后,大多数患者仍会出现神经功能缺损,因此需要立即进行康复治疗,以在中风损伤发生后刺激大脑重塑和修复。细胞疗法作为一种增加缺血性中风神经恢复的有希望的新方法而出现。已经鉴定出多种来源的干细胞,并且已经研究了它们治疗中风的可能性和效率。自 15 年前以来,使用成体干细胞的中风患者的干细胞治疗已首次在临床试验中进行。尽管除了早期临床试点研究之外,干细胞在缺血性中风的研究中已经显示出有希望的作用,但细胞疗法在人类中仍处于初级阶段。在这篇综述中,我们总结了基于干细胞的治疗中风的干细胞类型、各种输送途径和临床应用。