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干细胞治疗坐骨神经损伤的研究进展。

Advances in stem cell treatment for sciatic nerve injury.

机构信息

a Neuroscience Research Center, Faculty of Medicine , Guilan University of Medical Sciences , Rasht , Iran.

出版信息

Expert Opin Biol Ther. 2019 Apr;19(4):301-311. doi: 10.1080/14712598.2019.1576630. Epub 2019 Feb 11.

Abstract

INTRODUCTION

The sciatic nerve is one of the peripheral nerves that is most prone to injuries. After injury, the connection between the nervous system and the distal organs is disrupted, and delayed treatment results in distal organ atrophy and total disability. Regardless of great advances in the fields of neurosurgery, biological sciences, and regenerative medicine, total functional recovery is yet to be achieved.

AREAS COVERED

Cell-based therapy for the treatment of peripheral nerve injuries (PNIs) has brought a new perspective to the field of regenerative medicine. Having the ability to differentiate into neural and glial cells, stem cells enhance neural regeneration after PNIs. Augmenting axonal regeneration, remyelination, and muscle mass preservation are the main mechanisms underlying stem cells' beneficial effects on neural regeneration.

EXPERT OPINION

Despite the usefulness of employing stem cells for the treatment of PNIs in pre-clinical settings, further assessments are still needed in order to translate this approach into clinical settings. Mesenchymal stem cells, especially adipose-derived stem cells, with the ability of autologous transplantation, as well as easy harvesting procedures, are speculated to be the most promising source to be used in the treatment of PNIs.

摘要

简介

坐骨神经是最容易受伤的外周神经之一。受伤后,神经系统与远端器官的连接被打断,如果治疗不及时,会导致远端器官萎缩和完全丧失功能。尽管神经外科学、生物科学和再生医学领域取得了重大进展,但仍未能实现完全的功能恢复。

涵盖领域

用于治疗周围神经损伤(PNI)的基于细胞的疗法为再生医学领域带来了新视角。干细胞具有分化为神经和神经胶质细胞的能力,可增强 PNI 后的神经再生。促进轴突再生、髓鞘再生和肌肉质量保存是干细胞对神经再生有益影响的主要机制。

专家意见

尽管在临床前环境中使用干细胞治疗 PNI 非常有用,但仍需要进一步评估,以便将这种方法转化为临床环境。间充质干细胞,特别是具有自体移植能力和易于采集程序的脂肪来源干细胞,被认为是最有前途的 PNI 治疗来源。

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