Turnbull Marion T, Zubair Abba C, Meschia James F, Freeman William D
1Department of Neuroscience, Mayo Clinic Florida, Jacksonville, FL USA.
2Department of Laboratory Medicine and Pathology, Mayo Clinic Florida, Jacksonville, FL USA.
NPJ Regen Med. 2019 May 13;4:10. doi: 10.1038/s41536-019-0073-8. eCollection 2019.
Significant progress has been made during the past few decades in stem cell therapy research for various diseases and injury states; however this has not been overwhelmingly translated into approved therapies, despite much public attention and the rise in unregulated 'regenerative clinics'. In the last decade, preclinical research focusing on mesenchymal stem/stromal cell (MSC) therapy in experimental animal models of hemorrhagic stroke has gained momentum and has led to the development of a small number of human trials. Here we review the current studies focusing on MSC therapy for hemorrhagic stroke in an effort to summarize the status of preclinical and clinical research. Preliminary evidence indicates that MSCs are both safe and tolerable in patients, however future randomized controlled trials are required to translate the promising preclinical research into an effective therapy for hopeful patients.
在过去几十年里,干细胞疗法针对各种疾病和损伤状态的研究取得了重大进展;然而,尽管受到公众的广泛关注以及不受监管的“再生诊所”数量增加,但这并未大量转化为获批疗法。在过去十年中,针对出血性中风实验动物模型的间充质干/基质细胞(MSC)疗法的临床前研究势头渐起,并促成了少数人体试验的开展。在此,我们综述当前聚焦于MSC疗法治疗出血性中风的研究,以总结临床前和临床研究的现状。初步证据表明,MSC在患者中既安全又可耐受,然而,未来需要进行随机对照试验,以便将有前景的临床前研究转化为针对有望康复患者的有效疗法。