Institute for Microscopic Anatomy and Neurobiology, University Medical Center of the Johannes Gutenberg University, 55131 Mainz, Germany.
Institute of Anatomy, Medical Faculty Carl Gustav Carus, Technische Universität Dresden School of Medicine, 01069 Dresden, Germany.
Int J Mol Sci. 2019 Aug 31;20(17):4272. doi: 10.3390/ijms20174272.
Aging causes many changes in the human body, and is a high risk for various diseases. Dementia, a common age-related disease, is a clinical disorder triggered by neurodegeneration. Brain damage caused by neuronal death leads to cognitive decline, memory loss, learning inabilities and mood changes. Numerous disease conditions may cause dementia; however, the most common one is Alzheimer's disease (AD), a futile and yet untreatable illness. Adult neurogenesis carries the potential of brain self-repair by an endogenous formation of newly-born neurons in the adult brain; however it also declines with age. Strategies to improve the symptoms of aging and age-related diseases have included different means to stimulate neurogenesis, both pharmacologically and naturally. Finally, the regulatory mechanisms of stem cells neurogenesis or a functional integration of newborn neurons have been explored to provide the basis for grafted stem cell therapy. This review aims to provide an overview of AD pathology of different neural and glial cell types and summarizes current strategies of experimental stem cell treatments and their putative future use in clinical settings.
衰老是人体发生的许多变化的原因,也是各种疾病的高风险因素。痴呆症是一种常见的与年龄相关的疾病,是由神经退行性变引发的临床障碍。神经元死亡引起的脑损伤导致认知能力下降、记忆力丧失、学习能力下降和情绪变化。许多疾病状况都可能导致痴呆症;然而,最常见的是阿尔茨海默病(AD),这是一种无效且尚未治愈的疾病。成人神经发生通过在成人大脑中内源性形成新的神经元具有大脑自我修复的潜力;然而,它也随着年龄的增长而下降。改善衰老和与年龄相关的疾病症状的策略包括通过药理学和自然手段刺激神经发生的不同方法。最后,探索了干细胞神经发生的调节机制或新生神经元的功能整合,为移植干细胞治疗提供了基础。本综述旨在概述不同神经和神经胶质细胞类型的 AD 病理学,并总结目前实验性干细胞治疗的策略及其在临床环境中的潜在应用。