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间充质干细胞在多发性硬化症治疗中的潜在应用。

The potential use of mesenchymal stem cells for the treatment of multiple sclerosis.

机构信息

Cellular and Molecular Biology Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

Cellular and Molecular Biology Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran; Neuroscience Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

出版信息

Life Sci. 2019 Oct 15;235:116830. doi: 10.1016/j.lfs.2019.116830. Epub 2019 Sep 2.

Abstract

Multiple sclerosis (MS) is a chronic autoimmune inflammatory disease of the central nervous system (CNS). In attempt to identify an appropriate treatment for improving the neurological symptoms and remyelination process, autologous and allogenic transplantation of mesenchymal stem cells (MSCs) have been introduced as an effective therapeutic strategy in MS. MSCs are a heterogeneous subset of pluripotent non-hematopoietic stromal cells that are isolated from bone marrow, adipose tissue, placenta and other sources. MSCs have considerable therapeutic effects due to their ability in differentiation, migration, immune-modulation and neuroregeneration. To date, numerous experimental and clinical studies demonstrated that MSCs therapy improves the CNS repair and modulates functional neurological symptoms. Here, we provided an overview of the current knowledge about the clinical applications of MSCs in MS. Furthermore, the major challenges and risks of MSCs therapy in MS patients have been elucidated.

摘要

多发性硬化症(MS)是一种中枢神经系统(CNS)的慢性自身免疫性炎症性疾病。为了寻找改善神经症状和髓鞘再生过程的合适治疗方法,自体和同种异体间充质干细胞(MSCs)移植已被引入 MS 的有效治疗策略中。MSCs 是一种异质性的多能非造血基质细胞亚群,可从骨髓、脂肪组织、胎盘和其他来源中分离出来。MSCs 具有相当大的治疗效果,因为它们具有分化、迁移、免疫调节和神经再生的能力。迄今为止,大量的实验和临床研究表明,MSCs 治疗可改善中枢神经系统的修复并调节功能神经症状。在这里,我们概述了 MSCs 在 MS 中的临床应用的现有知识。此外,还阐明了 MSCs 治疗 MS 患者的主要挑战和风险。

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