Department of Anatomy, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Department of Anatomy, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Neuropeptides. 2020 Dec;84:102095. doi: 10.1016/j.npep.2020.102095. Epub 2020 Sep 17.
Multiple Sclerosis (MS) is a demyelinating autoimmune disease of the central nervous system (CNS) with symptoms such as neuroinflammation and axonal degeneration. Existing drugs help reduce inflammatory conditions and protect CNS from demyelination and axonal damage; however, these drugs are unable to enhance axonal repair and remyelination. In this regard, cell therapy is considered as a promising regenerative approach to MS treatment. High immunomodulatory capacity, neuro-differentiation and neuroprotection properties have made Mesenchymal Stem Cells (MSCs) particularly useful for regenerative medicine. There are scant studies on the role of MSCs in patients suffering from MS. The low number of MS patients and the lack of control groups in these studies may explain the lack of beneficial effects of MSC transplantation in cell therapies. In this review, we evaluated the beneficial effects of MSC transplantation in clinical studies in terms of immunomodulatory, remyelinating and neuroprotecting properties of MSCs.
多发性硬化症(MS)是一种中枢神经系统(CNS)脱髓鞘自身免疫性疾病,其症状包括神经炎症和轴突变性。现有的药物有助于减轻炎症状况,并保护中枢神经系统免受脱髓鞘和轴突损伤;然而,这些药物无法增强轴突修复和髓鞘再生。在这方面,细胞疗法被认为是一种有前途的多发性硬化症治疗的再生方法。间充质干细胞(MSCs)具有高免疫调节能力、神经分化和神经保护特性,特别适用于再生医学。关于 MSCs 在多发性硬化症患者中的作用的研究很少。这些研究中多发性硬化症患者数量少且缺乏对照组,这可能解释了 MSC 移植在细胞治疗中缺乏有益效果的原因。在这篇综述中,我们评估了 MSC 移植在临床研究中的有益效果,涉及 MSCs 的免疫调节、髓鞘再生和神经保护特性。