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癫痫患者的干细胞治疗:系统评价。

Stem cell therapy in patients with epilepsy: A systematic review.

机构信息

Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Department of Neuroscience, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Iran.

Pharmaceutical Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Clin Neurol Neurosurg. 2021 Jan;200:106416. doi: 10.1016/j.clineuro.2020.106416. Epub 2020 Dec 5.

Abstract

PURPOSE

The existing evidence of the potential applications and benefits of stem cell transplantation (SCT) in people with epilepsy and also its adverse effects in humans were systematically reviewed.

METHODS

MEDLINE (accessed from PubMed), Google Scholar, and Scopus from inception to August 17, 2020 were systematically reviewed for related published manuscripts. The following key words (in the title) were used: "stem cell" AND "epilepsy" OR "seizure". Articles written in English that were human studies on stem cell transplantation in people with epilepsy were all included.

RESULTS

We could identify six related articles. Because of their different methodologies, performing a meta-analysis was not feasible; they included 38 adults and 81 pediatric patients together. Five studies were single-arm human studies; there were no serious adverse events in any of the studies.

CONCLUSION

While stem cell transplantation seems like a promising therapeutic option for patients with drug-resistant epilepsy, data on its application is scarce and of low quality. For now, clinical stem cell-based interventions are not justified. Perhaps, in the future, there will be a rigorous and intensely scrutinized clinical trial protocol with informed consent that could provide enough scientific merit and could meet the required ethical standards.

摘要

目的

系统评价干细胞移植(SCT)在癫痫患者中的潜在应用和益处及其在人类中的不良反应的现有证据。

方法

系统检索 MEDLINE(从 PubMed 检索)、Google Scholar 和 Scopus 自成立至 2020 年 8 月 17 日发表的相关文献。使用以下关键词(标题中):“stem cell” AND “epilepsy” OR “seizure”。纳入的研究均为发表在英文期刊上的关于干细胞移植治疗癫痫的人类研究。

结果

我们共确定了 6 篇相关文章。由于其不同的方法学,无法进行荟萃分析;它们共纳入了 38 名成年患者和 81 名儿科患者。5 项研究为单臂人类研究;任何研究均无严重不良事件。

结论

虽然干细胞移植似乎是治疗耐药性癫痫患者的一种有前途的治疗选择,但关于其应用的数据很少且质量较低。目前,基于干细胞的临床干预尚不合理。也许,将来会有一个严格和严格审查的临床试验方案,获得知情同意,从而提供足够的科学价值并满足所需的伦理标准。

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