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干细胞在神经退行性疾病中的作用:一种新兴策略。

Stem cell in neurodegenerative disorders; an emerging strategy.

机构信息

Department of Tissue Engineering and Applied Cell Science, School of Advanced Technologies in Medicine, Shahid Beheshti University of Medical Science, Tehran, Iran.

Stem Cell Research Center, Tehran University of Medical Science, Tehran, Iran.

出版信息

Int J Dev Neurosci. 2021 Jun;81(4):291-311. doi: 10.1002/jdn.10101. Epub 2021 Mar 10.

Abstract

Neurodegenerative disorders are a diversity of disorders, surrounding Alzheimer's (AD), Parkinson's (PD), Huntington's diseases (HD), and amyotrophic lateral sclerosis (ALS) accompanied by some other less common diseases generally characterized by either developed deterioration of central or peripheral nervous system structurally or functionally. Today, with the viewpoint of an increasingly aging society, the number of patients with neurodegenerative diseases and sociomedical burdens will spread intensely. During the last decade, stem cell technology has attracted great attention for treating neurodegenerative diseases worldwide because of its unique attributes. As acknowledged, there are several categories of stem cells being able to proliferate and differentiate into various cellular lineages, highlighting their significance in the context of regenerative medicine. In preclinical models, stem cell therapy using mesenchymal stem/stromal cells (MSCs), hematopoietic stem cells (HSCs), and neural progenitor or stem cells (NPCs or NSCs) along with pluripotent stem cells (PSCs)-derived neuronal cells could elicit desired therapeutic effects, enabling functional deficit rescue partially. Regardless of the noteworthy progress in our scientific awareness and understanding of stem cell biology, there still exist various challenges to defeat. In the present review, we provide a summary of the therapeutic potential of stem cells and discuss the current status and prospect of stem cell strategy in neurodegenerative diseases, in particular, AD, PD, ALS, and HD.

摘要

神经退行性疾病是一组疾病,包括阿尔茨海默病(AD)、帕金森病(PD)、亨廷顿病(HD)和肌萎缩侧索硬化症(ALS),以及其他一些不太常见的疾病,这些疾病通常表现为中枢或外周神经系统结构或功能的逐渐恶化。如今,随着社会老龄化程度的不断加深,神经退行性疾病患者的数量及其带来的社会医疗负担将急剧增加。在过去的十年中,由于其独特的属性,干细胞技术在全球范围内引起了治疗神经退行性疾病的广泛关注。众所周知,有几类干细胞能够增殖并分化为各种细胞谱系,这凸显了它们在再生医学中的重要性。在临床前模型中,使用间充质干细胞/基质细胞(MSCs)、造血干细胞(HSCs)、神经祖细胞或干细胞(NPCs 或 NSCs)以及多能干细胞(PSCs)衍生的神经元细胞进行干细胞治疗,可以产生预期的治疗效果,部分恢复功能缺陷。尽管我们在科学认识和理解干细胞生物学方面取得了显著进展,但仍存在各种挑战需要克服。在本综述中,我们总结了干细胞的治疗潜力,并讨论了干细胞策略在神经退行性疾病,特别是 AD、PD、ALS 和 HD 中的现状和前景。

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