Corey Sydney, Bonsack Brooke, Heyck Matt, Shear Alex, Sadanandan Nadia, Zhang Henry, Borlongan Cesar V
Center of Excellence for Aging and Brain Repair, University of South Florida, College of Medicine, 12901 Bruce B Downs Blvd, Tampa, FL 33612, USA.
Brain Hemorrhages. 2020 Mar;1(1):24-33. doi: 10.1016/j.hest.2019.12.005. Epub 2020 Jan 22.
Hemorrhagic stroke is a global health crisis plagued by neuroinflammation in the acute and chronic phases. Neuroinflammation approximates secondary cell death, which in turn robustly contributes to stroke pathology. Both the physiological and behavioral symptoms of stroke correlate with various inflammatory responses in animal and human studies. That slowing the secondary cell death mediated by this inflammation may attenuate stroke pathology presents a novel treatment strategy. To this end, experimental therapies employing stem cell transplants support their potential for neuroprotection and neuroregeneration after hemorrhagic stroke. In this review, we evaluate experiments using different types of stem cell transplants as treatments for stroke-induced neuroinflammation. We also update this emerging area by examining recent preclinical and clinical trials that have deployed these therapies. While further investigations are warranted to solidify their therapeutic profile, the reviewed studies largely posit stem cells as safe and potent biologics for stroke, specifically owing to their mode of action for sequestering neuroinflammation and promoting neuroregenerative processes.
出血性中风是一种全球性的健康危机,在急性期和慢性期都受到神经炎症的困扰。神经炎症近似于继发性细胞死亡,而继发性细胞死亡又对中风病理有显著影响。在动物和人体研究中,中风的生理和行为症状都与各种炎症反应相关。减缓这种炎症介导的继发性细胞死亡可能会减轻中风病理,这提出了一种新的治疗策略。为此,采用干细胞移植的实验性疗法证明了其在出血性中风后具有神经保护和神经再生的潜力。在这篇综述中,我们评估了使用不同类型干细胞移植治疗中风诱导的神经炎症的实验。我们还通过研究最近开展这些疗法的临床前和临床试验来更新这一新兴领域。虽然需要进一步研究来巩固它们的治疗效果,但所综述的研究大多认为干细胞是治疗中风安全有效的生物制剂,特别是因为它们具有隔离神经炎症和促进神经再生过程的作用方式。