Department of Neurosurgery, School of Medicine, CHA University, CHA Bundang Medical Center, Seongnam-si 13496, Gyeonggi-do, Korea.
Spinal Cord Research Centre, Regenerative Medicine Program, Department of Physiology and Pathophysiology, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB R3E 0W2, Canada.
Int J Mol Sci. 2021 May 3;22(9):4853. doi: 10.3390/ijms22094853.
Neuropathic pain (NP) is a complex, debilitating, chronic pain state, heterogeneous in nature and caused by a lesion or disease affecting the somatosensory system. Its pathogenesis involves a wide range of molecular pathways. NP treatment is extremely challenging, due to its complex underlying disease mechanisms. Current pharmacological and nonpharmacological approaches can provide long-lasting pain relief to a limited percentage of patients and lack safe and effective treatment options. Therefore, scientists are focusing on the introduction of novel treatment approaches, such as stem cell therapy. A growing number of reports have highlighted the potential of stem cells for treating NP. In this review, we briefly introduce NP, current pharmacological and nonpharmacological treatments, and preclinical studies of stem cells to treat NP. In addition, we summarize stem cell mechanisms-including neuromodulation in treating NP. Literature searches were conducted using PubMed to provide an overview of the neuroprotective effects of stem cells with particular emphasis on recent translational research regarding stem cell-based treatment of NP, highlighting its potential as a novel therapeutic approach.
神经病理性疼痛(NP)是一种复杂、使人虚弱的慢性疼痛状态,其性质具有异质性,由影响躯体感觉系统的损伤或疾病引起。其发病机制涉及广泛的分子途径。由于其潜在的疾病机制复杂,NP 的治疗极具挑战性。目前的药物和非药物治疗方法只能为有限比例的患者提供持久的疼痛缓解,缺乏安全有效的治疗选择。因此,科学家们正专注于引入新的治疗方法,如干细胞疗法。越来越多的报告强调了干细胞治疗 NP 的潜力。在这篇综述中,我们简要介绍了 NP、目前的药物和非药物治疗方法,以及干细胞治疗 NP 的临床前研究。此外,我们总结了干细胞的作用机制,包括在治疗 NP 中的神经调节作用。使用 PubMed 进行文献检索,以提供对干细胞的神经保护作用的概述,特别强调了关于基于干细胞的 NP 治疗的最新转化研究,突出了其作为一种新的治疗方法的潜力。
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