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用于缺血性中风治疗的诱导多能干细胞

Induced Pluripotent Stem Cells for Ischemic Stroke Treatment.

作者信息

Duan Ranran, Gao Yang, He Ruya, Jing Lijun, Li Yanfei, Gong Zhe, Yao Yaobing, Luan Tingting, Zhang Chaopeng, Li Li, Jia Yanjie

机构信息

Department of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

The International Medical Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

出版信息

Front Neurosci. 2021 May 28;15:628663. doi: 10.3389/fnins.2021.628663. eCollection 2021.

Abstract

Ischemic stroke is one of the main central nervous system diseases and is associated with high disability and mortality rates. Recombinant tissue plasminogen activator (rt-PA) and mechanical thrombectomy are the optimal therapies available currently to restore blood flow in patients with stroke; however, their limitations are well recognized. Therefore, new treatments are urgently required to overcome these shortcomings. Recently, stem cell transplantation technology, involving the transplantation of induced pluripotent stem cells (iPSCs), has drawn the interest of neuroscientists and is considered to be a promising alternative for ischemic stroke treatment. iPSCs are a class of cells produced by introducing specific transcription factors into somatic cells, and are similar to embryonic stem cells in biological function. Here, we have reviewed the current applications of stem cells with a focus on iPSC therapy in ischemic stroke, including the neuroprotective mechanisms, development constraints, major challenges to overcome, and clinical prospects. Based on the current state of research, we believe that stem cells, especially iPSCs, will pave the way for future stroke treatment.

摘要

缺血性中风是主要的中枢神经系统疾病之一,与高致残率和死亡率相关。重组组织型纤溶酶原激活剂(rt-PA)和机械取栓术是目前可用于恢复中风患者血流的最佳治疗方法;然而,它们的局限性已得到充分认识。因此,迫切需要新的治疗方法来克服这些缺点。最近,涉及诱导多能干细胞(iPSC)移植的干细胞移植技术引起了神经科学家的关注,并被认为是缺血性中风治疗的一种有前途的替代方法。iPSC是一类通过将特定转录因子导入体细胞而产生的细胞,在生物学功能上与胚胎干细胞相似。在此,我们综述了干细胞的当前应用,重点是iPSC治疗缺血性中风,包括神经保护机制、发展限制、需要克服的主要挑战和临床前景。基于目前的研究状况,我们相信干细胞,尤其是iPSC,将为未来的中风治疗铺平道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/967b/8202685/2c15660761f5/fnins-15-628663-g001.jpg

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