Yefroyev David A, Jin Sha
Department of Biomedical Engineering, Thomas J. Watson School of Engineering and Applied Sciences, State University of New York at Binghamton, Binghamton, NY 13902, USA.
Biomedicines. 2022 Jan 19;10(2):208. doi: 10.3390/biomedicines10020208.
Neurodegenerative diseases are a group of debilitating pathologies in which neuronal tissue dies due to the buildup of neurotoxic plaques, resulting in detrimental effects on cognitive ability, motor control, and everyday function. Stem cell technology offers promise in addressing this problem on multiple fronts, but the conventional sourcing of pluripotent stem cells involves harvesting from aborted embryonic tissue, which comes with strong ethical and practical concerns. The keystone discovery of induced pluripotent stem cell (iPSC) technology provides an alternative and endless source, circumventing the unfavorable issues with embryonic stem cells, and yielding fundamental advantages. This review highlights iPSC technology, the pathophysiology of two major neurodegenerative diseases, Alzheimer's and Parkinson's, and then illustrates current state-of-the-art approaches towards the treatment of the diseases using iPSCs. The technologies discussed in the review emphasize in vitro therapeutic neural cell and organoid development for disease treatment, pathological modeling of neurodegenerative diseases, and 3D bioprinting as it applies to both.
神经退行性疾病是一组使人衰弱的病症,其中神经元组织因神经毒性斑块的积累而死亡,从而对认知能力、运动控制和日常功能产生有害影响。干细胞技术有望在多个方面解决这一问题,但多能干细胞的传统来源涉及从流产的胚胎组织中获取,这带来了强烈的伦理和实际问题。诱导多能干细胞(iPSC)技术的关键发现提供了一种替代且无尽的来源,规避了胚胎干细胞的不利问题,并产生了根本优势。本综述重点介绍了iPSC技术、两种主要神经退行性疾病——阿尔茨海默病和帕金森病的病理生理学,然后阐述了目前使用iPSC治疗这些疾病的最先进方法。综述中讨论的技术强调用于疾病治疗的体外治疗性神经细胞和类器官发育、神经退行性疾病的病理建模以及适用于两者的3D生物打印。