Chang Bao-Luen, Chang Kuo-Hsuan
Department of Neurology, Chang Gung Memorial Hospital-Linkou Medical Center, Taoyuan City, Taiwan.
School of Medicine, College of Medicine, Chang Gung University, Taoyuan City, Taiwan.
Front Neurosci. 2022 Jun 27;16:934507. doi: 10.3389/fnins.2022.934507. eCollection 2022.
Epilepsy is a common disabling chronic neurological disorder characterized by an enduring propensity for the generation of seizures that result from abnormal hypersynchronous firing of neurons in the brain. Over 20-30% of epilepsy patients fail to achieve seizure control or soon become resistant to currently available therapies. Prolonged seizures or uncontrolled chronic seizures would give rise to neuronal damage or death, astrocyte activation, reactive oxygen species production, and mitochondrial dysfunction. Stem cell therapy is potentially a promising novel therapeutic strategy for epilepsy. The regenerative properties of stem cell-based treatment provide an attractive approach for long-term seizure control, particularly in drug-resistant epilepsy. Embryonic stem cells (ESCs), mesenchymal stem cells (MSCs), neural stem cells (NSCs), induced pluripotent stem cells (iPSCs), and adipose-derived regenerative cells (ADRCs) are capable of differentiating into specialized cell types has been applied for epilepsy treatment in preclinical animal research and clinical trials. In this review, we focused on the advances in stem cell therapy for epilepsies. The goals of stem cell transplantation, its mechanisms underlying graft effects, the types of grafts, and their therapeutic effects were discussed. The cell and animal models used for investigating stem cell technology in epilepsy treatment were summarized.
癫痫是一种常见的致残性慢性神经疾病,其特征是大脑中神经元异常超同步放电导致癫痫发作的倾向持续存在。超过20%-30%的癫痫患者无法实现癫痫发作控制,或很快对现有治疗产生耐药性。长时间的癫痫发作或不受控制的慢性癫痫发作会导致神经元损伤或死亡、星形胶质细胞激活、活性氧生成和线粒体功能障碍。干细胞治疗可能是一种有前景的新型癫痫治疗策略。基于干细胞的治疗的再生特性为长期癫痫发作控制提供了一种有吸引力的方法,特别是在耐药性癫痫中。胚胎干细胞(ESC)、间充质干细胞(MSC)、神经干细胞(NSC)、诱导多能干细胞(iPSC)和脂肪来源的再生细胞(ADRC)能够分化为特定细胞类型,已被应用于临床前动物研究和临床试验中的癫痫治疗。在这篇综述中,我们重点关注了干细胞治疗癫痫的进展。讨论了干细胞移植的目标、移植效果的潜在机制、移植类型及其治疗效果。总结了用于研究癫痫治疗中干细胞技术的细胞和动物模型。