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神经干细胞在阿尔茨海默病治疗中的应用:现状、挑战与未来前景。

Neural Stem Cells in the Treatment of Alzheimer's Disease: Current Status, Challenges, and Future Prospects.

机构信息

Department of Neurosurgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

出版信息

J Alzheimers Dis. 2023;94(s1):S173-S186. doi: 10.3233/JAD-220721.

Abstract

Alzheimer's disease (AD), a progressive dementia, is one of the world's most dangerous and debilitating diseases. Clinical trial results of amyloid-β (Aβ) and tau regulators based on the pretext of straightforward amyloid and tau immunotherapy were disappointing. There are currently no effective strategies for slowing the progression of AD. Further understanding of the mechanisms underlying AD and the development of novel therapeutic options are critical. Neurogenesis is impaired in AD, which contributes to memory deficits. Transplanted neural stem cells (NSCs) can regenerate degraded cholinergic neurons, and new neurons derived from NSCs can form synaptic connections with neighboring neurons. In theory, employing NSCs to replace and restore damaged cholinergic neurons and brain connections may offer new treatment options for AD. However there remain barriers to surmount before NSC-based therapy can be used clinically. The objective of this article is to describe recent advances in the treatment of AD models and clinical trials involving NSCs. In addition, we discuss the challenges and prospects associated with cell transplant therapy for AD.

摘要

阿尔茨海默病(AD)是一种进行性痴呆症,是世界上最危险和使人虚弱的疾病之一。基于简单的淀粉样蛋白和tau 免疫疗法的假设,针对淀粉样蛋白-β(Aβ)和 tau 调节剂的临床试验结果令人失望。目前尚无减缓 AD 进展的有效策略。进一步了解 AD 的发病机制和开发新的治疗方法至关重要。AD 中神经发生受损,导致记忆缺陷。移植的神经干细胞(NSC)可以再生退化的胆碱能神经元,并且源自 NSC 的新神经元可以与相邻神经元形成突触连接。从理论上讲,利用 NSC 替代和恢复受损的胆碱能神经元和大脑连接,可能为 AD 提供新的治疗选择。然而,在 NSC 为基础的治疗可以临床应用之前,仍然存在需要克服的障碍。本文的目的是描述 AD 模型治疗和涉及 NSC 的临床试验的最新进展。此外,我们还讨论了与 AD 细胞移植治疗相关的挑战和前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e7a/10473082/f2e33c98cd8a/jad-94-jad220721-g001.jpg

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